Dr Rod Hughes Structural

Structural Conditions

Dr Rod Hughes Functional

Functional Conditions

Dr Rod Hughes Sports

Sports Injuries

Dr Rod Hughes Spinal

Spinal Conditions

My focus is on the diagnosis and management of rheumatological disorders, ranging from

Dr Rod Hughes Structural

Structural & Inflammatory

Rheumatological disorders may affect the structure of the musculoskeletal system (the bones and joints and muscles, tendons and ligaments that surround them) and they can be diagnosed and treated within my clinics.

Conditions that affect the bones that I can help with include osteoporosis, metabolic bone disease such as Vitamin D deficiency, Paget’s disease, osteopetrosis and hypertrophic osteoarthritis (new bone formation).  Joint diseases probably make up the commonest reason for referral and conditions include osteoarthritis involving wear and tear of the joint surfaces, inflammatory arthritis such as Rheumatoid arthritis or psoriatic arthritis and problems with the joints caused by hypermobility.  When inflammation affects the joints it can also affect the whole system causing skin rashes, kidney problems and lung fibrosis.  These conditions are known as connective tissue diseases and are often auto-immune (vasculitis and Lupus (SLE) and may sometimes involve complex tests and treatments.

Muscle diseases that do not involve nerve damage or interruption of nerve supply can be diagnosed and helped by a rheumatologist.  These include inflammatory muscle disease (myositis), more commonly Polymyalgia Rheumatica (PMR) and muscle conditions caused by Vitamin deficiency (Vit D or Vit B12.


Dr Rod Hughes Functional

Functional

Functional disorders affect how things work rather than their actual structure and can be associated with many symptoms such as pain, stiffness and exhaustion but tests for disease may all have been normal.  These conditions have many different names such as fibromyalgia, ME, Chronic Fatigue syndrome or Post-viral fatigue.  They can be very alarming and affect anyone at any age, even younger children and adolescents.

I can give guidance and suggest ways of helping such problems.

Functional disorders also include pain and swelling, occurring following damage to an arm or a leg and these Complex Regional Pain Syndromes can also be helped.


Dr Rod Hughes Sports

Sports Injuries
& Soft Tissue Problems

I see a lot of problems affecting the soft tissues (tendons ligaments and bursae).  Some may be associated with sporting activities whilst some may occur with only minor injury.

These are particularly seen around the time of the menopause in women and from the 40’s onwards in men.

I am able to help with shoulder pain, Tennis and Golfer’s elbows, wrist pain and De Quervain’s tendonitis together with hip, knee and ankle pain and Plantar Fasciitis. 

I have access to good quality rapid imaging whether ultrasound or MRI and frequently great help results from local steroid injection to the site of pain.

Knees and shoulders are often affected and relief can result from early treatment.

 

Dr Rod Hughes Spinal

Spinal 

If the spine (cervical, thoracic or lumbar) is either damaged or inflamed this can cause a lot of pain and distress and needs rapid diagnosis and treatment to avoid chronic back pain.

Whether mechanical injury or inflammatory disease these problems lend themselves to rheumatological treatment when surgery is not needed.

The ageing spine may be associated with stiffness due to facet joints or Osteoarthritis and new bone formation and this may particularly affect the neck and lower back.