Your MOSH radiologist is a doctor with a specialty in the diagnosis and treatment of injury and diseases utilising medical imaging technology such as X-ray, MRI(magnetic resonance imaging), CT(computed tomography), PET (positron emission tomography), ultrasound, and fusion imaging. Since some of these techniques for imaging involve the use of radiation, thorough study and training in radiation safety and patient protection is vital.
Your MOSH radiologist has graduated from a school of medicine that is accredited and has served in a residency program that is at least four years in duration subsequent to graduating from medical school that encompassed topics such as:
• Effects of radiation on the human body
• Radiation protection and safety
• Interpretation and performance of medical and radiologic imaging examinations
Many of our radiologists have also completed a fellowship in a radiology sub-specialty such as nuclear medicine, cardiovascular radiology, breast imaging, and others.
Your MOSH Radiologist Dubai Plays A Vital Role In Your Health By:
▪ Assisting your referring doctor in selecting the appropriate type of radiologic tests or examinations and interpreting the results of these tests so that they may be used in your medical care.
▪ Treating diseases by using radiation, such as radiation oncology or using interventional radiology as part of image-guided, minimally invasive surgery.
▪ Correlating the findings associated with medical imaging with other tests and examinations.
◦ Collaborating with the referring physician and recommending addition treatments or examinations when required.
◦ Directing radiologic technicians in the correct performance of high quality examinations.
Your MOSH Radiologist Dubai Has The Right Experience, Knowledge And Training
When a referring doctor informs you that they have examined the results of your radiologic tests, what they normally are saying is that they have reviewed the radiologists report or discussed the results with your radiologist.
MOSH Radiologists are on the leading edge of imaging technology and advancing the development and use of PET, MRI, CT and fusion imaging. They are also at the forefront in the use of procedures that are minimally invasive, such as endovascular treatment of tumors and aneurysms, pinpoint radiation treatments, and percutaneous biopsies.
Safety And Quality In Medical Imaging At MOSH
Radiologic procedures at MOSH such as PET, MRI, and CT are prescribed by one of our doctors and are only executed by highly trained and certified doctors under circumstances where they are medically necessary.
All of our radiologists are highly trained medical doctors who have received a minimum of four years of specific, unique post medical school training in the optimum performance of radiologic techniques and procedures and the interpretation of medical imaging results.
MOSH Radiologists Dubai are a vital part of the treatment team and they are crucial for the diagnosis and treatment of a wide range of disorders.
Sports Medicine Dubai is a medical sub-specialty that is composed of an interdisciplinary team that works with professional and amateur athletes in the treatment of sports related injuries and engages in preventative care of those involved in athletic pursuits.
The Sports Medicine team at MOSH includes specialty doctors and surgeons, physiologists, diagnostic and imaging personnel, and of course the athlete. Sports medicine is rather difficult to define, since it is not one specialty, but a field that involves medical professionals, educators, and researchers from a wide range of disciplines. The Sports Medicine team functions not only to treat and rehabilitate, but to prevent sports injuries, which may be its most useful function.
Sports Medicine Dubai at MOSH is composed of a team of sports medicine specialists that are world-class and that make use of state of the art diagnostic equipment to treat children and adults with injuries and conditions that are related to various sporting activities. All of the MOSH Sports Medicine consultants have received fellowship training in sports medicine. MOSH has experts in open and arthroscopic surgical treatments of lower and upper extremity conditions such as reconstruction of a torn anterior cruciate ligament or ACL, repair of a torn Achilles tendon, shoulder instability repair, and much more. Our Sports Medicine team also promotes injury prevention and awareness and techniques of performance improvement by conducting training and forums on sports medicine and conducting screening of athletes prior to their performance in athletic programs and events.
Sports Medicine Physicians at MOSH are trained to correctly diagnose and detect the risk factors and causes that resulted in the injury or condition, in order to minimize the probability that the injury will reoccur. MOSH Physicians use state-of-the-art diagnostic equipment including x-rays, CT scans, MRI scans, blood tests, and cardiac function tests.
