ADVANCED STRATEGIES FOR PAIN RELIEF
Consultant-Led Pain Management for Lasting Relief
Chronic and persistent pain can be physically exhausting, mentally draining, and profoundly disruptive to daily life. Whether it stems from a musculoskeletal issue, nerve dysfunction, or unresolved injury, effective pain management requires more than just temporary relief, it demands accurate diagnosis, targeted interventions, and a holistic approach to restoring quality of life.
Dr Sam Botchey, Consultant in Sport, Exercise and Musculoskeletal Medicine, provides specialist, consultant-led care for individuals living with pain. Drawing on his background in elite sports, complex musculoskeletal medicine, and functional performance, Dr Botchey focuses on addressing the root cause of pain, restoring function, and optimising long-term wellbeing.
WHERE IS YOUR PAIN?
WRIST & HAND CONDITIONS
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Wrist Arthritis (Osteoarthritis, Rheumatoid Arthritis)
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Thumb Arthritis (1st CMC Joint / Basal Joint Arthritis)
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De Quervain’s Tenosynovitis
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Trigger Finger (Stenosing Tenosynovitis)
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Carpal Tunnel Syndrome (Median Nerve Compression)
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Ulnar Tunnel Syndrome (Guyon’s Canal Syndrome)
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STT Joint Arthritis (Scaphotrapeziotrapezoidal Joint OA)
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Ganglion Cysts (Wrist & Finger)
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Kienböck’s Disease (Avascular Necrosis of the Lunate)
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TFCC (Triangular Fibrocartilage Complex) Injury
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Intersection Syndrome (Forearm Extensor Tendon Inflammation)
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Midcarpal Instability (Wrist Joint Instability)
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Scapholunate Ligament Injury (SLAC Wrist)
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Mallet Finger (Extensor Tendon Injury)
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Jersey Finger (Flexor Tendon Avulsion Injury)
ELBOW CONDITIONS
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Lateral Epicondylitis (Tennis Elbow)
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Medial Epicondylitis (Golfer’s Elbow)
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Elbow Biceps Tendonitis (Distal Biceps Tendinopathy)
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Triceps Tendonitis (Distal Triceps Tendinopathy)
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Radial Tunnel Syndrome (Posterior Interosseous Nerve Compression)
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Cubital Tunnel Syndrome (Ulnar Nerve Entrapment)
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Elbow Arthritis (Osteoarthritis, Post-Traumatic Arthritis)
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Elbow Nerve Entrapment Syndromes (Ulnar, Radial & Median Nerves)
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Elbow Plica Syndrome (Synovial Plica Irritation)
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Valgus Extension Overload Syndrome (Thrower’s Elbow)
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Olecranon Bursitis (Student’s Elbow)
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Posterolateral Rotatory Instability (PLRI) of the Elbow
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Ligament Injuries (UCL, RCL, LCL Sprains/Tears)
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Osteochondritis Dissecans of the Capitellum (OCD Lesion)
HIP & GROIN CONDITIONS
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Hip Osteoarthritis (Degenerative Joint Disease)
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Femoroacetabular Impingement (FAI) - CAM & Pincer
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Hip Labral Tear (Acetabular Labrum Injury)
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Greater Trochanteric Pain Syndrome (Gluteal Tendinopathy)
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Iliopsoas Tendinopathy (Snapping Hip Syndrome)
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Osteitis Pubis (Pubic Bone Inflammation)
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Adductor Tendinopathy (Groin Pain Syndrome)
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High Hamstring Origin Tendinopathy / Proximal Hamstring Tear
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Ischiofemoral Impingement (Quadratus Femoris Syndrome)
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Piriformis Syndrome (Sciatic Nerve Compression)
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Sacroiliac Joint Dysfunction / Sacroiliac Joint Pain
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Hip Bursitis (Trochanteric, Iliopsoas, Ischial)
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Meralgia Paraesthetica (Lateral Femoral Cutaneous Nerve Entrapment)
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Athletic Pubalgia (Sports Hernia)
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Stress Fractures of the Hip & Pelvis
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Avulsion Injuries of the Hip and Pelvis
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Nerve Entrapment Syndromes of the Groin (Obturator, Pudendal, Femoral)
KNEE CONDITIONS
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Knee Osteoarthritis (Degenerative Joint Disease)
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Patellofemoral Pain Syndrome (Runner’s Knee)
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Meniscal Tears (Medial & Lateral)
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ACL / PCL / MCL / LCL Injuries
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Chondromalacia Patellae (Cartilage Damage Behind Kneecap)
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Patellar & Quadriceps Tendonitis (Jumper’s Knee)
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IT Band Syndrome (Iliotibial Band Friction Syndrome)
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Baker’s Cyst (Popliteal Cyst)
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Knee Bursitis (Prepatellar, Infrapatellar, Pes Anserine)
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Osteochondritis Dissecans of the Knee
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Hoffa’s Fat Pad Syndrome (Infrapatellar Fat Pad Impingement)
