Dr Rod Hughes Structural
Dr Rod Hughes Functional

Structural Conditions

I am writing on behalf of my brothers and myself to thank you so much for the ongoing care and treatment you give to my mum. It is an enormous relief to us that she is able to come to your clinic and receive the help and advice and above all the compassion and kindness that you show to her. It gives her a lot of confidence when you say you are always happy to see her if she is in trouble.
ES June 2016
I would like to thank you for all your sensible advice and treatment for my rheumatoid arthritis over the last two years. You have made such a difference to my quality of life and to how much I can now do.
FD February 2016
My last consultation was a fortnight short of six months ago and I would like to thank you for your treatment and advice as well as to let you know how my feet have progressed. Your immediate re-diagnosis of my ailment and the treatment you have given since January 2014 has resulted in my feet being pain free. They have also shrunk to a size where I can use my old much smaller shoes. At the last consultation you suggested that it was probably the last one. I was doubtful but you were right. I have been absolutely pain free for the last six months.
CF February 2016

Working with physiotherapists, podiatrists, specialist orthopaedic surgeons & pain consultants can make a great deal of difference to our patients’ wellbeing.

These are auto-immune conditions and occur without damage and often without any family history. They can affect only one joint, several joints or in some cases almost all the joints in the body and can come on either gradually or very fast.

They are conditions that need rapid help, often early treatment with steroids and then progression to stronger long term medication. There is a particular form of short term inflammatory arthritis that follows an infection in the bowel or urine (Reactive arthritis) and, whilst it only lasts a few months in most cases, often needs urgent help when it occurs

The commonest cause of bone, joint and muscle pain and present in some form in almost everyone as they get older. Some family inherited forms of OA cause lots of new bone formation the fingers especially the end joints and in the feet and toes. OA almost always associated with some degree of inflammation which I can help reverse and also advise on lifestyle, supplements and exercises to minimise pain and stiffness

Crystals can form in and around joints and cause lots of swelling and pain and often a rapid immobilisation with time off work and inability to drive. They can affect only one joint (often the foot in gout) and a whole series of joints such as the ankle, wrist and shoulder. Fast relief can result from injectable or tablets based steroids or prescription anti-inflammatories and long term prevention is suitable for recurrent gout

I have a particular interest in osteoporosis (thinning and fragility of the bones) and can advise on suitable investigations, use of supplements and up to date treatments and have ready access to a bone density scan on site a few metres from the clinic rooms at the Runnymede hospital. This is not just a condition of older women and can affect men and women at any age

Polymyalgia rheumatic (PMR) is a remarkably common cause of rapid onset muscle stiffness around the shoulders and neck and also affecting the hips and buttocks. It occurs over the age of 50 and diagnosis can often be delayed if all blood tests for inflammation remain normal as they do in 20% of cases. Both PMR and associated GCA are very responsive to steroid treatment and this may need to be continued for months or years to avoid recurrence. Most people get better within 18 months

All these conditions are rarer and need careful examination and tests to diagnose. They are however quite responsive to treatment which often means needing to take either Vitamin supplements or tablets to reduce bone activity

These auto-immune systemic conditions can cause skin rashes, fevers, dry mouth and dry eyes and energy loos and exhaustion because of the development of inflammation within the system. They can be diagnosed with the help of blood tests (auto-antibodies) together with more complex scans (such as a PET scan) that show inflammation and can associated with kidney and lung inflammation. They need careful management and often the sue of stronger immune-suppressive drugs.

I am able to help to diagnose and plan treatment for younger children or adolescents who may develop conditions associated with growth such as chondromalacia patellae or Osgood Schlatter’s syndrome in the knees. Growth can also affect the soft tissues with lots of hamstring and leg stiffness and back trouble often helped by physiotherapy and short term medication. Some unlucky children inherit forms of auto-immune inflammatory arthritis and after diagnosis and early treatment I can guide them towards the children’s clinic in arthritis run at St Peter’s hospital which I have set up over the last 20 years.