Complete Physio Podcast

Clinicians at Complete Physio (Central London) address common patient questions about steroid injections and travel. We discuss practical considerations when flying soon after an injection (post-procedural flare), rare but important risks including infection and delayed allergic reactions, and how destination healthcare access and travel insurance may affect decision-making. We also cover safe considerations around driving after injections, expected onset and duration of benefit, and planning injections ahead of key events or holidays. Finally, we outline red-flag symptoms requiring urgent assessment, and discuss injection options, including standard steroid injection vs hydrodistension for frozen shoulder, plus considerations for barbotage in calcific tendinopathy. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections. 👥 Follow us for more expert advice on injury recovery and prevention: ⭐ Like on Complete Physio Facebook Page: https://www.facebook.com/CompletePhysio ⭐ Follow on Complete Physio Instagram Page: https://www.instagram.com/completephysio/ ⭐ Connect on Complete Physio Linkedin Page: https://www.linkedin.com/company/complete-physio ⭐ Connect on Complete Physio Twitter Page: https://twitter.com/completephysio Book an appointment with one of London’s top physios today! 🌐 www.complete-physio.co.uk 📞 020 7482 3875 📧 [email protected] The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise programme, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content. #steroidinjection #ultrasoundguidedinjection #musculoskeletalinjection #sportsmedicine #physiotherapy #physiotherapylondon #injectiontherapy #postinjectioncare #frozenshoulder #calcifictendinopathy #hydrodistension #barbotage #jointinjection #kneeinjection #shoulderinjection #infectionrisk #travelafterinjection #musculoskeletalhealth #diagnosticultrasound #completephysio Learn more about your ad choices. Visit megaphone.fm/adchoices

In this clinical discussion, we explore why musculoskeletal injury rates can rise in the first weeks and months after retirement, often when activity levels increase rapidly (e.g., tennis, golf, running). We cover key mechanisms, including sudden changes in tissue loading, deconditioning, and age-related tendon and joint vulnerability (Achilles tendinopathy, rotator cuff tendinopathy/tears, and osteoarthritis flare). We also outline practical clinical red flags and decision points for when patients should seek professional assessment: persistent or escalating pain, night pain, latent symptom patterns after activity, swelling, and—critically—sudden pain with loss of function suggesting possible tendon injury. Finally, we discuss progressive preparation for retirement activity through graded exposure and targeted strength and conditioning. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections. 👥 Follow us for more expert advice on injury recovery and prevention: ⭐ Like on Complete Physio Facebook Page: https://www.facebook.com/CompletePhysio ⭐ Follow on Complete Physio Instagram Page: https://www.instagram.com/completephysio/ ⭐ Connect on Complete Physio LinkedIn Page: https://www.linkedin.com/company/complete-physio ⭐ Connect on Complete Physio Twitter Page: https://twitter.com/completephysio Book an appointment with one of London’s top physios today! 🌐 www.complete-physio.co.uk 📞 020 7482 3875 📧 [email protected] The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise programme, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content. #injuryrisk #retirementhealth #musculoskeletalinjuries #tendonoverload #achillestendinopathy #rotatorcufftendinopathy #rotatorcufftear #osteoarthritis #jointpain #tendonpain #loadmanagement #deconditioning #overuseinjury #sportsinjury #olderathletes #returntoactivity #clinicalphysiotherapy #musculoskeletalhealth #sportsphysiotherapy #diagnosticultrasound #ultrasoundguidedinjection #completephysio #physiotherapylondon Learn more about your ad choices. Visit megaphone.fm/adchoices

Thumb arthritis, or osteoarthritis at the base of the thumb (the first carpometacarpal or CMC joint), is one of the most common causes of hand pain. In this episode, Chris Myers is joined by Jennifer Parr, specialist hand therapist at Complete Physio, to explain how it is assessed and treated. It is particularly common in middle age and beyond, and yet it is frequently misunderstood or poorly managed. Jennifer explains exactly what is happening inside the joint, how it is assessed, and the conservative treatment options available before surgery is considered. What we cover:- How CMC arthritis presents and why it often affects the non-dominant hand first- Clinical assessment: pinch strength testing, MCP collapse, and what an X-ray does (and does not) tell you- Splinting options: push splints, fabric comfort splints, kinesiology tape, and bespoke thermoplastic splints- The specific stabilising exercises Jennifer prescribes and why generic thumb exercises can miss the point- When to consider a corticosteroid injection and how to use the pain-free window effectively- How ultrasound guided injection and diagnostic scanning adds information beyond plain X-ray Surgery and post-operative rehabilitation are covered in a separate episode on first CMC joint replacement. Jennifer Parr is a highly experienced hand therapist based at Complete Physio. She works closely with specialist hand surgeons and the wider clinic team to provide integrated conservative and post-operative rehabilitation for hand and upper limb conditions. If you are experiencing base of thumb pain, our team can help. Visit complete-physio.co.uk or call us to speak with one of our hand therapists. 0:00 Introduction0:32 What is base of thumb arthritis and how does it present?3:44 Diagnosis: assessment, pinch testing and X-rays5:57 Splinting options: push splints, comfort splints and K-tape9:47 Exercises: stabilising the CMC joint15:37 Injections: when to use them and how to maximise the benefit Learn more about your ad choices. Visit megaphone.fm/adchoices