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Osgood-Schlatter Disease (Tibial Tuberosity Pain in Adolescents)
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Sinding-Larsen-Johansson Syndrome (Kneecap Growth Plate Pain)
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Patellar Instability / Dislocation
ANKLE & FOOT CONDITIONS
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Ankle Osteoarthritis
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Achilles Tendinitis / Achilles Tendon Tear
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Plantar Fasciitis
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Peroneal Tendonitis
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Posterior Tibial Tendon Dysfunction
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Ankle Impingement (Anterior & Posterior)
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Ankle Sprains & Chronic Instability
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High Ankle Sprain (Syndesmotic Injury)
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Sinus Tarsi Syndrome
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Tarsal Tunnel Syndrome
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Morton’s Neuroma
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Hallux Rigidus (Big Toe Arthritis)
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Turf Toe (1st MTP Joint Sprain)
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Metatarsalgia (Forefoot Pain)
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Sesamoiditis
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Stress Fractures of the Foot & Ankle
SHOULDER
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Rotator Cuff Tendonitis (Subacromial Impingement)
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Rotator Cuff Tears (Partial & Full Thickness)
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Shoulder Joint (Glenohumeral) Arthritis
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AC Joint (Acromioclavicular) Arthritis
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Long Head of Biceps Tendonitis / Bicipital Tendonitis
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Frozen Shoulder (Adhesive Capsulitis)
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Calcific Tendonitis (Rotator Cuff Calcification)
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Shoulder Labral Tears (SLAP Tear, Bankart Lesion)
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Suprascapular Nerve Entrapment
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Paralabral Cyst (Labral-related Cystic Lesion)
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Posterior & Anterior Shoulder Instability
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Sternoclavicular Joint Dysfunction / Arthritis
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Subscapularis & Infraspinatus Tendinopathy
SHOULDER
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Rotator Cuff Tendonitis (Subacromial Impingement)
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Rotator Cuff Tears (Partial & Full Thickness)
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Shoulder Joint (Glenohumeral) Arthritis
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AC Joint (Acromioclavicular) Arthritis
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Long Head of Biceps Tendonitis / Bicipital Tendonitis
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Frozen Shoulder (Adhesive Capsulitis)
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Calcific Tendonitis (Rotator Cuff Calcification)
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Shoulder Labral Tears (SLAP Tear, Bankart Lesion)
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Suprascapular Nerve Entrapment
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Paralabral Cyst (Labral-related Cystic Lesion)
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Posterior & Anterior Shoulder Instability
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Sternoclavicular Joint Dysfunction / Arthritis
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Subscapularis & Infraspinatus Tendinopathy
SPINE CONDITIONS (Neck & Back)
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Cervical Radiculopathy (Pinched Nerve in Neck)
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Cervical Facet Joint Syndrome
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Whiplash-Associated Disorders
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Thoracic Outlet Syndrome
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Upper Crossed Syndrome (Postural Dysfunction)
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Lumbar Disc Herniation (Sciatica)
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Lumbar Facet Joint Pain
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Sacroiliac Joint Dysfunction
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Spondylolysis & Spondylolisthesis
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Myofascial Pain Syndrome
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Degenerative Disc Disease
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Spinal Stenosis
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Coccyx Pain (Coccydynia)
WRIST & HAND CONDITIONS
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Wrist Arthritis (Osteoarthritis, Rheumatoid Arthritis)
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Thumb Arthritis (1st CMC Joint / Basal Joint Arthritis)
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De Quervain’s Tenosynovitis
-
Trigger Finger (Stenosing Tenosynovitis)
-
Carpal Tunnel Syndrome (Median Nerve Compression)
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Ulnar Tunnel Syndrome (Guyon’s Canal Syndrome)
-
STT Joint Arthritis (Scaphotrapeziotrapezoidal Joint OA)
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Ganglion Cysts (Wrist & Finger)
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Kienböck’s Disease (Avascular Necrosis of the Lunate)
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TFCC (Triangular Fibrocartilage Complex) Injury
-
Intersection Syndrome (Forearm Extensor Tendon Inflammation)
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Midcarpal Instability (Wrist Joint Instability)
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Scapholunate Ligament Injury (SLAC Wrist)
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Mallet Finger (Extensor Tendon Injury)
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Jersey Finger (Flexor Tendon Avulsion Injury)
SPINE CONDITIONS (Neck & Back)
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Cervical Radiculopathy (Pinched Nerve in Neck)
