Prosthetic Patients:All prosthetic patients for artificial limbs should be referred to the Prosthetic service at SMART Centre. At present the team consists of Advanced Orthotists, Orthotists, Admin staff and Technical Staff to provide the range of services in Orthotics across NHS Lothian. Use Gateway for referrals centrally through RIE Patients will be seen at a hospital in their local area if an appropriate specialist is available at their local centre. Please refer Edinburgh and West Lothian patients, and we will determine if they are to be seen at RHCYP or SJH. Mr Ewan Goudie Consultant Orthopaedic Surgeon FRCSEd (Tr&Orth), MD Specialises in Hip replacement Knee replacement Partial knee replacement Robotic assisted surgery An initial consultation with Mr Mark Gaston is from 180. Bone metabolism clinic with paediatric endocrinologists and super-specialist physiotherapists, Specialist plastering, casting and orthotic service, Wire removal clinic led by specialist practitioners. The common knee, foot and ankle conditions I treat are osteochondritis dissecans, repair or removal of torn cartilage (meniscus), discoid meniscus, sports injuries, removal of loose bodies, ligament injuries, knee-cap dislocation, foot, ankle and toe deformity surgery (including bunion correction), ankle arthroscopy and the assessment and treatment of painful knee foot and ankle conditions. The NHS Lothian Integrated Orthopaedic Foot and Ankle Service team includes Physiotherapists, Advanced Physiotherapy Practitioners, Advanced Practice Podiatrists, Orthopaedic Consultants, Radiologists and administrative staff. When necessary, we also provide support and reassessment of need once the orthosis has been supplied along with review, maintenance, and repair services. No, it is best to buy new shoes once your child has been supplied with the orthosis. The Scottish Trauma Network launched in 2017 with the Royal Infirmary of Edinburgh becoming a Major Trauma Centre in 2021. NHS Lothian Apr 2021 Awarded to the highest performing Specialty Registrar (relative to their stage of training) in the annual orthopaedic examination These can be either off-the-shelf stock products or made fully-bespoke (to fit). There are many opportunities for progression in different ways. Chris Myers - Service Manager, Orthopaedics Directorate. Any investigations or surgical opinions can be organised through the Advanced Physiotherapy Practitioner Clinics if required. Suspected bone or soft tissue cancer. The Orthopaedics team cares for patients with bone, muscle and joint . An orthosis is a support which is worn anywhere on the body, from head and neck, spine, arms and hands to legs and feet or is placed in a shoe to improve foot position and help with walking. appropriate member of the team at the nearest location and time. The aim of the Orthotic Service is to facilitate the treatment and rehabilitation of patients through assessing the need and provision of an orthosis to either remedy or relieve a medical condition or disability. If you require further help with your foot or ankle symptoms you will be referred to the appropriate service. Please bring their current pair of shoes as this will allow the Orthotist to look at the tread to see how your child has been walking. NHS Highland stopped orthopaedic procedures earlier this week. The UK national group is also chaired from here, and this is driving the roll-out of this internationally recognised programme forward in the rest of the UK and beyond. Tel: 0131-536-1000 (Switchboard) Referrals are reviewed by the Orthopaedic team and often it is felt that the best place to start the management of your symptoms is within the Advanced Physiotherapy Practitioner Clinics. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. Integrated Orthopaedic Foot and Ankle Service. Phone: 0131 5379418 or 0131 5379479 (Monday-Friday, 9am 4pm). Edinburgh Childrens Orthopaedics (ECO) is a highly specialised team of orthopaedic surgeons, physiotherapists, orthopaedic practitioners and nurses looking after children across the southeast of Scotland. This also includes experiences to go totrauma/elective theatres to help gain a better understanding of the patient journey. With a strong focus on education and enhancing skills there are a wealth of additional courses available to aid progression onto areas such as critical care and the emergency department. It can be made of plastic, rubber, or fabric with metal hinges. They can also be used to treat musculoskeletal conditions like plantar fasciitis, flat feet, muscle, tendon and ligament sprains. This is the NHS Lothian Integrated Orthopaedic Foot and Ankle Service. If you do not consent for us to process your personal data for marketing activities, we will still be able to contact you about your enquiry. The NHS Lothian integrated shoulder & elbow pathway is a multidisciplinary collaboration. Scottish National Blood Transfusion Service, pain in hip or groin radiating down the front of the thigh despite conservative