In order to determine the benefits of a treatment proper science has established the Randomised Controlled Clinical Trial as its Gold Standard – this is the only truly established method that is universally accepted. This method has its limitations though and as I discussed in a recent article in the Broadgate Journal identifying precisely which Read More

I am going to begin this article by explaining that multi-disciplinary care is most often inaccurately used in common parlance. The term implies that several health care practitioners are managing an individual patient at the same time. While this type of care can be found at teaching hospitals – where I have worked  for many Read More

Patients are often confused or disappointed when they are told that they are experiencing “non-specific” lower back pain because they understandably do not know what it means. In fairness, it is a generic diagnosis which means; Their condition is not serious We are confident that their pain is not caused by an inflammatory condition, a Read More

Low back pain is so common – over 80% of the population will experience it at some point – that terming it a disease does not really make much sense. Everyone has experienced the common cold and we all get over it within a short period of time and although we clearly feel ill for Read More

At the Broadgate Spine & Joint Clinic we have the largest number of MAST Certified Clinicians of any clinic in the UK. We are seeing an increasing number of patients who come to our clinic in order to determine whether they are candidates for antibiotic therapy. At Broadgate, we scrutinise our patients extremely thoroughly prior Read More

Low back pain is extremely common, affecting 9 out of every 10 of us at some stage in our lives. Back pain is second only to the common cold as a cause of days lost at work. Acupuncture is widely used to treat low back pain and a recent systematic review by the Cochrane Collaboration, Read More

As discussed in earlier articles much of what we know about Modic changes relates to patients suffering with lower back pain. The bacteria have been identified and long term antibiotic treatment has been shown to be highly effective in treating this subset of patients. Modic changes (bone oedema) have been identified on MRI scans for Read More

I have written extensively on the topic of Modic changes and antibiotic treatment in the Broadgate Journal. A few of the articles that I have written are listed below. Modic Changes, a New Disease? Why does Exercise Increase Symptoms in Modic patients? How to identify Modic patients How to become a MAST Certified Clinician By Read More

Tendons are simply what connect muscles to bones. They transfer the force generated by muscles to bones and hence result in coordinated movement in joints. The Achilles tendon is the largest tendon in our body and it withstands tensile forces of up to 8 times body weight during running. The term tendonitis is no longer Read More

The Spine Centre at the University of Southern Denmark as developed a 9 question process that enables clinicians to identify patients who may suffer from lower back pain caused by Modic changes. If a patient’s response is YES to three or more questions, it is possible that they may have Modic changes. We advise you Read More