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What is PRP and how can it help with arthritis, tendon problems and joint pain? In this video, we explore platelet-rich plasma (PRP) injections, including the newer ACP Max system, and explain how this natural treatment uses your own blood to stimulate healing. Learn about the conditions PRP can treat, what to expect during the procedure, recovery timelines, and how it compares to steroid injections.
Chapters:
(00:00) What is PRP?
(00:21) How PRP is produced from your own blood
(00:36) Conditions PRP can treat
(00:47) How PRP triggers the body's healing process
(01:33) Common conditions: arthritis, tendons and more
(02:23) How long does PRP relief last?
(02:53) How PRP has evolved over the last 10–15 years
(03:37) Standard PRP protocol: series of three injections
(03:53) Introduction to ACP Max
(04:20) ACP Max vs standard ACP explained
(05:29) The double spin process explained
(06:17) Higher concentration and healing potential
(06:57) Tailoring PRP to tendons, muscles or joints
(07:34) When will you feel pain relief from PRP?
(08:16) PRP vs steroid: short-term vs long-term effects
(09:03) Is the ACP Max procedure more painful?
(10:06) What to expect during your PRP appointment
(11:11) Why ultrasound guidance matters
(11:52) Why local anaesthetic isn't used with PRP
(12:34) Does PRP hurt?
(12:56) PRP for knee osteoarthritis: the evidence
(13:46) Can PRP injections be repeated?
(14:23) Why timing matters with osteoarthritis
(15:28) PRP as part of a wider treatment plan
(16:48) Aftercare: what to do post-injection
(17:21) Why you must avoid anti-inflammatories
(18:11) When will you notice improvement?
(19:37) How to know if PRP will work for you
(20:44) Does age affect PRP response?
(21:28) Can you treat multiple areas in one session?
(22:12) Why imaging is essential before PRP
(22:57) When PRP isn't the right option
(23:40) PRP before knee replacement surgery
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What is Arthrosamid and could it help your knee osteoarthritis? In this video, George Bowens, a leading specialist in injection therapy with extensive experience using Arthrosamid in the UK, sits down with Chris, an experienced physiotherapist, to explain everything you need to know about this innovative hydrogel injection. They discuss how Arthrosamid differs from steroid, hyaluronic acid and PRP injections, who it's suitable for, what the procedure involves, and why structured rehabilitation is essential for the best results.
🧑⚕️ Complete Physio: https://rdar.li/4Y3K8Dr
🩻 Complete Injections: https://rdar.li/mZP48Vr
0:00 What is Arthrosamid?
0:30 How Arthrosamid differs from steroid, HA and PRP
1:44 How long does the relief last?
2:26 Why rehab is essential after the injection
3:40 The science: how Arthrosamid works in the joint
4:54 When will you feel the benefit?
6:01 Real patient data and outcomes
8:11 Which knee arthritis patterns respond best
9:55 Why Arthrosamid is a medical device, not a drug
11:00 Why you need antibiotics before the procedure
12:13 What to expect after the injection
13:10 Timing your injection around skiing, cycling and events
15:15 Great results in older and less active patients
16:31 Using Arthrosamid to delay or optimise for surgery
17:46 How to decide if Arthrosamid is right for you
19:02 Repeat injections after 3-5 years
20:19 Can you have both knees done at once?
21:42 Step-by-step: what happens on the day
23:29 The ultrasound assessment before injection
24:18 Does the injection hurt?
26:02 Aspirating fluid and the injection process
27:31 The first week after your injection
29:00 Starting physiotherapy and rehab
30:33 Pain relief, ice and managing swelling
31:26 Swelling vs infection: what to expect
32:08 Anti-inflammatories after the procedure
32:44 Who isn't suitable for Arthrosamid
33:06 Can Arthrosamid be used in other joints?
34:48 Can it be injected into a knee replacement?
35:08 The science of the hydrogel and synovium
36:20 Histology studies showing tissue integration
🌐 www.complete-physio.co.uk
📞 020 7482 3875
📧 [email protected].uk
The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise program, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content.