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Cervical Facet Joint Syndrome
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Whiplash-Associated Disorders
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Thoracic Outlet Syndrome
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Upper Crossed Syndrome (Postural Dysfunction)
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Lumbar Disc Herniation (Sciatica)
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Lumbar Facet Joint Pain
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Sacroiliac Joint Dysfunction
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Spondylolysis & Spondylolisthesis
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Myofascial Pain Syndrome
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Degenerative Disc Disease
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Spinal Stenosis
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Coccyx Pain (Coccydynia)
KNEE CONDITIONS
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Knee Osteoarthritis (Degenerative Joint Disease)
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Patellofemoral Pain Syndrome (Runner’s Knee)
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Meniscal Tears (Medial & Lateral)
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ACL / PCL / MCL / LCL Injuries
-
Chondromalacia Patellae (Cartilage Damage Behind Kneecap)
-
Patellar & Quadriceps Tendonitis (Jumper’s Knee)
-
IT Band Syndrome (Iliotibial Band Friction Syndrome)
-
Baker’s Cyst (Popliteal Cyst)
-
Knee Bursitis (Prepatellar, Infrapatellar, Pes Anserine)
-
Osteochondritis Dissecans of the Knee
-
Hoffa’s Fat Pad Syndrome (Infrapatellar Fat Pad Impingement)
-
Osgood-Schlatter Disease (Tibial Tuberosity Pain in Adolescents)
-
Sinding-Larsen-Johansson Syndrome (Kneecap Growth Plate Pain)
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Patellar Instability / Dislocation
ANKLE & FOOT CONDITIONS
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Ankle Osteoarthritis
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Achilles Tendinitis / Achilles Tendon Tear
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Plantar Fasciitis
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Peroneal Tendonitis
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Posterior Tibial Tendon Dysfunction
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Ankle Impingement (Anterior & Posterior)
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Ankle Sprains & Chronic Instability
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High Ankle Sprain (Syndesmotic Injury)
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Sinus Tarsi Syndrome
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Tarsal Tunnel Syndrome
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Morton’s Neuroma
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Hallux Rigidus (Big Toe Arthritis)
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Turf Toe (1st MTP Joint Sprain)
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Metatarsalgia (Forefoot Pain)
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Sesamoiditis
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Stress Fractures of the Foot & Ankle
OPTIMISING RECOVERY, ENHANCING PERFORMANCE, AND PREVENTING INJURY
Integrated Approach to Pain Management
Pain management with Dr Botchey is never one-size-fits-all. Following a detailed consultation and, where indicated, diagnostic ultrasound or performance testing, your personalised treatment plan may include:
Targeted Injection Therapies:
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Ultrasound-Guided Corticosteroid Injections – For fast-acting relief of inflammation in joints, tendons, and bursae.
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Nerve Blocks – Precision-guided interventions for nerve-related pain, including diagnostic or therapeutic blocks.
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Platelet-Rich Plasma (PRP) & Regenerative Injections – To support tissue healing and modulate pain in degenerative or overuse conditions.
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Arthrosamid® Injections – Long-acting pain relief for knee osteoarthritis without surgery.
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Prolotherapy – Used selectively in cases of ligamentous laxity or chronic soft tissue irritation.
Movement & Rehabilitation Coordination:
While Dr Botchey does not deliver rehabilitation directly, he oversees and coordinates recovery in partnership with trusted, highly specialised physiotherapists and clinical exercise professionals. Rehabilitation strategies may include:
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Graded Exercise Therapy – To gently reintroduce mobility, reduce stiffness, and build confidence in movement.
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Postural Retraining & Movement Correction – Especially for work-related or biomechanical pain.
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Strength & Stability Programmes – Aimed at long-term pain prevention and performance restoration.
Pharmacological & Lifestyle Guidance
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Medication Management – Advice on analgesia use in line with the latest clinical guidelines, with a focus on minimising long-term reliance.
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Sleep, Stress & Recovery Strategies – Recognising that pain is multidimensional, Dr Botchey works with patients on managing the broader lifestyle factors that influence pain sensitivity and recovery.
Why Choose a Consultant-Led Approach?
Many patients come to Dr Botchey after years of piecemeal care, unresolved diagnoses, or short-term fixes. His approach ensures:
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Expert assessment by a medical specialist in MSK and sports medicine
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Access to advanced imaging and targeted interventions
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A carefully coordinated care plan, designed and overseen by a consultant
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A focus on long-term recovery and function, not just symptom suppression
Who This Service Is For?
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Professionals with chronic or postural-related pain
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Active individuals struggling with unresolved sports injuries
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Older adults with early degenerative joint pain
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Patients seeking a more integrated, non-surgical route to pain relief