Does Arthrosamid work for knee arthritis? Chris Myers sits down with Stuart, an advanced practitioner in ultrasound-guided injections based in Somerset, to take an honest look. They cover how it works, who it is likely to help, what the latest pooled evidence shows, and how it sits alongside steroid and hyaluronic acid injections. What they cover in this episode:- How Arthrosamid works on the synovium and why results can last- Realistic expectations and which patients tend to respond best- How it compares to steroid and hyaluronic acid injections- The latest pooled clinical data, including WOMAC score outcomes- How to identify suitable candidates, including those with patellofemoral arthritis- A full walkthrough of the consultation and injection procedure- Post-injection recovery and what to expect in the first three months- When to consider other options, including surgery Stuart is an advanced practitioner specialising in ultrasound-guided injection therapy, running the Complete Physio satellite clinic in Somerset. He has performed well over 200 Arthrosamid injections and was one of the early adopters in the UK. If you are living with knee arthritis and want to understand whether injection therapy might be right for you, the team at Complete Physio offer specialist assessments. Visit complete-physio.co.uk to find out more or to book a consultation. 0:00 Introduction1:50 How Arthrosamid Works4:51 Realistic Expectations8:01 Who Is Suitable9:49 Steroids and Hyaluronic Acid13:12 The Latest Evidence16:08 Patellofemoral Arthritis20:11 The Consultation Process22:14 The Injection Procedure25:06 Recovery and Aftercare Learn more about your ad choices. Visit megaphone.fm/adchoices

Dupuytren's contracture explained: how it progresses, the surgical options, and the hand therapy rehab that follows. In this episode, Chris Myers sits down with Jennifer Parr, specialist hand therapist at Complete Physio, to talk through everything patients need to know about Dupuytren's contracture. Jennifer covers how the condition develops from harmless nodules through to full finger contracture, the different surgical options available, and crucially, the hand therapy rehabilitation that follows. She explains why that post-operative care is just as important as the surgery itself. What is covered:- What Dupuytren's contracture is and how it progresses- When patients typically decide to have surgery, and the different procedures available- What the surgery involves, including the Z-plasty incision and when skin grafts are needed- What to expect at your first hand therapy appointment (around day five post-op)- Wound care, dressing changes, and how the therapist and surgeon stay in close contact- Thermoplastic splinting and why it matters overnight for three months- Tendon glides, block and bend exercises, and early mobilisation- Scar massage, silicone products, and keeping scar tissue supple- Return to work, the gym, and racket sports timelines- Jennifer's three key pieces of advice for a good outcome- Recurrence, genetic factors, and planning surgery around your life Jennifer Parr is a specialist hand therapist with extensive experience supporting patients through Dupuytren's surgery in close collaboration with hand surgeons. If you or a patient needs specialist hand therapy assessment or post-operative rehabilitation, you can find out more and book an appointment at complete-physio.co.uk. 0:00 Introduction0:31 What is Dupuytren's Contracture?2:23 When to Consider Surgery4:18 What the Surgery Involves5:42 First Hand Therapy Appointment: Day Five9:02 Scar Management and Splinting13:47 Scar Massage and Silicone Products18:07 Return to Work, Gym and Sport20:25 Three Key Tips for a Good Outcome Learn more about your ad choices. Visit megaphone.fm/adchoices

🧑‍⚕️ Complete Physio: https://rdar.li/4Y3K8Dr 🩻 Complete Injections: https://rdar.li/mZP48Vr What causes jaw pain, clicking, and headaches? In this video, we explore temporomandibular joint (TMJ) disorders, including how bruxism (teeth grinding) contributes to chronic jaw pain and what can be done about it. Learn how TMJ issues are assessed, why symptoms often extend beyond the jaw into the face, head and neck, and when to see a dentist or physiotherapist for help. 0:00 Common features of TMJ disorders 0:09 What is bruxism (teeth grinding)? 0:24 How to assess the pterygoid muscle and teeth 0:46 Why patients often don't know they grind their teeth 1:14 How treating bruxism improves TMJ pain 1:23 Why a mouth guard from your dentist can help 1:40 Typical symptoms of TMJ disorders 1:55 Headaches, migraines and facial pain from TMJ 2:20 The link between TMJ and neck pain 2:34 Clicking and crepitus in the jaw joint 2:45 Activities that trigger TMJ pain 3:03 Pain when chewing, yawning and opening the mouth 3:26 Jaw locking and other unusual symptoms 🌐 www.complete-physio.co.uk 📞 020 7482 3875 📧 [email protected] The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise program, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content. Learn more about your ad choices. Visit megaphone.fm/adchoices