After making the diagnosis, we will advise the patient on the appropriate course of treatment and refer him to the appropriate specialists within the team. This can involve advice on exercises or activity that can be engaged in safely and a rehabilitation program designed by our physiologists. Joint injections and prescription medications may also be used and injections can be performed under the guidance of ultrasound equipment. In cases where further medical advice from a specialist is required, we can rapidly refer a patient to one of the many specialists at MOSH.
Sports Injuries diagnosed and treated at MOSH
Sports medicine Dubai at MOSH will normally involve various types of musculoskeletal disorders. There are a wide range of different issues that can afflict an athlete. At MOSH, we can treat all of the following types of sports related injuries and more:
Foot and Ankle
Hand And Wrist
The most flexible joint in the human body is the shoulder. It permits you to rotate and place your arm in numerous positions, above, in front, behind and to the side of your body. This high degree of flexibility also increases the susceptibility of your shoulder to injury and instability.
Dependent upon the nature of a specific problem, nonsurgical treatment methods are normally recommended prior to surgery. Nevertheless, in some cases delaying surgical intervention can increase the probability that the problem will get worse, and it may be increasingly difficult to treat in the future. Therefore, early and proper diagnosis and then suitable treatment of shoulder injuries can make a large difference in the long term prognosis of the patient.
Potential Shoulder problems and their treatment
Tendinitis or bursitis can happen due to overuse from activities that are repetitive. Activities such as swimming, weight lifting, or painting frequently cause this condition. These activities cause an impingement under the acromion of the rotator cuff and an impingement of the rotator cuff in the acromioclavicular joint. The initial treatment involves activity modification and shoulder physiotherapy.
Partial tears of the rotator cuff can result in chronic inflammation and spur development under the acromioclavicular joint or the acromion.
Non-surgical treatment will involve activity modification, physiotherapy, and possibly an injection of an anti-inflammatory medication, like cortisone. In most cases non-surgical treatment will be successful. If conservative, non-surgical treatment is not successful should surgery Dubai may be needed to remove the spurs under the acromion and to facilitate rotator cuff repair.
Rotator cuff tears that are full thickness are frequently the result of partial thickness tears, impingement, heavy lifting, or trauma. Nonsurgical treatment is helpful in most instances.
If pain is chronic, shoulder surgery Dubai may be required to repair these full thickness tears. Arthroscopic surgical methods all spurs to be shaved and some tears to be repaired.
With either treatment modality extensive rehabilitation will be required to restore the functionality of the shoulder.
Shoulder instability happens with the head of the humerus comes out of the socket of the shoulder. This can occur due to a traumatic injury or from the shoulder ligaments being overused.
The two types of shoulder instability are dislocations and subluxations. A partial dislocation is called a subluxation, which may lead to a dislocation. It is possible for a relatively minor injury to force the humerus out of the socket. There are some patients who have shoulder instability that is chronic and dislocations may happen repeatedly.
For patients that have repeated dislocations, shoulder surgery Dubai is normally required. Open surgical shoulder repair will require a relatively short hospital stay whereas arthroscopic shoulder surgery may not require an overnight hospital stay. After both of these types of surgery, extensive rehabilitation, including physiotherapy will be required for healing.
A fractured clavicle and acromioclavicular separation are frequently occurring childhood injuries, however, they can also occur to adults who fall of their shoulder or brace a fall with an outstretched arm. The majority of these types of injuries are treated without surgery using splints or slings. Fractures that involve severe displacement or separation of the acromioclavicular joint may require intervention from a MOSH shoulder surgeon.
A fractured humerus head frequently occurs as the result of a fall when an arm is outstretched to brace the body for a fall. This occurs quite often in the elderly who have osteoporosis. If the head of the humerus becomes displaced or fragmented, it is likely that a shoulder surgery Dubai will be necessary and it is possible that an artificial shoulder joint will be required.
Rheumatoid arthritis and osteoarthritis can damage a shoulder joint and the tissue that surrounds it. Arthritis can also result in tearing and degeneration of the rotator cuff. When the articular joint surface wears thin osteoarthritis occurs. With rheumatoid arthritis an inflammation of the synovial lining of the joint occurs that will eventually destroy the joint inner lining and the articular surface.
