Casualty First is now open on an appointment only basis, Monday to Friday 8am – 6pm and Saturday 12th/19th of December 8am – 6pm.
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We are offering Outpatient appointments. In many cases these can be conducted virtually. To make an appointment, please call: 0207 806 4060.

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Sports Injury Treatment

London Orthopaedic Specialists offer rapid diagnosis, intervention and aftercare for a broad range of sports injuries. Based at the Hospital of St John & St Elizabeth the unit has access to the very latest imaging technology and state-of-the-art wards to provide you with the highest standard of care. Our Consultants have a national and international reputation of working with prestigious sporting organisations.

Sports Injury Treatment

Listed below are a range of sports injury treatment that are available at our private clinic. To understand which type of treatment may be best for your unique condition we recommend booking a consultation for a thorough assessment.

Massage therapy

Sports massage is the skilled manipulation of soft tissue to improve physical condition and treat injuries. Strains, injury and imbalances can afflict muscles, tendons, ligaments and fascia (a connective sheath) at any time and sports massage provides an effective management to both aid recovery and prevent injury.

Sports massage can complement a training programme and work in concert with physiotherapy regimes designed to improve performance and enhance conditioning. It is also effective at relieving long term conditions such as back and neck pain and limb restrictions.


Osteopathy is a critical discipline dealing with sports injuries as it identifies issues with bones, tendons, ligaments and muscles. It involves an in-depth analysis of the body’s biomechanics and the development of a structured rehabilitation programme that repairs the injury and also deals with the root cause of any problems. It is often used for common sporting injuries that involve repetitive strain such as tennis elbow and issues created by a golf swing, other racquet sports, running and even gardening.

Common conditions include inflamed tendons, shin splits and deep bruising across the full range of muscle groups and joints. Osteopathy releases the tension and pain from injury and provides the rehabilitation programmes to restore function and protect against further injury.


Sports podiatry is the diagnosis and treatment of foot, ankle, some lower leg injuries and issues that radiate up through the knee and hip joints. Using detailed physiological assessment, a podiatrist can define elements of an individual’s movement and advise on exercise strategy and provide custom-made orthotics (insoles) that correct the poor posture that makes people more susceptible to injury.

The feet hit the floor 800 to 1,000 times with a force of two to three times the body weight during an average one mile run so the potential for strains and malfunctions to develop are great. A series of even minor adjustments by a sports podiatrist can promote improved alignment, better sporting performance and reduce the risk of future injury.

Strength & Conditioning

Strength & Conditioning is a service that provides a complete programme for physical and biomechanical sports development to enhance performance and fitness.

The basis of the discipline is functional anatomy that decodes how muscles, tendons, ligaments and joints interact during sport and training. It is used by elite athletes to create extra steps of improvement but can be effective for any level of sport as a means of increasing potential and staying injury free.

Strength & Conditioning is not specifically about increasing muscle mass but is more focussed on individual performance requirements and can be tailored to individual sport requirements.


A sports chiropractor can provide crucial diagnosis of injury in the spinal and peripheral joints that can restrict movement and cause other problems with flexibility, reaction time and endurance.

Chiropractors can alleviate pain and inflammation as they return the body to normal function and health. Joint function is restored and muscle tone is improved and can be combined effectively with strategic Strength & Conditioning and rehabilitation schedules.

The practice is effective at improving overall performance for athletes at any level, leading to better results, increased participation and enjoyment while reducing the risk of further injuries.

Rehabilitation Programmes

Rehabilitation programmes are the multi-disciplinary evaluation, treatment and prevention of injury. They cover the complete range of injuries and incorporate the appropriate advice of specialists to co-ordinate tailored, progressive programmes of exercise.

They are necessary for injuries at all levels of the spectrum, from strains and sprains through chronic musculoskeletal injuries to recovery from operations such as ACL reconstruction and rotator cuff repairs.

A good rehabilitation programme allows you to target specific goals such as improved strength, mobility, flexibility, balance and joint positioning.

Ostenil / Viscosupplements

This is a non-surgical injection of Hyaluronic Acid (HA) to an effected joint to reduce pain, inflammation and restore function. HA is a natural substance found in the synovial fluid present in all joints, which acts a lubricant for bones to move smoothly over each other.