treatments, Restriction of range of movement in hipassociated with pain. Around 3,000 colleagues across NHS Lothian have developed Our Values, a set of common values and ways of working Urgent. golf, dancing, walking, First line analgesia does not relieve pain. Address: 50 Little France Crescent, Edinburgh bio Quarter, Edinburgh, EH16 4TJ. Very few people with foot or ankle pain require an operation. Some of the principal treatments carried out by Mr Mark Gaston at Spire include: Spire would like to provide you with marketing information about products and services offered by Spire and by selected third-party partners. Chloe Scott - Consultant Orthopaedic Surgeon. Orthotic devices are used to provide pressure relief, correct or accommodate deformity and to improve function. Many conditions which affect childrens mobility can be helped with orthoses. Our trauma networks vision is Saving lives, giving lives back. Integrated Orthopaedic Foot and Ankle Service, Ankle Arthritis Patient Information British Orthopaedic Foot &Ankle Society, Ankle Sprain Information and Exercise Sheet Versus Arthritis, Achilles Tendon Patient Information British Orthopaedic Foot & Ankle Society, Hallux Rigidus Patient Information British Orthopaedic Foot & Ankle Society, Hallux Valgus Patient Information British Orthopaedic Foot & Ankle Society, Heel Pain Patient Information British Orthopaedic Foot & Ankle Society, Plantar fasciitis Information and Exercise Sheet Versus Arthritis. Around 3,000 colleagues across NHS Lothian have developed Our Values, a set of common values and ways of working Unfortunately, during the COVID-19 pandemic we have not been able to offer outpatient appointments at all sites. Information for patients and carers . NHS Lothian Patient Information Storyboard - Achilles Tendinpathy Storyboard - Ankle Osteoarthritis Storyboard - Ankle Sprains Storyboard - Hallux Rigidus Storyboard - Hallux Valgus Storyboard - Hammer Toe Storyboard - Midfoot Osteoarthritis We have tailored orthopaedic induction programme which kick starts your journey into trauma & elective. Please refer the following patients for urgent review in clinic. Patients will be appointed to the most appropriate site to meet their orthotic needs. for all Shoulder & Elbow referrals or clinical advice please see NHS Lothian Integrated Shoulder and Elbow pathway. seen within another sub-specialty in MSK this is carried out at the point of Triage. There will be a wide range of learning opportunities to experience, including our orthopaedic course. They cover the period up to 31 March 2023. Patients who have been seen by the orthotic service previously, See Resources and Links Tab for information regarding Patient Focused Booking (PFB) and Patient Initiated Follow Up (PIFU), These items can be purchased from high street pharmacies and online retailers. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. Patients should be referred to the Orthotic Service to be considered for prescription footwear based on clinical need and when standard footwear is no longer appropriate,due to for example; swelling, rheumatoid disease, deformity, structural/biomechanical change.The orthotic service does not supply footwear forfeet which are simply unusual in size i.e. Some children may feel a stretch on their muscles during their examination. The South East Network includes our major trauma centre (MTC) which is made up of our emergency department (ED), major trauma ward, department of clinical neurosciences (DCN) and Royal Hospital for Children and Young People. We look after patients aged from 0-18 years of age (0-15 in the Emergency Department). Calum ARTHUR, Consultant | Cited by 140 | of NHS Lothian, Edinburgh | Read 19 publications | Contact Calum ARTHUR I currently lead on a Scottish national programme of surveillance for children with cerebral palsy (CPIPS) and am a member of several national committees. You are welcome to bring a friend or family member along with you or we can arrange a chaperone, if requested. Approved by NHS Lothian Patient Information Team: Aug 2021 Review date: Aug 2024 LOT2242 Page 1 of 11 Osteoarthritis of the knee . These services include Advanced Physiotherapy Practitioner Clinics, Advanced Podiatry Practitioner Clinics, Orthopaedics and Radiology. letters are triaged by the Extended role practitioners and appointed to an We offer a 24 hour a day emergency service for. Around 3,000 colleagues across NHS Lothian have developed Our Values, a set of common values and ways of working Opportunities are also available to work alongside our enhanced recovery after surgery (ERAS) team, outpatient department (OPD6),plaster room & biers block clinic. I was appointed as a consultant in orthopaedic surgery in NHS Lothian in 2011. Our team of 14 Orthotists and 5 Orthotic Technicians is based at the Astley Ainslie Hospital in Morningside. Each appointment letter will have details of exactly where to come, along with the date and time. South East Scotland T&O trainee with