Cauda Equina Syndrome- a tale of the horse’s tail

In my sports medicine and musculoskeletal(MSK) clinics I always have to be on the lookout for this rare condition called Cauda Equina Syndrome- CES. I see many patients with back pain and sciatica but fortunately the CES is rare. However if it is missed it can have devastating consequences for the patients due to longContinue reading “Cauda Equina Syndrome- a tale of the horse’s tail”

One year of lockdown and changes to my sports medicine clinics in conditions seen

We are now approaching one year since the first national lockdown here in London which began on 23rd March 2020. Firstly I don’t think anyone could foresee the devastating outcome of the pandemic in terms of number of deaths and the overall number of cases too. My thoughts are with all of those who haveContinue reading “One year of lockdown and changes to my sports medicine clinics in conditions seen”


After the recent easing of lockdown restrictions I have been seeing an increasing number of patients in my clinics- both in person and also by video consultation. When the lockdown started many people including myself started to exercise more- through a combination of some more available time and also to increase fitness. We know thatContinue reading “STRESS FRACTURES OF THE LEG”

Osteoarthritis of the knee- it’s not wear and tear

I am currently prepping my webinar for later this week on osteoarthritis (OA) of the knee and I thought that it would be good to share some thoughts and my expertise on this area for my readers. OA knee is very common and as the population ages we will see more people developing this condition.Continue reading “Osteoarthritis of the knee- it’s not wear and tear”

Weight loss and Lockdown: a new challenge- Intermittent Fasting

At the time of writing we are into our 4th week of covid19 lockdown in the UK. This unprecedented crisis has created several challenges for many of us. One challenge that I know many of my friends, colleagues and myself have is that of maintaining a healthy diet whilst working from home. Yes we haveContinue reading “Weight loss and Lockdown: a new challenge- Intermittent Fasting”

Running and recovering from ME/ Chronic Fatigue Syndrome- a personal story of success

At my peak 2004 for me was my peak year of running and fitness. Aged 33 years, I was running 5-6 times per week and totalling around 40-50 miles per week, with a traditional long run on a Sunday morning. I had completed the London Marathon in both 2001 and 2003.  My love of runningContinue reading “Running and recovering from ME/ Chronic Fatigue Syndrome- a personal story of success”

Alcohol- are you drinking too much ?

For many years the government advice was to limit alcohol consumption to 21 units for men per week and 14 units for women per week. Also limited use in pregnancy was accepted as the normal. However in recent times these guidelines have been changed- now for men it is also 14 units and avoiding allContinue reading “Alcohol- are you drinking too much ?”

Exercise IS medicine. Start taking the pill !

Physical inactivity (not reaching the recommended exercise levels per week) is a bigger risk factor to health than smoking, obesity or high blood pressure. The Aerobics Centre Longitudinal Study (ACLS) showed that low cardiorespiratory fitness was the biggest risk factor for all-cause mortality. This is really an incredible statistic- think of all of the greatContinue reading “Exercise IS medicine. Start taking the pill !”

Stoic Philosophy- the way to a happier life

Stoicism is a form of philosophy that was founded over 2000 years ago. It was initially founded in Greece by Zeno of Citium around 300 BC. The name “stoa” is Greek – meaning painted porch. A porch or doorway is where the first followers of stoicism would listen to Zeno and his teachings.Stoicism in simpleContinue reading “Stoic Philosophy- the way to a happier life”