Clinical Articles

Pain is the most common presentation in the shoulder. After 15 years of consultant practice, I would like to share some tips and pearls learnt, sometimes through bitter experience. As the saying goes, ‘Good judgment comes from experience, experience comes from bad judgment.’ Read More...

Psychiatric medication deprescribing has gained significant attention in recent years as healthcare professionals recognise the importance of optimising medication use and minimising potential harms associated with long-term use. Historically, there has been little attention paid to deprescribing in psychiatry, and the focus of research had been on prescribing. Read More...

Uterine fibroid embolisation (UFE), also known as uterine artery embolisation (UAE), can be seen as a transformative option in gynaecological healthcare, particularly for women with symptomatic fibroids aged 35-50 who are premenopausal and have completed their childbearing years. Read More...

In the rapidly evolving landscape of orthopaedic surgery, the integration of robotic assistance in hip and knee arthroplasty, in my opinion, has become a game-changer. Read More...

Understanding the intricate relationship between diet, lifestyle and gastrointestinal health is paramount for medical professionals, especially when addressing conditions like irritable bowel syndrome (IBS) that significantly impact women's health. Read More...

Ovarian reserve, defined by the quantity and quality of remaining oocytes within the ovaries, plays a pivotal role in female fertility. This article explores the concept of ovarian reserve, its impact on achieving pregnancy, and various factors influencing its decline, plus methods of assessment and potential management strategies. Read More...

Endometriosis affects one in seven women and is more common in certain groups, affecting 50% of women with chronic pelvic pain, 40% of women with subfertility and 25% of transgender men. Symptoms include pelvic pain, dysmenorrhoea, dyschezia, dyspareunia, fatigue and subfertility. Read More...

Endometriosis is a complex and often debilitating condition affecting millions worldwide. Characterised by the growth of endometrial-like tissue outside the uterus, it can lead to chronic pelvic pain, dysmenorrhoea, and infertility. Hormonal therapies are a cornerstone of endometriosis management, aiming to reduce oestrogen levels and alleviate symptoms. There remains an important clinical need for safe, highly effective, convenient medical treatments that can be used long term for endometriosis related pain, which may reduce the need for opioids and repeated surgery. Read More...