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What is MSK medicine?

Dr Mustafa Alnaib

Clinic director | Musculoskeletal doctor

"More years are lived with musculoskeletal disability than any other long term condition"

"Musculoskeletal (MSK) conditions affect the joints, bones and muscles, and also include rarer autoimmune diseases and back pain"

Click where your symptoms are to find out how we can help ..

  • Neck pain and stiffness can occur as a result of injuries, degenerative spine changes or sprains and tensions

  • Clinical assessment requires thorough history and careful examination that often includes the spine, the nervous system and the whole upper limb

  • X-rays and MRI scans can be indicated in certain conditions 

  • Treatment options include physiotherapy, medications or occasionally a referral to an Anaesthetist for injections or an Orthopaedic Consultant for surgery 





  • Back pain is a common problem affecting 80% of us at some point in our lifetime

  • Getting the correct diagnosis is key

  • Most management options are simple and non-invasive including physiotherapy, medications and spinal injections

  • Serious back conditions are rare, but it’s worth knowing when to seek urgent care

Back Pain
  • Around a third of all musculoskeletal problems in primary care are related to the shoulder joint 

  • Causes of Shoulder problems can strongly be related to the work that you do or the activities that you perform


  • A thorough clinical assessment and a simple radiological investigation (X-ray or in-clinic Ultrasound scan) are usually sufficient to confirm a diagnosis


  • Physiotherapy and non-invasive treatments like medications or injections are the mainstay of treatment. Some patients would benefit from a referral to a Consultant Orthopaedic Surgeon

  • Elbow problems are fairly common and generally improve with simple treatments


  • Pain and/or stiffness are the most common symptoms


  • A thorough clinical examination and simple investigations like X-rays and in-clinic Ultrasound scans lead to an accurate diagnosis in the vast majority of patients 

  • Exercise, physiotherapy, some medications or injections are generally all that is needed to treat your elbow problem 

bracelet on arm
Hand & Wrist
  • The Hand & Wrist are complex joints and can occasionally become a source of pain, discomfort and disability


  • Causes of Hand & Wrist problems can often be attributed to injuries, degenerative changes and overuse in certain occupations

  • Clinical assessment requires thorough history and careful examination that often includes the neck and elbow


  • Treatment options include pain relief, splinting, hand physiotherapy, injections and occasionally a referral to an Orthopaedic Consultant for surgery 

  • Hip pain, stiffness and limping are symptoms experienced by many of us and can be debilitating 

  • Most causes are due to degenerative changes in the joint, but other conditions like inflammation, soft tissue problems  

  • In addition to clinical assessment, some investigations may be required (X-rays, MRI or in-clinic ultrasound scans) 

  • Treatment often includes lifestyle changes, physiotherapy, oral medications, injections or a referral to a Consultant Orthopaedic Surgeon 

Male Gymnast
  • Most Knee problems are due to injuries, degenerative changes or inflammation


  • Due to the complexity of the Knee joint, a thorough history and clinical examination (which commonly includes the back and the hip) are essential in establishing the cause 

  • X-rays and MRI scans (and in some instances in-clinic Ultrasound scans) are indicated to aid decision making


  • Treatment options often include lifestyle changes, physiotherapy, oral medications, injections or a referral to a specialist Orthopaedic Consultant for surgery

Foot & Ankle
  • The Foot & Ankle are probably the most complex and delicate structures of your Musculoskeletal system


  • Symptoms could include pain, stiffness, deformities or walking difficulties


  •  This complexity requires thorough clinical examination aided by radiological assessment (X-ray, in-clinic Ultrasound or MRI scans) 

  • Treatment is mostly self-care, adaptive footwear/orthotics, medications/injections or referral for surgery in selected conditions

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