MOSH Shoulder Replacement Surgery
Shoulder replacement surgery Dubai is recommended for individuals with limited range of motion and shoulder pain. The surgical options are replacement of the socket entirely or replacement of the bone at the head of the humerus. Your MOSH orthopaedic shoulder surgeon will discuss which option is best with you.
MOSH physiotherapists in Dubai assist individuals who have been adversely affected by disability, injury, or illness, through exercise, movement, manual therapy, advice, and education.
The Dubai Physio Clinic helps individuals of all ages maintain health, manage pain, and prevent disease. Physiotherapists assist patients in facilitating their recovery from MOSH orthopaedic surgeries such as joint replacement, spinal surgery, hand surgery, limb lengthening, and more. Our highly trained physiotherapists will work in conjunction with your orthopaedic surgery to ensure a successful rehabilitation phase of your recovery. Our physiotherapists also assist the elderly so that they can maintain their independence.
What is Physiotherapy in Dubai?
Physiotherapy is a profession that is science-based that takes a holistic approach to well being and health, which is inclusive of the lifestyle of the patient. The core of physiotherapy lies in the patient becoming involved in their own rehabilitation, through awareness, empowerment, education and active participation in their own recovery.
Physiotherapy is a manual therapy that is 'hands-on' and it is a proven approach in treating problems with muscles, nerves, joints, and ligaments. It utilises a physical approach to promote, restore, and maintain the physical, social, and psychological well-being of the patient.
Physiotherapy can be beneficial to a patient at any stage of life. Our physiotherapists can assist with recovery from an orthopaedic surgery, back pain, joint injuries, management of chronic medical conditions, preparation for an athletic event, or even preparation for childbirth.
Why use Physiotherapy at MOSH?
MOSH physiotherapists are highly skilled, degreed healthcare professional. Our physios make use of their skills and expertise to improve a wide range of conditions that are related to varying body systems such as:
• Neurological Disorders including cerebrovascular accidents, Parkinson's, multiple sclerosis and many others
• Musculoskeletal Disorders such as post orthopaedic surgery recovery, back pain, sports injuries, arthritis, and whiplash
• Cardiovascular disorders including rehabilitation from heart attacks, cardiac surgery, and chronic heart disease
• Respiratory Conditions such as COPD, asthma, and cystic fibrosis
At the MOSH Physiotherapy clinic we have an individualised approach to our patients in order to assist them in reaching their specific goals. Whether you are an athlete attempting to return to sports competition or an elderly person attempting to maintain your fitness and remain free of pain, the professionals at the MOSH Physio Clinic can help you achieve your goals.
At MOSH we employ highly trained, experienced professionals that are fully qualified to assist you in your rehabilitation from orthopaedic surgery. We work closely with your orthopaedic surgeon to ensure that your rehabilitation is complete.
Physiotherapy services at MOSH
Physiotherapists at MOSH specialise in assessing and treating physical dysfunction that arises from a patient's neuromuscular system. Conditions that we treat in our Physio Clinic each day include:
• Sports injuries
• Joint replacement rehab
• Back Pain
• Spinal surgery rehabilitation
• Arthritic conditions
• Ankle and foot pain
• Hip pain
• Shoulder pain
• Shoulder surgery rehabilitation
• Knee pain
• Knee replacement rehabilitation
• Ankle and foot pain
• Elbow pain
• Hand and wrist pain
• Nerve pain
• Rehabilitation from all types of orthopaedic and spinal surgery
At MOSH we use a range of treatment methods and exercise therapies that are tailored to the needs of the individual such as:
• Joint manipulation and mobilisation
• Muscle energy methods
• Massage and mobilisation of soft tissues
• Functional and core stability exercises for rehabilitation
• Functional and sports fascial taping
MOSH physiotherapists utilise a combination of manual therapy and progressive exercise therapy. Our treatment modalities will include joint manipulation and mobilisation, specific neural and soft tissue mobilisation, and exercise therapy. In some cases acupuncture may be utilised as an adjunct to other treatments, normally for the relief of pain.