a research interest in paediatric orthopaedics and medical education. Mr Ewan Goudie C6165990 Practising at Spire Edinburgh Hospitals Murrayfield and Shawfair Park View availability An initial consultation with Mr Ewan Goudie is from 200. The Arthroplasty team consists of group of 11 Consultant Orthopaedic surgeons who specialise in joint replacements of all types. Orthopaedics. Department of Trauma and Orthopaedic Surgery. MB BChir, MA (Cantab), FRCSEd (Tr&Orth) PhD. triaged on the information drawn from in the referral. We may offer advice rather than an appointment, and please state if you would prefer this on the referral. Favourite toys or books from home can help children to stay calm or feel reassured. We use cookies to optimise our website and our service. These services include Advanced Physiotherapy Practitioner Clinics, Advanced Podiatry Practitioner Clinics, Orthopaedics and Radiology. Department of Orthopaedic Surgery Website (external link) clinically appropriate. - to the benefit of everyone working in the organisation and, most importantly - to the benefit of our patients. The technical storage or access that is used exclusively for anonymous statistical purposes. I also have specialist expertise in the treatment of the orthopaedic manifestations of other diseases, particularly neuromuscular (muscle and nerve diseases such as cerebral palsy). I am also interested in rugby and football. Other groups may also contribute to your care, if required. Pain that is causing restriction of day to day life. In NHS Lothian all of the services which help people with foot and ankle conditions work together to ensure that they provide theright service, for the right person, at the right time, in the right place. Normally no, but we may have to find where it hurts, if your child is experiencing pain. We may also use your details to contact you about patient surveys we use for improving our service or monitoring outcomes, which are not a form of marketing. There is a reception on the ground floor of the RHCYP next to the main entrance, for help and information. Scottish National Blood Transfusion Service. Some people will see one of our Advanced Physiotherapy Practitioners. operation with associated pain (especially knee replacement) and at British Society of Childrens Orthopaedic Surgery, Greater than 50 papers published in peer reviewed journals, Single event multilevel (SEML) surgery for gait improvement. I undertook two years of specialist orthopaedic training: a one year specialist neuromuscular orthopaedic fellowship in Basel, Switzerland and a one year senior clinical fellowship in paediatric orthopaedics at RHSC, Glasgow. Please bring your child a pair of shorts (or come wearing them). otherwise stated. If you require further help with your shoulder or elbow symptoms you will be referred to the appropriate service. Community Treatments for Ultra high-risk patients, COVID 19 Vaccination:CYP with allergy/anaphylaxis, East Lothian Community Respiratory Pathway, Urgent Referral Pathway by Presenting Complaint (Flow Centre), IMProved Anticipatory Care and Treatment IMPACT, Same Day Emergency Care (SDEC) Cellulitis Pathway, Same Day Emergency Care (SDEC) Chest Pain Pathway, Same Day Emergency Care (SDEC) DVT Pathway, Same Day Emergency Care (SDEC) PE Pathway, Western General Hospital Renal Colic Pathway, West Lothian REACT Rapid Elderly Assessment Team, BPPV (Benign Paroxysmal Positional Vertigo), Tinnitus (unilateral or bilateral) and Hyperacusis, Atrial Fibrillation and Anticoagulation for Non-Valvular AF (NVAF), Cardiac Investigations for Breathless Patients, cCBT Chronic Pain with Depression or Anxiety, Community Treatment and Care Services (CTACS), Benign Lesion (Lipoma, Cyst, Haemangiona, Xanthelasma, Comedones, Granuloma), Benign Lesion (Skin Tags, Warts, Moles, Dermatofibroma), Suspicious Pigmented Lesions and Changing Melanocytic Naevi, Diabetes Edinburgh Community Diabetes Service, Management of long term high steroid therapy, Feeling of something stuck throat (FOSSIT) Globus, Intermenstrual Bleeding/Irregular Vaginal Bleeding, FSH Testing for Menopause and Contraception, Pain and bleeding at <12 weeks in pregnancy, Advice on Pregnant or pre-pregnancy in individual with personal or FH of thrombosis, Inherited red cell disorders in pregnancy, Post-exposure Prophylaxis for Chicken Pox and Shingles (Varicella Zoster), Primary Care Laboratory Interface Group (PLIG), Grapevine Community Respiratory Support Service, Self-Management Support for LTCs Edinburgh, Autism Spectrum Disorders (ASD) and Aspergers (Adults), Eating Disorders (Adults) and Cullen Centre, Maternity and Neonatal Psychological Intervention Team, Mental Health (Psychology and Other Services), Book Prescribing and Reading for Mental Health, Computerised Cognitive Behavioural Therapy, Anxiety and Depression (Beating the Blues), cCBT Rheumatoid Arthritis with Depression, cCBT for Obsessive Compulsive Disorder (OCD), Mental Health after COVID Hospitalisation (MACH), Mental