Dr Kaplan is an Orthopaedic Surgeon who has subspecialised in Knee, Foot and Ankle Surgery.
All conditions of the Knee, Foot and Ankle are treated. Synthetic Cartilage implant is now approved, available and evidence-based for Big Toe Arthritis. Knee replacement techniques and results are improving. Ankle Replacement, Minimally Invasive Bunion and Forefoot Deformity Surgery are new and growing areas in the field.
The best first investigation for any Knee, foot and Ankle problem is an x-ray. This should be done weight bearing except where the patient can’t tolerate this due to pain.
Other imaging modalities such as CT & MRI can be very useful in certain scenarios but usually add to the information from an X-ray. It is usually best for the surgeon to order the CT and/or MRI.
Ultrasound has some advantages and disadvantages when compared with other imaging modalities. It is excellent when ordered and performed correctly. However, it is very inaccurate in many scenarios. It is probably better for the surgeon to order ultrasound when needed.
Steriod and local anaesthetic injections can be very useful both for diagnosis and treatment. Care should be taken to not cause harm with the injection. A tendon itself should never be injected.