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🧑⚕️ Complete Physio: https://rdar.li/4Y3K8Dr
🩻 Complete Injections: https://rdar.li/mZP48Vr
What is Achilles tendon elongation, why does it happen, and what can be done about it? In this podcast, Sam, a leading foot and ankle surgeon, and Chris, an experienced physiotherapist, explore one of the most common concerns after an Achilles rupture. They discuss how elongation develops during conservative and surgical management, how it presents clinically, why it's so difficult to reverse, and the surgical options available — including Z-shortening and FHL tendon transfer — when symptoms affect quality of life.
(00:00) Why Achilles tendon elongation matters
(00:35) The function of the Achilles tendon explained
(01:15) Demonstrating how calf contraction moves the foot
(01:53) What happens when the tendon heals too long
(02:30) How elongation presents for the patient
(03:18) Where in the recovery process things go wrong
(03:37) Delay to diagnosis and the initial gap
(04:41) Non-compliance with the boot protocol
(05:24) Re-tearing during recovery
(05:55) Ultrasound vs MRI for assessing the gap
(06:39) Why stretching too early is a problem
(07:12) Why elongation is so hard to reverse
(07:51) Protecting the tendon from week 10 onwards
(09:05) Can elongation happen after surgery too?
(09:38) Living with elongation: lifestyle choices
(10:22) Surgical options for an elongated tendon
(11:17) The Z-shortening technique explained
(13:14) FHL tendon transfer: what it is and why
(15:35) When to use FHL vs Z-shortening
(16:30) Realistic outcomes after salvage surgery
(17:30) When to consider corrective surgery
(19:08) Why clinical tests matter more than measurements
(20:57) Patient factors in the decision-making process
(22:50) Real patient cases from recent weeks
(24:07) How clinicians and patients can help prevent elongation
(25:13) Final thoughts and practical advice
🌐 www.complete-physio.co.uk
📞 020 7482 3875
📧 [email protected].uk
The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise program, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content.
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🦶 Complete Physio: https://rdar.li/4Y3K8Dr
💉 Complete Injections: https://rdar.li/mZP48Vr
What does good conservative management of an Achilles rupture actually look like? In this video, Sam, a leading foot and ankle surgeon with decades of experience, and Chris, an experienced physiotherapist, break down everything you need to know — from diagnosis and early management, to boot protocols, rehab, and the risk of elongation.
0:00 Introduction and why this follow-up podcast exists
1:54 Why time of presentation is critical for conservative treatment
3:15 What happens if you present late after a rupture
4:21 Understanding the tendon gap and why the ends must come together
5:10 The role of ultrasound in diagnosis
8:05 Why "partial ruptures" are almost never real
9:22 Using ultrasound alongside clinical assessment
11:42 Clinical examination: why it remains the gold standard
13:45 Conservative vs surgical: activity level and sport type
14:45 Elite sport and why surgery is always recommended
16:00 What good conservative healing actually looks like
17:00 Boot protocols: back slab, aircast and the VACOped
19:22 Boot options: pros, cons and what the evidence says
21:43 Early weight bearing and why loading matters
23:01 Step count, lifestyle changes and managing activity
24:54 Wearing the boot 24/7: sleep, showering and safety
26:04 The risk of rerupture in the shower and at home
28:15 Week 6 onwards: reducing the angle gradually
29:08 Why elongation is the biggest fear in conservative treatment
30:00 Stretching: what not to do and why
31:43 When physiotherapy actually starts to matter
33:40 Coming out of the boot: heel raises and footwear advice
34:33 When reruptures most commonly happen and how to avoid them
36:26 Muscle stimulators and managing calf wasting
38:25 Realistic return to sport timelines — and why you can't rush it
39:37 David Beckham's rupture and what it tells us about recovery
41:19 Conservative rerupture rates: then vs now
43:00 The SMART trial and when surgery should still be considered
44:07 Top tips for perfect conservative management
45:55 Testing for elongation: the clinical signs to watch for
🌐 www.complete-physio.co.uk
📞 020 7482 3875
📧 [email protected].uk
The information provided in this video is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider, such as your GP or a registered medical professional, before beginning any new exercise program, making significant changes to your diet, or taking any new medication or supplements. Never disregard medical advice or delay seeking it because of something you have seen or heard in this content.
