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    Our Clinic

    We combine a comfortable environment with modern medical equipment, allowing a range of tests and treatments to be carried out on site.


    The practice is fully registered and regulated with the Care Quality Commission, General Medical Council, Royal College of Surgeons and The Royal College of Radiologists.

    Our Values

    We strive to give every single patient the highest quality of care, always remembering the trust they put in us, and treating people with compassion, dignity and respect.


    We are responsible for providing the best possible care for our patients by benchmarking ourselves and exceeding national standards and regulatory expectations.

    Professionalism

    Integrity

    Expertise

    Equality

    Clear Communication

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    Meet Our

    Team of Specialists

    Our expert Consultant Radiologists are UK trained, Fellows of the Royal College of Radiologists and General Medical Council registered.


    They will ensure that you experience exceptional care tailored to you – keeping you informed, reassured and in safe hands.

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    Dr Tahir Hussain

    MBBS FRCR

    Dr Hussain is a Consultant Radiologist at Barts & The Royal London Hospital his specialist expertise include radionuclide, oncological and general radiology imaging.

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    Dr Trevor Gaunt

    BSc (Hons), MBBS, FRCR

    Dr Trevor Gaunt is a Consultant Paediatric Radiologist at University College London Hospitals.

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    Dr Sangoh Lee

    MBBS BSc MRCP FRCR

    Dr Lee is a consultant musculoskeletal and trauma radiologist at Imperial College Healthcare NHS Trust.

    Registered & Regulated

    Our team are fully registered and regulated for practice in the United Kingdom. Our patients should expect nothing less. 

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    All Your Answers in One Place

    Refer Your Patient

    Refer Your Patient

    Referring clinicians can rely on our convenient, high quality imaging services to provide efficient and accurate ultrasound scans for their patients.

    Frequently Asked Questions

    Frequently Asked Questions

    Have more questions? See our Q&A page for more help and assistance on how we can help you to provide the clarity you need for your health.

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    Send Us a Message

    Do not hesitate to reach out by writing to us. Use our online form to send us your queries.

    Give Us a Call

    Give Us a Call

    If something is unclear, give us a call directly to discuss our services.

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    Latest Articles

    We provide insight on a range of topics, including the latest Covid-19 news affecting our practice.

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    Anomaly Scan / Anatomy Scan: What should you expect?

    Heba AlkutbiFebruary 08, 2024

    Pregnancy is a journey filled with moments of joy and anticipation, and the anomaly scan—or anatomy scan—is a significant and exciting milestone.

    This article will guide you through what an anomaly scan is, what to expect during the procedure, the findings you might encounter, and how to interpret the results.

    If you have any questions or concerns or would like to schedule an appointment, please don't hesitate to contact us today.

    What Is the Anomaly Scan?


    The anatomy scan is typically conducted between 18 and 23 weeks of pregnancy. It is a comprehensive ultrasound examination focusing on your baby's anatomy.

    Unlike earlier scans that assess gestational age, this scan dives deeper, meticulously evaluating the development of your little one's organs and systems.

    Think of it as a detailed tour of your baby's development, providing a snapshot of their growth and flagging potential health concerns.

    What Is Checked During the Scan?


    During the mid-pregnancy scan, the sonographer will carefully examine various aspects of your baby's development to check for any signs of abnormalities or developmental issues.

    Here's what our anatomy scan includes:

    • Detailed Check of Foetal Anatomy: This crucial part of the scan examines your baby's physical development in detail. The sonographer looks at the brain, spinal cord, face, heart, abdomen, kidneys, bladder, arms, and legs to check for any developmental abnormalities.

    • Foetal Biometry: This involves measuring different parts of your baby's body to assess growth and development. The sonographer will measure the head circumference, abdominal circumference, and femur (thigh bone) length. These measurements are used to calculate the estimated foetal weight (EFW) and plotted on a growth chart to assess how your baby is growing compared to typical growth standards.

    • Amniotic Fluid Assessment: The sonographer evaluates the amount of amniotic fluid surrounding your baby. The volume of amniotic fluid is a key indicator of your baby's well-being and can affect the pregnancy outcome.