Limb lengthening Dubai to increase a person's stature in people who are proportioned normally and do not have dysplasia or dwarfism uses a strategy that differs from that used on patients with dysplasia and disproportion. The majority of patients with a relatively short stature will only need a rather modest stature increase in comparison to those with dwarfism.
Patients that have dwarfism are frequently treated when they are children, whereas people with a short stature are not treated until growth is complete. These types of patients do not normally have bone deformities. To keep the lengthening time to a minimum, a technique called lengthening and nailing or LATN is often used by MOSH orthopaedic surgeons. This technique keeps the length of time in an external fixator to a minimum, since this time will be reduced to the amount of time that is required for the lengthening process to be completed and it will not be needed during the consolidation or hardening phase. This technique also reduces the amount of time that is needed for rehabilitation and the amount of time it takes to be able to fully bear weight. However, a lengthening nail that is fully implanted is now available that eliminates the need for an external fixator completely, but this is a relatively new device.
A typical lengthening goal for short stature is 5 to 8 cm. A greater length cannot be safely achieved for a single pair of bones in a single lengthening. For additional lengthening the process must be repeated in an additional pair of bones.
Limb Lengthening techniques used at MOSH
The typical strategy involves lengthening both tibiae and the fibulae 5 to 8 cm using the LATN technique or an internal lengthening nail. If additional lengthening is desired then the bilateral femurs are lengthened. The majority of patients do not have their femurs lengthened due to the additional time and expense that is involved, which will rise two fold. Furthermore, excessive lengthening of the lower limbs in people who are proportioned normally will cause an obvious disproportion. Eight centimeters or less of lengthening will not result in a noticeable disproportion.
Limb lengthening Dubai orthopaedic surgeons at MOSH generally prefer tibial lengthening as opposed to femoral lengthening for a number of reasons. Lengthening of the tibiae makes a patient's legs appear longer than if the femurs were lengthened. This is because the level of the feet and knees are visually apparent but the hip level is not so obvious. In addition, tibia lengthening can be performed in a single operation in less time than a femoral lengthening which requires two set-ups that are separate during a single operation or two separate operations, which significantly increases the time it takes to perform the operation and the cost of the operation. Furthermore, the blood loss is far less with tibial lengthening as opposed to femoral lengthening and having bilateral external fixators on the lower legs is much easier for a patient to tolerate than bilateral femoral fixators.
The majority of patients at MOSH remain in the hospital approximately four days after their surgery. Physiotherapy, used to stretch the ankles, starts in the hospital and it is continued after the patient is discharged. Patients must have physiotherapy daily for one to two hours during the time of lengthening, which may be about three months. The range of motion of the ankle is a factor that can limit lengthening. The lengthening can proceed as long as the patient is able to stretch their foot greater than 90 degrees.
After discharge, patients will need to be seen by their MOSH orthopaedic surgeon at least once every two weeks. Nerve testing, pin examination, and x-rays are performed on these visits. Any problems will be identified and treated. The external fixators may also be adjusted during these visits.
How long does Lengthening take?
It will take approximately one month for every 2.5 cm of lengthening. Lengthening will not commence until about one week subsequent to surgery. Therefore, 8 cm of lengthening will take about three months of using an external fixator. Weight bearing is permitted within pain limits After lengthening is complete a second surgery is required to remove the external fixators and insert intramedullary nails. After the removal of the external devices, patients will need to visit their MOSH orthopaedic surgeon monthly.
What kind of follow up care is needed?
Patients will not be permitted to bear any weight on their legs until X-rays indicate that the bone is sufficiently healed to allow the patient to bear weight on them. This normally takes between one and two months subsequent to nail insertion. Physiotherapy will continue primarily to regain full motion of the ankle and foot strength for pushing off. This will take several additional months. It is recommended that the rods be removed in the future. This is not crucial and it can be performed at any time after the bones have healed fully. This is usually done one year after the lengthening process is complete.