FAQs

What should I bring with me when I come for an appointment?

When you come for your appointment remember to bring the following:

  • Insurance information
  • Referral Letter (if required)
  • Copies of results, X-rays, MRI's, CT scans etc and any other relevant information
  • List of medications (if any)
What is Arthroscopy?

Arthroscopy is a surgical procedure during which the internal structure of a joint is examined for diagnosis and treatment of problems inside the joint.

What conditions are treated with arthroscopic surgery?

Arthroscopic examination of joints is helpful in diagnosis and treatment of the following conditions:

  • Inflammation: Synovitis, the inflammation of the lining of the knee, shoulder, elbow, wrist, or ankle.
  • Acute or chronic injury: Injuries to the shoulder, knee and wrist joint such as cartilage tears, tendon tears, carpal tunnel syndrome.
  • Osteoarthritis: A type of arthritis caused by cartilage loss in a joint.
  • Removal of loose bodies of bone or cartilage that becomes logged within the joint.
How is arthroscopy performed?

During arthroscopic surgery, a general, spinal, or a local anaesthesia will be given depending on the condition. A small incision of the size of a buttonhole is made through which the arthroscope is inserted. Other accessory incisions will be made through which specially designed instruments are inserted. After the procedure is completed, arthroscope is removed and incisions are closed.

What are the possible complications associated with arthroscopy?

Some of the possible complications after arthroscopy include infection, phlebitis (clotting of blood in vein), excessive swelling, bleeding, blood vessel, or nerve damage and instrument breakage.

What is the recovery process after arthroscopic surgery?

It may take several weeks for the puncture wounds to heal and the joint to recover completely. A rehabilitation program may be advised for a speedy recovery of normal joint function. You can resume normal activities and go back to work within a few days. You may be instructed about the incision care, activities to be avoided, and exercises to be performed for faster recovery.

Will physical therapy be required after surgery?

Getting a full range of motion, strength, and flexibility back after surgery usually takes time. That is where pre-operative exercise, education, and post-operative physical therapy programs come in – to ensure you are physically and emotionally prepared for surgery and to maximize your recovery after surgery.

What is plantar fasciitis?

Plantar fasciitis, an inflammation of the plantar fascia, is a common problem that causes pain under the heel bone often with lengthy walks and prolonged standing.

What causes a ruptured Achilles tendon?

Achilles tendon is a strong fibrous cord present behind the ankle that connects the calf muscles to heel bone. It is used when you walk, run and jump.

A high force or stress on the Achilles tendon results in rupture which can happen with activities that involve running, pivoting, and jumping. Recreational sports that may cause Achilles rupture include tennis, racquetball, basketball and badminton.

What is a bunion?

Bunion, also called a hallux valgus, is an enlargement of bone or soft tissues around the joint at the base of the big toe that results in the formation of a bump. The bone that joins the big toe with the first metatarsal bone thickens and enlarges, tightening the tendons, which in turn causes the base of the big toe to angle out resulting in a painful bony deformity.

Does ill-fitting footwear cause bunion?

Yes, ill-fitting shoes can contribute to the formation of bunions. Prolonged wearing of high-heeled or narrow shoes compresses the toes into unnatural positions.

What symptoms and problems are caused by bunions?
  • Pain with ambulation when wearing shoes
  • Swelling with red, calloused skin at the base of the big toe
  • Decreased mobility in the big toe
  • Inward turning of the big toe toward the second toe
  • Bulging of a bony bump at the base of the big toe
  • Formation of corns and calluses at the overlapping of the big toe and second toe
What is the treatment for bunions?

Initially, your doctor will recommend conservative treatment measures that include wearing properly fitted shoes with specially designed shoe inserts, padding, and taping of bunions.

Physical therapy and certain medications may be prescribed for relieving pain and inflammation.

If the above conservative measures fail to treat the bunion pain, then Mr Ajis may recommend a surgical procedure to remove the bunion.

Ankle pain can be distressing, especially if you're not sure what options are open to you. If you're wondering if surgery could help you, book an appointment.

* Routine private appointments either face to face or remotely are available

Call the urgent appointments hotline 0333 050 8662

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Hear what our patients have to say

Patient stories

Mr Ajis is a great surgeon, he listens to any concern you may have and explains what is going to happen also gives great care... He suggested a fairly new procedure that wasn't available on the NHS but he pushed me through and he and his team have worked wonders, I am now healing very well and pain-free in my ankle after 6 years!

Written by a patient at BMI Goring Hall Hospital

Mr Ajis was very informative and reassuring about my surgery. He was professional at all times and allowed time for me to have all my questions answered without feeling rushed.

Written by a patient at BMI Goring Hall Hospital

I saw Mr Ajis after sustaining a fracture of my 5th metatarsal which had not healed after a year. The pain was unbearable. He saw me promptly and took the time to explain my condition with the help of x-ray images with assurances that he could fix the problem. I was advised by other clinicians to be patient and wait for the fracture to heal on its own. Mr Ajis said that healing would be highly unlikely without intervention. After numerous emails and 'phone calls to him he constantly...

...spent the time reassuring me and patiently going over the intended procedure. To date after seeking advice and guidance from Mr Ajis, his secretary and the Physio Team and the insertion of a plate my fracture has united I walk well, without pain and I have joined a walking group. In summary, he is the best foot consultant the South of England can provide. In fact, I travelled from both the IoM and the IW to West Sussex to see him.