    • Placenta Position Assessment: The scan includes checking the position of the placenta. Its location is important, as it can affect the delivery method. For example, a low-lying placenta (placenta praevia) may make a caesarean section more likely.

    • Cervical Assessment: The scan often includes an evaluation of the cervix. This is usually done transabdominally (over your tummy). But in some cases, if there are concerns, a transvaginal scan may be performed with your consent. This helps to check for signs of preterm labour.

    • Sex Determination: If requested and if the baby is in a suitable position, the sonographer can inform you of your baby's sex during the scan.


    In the rare event that an anomaly is suspected, Harley Street Ultrasound prioritises immediate and appropriate action. A referral to a foetal medicine specialist will be made to ensure that you receive expert care. We are committed to providing our patients with the highest standard of medical care and ensuring the health and well-being of your baby.

    The Procedure: What to Expect


    On the day of your anomaly scan at Harley Street Ultrasound, you can expect a straightforward and non-invasive procedure. Here's a breakdown of what typically happens:

    • Preparation: You might be asked to come with a full bladder, as this can improve the visibility of the ultrasound images. Generally, you'll need to drink about four glasses of water 45 minutes before your appointment.

    • The Scan Process: A sonographer will apply a special gel to your abdomen and move a handheld device called a transducer across your skin. The transducer emits safe, high-frequency sound waves that create images of your baby on a monitor.

    • Duration: The scan usually takes about 30 to 40 minutes, depending on factors like your baby's position and movement.

    • Comfort and Safety: The procedure is generally painless, but you might feel mild discomfort due to pressure from the transducer. If you experience pain at any point, please let your specialists know.

    Potential Findings of the Anomaly Scan


    The anatomy scan provides valuable insights into your baby's health and development. In most cases, the scan confirms that your little one is growing typically and all organs are functioning normally.

    However, the scan can also detect potential anomalies or malformations, such as:

    • Chromosomal Abnormalities: Structural abnormalities like down syndrome, trisomy 18, and other chromosomal conditions

    • Structural Abnormalities: Congenital heart defects, spina bifida, or limb malformations

    • Growth Concerns: Intrauterine growth restriction or macrosomia

    Accuracy and Limitations of the 20-Week Pregnancy Scan


    It's important to understand that while the anomaly scan effectively detects certain conditions, it's not infallible.

    Factors like the baby's position, amniotic fluid levels, maternal body weight, and scar tissue can affect visibility. Some conditions that develop later in pregnancy or affect the baby's heart may not be detectable at this stage.

    Your sonographer will clarify these limitations with you during your appointment.

    Interpreting the Results


    After the scan, the sonographer will discuss the findings with you. They may seek a second opinion or recommend further diagnostic tests if any concerns arise.

    Most scans show that the baby is developing normally. Still, in some instances, additional scans may be suggested for various reasons, including medication use, pre-existing medical conditions, or inconclusive findings. Images are all sent to our patients post scan.

    Follow-Up and Support


    Discovering a potential health issue during the mid-pregnancy scan can be daunting. Harley Street Ultrasound ensures that you receive comprehensive support and guidance. This may include planning for any necessary medical interventions post-birth or arranging delivery in a specialised facility if needed.

    FAQs About the Anomaly Scan

    Is the anomaly scan safe for my baby?

    Yes. The anomaly scan is a safe and standard procedure. Ultrasound technology has been used for decades and has no known risks to the mother or baby.

    Can I find out the gender of my baby during the scan?

    If you wish to know your baby's gender, you can usually find out during the anomaly scan, provided the baby is in a suitable position for the sonographer to tell.

    What should I do if the scan reveals a problem?

    If any issues are detected, your healthcare provider will discuss the findings with you and suggest the next steps, which may include further tests or consultations with specialists.

    Schedule Your Appointment Today


    The anomaly scan is a key milestone in your pregnancy journey, providing valuable insights into your baby's development.

    At Harley Street Ultrasound, we ensure that this experience is as informative and reassuring as possible. For more information or to schedule your anatomy scan, visit our anatomy scan page.

    Resources:


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    Dating Scan / 12 Week Scan: What should you expect?

