Ask The Orth Team. Our leading musculoskeletal (MSK) experts answer your questions

By Glossy Magazine

Orth Team Musculoskeletal

Ask The Orth Team. Our leading musculoskeletal (MSK) experts answer your questions

Orth Team Musculoskeletal

I enjoy regular exercise, however, around my period, I often feel too exhausted – why is this and how can I counteract it?

Getting to know your body around your menstrual cycle is really important for every active female. Using a tracker can help you to recognise the symptoms – the good news is, this can also help you to optimise training through your whole cycle. Menstrual cycle symptoms are very individual. For some people, premenstrual symptoms can show as fatigue, as in your case, and for others, increased bloating or achiness in the joints.

For your fatigue symptoms, it can help to modify activity that week. Add in exercise that is lower impact but beneficial for your recovery, such as yoga or Pilates – movement will help, even if you feel tired. Make sure you get good-quality sleep and hydration and try to have good fats and complex carbohydrates in your diet during this phase especially. You can undertake intense exercise, but focus more around lower intensity endurance (which can be optimal in this phase) than top-speed, high-intensity work.

Dr Rebecca Robinson, OrthTeam Consultant in Sport and Exercise Medicine

I suffer from knee osteoarthritis but don’t want surgery, if possible. What are the alternative options?

There are a number of options, including Arthrosamid®, which is a safe, single- dose, non-biodegradable hydrogel that is injected into the knee to cushion the joint without surgery. Unlike other treatments, it increases lubrication to provide cushioning, which relieves pain and soreness, improving a patient’s quality of life. Key benefits include; only one injection required; sustained pain relief; and improved flexibility and movement.

At the OrthTeam Centre, you will have an initial consultation with one of our knee surgeons, where you will be assessed to determine your suitability for the treatment. If Arthrosamid® is recommended, the procedure will be undertaken by one of our musculoskeletal health radiologists. It is an outpatient treatment that takes 20 to 30 minutes.

Mr Bilal Barkatali, OrthTeam Consultant Knee Surgeon

I work from home a lot on my laptop and have started to experience a sore, stiff shoulder, could this be f rozen shoulder?

The short answer is yes, it could, but there are other causes that need to be excluded.

Frozen shoulder typically causes severe pain initially, followed by loss of shoulder movements, particularly rotating the arm or lifting it away from the body. This can result in difficulty with simple activities, like putting your arm behind your back or doing your hair. It’s a painful and unpleasant condition but, thankfully, easily treatable, usually with a guided injection to the shoulder.

There are other conditions, such as shoulder arthritis or calcific tendonitis, that can mimic frozen shoulder, so an examination and investigations, such as X-rays, are needed to be sure of the diagnosis.

Mr Barnes Morgan, OrthTeam Consultant Shoulder Surgeon

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