Health Occupational Therapy Services, Edinburgh Physical Activity for Mental Health, East Lothian Physical Activity for Mental Health, Midlothian Physical Activity for Mental Health, West Lothian Physical Activity for Mental Health, Scottish Infected Blood Psychology Service, Rotator cuff related shoulder pain/rotator cuff tendinopathy, Transient Ischaemic Attack (TIA) And Stroke, GP Access to CT for Suspected Cancer (No Clinically Obvious Primary), COVID End-of-Life Rapid Decline Pathway (Community), Fatigue, Anxiousness, Breathlessness (FAB), Diabetic Painful Peripheral Neuropathy (PPN), GP Access to CT Brain and MRI Lumber Spine- Neuroradiology, East Lothian Rehabilitation Service (ELRS), East Lothian Prevention of Admission (POA), Edinburgh Parkinsons Assessment Clinic (EPAC), Osteoporosis Fractures while on Treatment, Sudden Hearing Loss (Sensorineural) Paeds, Irritable Bowel Syndrome (IBS) and Functional Abdominal Pain (FAP), Feeding Difficulties in Infants Under 6 Months, Child and Adolescent Mental Health (CAMH), Care Experienced Children and Young People, Tic Disorders (including Tourettes Syndrome), Osgood-Schlatters/Sinding-Larsen-Johnansson, Patella dislocation, subluxation/instability, Speech and Language Therapy (Children and YP), Circumcision for religious or cultural reasons, https://children.nhslothian.scot/departments-services/?_sft_category=orthopaedics, https://www.stepsworldwide.org/conditions/, https://posna.org/Physician-Education/Study-Guide. I completed basic surgical training in Edinburgh followed by specialist orthopaedic training as a Clinical Lecturer at the University of Edinburgh and NHS Lothian. Direct access to Radiology for requesting imaging at RHCYP can be found on SCI Gateway (RHCYP > Clinical Radiology > Radiology). The technical storage or access that is used exclusively for statistical purposes. There are over 100 different career paths within NHS Lothian and we are certain to have a career to suit you. Exceptions can be made for individual cases, but not for the excuse I cant lose weight because I cant exercise. Planned orthopaedic surgery including arthroplasty (hip/knee replacement), foot and ankle surgery, upper limb surgery, musculoskeletal tumours and limb deformity correction. specialise in joint replacements of all types. Prior contact with the orthopaedic registrar is not required. We accept referrals from GPs via SCI Gateway. Due to the nature of our patients and their injuries newly qualified nurses work alongside a vast number of different specialities, providing valuable learning opportunities. We are focused on creating the very best patient experiences and outcomes. Read more Children's Orthopaedics Orthopaedic and trauma care for children, including young people up to the age of 15 years. If the patient has a Body Mass Index greater than 40, then referral to Orthopaedics should not be the first step as evidence shows a significant increased risk of complications in these patients. We will frequently triage patients to be seen by physiotherapists, and patients can also be referred directly to physiotherapy. We use cookies on this site to analyse traffic and optimise user experience. Royal Infirmary of Edinburgh 51 Little France Crescent Old Dalkeith Road Edinburgh, EH16 4SA. These might include cerebral palsy (CP), clubfoot (CTEV), spina bifida, chromosomal abnormalities, arthrogryposis (a type of joint condition), muscular dystrophy, chronic joint or muscle pains. Arthroplasty team consists of group of 11 Consultant Orthopaedic surgeons who We use cookies on this site to analyse traffic and optimise user experience. Assessment of known co-morbidities and general fitness will ensure a smooth journey through the arthroplasty pathway. You can do this by calling the ward through the hospital switchboard on 01506 523000(*) . Please allow 45 minutes to one hour depending on the type of appointment. Please check the visiting times with the individual wards. The orthotist will explain what the outcome measures of the orthosis should be and when and how to wear it. The surgery usually takes around 1 to 2 hours to complete. i.e. Other groups may also contribute to your care, if required. The Orthopaedics Program at London Health Sciences Centre is multi-faceted, with separate yet connected Clinical Teaching Units that treat a wide variety of patients, including young people, athletes and others who may have suffered sports injuries, illness or accidents. Your appointment will be around 30 minutes. Newly qualified nurses have the chance to work alongside and shadow all our multi-disciplinary team to understand all aspects of major trauma care. I completed a PhD during orthopaedic training during which I was awarded several research grants. The service is based on the principles of the right care, from the right person, at the right time in the right place. My clinical practice incorporates all aspect of orthopaedics and trauma, both upper and lower limb, for children and adolescents