    Heba AlkutbiFebruary 01, 2024

    At 12 weeks, the countdown to meeting your little one officially begins!

    This important prenatal scan marks your first chance to peek into their tiny world, revealing exciting details and addressing any early concerns.

    In this article, we'll explain what the scan is, why you might choose to get one, and what to expect during the procedure. It's an exciting time, and the more you know, the more empowered you become to make the right decisions for you and your growing family.

    If you are ready to schedule your dating scan, book online today. And please don't hesitate to reach out if you have any questions or concerns. We're here to help.

    What Is a Dating Scan?

    A dating ultrasound is usually conducted between 10 and 15 weeks of pregnancy. It's an ultrasound examination that determines the gestational age of your baby.

    By measuring your baby's size, our specialist sonographers estimate your due date, also known as the Estimated Date of Delivery (EDD). This scan is crucial for planning upcoming tests and scans throughout your pregnancy journey.

    What You Need to Know About the Dating Ultrasound Procedure 

    The scan is a safe and non-invasive procedure. Our compassionate team will always ensure your comfort.

    To prepare, you may be advised to have a full bladder to enhance the visibility of the ultrasound. 

    The ultrasound technician will apply a gel on your abdomen and use a small device called a transducer to scan your belly. You might feel slight pressure, but there should be no pain. If you feel any discomfort, let your technician know immediately.

    The process usually takes around 20 minutes, during which the sonographer will measure your baby and examine their development.

    Is a Dating Scan Compulsory?

    When you start your pregnancy journey, you will encounter several choices regarding prenatal testing. One common question is whether a dating scan is compulsory.

    The simple answer is no; it's not a mandatory procedure. The decision to undergo a dating scan rests entirely with you. This scan is offered as a part of standard prenatal care to provide valuable information about your pregnancy, but it's ultimately your choice to accept or decline it.

    We encourage open discussions with your healthcare provider to understand the benefits and make an informed decision that aligns with your comfort and needs.

    What Are the Risks?

    Ultrasound scans—including the dating scan—are widely regarded as safe for both mother and baby. They use sound waves to create an image and do not involve radiation, making them a non-invasive and low-risk procedure.

    When to Get Your Dating Scan

    The timing of your 12-week scan is key. Generally, the ideal window is between 10 and 14 weeks of pregnancy. This timeframe allows for clear visibility and accuracy in measuring your baby's development.

    Scheduling your scan within this period ensures you receive the most reliable EDD, which is crucial for planning future prenatal tests and understanding the stages of foetal development.

    If you have irregular menstrual cycles or are unsure about the date of your last period, an early dating scan can be particularly helpful in determining your pregnancy timeline.

    What You Will Learn During the 12-Week Ultrasound

    This ultrasound is not just about determining the due date; it's also an opportunity to check for multiple pregnancies and significant foetal anomalies.

    Our experts assess the baby's heartbeat and development pace. They also check for conditions like Down's syndrome, Edwards' syndrome, and Patau's syndrome through the combined test, which includes a blood test and nuchal translucency measurement.

    Interpreting the Results

    The results from your dating scan will provide a more accurate due date than estimations based on your menstrual cycle. This accuracy is vital for managing your pregnancy, especially if there are concerns about premature birth or overdue delivery.

    Post-Scan Considerations

    After your 12-week scan, you can return to your usual activities. The sonographer or your doctor may discuss the findings with you and advise on any additional steps or follow-up scans, especially if potential health concerns are identified.

    FAQs

    Can the 12-week ultrasound show the gender of my baby?

    At 12 weeks, it's usually too early to determine the baby's gender with certainty. The primary focus of the dating scan is to assess the baby's development and estimate your due date. Gender identification is more likely during the fetal well being scan, typically around 16 to 18 weeks.

    Should I prepare anything for my dating scan?

    To enhance the clarity of the ultrasound image, you might want to have a full bladder during the scan. Drinking a few glasses of water an hour before your appointment can help with this. Otherwise, no special preparation is needed.

    Will I receive images of my baby?

    Yes, after the scan, you will typically be given images of your baby. These first pictures are a wonderful keepsake and provide a tangible connection to the life developing inside you.

    Is the 12-week scan painful?

