The shoulder is a common joint to be injured and also inflamed. Joint injection with a long-acting steroid and local anaesthetic is often an extremely successful treatment for disorders of the shoulder joint and capsule. The shoulder joint injection should be considered if other treatments such as physiotherapy and pain relief with NSAIDs have been [...]

From 2019, Dr David will also be consulting at 136 Harley Street, London. There is on site imaging with X-Ray and ultrasound imaging and interventional radiology facilities

The word ARTHRITIS originates from the Ancient Greek and translates as “joint inflammation”. Both osteoarthritis (OA) and Rheumatoid arthritis (RA) are characterized by joint inflammation. Inflammation is  recognized by the presence of pain, heat, swelling, redness and loss of function. So, what are the differences in these two painful joint conditions? The first difference lies in [...]

Raynaud’s phenomenon is a common condition that affects the blood supply to the fingers and toes (but can include the tip of the nose, lips and ears)   Raynaud’s is usually triggered by cold temperatures or anxiety. The condition occurs because the blood vessels go into spasm, which blocks the flow of blood. This causes the affected [...]

Fibromyalgia is a disorder associated with chronic widespread pain and poor quality sleep (not necessarily the quantity of sleep). Individuals experience very tender points on their body, in an around the joints and muscles – referred to as trigger points. The condition is frustrating and at times maybe difficult to manage for the patient and [...]

Biologic drugs for the treatment of rheumatoid arthritis (RA) are made from proteins. They work by specifically blocking the activity of chemicals or cells involved in the inflammation that gives rise to joint swelling and other symptoms. In the 1980s it was discovered that the inflamed joints contain many different chemicals that cause inflammation. Cytokines [...]

PMR is an inflammatory condition that causes pain and stiffness in the muscles, usually around the upper arms, shoulders, neck and hips or thighs. The stiffness is worse in the mornings and can severely limit movement and activities. The cause of polymyalgia rheumatica is not known, but it is a fairly common condition affecting about [...]

We know that regularly consuming drinks sweetened with a processed sugar called high-fructose corn syrup can lead to gout. A recent study conducted in New Zealand has now linked gout with drinks containing another common sugar, sucrose. People who consumed a lot of sucrose-sweetened drinks were more likely to have gout than those who consumed none. People of [...]