All rights reserved © Munawar Shah, 2009

My Practise

 I am a fellowship trained upper limb surgeon with 15 years experience in Surgery of Shoulders and elbow. I am an expert in arthroscopic procedures around the Shoulder and elbow with a lot of experience in Shoulder and Elbow replacement . The upper limb service provides assessment and treatment for upper limb disorders, in particular shoulder and elbow disorders. Elective hand and wrist conditions are normally also seen in the clinic. 

I also provide a comprehensive Sports Injury Service and service for Arthritis Including Arthroscopy Joint Replacement and Stem Cell Treatment in Shoulders Elbow Knee and Hip and Fusion in Hands and Wrist

COMPREHENSIVE SHOULDER CARE

Our shoulders handle vital functions, including permitting the normal range of motion to our arms and hands. But they’re also responsible for such physical actions as lifting, pushing and pulling. As such, when our shoulders are injured it can greatly affect our ability to do every day activities.

 

Have you or a loved one suffered a shoulder fracture or a related shoulder injury? If so, you can trust the qualified team of Mr Shah at the Little Aston Oasis.  Mr Shah can diagnose and treat all manner of shoulder conditions.

 

The Shoulder in Profile

 

The shoulders actually encompass multiple connective tissues, including three bones: the collarbone (“clavicle”), shoulder blade (“scapula”), and the upper arm bone (“humerus”). In addition, there are related muscles, ligaments and tendons. “White” (“articular”) cartilage is found on the ends of bones. This enables the bone’s top to glide and move on each other; when it deteriorates, arthritis can develop. “Labrum,” the other type of cartilage, is more fibrous or rigid, and is only found around sockets.

 

But it is the shoulders’ joints (“glenohumeral”) that are particularly prone to problems, as they connect the shoulders to the arms. For shoulder fracture treatment, joint replacement and reconstruction surgeries are common.

 

Qualifying for Joint Replacements/Reconstructions

 

Not surprisingly, shoulder joint replacements and reconstructions are among

 Mr M Shahs most common surgical procedures

Mr M Shah prefer the minimally invasive surgical treatment of shoulder conditions, because his  patients can expect a quicker recovery and return to their normal lifestyle.

 

Before being considered, Mr M Shah thoroughly evaluates potential candidates to decide on the best course of treatment.

You’ll find a detailed overview of the treatments performed by Mr M Shah on this website for shoulder joint reconstructive and replacement surgery procedures. Do you feel that joint replacements or reconstructions would improve your quality of life? If so, contact Mr M Shah

Mr Shah offers a comprehensive most modern and efficient service in management of shoulders including PRP injection and Physio,Arthroscopy Cuff Repair and inspace Baloon and shoulder replacement both Anatomical and Reverse

 

ARTHROSCOPY

 

Arthroscopy is used to investigate and diagnose joint problems or to repair damaged tissue or cartilage. Arthroscopy is commonly used to treat  Shoulder, Elbow , Hip, Knee and ankle problems and can be preferable to open surgery due to a faster recovery time.

What does an arthroscopy involve?

You may have arthroscopy under general or local anaesthesia. Mr M Shah will make small cuts in the skin around your joint, and pump sterile fluid into your joint. A special telescope, called an arthroscope, will be inserted into your joint. This sends images to a monitor for Mr M Shah to examine. They can then insert instruments to repair damage or remove material that causes pain or interferes with movement in your affected joint.

A knee arthroscopy can take from 30 minutes to over an hour, depending on the work your surgeon needs to do inside your knee joint, whereas a shoulder arthroscopy generally takes less than an hour. A Hip scope can take even longer

All our arthroscopy patients will receive an aftercare package service. This includes a follow-up appointment with a Mr M Shah and physiotherapy .

Mr M Shah offers a number of arthroscopy treatments for different conditions , including procedures to diagnose and repair   Shoulders, rotator cuffs, Elbows, Wrists Hip , Knee and Ankles.

PRP

 

During the past several years, much has been written about a preparation called platelet-rich plasma (PRP) and its potential effectiveness in the treatment of injuries.

Many famous athletes — Tiger Woods, tennis star Rafael Nadal, and several others — have received PRP for various problems, such as sprained knees and chronic tendon injuries. These types of conditions have typically been treated with medications, physical therapy, or even surgery. Some athletes have credited PRP with their being able to return more quickly to competition.

Laboratory studies have shown that the increased concentration of growth factors in PRP can potentially speed up the healing process.