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Understanding Chronic Pain with Lachlan Sutton | Complete Physio Podcast
In this episode, chronic pain specialist Lachlan Sutton breaks down what chronic pain actually is, why it persists long after injury, and what you can do about it. We cover the difference between acute and persistent pain, why the "wear and tear" narrative around conditions like osteoarthritis is often more harmful than helpful, and how the nervous system plays a far bigger role in ongoing pain than most people realize. Lachlan explains the three types of pain, how to read the signs that something more complex is going on, and why movement — not rest — is almost always the answer. We also get into how physio for chronic pain actually works: from functional assessment and goal setting to graded exposure, fear of movement, and why education might be the single most powerful treatment of all.
We discuss
0:00 Introduction & What Is Pain?
1:13 What Is Chronic Pain & When Does It Start?
2:28 When Should You See a Chronic Pain Physio?
4:56 Signs Your Nervous System Has Wound Up
6:26 Acute Injury Red Flags to Watch For
8:37 Pathways Into Chronic Pain
9:32 Osteoarthritis & The "Wear and Tear" Myth
13:00 Why Movement Feels Dangerous (But Isn't)
17:02 The Body as a Garden, Not a Machine
19:47 The Three Types of Pain Explained
23:01 How to Tell If Pain Is Structural or Central
26:48 When Scans Help (And When They Mislead)
33:00 Treatment Approaches: Where to Start
36:09 Fear of Movement & How Physios Address It
39:35 The Role of Passive vs Active Treatments
46:38 Are Patients Ready for Change?
49:59 Neuroplasticity & How Pain Can Unwind
53:11 Functional Assessment in Practice
56:17 Rethinking Posture & Core Bracing
59:31 Goal Setting for Chronic Pain
1:06:00 Awareness & Access to Chronic Pain Services in the UK
1:10:32 Building Trust With Complex Patients
1:14:00 Education as the Most Powerful Intervention
1:20:14 Lachlan's Favourite Patient to Treat
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This episode outlines key red flags, referral pathways, and when clinicians should consider physiotherapy versus GP or specialist review. The discussion explores transabdominal and transperineal ultrasound assessment, differential diagnosis, and evidence-based rehabilitation strategies for hypertonic and hypotonic pelvic floor presentations. Designed for doctors and healthcare professionals, this podcast highlights early identification, non-invasive assessment, patient dignity, and multidisciplinary management within modern UK physiotherapy practice. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.
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Clinicians at Complete Physio (Central London) address common patient questions about steroid injections and travel. We discuss practical considerations when flying soon after an injection (post-procedural flare), rare but important risks including infection and delayed allergic reactions, and how destination healthcare access and travel insurance may affect decision-making. We also cover safe considerations around driving after injections, expected onset and duration of benefit, and planning injections ahead of key events or holidays. Finally, we outline red-flag symptoms requiring urgent assessment, and discuss injection options, including standard steroid injection vs hydrodistension for frozen shoulder, plus considerations for barbotage in calcific tendinopathy.
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We cover key mechanisms, including sudden changes in tissue loading, deconditioning, and age-related tendon and joint vulnerability (Achilles tendinopathy, rotator cuff tendinopathy/tears, and osteoarthritis flare). We also outline practical clinical red flags and decision points for when patients should seek professional assessment: persistent or escalating pain, night pain, latent symptom patterns after activity, swelling, and—critically—sudden pain with loss of function suggesting possible tendon injury.
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The video compares Arthrosamid® with traditional intra-articular treatments such as corticosteroids and hyaluronic acid, highlighting its non-biodegradable hydrogel structure, synovial coating properties, and its role in reducing inflammatory flare-ups associated with osteoarthritis. We also discuss patient selection, expected duration of effect (2–3 years), cost considerations, and where Arthrosamid® may sit within the conservative-to-surgical treatment pathway for knee OA.
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This discussion looks at hamstring injuries, especially proximal tendon avulsions, and when surgical input is needed. We also cover how decisions differ between younger and older patients for meniscal tears, ACL reconstruction, and joint replacement. The conversation moves through real-world examples of injury patterns, rehabilitation, and how timing affects outcomes. You’ll also hear insights on patient-specific knee replacements, robotic and computer-assisted techniques, and the anterior approach to hip replacement, a method that helps reduce muscle damage and improve recovery. We talk about realistic recovery times, common risks such as sciatic nerve irritation and dislocation, and how surgeons decide when the “window of opportunity” for surgery is right.
