MP Sports Physicians welcomes Dr Alice McNamara!

Dr Alice McNamara joins MP sports in 2020 after 15 years of involvement in sport at an elite and community level, now as a Registrar with the Australian College of Sport and Exercise Physicians.
Alice was a two time Rowing World Champion in the Lightweight Women’s Quad Scull in 2007 and 2008. She represented Australia on the Australian Rowing Team for 11 years between 2005 and 2015, training out of the VIS and AIS. After narrowly missing selection for the LW2x boat, she was an alternate athlete for the 2008 Olympic games in Beijing, and 2012 games in London.
Alice will be consulting from our Frankston and Narre Warren rooms starting in February 2020. For appointments, please call 03 9770 2398.
We are very excited for Alice to join our team and we are sure you’ll join us in making her feel welcome.

MP Sports welcomes Dr Prasana Gamage!

Dr Prasanna Gamage joins MP Sports Physicians as a registrar with the Australasian College of Sport and Exercise Physicians (ACSEP). He is dedicated to patient care in managing sports-related injuries, injury rehabilitation and prevention, and non-surgical management of chronic musculoskeletal injuries.

Prasana will be consulting from our Mornington and Frankston rooms starting in February 2020. For appointments, please call 03 9770 2398.

MPSP WELCOMES THREE NEW DOCTORS

MP Sports Physicians are excited to announce that we will be welcoming 3 new Doctors in 2020. Dr Alice McNamara, Dr Mona Shabghareh and Dr Prasanna Gamage will be joining our team consulting in Mornington, Frankston and Narre Warren.

Farewell Dr Liam Geraghty.

Dr Geraghty has successfully completed his first 2 years of training with us and is now heading away on compulsory rotation to spend 2 years in Hobart. We wish him every success in the second half of his training program and thank him for his time with us.

Narre Warren Rooms

MP Sports Physicians are excited and proud to announce the opening of our own custom space in Narre Warren. This space will replace our consulting at Berwick. This fully equipped clinic will allow us to perform all treatments, including PRP, ultrasound, iontophoresis and shock wave without the need for patients to travel. The new clinic is located at Suite 205, 65 Victor Crescent, Narre Warren. Initially, Dr Khullar and Dr Huguenin will be consulting in this location.

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MP SPORTS PHYSICIANS OPENING IN BERWICK! – We are excited and pleased to announce that MP Sports Physicians will commence consulting in Berwick from July 2016.

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Stem Cell Update- what the papers don’t tell you.

Stem Cell update – Looking positive, but let’s not get too excited
Many of you will have seen articles in newspapers about stem cells and the hope that they offer to arthritis sufferers.
Unfortunately, these articles are overstating the current evidence.
The truth is:
1. There is currently a trial running for injection of pure stem cells into osteoarthritic knees, measuring both pain and cartilage depth as outcome measures
2. This trial is about 50% complete and is showing some very good outcomes in pain and function in those who receive the injections, but very few have had their follow up scans yet.
3. The trial is still recruiting for suitable patients
4. Assessment for cartilage regrowth over all the trial patients is about 12 months off.

In a practical sense, this means that we are still looking for participants, but it doesn’t mean that we can say that this treatment will work for all arthritis, nor that we can prevent joint replacements.

In many cases, patents are not suitable for the trial because they don’t fit all the strict criteria. There is the option of seeking private treatment. Costs vary, but are several thousand dollars.

There have been some individual cases that have undergone stem cell therapy and shown regrowth of cartilage. This is certainly exciting, but until more people complete the trials, these are only individual cases.

We would ask that everyone assess the evidence well in making any decisions, and remember that there are many other non surgical options available for management of arthritis that we may recommend first.

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Lateral Hip Pain

One of the commonest presentations to a Sports Medicine clinic is for pain at the side of the hip that hurts to go up stairs and to lie on the side at night.

Many people assume this means that they have arthritis in the hip joint. Generally, this is not the case. In most cases, pain on the outside of the hip is from the tendons of the buttock muscles, where they attach to the bone.
Many others have been told they have “bursitis”. A bursa is a little fluid filled sac, like a water balloon containing a drop of fluid. It sits between 2 structures in the body, to allow them to glide safely past each other. There are a number of these on the outside of the hip. They can become inflamed, swollen and painful. It is VERY unusual for this to occur without an underlying cause. Cortisone injections can help to settle the inflammation, but it will usually recur within 6 weeks if the cause is not addressed.

SO WHAT ARE THE CAUSES?
Most people with pain at the outside of the hip have some issues with muscle activation around the hip, resulting in overload of the tendons.
There are many things that affect the muscle activity. These include, but are not limited to, age, menopause, previous back pain, hip joint pathology, recent illness, weight gain and poor exercise technique.

WHAT CAN I DO?
A great first line treatment is to use a tennis ball to massage through the buttock muscles twice a day. You can do this leaning against the wall. It will be uncomfortable, but with frequent massage, the tightness should start to reduce.
Pop a heat pack on for a few minutes after massaging and before going to bed.
Avoid sitting with your legs crossed and sleep with a pillow between your knees to take the tension off the tendon.
Once your pain starts to improve, get some advice regarding your exercise program and make sure your technique is right. The last thing you want to do is load it all up again.

WHAT IF THAT DOESN’T WORK?
You need an accurate diagnosis. Sometimes tendon tears are harder to get better.
Sometimes the pain is not from the tendons, but referred from structures in your back or elsewhere.
An ultrasound, X-rays and possibly and MRI may be required to establish your diagnosis.
From there, accurate advanced treatment can be commenced .

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Heel Pain

It is not uncommon for us to see people presenting with “heel spurs”.
Did you know that while heel spurs are seen in 45-50% of the population, about 1/4 of these will ever experience pain AND heel pain can occur just as commonly without a spur? Sometimes, seeing a spur on Xray doesn’t help our diagnosis at all!

PLANTAR FASCIITIS
Heel pain is commonly diagnosed as plantar fasciitis. The plantar fascia is a ligament, like a bowstring, that stretches taut under your foot to help keep the arch shape of the foot when standing. Too much load causes wear and tear. The wear and tear causes pain where the ligament joins to the heel.
However, when we see plantar fasciitis that is not getting better, it will often be because there are other structures that can cause the pain as well.

WHY IS MY HEEL SORE?
The foot is a very complex structure and requires a number of “helpers” to keep its arch. Tendons, bones, muscles and ligaments all play their part.
Any increased load through the foot can result in overuse of any or all of these structures.
Increased load happens when you increase your activity, have less support from your footwear, gain body weight or have an injury that alters your walking patterns.

WHAT CAN I DO?
If you develop heel pain, we suggest icing regularly, rolling a golf ball under the arch of your foot (not on the sore spot), wearing good supportive shoes and LOTS of calf stretching.
Anti inflammatory tablets can also sometimes help.
There are a number of taping techniques that can help with the pain, as well as gel inserts or possibly orthotics.

AND IF THAT DOESN’T WORK?
Make sure you check the diagnosis first.
If your diagnosis is definitely plantar fasciitis, there are more treatments that may be suitable. Many of these will need your Doctor’s help. Iontophoresis, corticosteroid injections, shock wave therapy and even PRP (platelet rich plasma) injections might be indicated.
If your diagnosis reveals that there are other structures causing or contributing to your pain, you may need further investigation to confirm this and possibly additional or other treatments to allow you to achieve complete recovery.