Joints can degrade with wear and tear from age and from repetitive force from physical activity. This can reduce the natural levels of shock absorbers such as cartilage and create tears that cause pain and reduced function. The injections can be used for tendon injuries and inflammation and to reduce stiffness. Injections can be used as part of a co-ordinated repair and rehabilitation programme that provides a pathway to full activity. A consultant can advise on the number of injections need to improve symptoms.

Autologous Blood Supply

This is an intervention for tendinopathy, a range of common conditions associated with sporting overuse typically in the elbow, knee and heel. It involves taking blood from the patient and re-injecting it around the affected tendon. The sample can be separated into red blood cells and platelets (cell fragments that produce substances called growth factors) before injecting a sample containing mostly platelets to the target area. The growth factors can kick-start the healing process in the tendon and surrounding areas.

Studies have confirmed its efficacy in treating tennis elbow, plantar fasciitis and patella tendinosis by reducing inflammation and repairing tears in the tendon.


Prolotherapy is an injection-based therapy designed to stimulate healing for musculoskeletal pain or injury. Known as sclerosant injections, it works by accelerating new cell growth which promotes collagen fibres to strengthen ligaments.

The regenerative technique is popular because it works without the athlete normally needing to break from training. It is favoured by professional sportspeople and can provide a rapid solution to ensure targets and goals are not derailed.

The injectable is particularly effective for back and neck pain resulting from impact sports and a range of injuries such as bulging and herniated discs, muscle spasms, sacroiliac instability, runner’s knee, and all joint concerns. Contact a consultant to establish is prolotherapy can be applied to your sports injury.


Traumeel is a 100% natural substance that contains natural ingredients such as arnica and can be used to stimulate soft tissue recovery from ligament tears, sprains and strains It is delivered via a fine needle – under local anaesthetic – to the point of injury.

It has been used successful by amateur, professional and Olympic athletes. It has been administered safely and effectively millions of times and has been used for minor knocks and sprains to more debilitating injuries such as tennis elbow, Achilles tendinopathy, hamstring strains and for post-injury swelling. The substance is designed to reduce inflammation and get amateur and professional athletes back on track quickly.

Steroid Injections

Steroid injections can play a crucial role in sporting rehabilitation as they are used to reduce inflammation in soft tissue such as the synovial lining of a joint or in a tendon. They are administered with ultrasound guiding to the desired point in the joint or tissue allowing the steroids to be released slowly to improve healing.

A reduction in pain is normally evident within 48 hours and the improvement in joint, tendon and ligament mobility lasts for weeks or months depending on the severity of the original injury.

The substance used is cortisone, a synthetic steroid based on natural chemicals released by the body’s adrenal gland to combat inflammation.

Nitrate Patches

Nitrate patches can be applied to the source of a sports injury to reduce pain. A study published in the British Journal of Sports Medicine reported a significant decrease in pain among 136 people with tennis elbow who were monitored through an eight-week trial.

High Volume Injections

This has been identified as an effective protocol to rapidly reduce pain and make for more productive rehabilitation. A guided injection of a large volume (30-40mls) of saline solution combined with local anaesthetic and a small amount of corticosteroid is delivered to the point of pain and inflammation. They have proven effective in treating Achilles, knee, hip and elbow injuries and to relieve the stiffness and pain caused by a frozen shoulder.

The injections, normally given as a one-off treatment, need to be precision placed by an experienced sports medicine consultant. It works by separating and breaking the new nerves that cause pain as they gather around inflamed areas, allowing the body to heal naturally.

It is performed as an out-patient procedure but it is advisable not to drive home and to avoid activity for 48 hours. A graduated return to sporting activity programme is advisable.

Groin Pain & Hip Injections

Hip and groin pain are common among from an acute or chronic injury chronic. The hip and groin are a complex biomechanical area of the musculoskeletal system and diagnosing and managing conditions is challenging.

Often the hip and groin is the source of other injuries which develop around the body from sport. A study of 894 athletes with 24 combinations of clinical sporting injury found that a hip joint problem was present in 56% of cases. MRI and ultrasound imaging can help define problems and potential solutions with a range of injections effective.

Clinicians can administer prolotherapy – an injection that improves healing by promoting collagen growth in damaged areas – PRP (platelet rich plasma) injections which deliver growth energisers to tendons and ligaments to accelerate the body’s natural healing process. The injections can dampen inflammation and help an athlete get back on track to resolve multiple injuries and to develop better posture and technique to avoid further injury.

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