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Men often experience urinary incontinence after prostate surgery due to muscle loss around the bladder and urethra. This video explains how physiotherapy and pelvic floor training can support recovery before and after surgery. Our specialist physiotherapist, Jack from Complete Physio in Central London, demonstrates how targeted muscle activation and ultrasound assessment help rebuild strength and improve bladder control. Learn how correct pelvic floor exercises can aid recovery, restore function, and support long-term wellbeing. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.
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Foot and ankle problems are common among runners and active individuals. In this discussion, the Complete Physio team share practical ways to reduce pain and prevent injury through structured physiotherapy. David Gruhl explains how calf raises, intrinsic foot strengthening, and soft-tissue massage can improve performance and resilience. The video also covers footwear recommendations, orthotic use, plantar fasciitis management, Morton's neuroma, and arthritis care.
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ACL reconstruction has come a long way over the past two decades, and this discussion explores how surgical techniques, graft materials, and rehabilitation methods have evolved. Our expert physiotherapists and orthopaedic specialists explain the options between hamstring, patella tendon, and allograft reconstructions, and how factors like age, joint stability, and tissue quality guide treatment choices. Learn about the latest approaches to graft alignment, fixation methods, and post-operative physiotherapy that help patients regain confidence and knee function. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.
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Strength training often gets pushed aside by runners, but it can make a real difference to both performance and injury risk. In this video, Complete Physio physiotherapists explain how to fit strength work into a running schedule, even during marathon training. We cover which exercises have the greatest impact, how often to train, and practical ways to balance recovery with heavy mileage. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.
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This video from Complete Physio, London, looks at how physiotherapy principles can guide marathon training and help reduce injury risk. We explain how weekly mileage, interval training, tempo runs and threshold sessions each play a role in performance. The discussion highlights how these methods apply to both first-time marathon runners and experienced athletes. Don't forget to like, subscribe, and turn on notifications for more expert advice from Complete Physio!
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This video from Complete Physio discusses osteochondral defects in the knee and labral tears in the hip, two conditions that often present with pain, joint restriction, and mechanical symptoms. We explain how these problems develop in both younger and older patients, the signs and symptoms to look out for, and the range of management options available. Topics covered include physiotherapy-led care, minimally invasive surgical techniques, cartilage repair strategies, and hip arthroscopy. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.
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At Complete Physio in Central London, our physiotherapists share clinical insights on marathon training, common injury warning signs, and how strength work can support recovery and long-term performance. We look at when pain is a normal part of training and when it signals something more serious, as well as how targeted rehab can address previous injuries before they flare up again. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.
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In this video, our London physiotherapists share clear, practical advice on preparing for a marathon. We cover how to get your body ready, manage your training load, avoid common mistakes, and reduce the risk of injury. The discussion draws on real patient experiences and clinical insight, aimed at doctors and healthcare professionals who support runners. Complete Physio’s clinics in Central London provide high-level physiotherapy for athletes of all abilities. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.
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Complete Physio in Central London shares expert advice for runners who miss two to three weeks of marathon training. Our physiotherapists explain how time away from your plan can affect fitness, what realistic adjustments can be made, and why jumping back in too quickly often leads to injury. We also look at how training goals can be adapted, the role of tapering, and practical ways to stay on track without increasing risk. Complete Physio runs five clinics across Central London, offering advanced physiotherapy, tendon and muscle rehabilitation, diagnostic ultrasound, and ultrasound-guided injections. Our highly trained team work with athletes and patients of all levels to deliver safe and effective care.
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In this video, Complete Physio in London shares physiotherapy advice for runners preparing for a marathon. We cover yoga, strength versus stretching, foam rollers, sports massage, ice baths, and the most common training mistakes. We also talk about choosing the right running shoes, safe progression in training, and recovery methods that actually help. At Complete Physio, our clinics across Central London provide expert care in post-operative rehab, tendon and muscle injuries, lower back conditions, diagnostic ultrasound, and ultrasound-guided injections.
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