and a significant portion of my NHS practice is at the Royal Hospital for Children and Young People, Edinburgh (Sick Kids), where I run two specialist multi-disciplinary clinics. There is one-to-one input from our EdCo (orthopaedic education co-ordinator). They are specialist podiatrists who can arrange investigations if required and work closely with Orthopaedic Consultants. Resuscitation Videos - British Sign Language (BSL). The surgeon makes a cut (incision) into the hip, removes the damaged hip joint and replaces it with an artificial joint or implant. We use cookies on this site to analyse traffic and optimise user experience. very wide, very slim, small or large feet. Osteoarthritis of the knee V3.0 Page 2 of 11 . - to the benefit of everyone working in the organisation and, most importantly - to the benefit of our patients. Contact 0131 537 9444. It has four level one beds and access to hyper-acute rehabilitation. An Orthotist is a specialist trained to understand and improve how the body moves. Orthopaedic oncology care delivered jointly with our colleagues at RIE. (* Please Note: This is a central NHS Lothian . We provide primary trauma care for Edinburgh & the Lothians. Around 3,000 colleagues across NHS Lothian have developed Our Values, a set of common values and ways of working Please see the advice from the British Heart Society, April 2015: Patients do not need to do one iota of exercise to lose weight, they just need to eat less, If the patient meets the criteria above, the crucial question to ask is whether or not they would consider that the problem is bad enough to subject themselves to a major operation with associated pain (especially knee replacement) and at least 8-12 weeks recovery time. Major trauma has many excellent resources and opportunities to help with career progression. If in doubt about the urgency of a referral, please contact the orthopaedic registrar via RHCYP switchboard: 0131 536 1000. The We have tailored orthopaedic induction programme which kick starts your journey into trauma & elective. An Orthotist assesses for and designs devices or supports (known as orthoses) to help with walking, prevent deformities, improve hand function, allow children using wheelchairs to stand safely or to reduce pain in joints or soft tissue. Scottish National Blood Transfusion Service, fractures and acute MSK injury, including suspected non-accidental injury, Fracture diagnosed or managed outwith NHS Lothian, Complications of recent orthopaedic surgery, Suspected developmental dysplasia of the hip (DDH), Newly diagnosed clubfoot (congenital talipes equinovarus), Under 9 months old request USS both hips or refer urgently and we will arrange imaging, Over 9 months old request X-ray: AP pelvis both hips, Plagiocephaly seen by Physiotherapy / Paediatric Neurosurgery, Ingrown toenails seen by Paediatric General Surgery, Suspected inflammatory joint disease please refer to Paediatric Rheumatology, Osgood-Schlatter, Sinding-Larsen-Johansson, Patella instability (subluxation/ dislocation). This includes gait improvement surgery (including complex osteotomy procedures) for the improvement of walking disorders and hip reconstruction surgery. Suspected developmental dysplasia of the hip (DDH) Orthotics can be contacted via the following telephone numbers: Orthotics Self Referral Form (nhslothian.scot). Orthopaedics is a wonderful place to start your nursing career. least 8-12 weeks recovery time. These items can be purchased from high street pharmacies and online retailersElasticated knee supportsNeoprene knee supports, These items can be purchased from high street pharmacies and online retailersElasticated wrist supportsNeoprene wrist supports, These items can be purchased from high street pharmacies and online retailersTennis elbow support/braceElasticated elbow support bandage, These items can be purchased from high street pharmacies and online retailersArm slingShoulder sling, These items can be purchased from high street pharmacies and online retailersSoft collar, Head: see information under Resources and Links TabHelmetsHead protectors, Spine:Back protectorsWaist supportsLifting belts, Maternity: see information under Resources and Links TabMaternity beltsMaternity support beltsPelvic support belts. They are supported by Extended Lorna Turner - Senior . Its services include ear, nose and throat (ENT), dermatology, and orthopaedics. We treat ward patients and hold outpatient clinics at several other sites around Lothian. It was one of the first specialist trauma centres in the UK. Your child will be placed on a waiting list, and an appointment to be seen face-to-face or for a telephone consultation will be sent to you in the post. We are a team of orthopaedic surgeons, specialty doctors, specialist physiotherapists and orthopaedic practitioners. NHS Lothian said that increased levels of staff sickness, combined with holidays and those having to self isolate, led to a.
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