    It's natural to have concerns about any medical procedure, especially during pregnancy. Rest assured, the 12-week scan is a painless process. 

    How accurate is the dating scan in predicting the due date?

    The dating scan is the most accurate way to predict your due date, especially when done between 10 and 14 weeks of pregnancy. While it provides an EDD, it's important to remember that only about 5% of babies are born on their exact due date. This scan gives a more accurate timeline compared to date calculations based on menstrual cycles, especially if your periods are irregular.

    Schedule Your 12-Week Scan Today

    The 12-week scan is a fundamental part of your pregnancy journey, offering crucial insights into your baby's development and health.

    At Harley Street Ultrasound, we are committed to providing a supportive, informative, and compassionate experience during this significant moment in your pregnancy. Schedule your appointment today.

    Resources:

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    Elbow Lumps: Causes, symptoms and how an ultrasound can help with diagnosis

    Dr Shayan AhmedJanuary 24, 2024

    An elbow lump is an abnormal bump, swelling, or protrusion on the inner or outer side of the elbow. Lumps can appear on the elbow for a number of reasons, including injury, disease, and skin infection.

    Elbow lumps occur deep within the joint or just underneath or on the surface of the skin. They can also range from small to big, harmful to benign, and soft to hard. Some may also get inflamed, making them pulsatile, painful, tender, or itchy. In extreme cases, lumps in the elbow can decrease the range of motion in the forearm and may cause permanent tissue damage around the joint if left untreated.

    This article explores the different types of elbow lumps, their possible causes, noticeable symptoms, and potential treatment options. We’ll also discuss the importance of proper diagnosis in elbow lump treatment and how an elbow and forearm ultrasound scan helps detect and diagnose harmful lumps.

    Elbow lump causes, types, and treatments

    Elbow lumps are generally classified based on their causes. It’s difficult to distinguish lumps in the elbow without considering their roots. Additionally, elbow lumps are sometimes an indication or symptom of an underlying health condition.

    Here’s a list of seven types of elbow lumps based on their causes:

    Injury-induced elbow lumps

    Three bones — the humerus, radius, and ulna — join to form the elbow. A fracture or dislocation of any of these bones can cause a lump to form.

    Also, the tendons attaching muscles to the three bones can tear due to traumatic, posture-related, or overuse injuries, leading to the formation of a lump. Such is the case with tennis elbow (lateral epicondylitis) (1) and golfer’s elbow (medial epicondylitis) (2).

    Injury-induced elbow lumps are usually a result of inflammation. As such, they go away as the injury heals. Some of the more stubborn lumps may warrant draining, medication, or other interventions.

    Cysts

    Cysts are sac-like cavities of membranous tissue containing fluid, gas, or semisolid material. Most cysts are caused by infections, injuries, or parasites and can form on any part of the body or the skin. On rare occasions, some cysts turn out to be tumours.

    Cysts sometimes form on the elbow as noticeable lumps. There are two common types of cysts that cause lumps in the elbow:

    • Sebaceous cysts — caused by trauma or damage to the skin’s sebaceous glands, which produce sebum, an oily substance that protects the skin

    • Ganglion cysts — jell-filled lumps that appear along joints and tendons, usually linked to injury or trauma

    Most cysts are harmless and only require medical care if they compromise movement or cause pain in the elbow. If necessary, a cyst can be drained, treated with anti-inflammatory drugs, or surgically removed, depending on its severity.

    Elbow bursitis

    Bursae are thin, slippery sacs of jell-like fluid tucked between joint bones and soft tissues. They provide cushioning and reduce friction in joints. Your elbow has several bursae (3), including the subtendinous, olecranon, bicipitoradial, and interosseous bursae.

    If any of these bursae become inflamed (bursitis) due to injury or overuse, it fills with fluid and swells into a lump. This is most noticeable in the olecranon bursa covering the tip of the elbow.

    Mild cases of elbow bursitis are treated with ice and compression. Oral anti-inflammatory drugs also help reduce the swelling. Your doctor may recommend draining the affected bursa if the simpler remedies do not work.

    Warts

    Warts (4) are small, thick, grainy skin growths that usually form on fingers and hands but may also appear on the elbow. They are caused by viral infections, particularly the human papillomavirus (HPV).