Areas where PRP therapy has been found effective are

  1. Chronic Tendon Injuries

  2. Aute Ligament & Muscle Injuries

  3. Surgery

  4. Knee arthritis

  5. Fractures

I have a comprehensive PRP service for all possible tratments 

I use the Lavander medical Preparation and system

 

COMPREHENSIVE FRACTURE CARE

 

With more than 206 bones, plus accompanying joints, ligaments, tendons, muscles and nerves, the musculoskeletal system handles vital functions. Essentially, this network provides our body with support, stability, and movement. However, with such a complex system, it’s natural for problems to occur.

 

Should the unexpected happen, it’s vital to consult with a qualified orthopaedic surgeon with an experienced team. Mr Shah at Little Aston Spire (OASIS) has earned a reputation as a true leader in the field of Upper limb Trauma. Patients are expertly diagnosed and treated for various musculoskeletal conditions and injuries, both common and complex.

We invite you to schedule an appointment with the Mr M Shah at Little Aston Oasis

PHYSICAL THERAPY

Mr M Shah has dedicated polite experienced professionals attached to his practise to provide expert Physio Therapy service to all his patients

HAND SURGERY

 

The hand and wrist are complicated parts of the body. When you have hand pain, wrist pain, or have suffered an injury, you want a doctor who is highly experienced with problems like yours, and that is what you will find at Little Aston Oasis and Mr M Shahs practise

 

Mr M Shah  is  fellowship-trained, which means he has  taken additional training in hand and wrist beyond their medical and orthopaedic specialty training. He has  exceptional understanding of every part of the hand and wrist, down to the microscopic workings of blood vessels and nerves.

With Mr M Shahs  cases focused on hand and wrist, and extra training and research, you can expect he has  seen everything from simple to complex hand and wrist problems.

 

So from hand arthritis, carpal tunnel, workers’ comp injuries to wrist sprains Dupuytrans and Ganglions, Mr M Shah will help you find relief from your hand or wrist pain.

SPORTS MEDICINE AND REHABILITATION

 

Sport certainly has become "a way of life" and more and more people are now taking up sport and are participating in a variety of outdoor activities. There are a number of clinical conditions that can affect the athlete who participates in sport either at a recreational, competitive or even professional level. So whether one is playing a friendly game of cricket, Paintball Shooting Water Sports or even having a more professional participation in sports,  injuries do occur.

As a specialist Upper limb Surgeon I have had the unique opportunity to gain experience in a wide variety of sports injuries. I am currently Honorary Club Surgeon to the Walsall Cricket Club.

The spectrum of sports injuries is wide and it would be impossible to discuss all of them in detail in this section. However, commonly occurring sports injuries are listed below:

  • Tendonitis and bursitis

  • Chronic leg pain in the athlete

    • Tibial stress syndrome

    • Medial Tibial periostitis

    • Chronic compartment syndrome

  • Internal derangement of the knee and ligament ruptures

  • Internal derangement of the shoulder and chronic instability of the shoulder

  • Internal derangement of the ankle and chronic ligament instability

  • Articular cartilage injuries

A detailed description of a number of the above pathologies can be viewed on the various  links that you can see on this website,

TOTAL JOINT SURGERY

 

Mr M Shah provides comprehensive evaluation and treatment for patients with permanent and progressive damage to Shoulders, Elbows, Knees, Hips, as a result of osteoarthritis, rheumatoid arthritis, trauma, or other joint disorders.

Patients seen by Mr M Shah are evaluated at Little Aston Oasis.

The initial assessment involves a review of medical records and history, complete musculoskeletal physical exam and acquisition and review of appropriate radiological studies (X-rays, CT scans, and MRIs). Patient-tailored treatment recommendations are based on findings and diagnosis in conjunction with age, activity level, and medical history.

Treatment recommendations vary from conservative non-surgical measures to surgical intervention. Options are discussed with the patient as part of education and counselling  as a pre requisite before proceeding to surgery.

Non-surgical treatment includes anti-inflammatory medications, joint injections, physical therapy, and/or an individually designed home exercise program.

JOINT INJECTIONS 

 

If you have a painful joint, for example from injury or arthritis, Mr M Shah may offer you a joint injection of a steroid medicine. Steroids reduce inflammation and so can help reduce pain and swelling in your joint and allow it to move more easily.

The injection is mostly for a diagnostic purpose to localise the problem however it has temporary  pain relieving qualities also.

Steroid (also called corticosteroid) injections may be used for treating many different joints including the knee, shoulder, elbow, ankle, wrist and hip. They can be given in the clinic or may need image to localise the joint and therefore may require admission as day case  in a hospital.

Your pain relief can last for anything from 4 hours up to six  months or longer, depending on the type of injection and your pathology.

The injections can be repeated every three months if you need them. General advice is that joints are injected no more than four times in one year.

Steroid joint injections don’t cure the underlying problem in your joint, but they may ease symptoms and allow you to cope with physiotherapy treatment better.

Recently there is a trend of using PRP which is discussed elsewhere