Arthrosamid is a single injection for knee osteoarthritis that can give lasting relief for many patients. In this episode, Complete Physio Clinical Director Chris Myers sits down with Sports Medicine Consultant Dr George Bownes to explain what Arthrosamid is, how it works, who it suits, and how it compares to a steroid, hyaluronic acid or PRP injection. They talk through how long the results tend to last, why rehabilitation matters alongside the injection, what happens on the day of the procedure, and what recovery looks like afterwards. Chapters: 0:00 What Arthrosamid is and who it is for 0:40 Arthrosamid vs steroid, hyaluronic acid and PRP 2:03 How long the relief lasts 2:30 Why rehab matters alongside the injection 3:50 How Arthrosamid works (it binds the joint) 5:08 When you start to feel the benefit 8:57 Who it suits (not just sporty patients) 10:02 A medical device: inert, repeatable, ultrasound-guided 11:01 Side effects and why antibiotics are used 13:10 Skiing and timing around big events 21:47 What happens on the day of the procedure 24:07 Aftercare, recovery and returning to exercise Arthrosamid is not right for everyone, and the best treatment depends on an accurate diagnosis. To find out whether Arthrosamid is suitable for you, visit complete-physio.co.uk #Arthrosamid #KneeOsteoarthritis #KneePain #KneeInjection #Physiotherapy #SportsMedicine #CompletePhysio #LondonPhysio #Osteoarthritis #JointPain Learn more about your ad choices. Visit megaphone.fm/adchoices

Arthrosamid is a single injection for knee osteoarthritis that can provide lasting relief for many patients. In this FAQ our team answers the questions we hear most often in clinic, from how quickly it works to recovery, cost and how it compares to other injections. Most patients start to notice an improvement at around 4 to 6 weeks, with the truer test at 12 weeks. For those who respond well, Arthrosamid can give 3 to 5 years of reduced pain and improved function, and the injection can be repeated. Chapters: 0:00 How soon it works and how long it lasts 0:25 What the procedure involves 0:41 Before and after: rest, driving and bringing someone 1:46 Medication and pain relief 2:26 If it does not work: surgery is still an option 2:41 Timing around steroid, hyaluronic acid and PRP injections 2:50 Cost, insurance and the NHS 3:27 Steroid injection vs Arthrosamid 3:53 Bone-on-bone arthritis and how Arthrosamid works 4:27 Both knees, what it is licensed for, and repeating the injection Arthrosamid is an outpatient procedure carried out under ultrasound guidance, with a large volume of local anaesthetic so it is well tolerated. It is licensed in the UK for knee osteoarthritis. Whether it is right for you depends on your knee, which our team will assess as part of a screening process. To find out if Arthrosamid is appropriate for you, visit complete-physio.co.uk #Arthrosamid #KneeOsteoarthritis #KneePain #KneeInjection #Physiotherapy #CompletePhysio #LondonPhysio #Osteoarthritis Learn more about your ad choices. Visit megaphone.fm/adchoices

Platelet-rich plasma (PRP) uses a small sample of your own blood to encourage the body to repair injured joints and tendons. In this episode, Complete Physio Clinical Director Chris Myers sits down with Sports Medicine Consultant Dr George Bownes to explain how PRP actually works, what it can treat, and the newer high-concentration ACP Max approach. They cover knee and hip osteoarthritis, stubborn tendon problems like tennis elbow, golfer's elbow and Achilles, how long the results tend to last, what a treatment involves in clinic, and how PRP compares to a steroid injection. Chapters: 0:00 What is PRP and how is it made? 0:38 What PRP can treat (arthritis, tendons, muscle) 0:55 How PRP works to heal 2:13 How long the relief lasts 3:25 The standard PRP protocol (a series of three) 3:52 ACP Max: the new high-concentration PRP 6:48 Tailoring the treatment to your injury 7:32 How quickly it works vs a steroid injection 8:51 Soreness and recovery 9:59 What the procedure looks like in clinic 11:40 Why no local anaesthetic, and does it hurt? 13:28 Rehab, results and where PRP fits before surgery PRP is not right for everyone, and the right treatment depends on an accurate diagnosis. To find out whether PRP is suitable for you, visit complete-physio.co.uk #PRP #PlateletRichPlasma #PRPInjection #ACPMax #KneePain #TendonPain #TennisElbow #Physiotherapy #SportsMedicine #CompletePhysio #LondonPhysio #Osteoarthritis Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode covers knee and hip arthroplasty alongside hamstring avulsions, meniscal tears and ACL decisions. This discussion looks at hamstring injuries, especially proximal tendon avulsions, and when surgical input is needed. We also cover how decisions differ between younger and older patients for meniscal tears, ACL reconstruction, and joint replacement. The conversation moves through real-world examples of injury patterns, rehabilitation, and how timing affects outcomes. You’ll also hear insights on patient-specific knee replacements, robotic and computer-assisted techniques, and the anterior approach to hip replacement, a method that helps reduce muscle damage and improve recovery. We talk about realistic recovery times, common risks such as sciatic nerve irritation and dislocation, and how surgeons decide when the “window of opportunity” for surgery is right. Learn more about your ad choices. Visit megaphone.fm/adchoices