Knee PRP assessment at The London PRP Clinic by The Wellness. Evidence limits, alternatives, consent, aftercare and costs from £750 explained.

PRP or another cortisone injection for tennis elbow? The London PRP Clinic by The Wellness explains placebo evidence, recurrence, rehabilitation and treatment limits.

Outer hip pain has a treatment with better trial evidence than anything we inject, and it is a progressive loading programme. In the LEAP trial, published in the BMJ in 2018, education plus exercise beat a single corticosteroid injection and a wait-and-see approach at 8 weeks and still held the advantage at 52. This page sets out what that programme involves, because a great many people are told to strengthen their hip without ever being told how.

Pain over the outside of the hip that flares when you lie on that side at night and when you take the stairs is, in most cases, gluteal tendinopathy rather than bursitis. The single most useful thing to know about it is that the treatment with the best evidence behind it is not an injection. In a randomised trial, education plus exercise clearly beat corticosteroid injection at 8 weeks and again at 52 weeks, and we will say so before we offer you anything else.

A shoulder that has seized up, a hip that aches through the night, hands that will not loosen until mid-morning and a parting that is widening are, in your 40s and 50s, rarely four unrelated problems. A review published in 2024 gave the cluster a name, the musculoskeletal syndrome of menopause, and more than 70% of women report musculoskeletal symptoms as they go through the transition. Seeing the pattern changes what you do next.

Autumn is the season people notice their hair, and for the majority the shedding resolves by itself in a matter of weeks. This is not folklore. When shedding has been measured across the year, the share of hairs sitting in the resting phase reaches its high point in summer, and since a resting hair needs roughly 100 days before it releases, the fallout lands in autumn. Understanding that spares a lot of anxiety. Understanding when the pattern does not fit spares hair.

Almost every disappointing facial treatment is the right treatment applied to the wrong problem. Facial ageing has three separate components. Skin quality, meaning texture, thickness and tone. Volume, meaning fat and support that has been lost. And structure, meaning bone and the position of tissue. Each responds to a different category of treatment, and no amount of skill rescues a mismatch.

Being told to wait is sensible advice, because a replacement has a finite lifespan and a second operation is harder than the first. It is also incomplete advice, because nobody usually explains what to do with the intervening years. Those years are not a holding pattern. What you do with them changes how much pain you have now, how fast the joint deteriorates, and how well you recover when the operation eventually happens.