    Treatment for warts begins with addressing the viral infection. Once that's done, the next step is to destroy the wart. Wart removal may involve salicylic acid patches, cryotherapy, minor surgery, or laser treatment, depending on the wart's resilience.

    Lipomas lumps

    A lipoma (5) is a doughy, slow-growing fatty lump under the skin. Lipomas are non-cancerous and usually harmless. However, they can affect movement in the elbow and even cause pain if they grow too big.

    Treatment for lipoma generally isn't necessary unless the lump becomes bothersome, in which case surgical removal or minor liposuction may be in order.

    Tumours

    A lump in your elbow could be a dreaded tumour. Cancer can develop in the elbow or spread there from another body part, forming a clump of cancer cells that appear as a lump.

    Synovial sarcoma (6) is one of the most common soft tissue cancers found in the elbow. Other cancers known to affect the elbow include myxofibrosarcoma and pleomorphic sarcoma. These cancers form tumours in joint ligaments, muscles, and tendons. Basal cell carcinoma, a slow-growing skin cancer, can form lumps around the elbow too.

    Elbow tumours are treated like regular cancer tumours. Common treatment options include surgical removal, chemotherapy, radiotherapy, and immunotherapy.

    Disease-caused elbow lumps

    Lastly, joint and skin-related diseases can cause lumps on one or both of your elbows. Common culprits of elbow lumps include:

    • Bacterial infections

    • Eczema

    • Gout

    • Arthritis

    • Psoriasis

    • Scabies

    • Cellulitis

    • Dermatitis herpetiformis

    • Neurological disorders

    Treating these kinds of elbow lumps means treating the underlying disease rather than the lump itself. Although in some cases, rehabilitative or more targeted therapies are needed to get rid of persistent lumps.

    The signs and symptoms of elbow lumps

    The obvious sign of an elbow lump is a noticeable swelling or bump on the inner or outer side of the elbow. In addition to that, here are other symptoms you might experience when there’s a lump on your elbow:

    • Pain, tenderness, or throbbing on the lump itself or the area around it

    • Other visual deformities on the elbow

    • Decreased range of motion in the elbow joint or forearm

    • Redness, warmth, or discolouration on the elbow

    • Tingling sensation or numbness in the arm and fingers

    • Clicking or popping sounds when opening/closing your fingers, twisting your wrist, or bending/straightening your elbow

    • Loss of strength in the arm

    • Weak grip

    Note that the symptoms will depend on the type of lump, what caused it, and how severe it is. In fact, you might not experience any accompanying symptoms with your lump besides the swelling.

    Diagnosing elbow lumps with an ultrasound scan

    Lumps and other deformities around the elbow can have many different causes. And as we’ve seen, treatment for an elbow lump largely depends on the cause and type of lump. An elbow and forearm ultrasound scan is a quick, accurate, and non-invasive way to diagnose a lump in order to determine the right treatment plan or if treatment is necessary at all.

    An ultrasound scan paints a vivid real-time picture of the various bones, ligaments, tendons, and muscles making up your elbow and forearm. The live ultrasound feed can also capture movements in the joint and forearm.

    By peering deep beneath the skin, an ultrasound scan can reveal the following abnormalities related to elbow lumps and other issues:

    • Tendonitis (inflamed tendons)

    • Tendinosis (tendon degeneration due to overuse)

    • Bone fractures on the humerus, radius, or ulna

    • Tears in the various ligaments and tendons

    • Olecranon bursitis

    • Physical tissue damage

    • Bone dislocations and misalignments

    • Neurological disorders such as median nerve entrapment syndrome (7), radial tunnel syndrome (8), and cubital tunnel syndrome (9)

    • Tumours, cysts, and lipomas

    • Signs of arthritis

    • Obstructions to the normal range of motion in the elbow and forearm

    Get a private elbow and forearm ultrasound scan today

    A forearm and elbow ultrasound scan is a simple, painless procedure taking only 20-30 minutes. At Harley Street Ultrasound Group, all scans are performed by friendly specialist doctors eager to address all your concerns. Plus, you get your scan results on the same day, along with tailored advice and recommendations.

    You must be curious about what happens during an elbow and forearm ultrasound scan appointment. Well, here’s a breakdown of the procedure:

    There's no preparation required on your part. But we do recommend wearing comfortable, loose-fitting tops that will allow you to expose your arm for the scan without undressing. It's also a good idea to leave your jewellery at home.

    Once in the scanning room, the ultrasound specialist will ask you to lie or sit on the examination table.

    After a brief visual examination and flexing (if necessary and possible) of the affected elbow, the specialist will position the arm on the table and apply a clear water-based gel around the affected area. The gel acts as a lubricant, making it easier to slide the scanning probe over the skin.

    When ready, the specialist moves the probe back and forth over the affected area, occasionally stopping to take still images. The images and live feed are projected on a screen. This is the actual scanning process.

    Scanning takes mere minutes. The specialist will let you know when it’s done.

    Once the scan is complete, the excess gel will be wiped off, and you can put your top back on if you had removed it before the scan.

    After that, the specialist will diagnose the elbow lump immediately and generate an official ultrasound scan report. If the results show cause for medical concern, the specialist may recommend appropriate treatments or more tests.

    And that's it. An ultrasound is a non-invasive procedure with no drugs, side effects, or aftercare to worry about.

    Harley Street Ultrasound Group is a fully registered and certified imaging centre. On top of that, we prioritize your health and peace of mind above all else. Visit our Harley Street clinic for expert ultrasound scans. And don’t hesitate to reach out if you have any questions — or just to say hello.

    References:


    https://www.nhs.uk/conditions/tennis-elbow/


    https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/conditions/golfers-elbow


    https://radiopaedia.org/articles/elbow-bursae


    https://www.ncbi.nlm.nih.gov/books/NBK279586/


    https://www.cancerresearchuk.org/about-cancer/other-conditions/lipoma


    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986393/


    https://www.ncbi.nlm.nih.gov/books/NBK553109/


    https://www.ncbi.nlm.nih.gov/books/NBK555937/


    https://www.bssh.ac.uk/patients/conditions/22/cubital_tunnel_syndrome


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    Gender Scan: What should you expect?

    Heba AlkutbiJanuary 18, 2024

    The pregnancy journey is filled with moments of excitement and anticipation, and one of the most eagerly awaited is the gender scan.

    This special ultrasound is usually performed between 18 and 22 weeks of pregnancy. It not only offers the first opportunity to learn your baby's gender but also provides essential insights into their development.

    If you have any questions about the gender ultrasound, please get in touch. Our friendly team is here to assist in any way we can.

    What Is a Gender Scan?

    A gender scan is an ultrasound examination conducted mid-pregnancy to determine the sex of your baby. 

    While gender scans are generally very accurate, it's important to remember that no scan is 100% definitive. Factors such as the baby's position can affect visibility. 

    Regardless, this non-invasive scan is an exciting milestone for many parents-to-be, offering a glimpse into the world of their growing baby. Beyond revealing gender, the scan also checks the baby's overall development and well-being.

    What to Expect During the Gender Reveal Scan

    On the day of your gender ultrasound, expect a straightforward and comfortable experience.

    The sonographer will apply a special gel to your abdomen and gently glide a transducer across your skin. This device emits sound waves that create an image of your baby on a monitor.

    You'll be able to see your baby's movements and, in most cases, find out if you're having a boy or a girl.

    What You Will Learn

    For many, the highlight of the gender scan is, of course, confirming your baby's health and discovering whether you're expecting a son or a daughter.

    However, the scan also assesses foetal growth, checks the placenta's position, and evaluates the amount of amniotic fluid. It's an overall check-up for your baby, ensuring a healthy pregnancy.

    Here's a more detailed breakdown:

    Foetal Biometry

    This involves measuring your baby to estimate their size. These measurements are crucial as they help our specialists calculate the Estimated Foetal Weight (EFW). Your consultant will then plot this data on a growth chart, allowing you to see how your baby is progressing compared to typical growth milestones.

    Amniotic Fluid Assessment

    The amniotic fluid is a vital component of your baby's environment in the womb. During the scan, we assess the volume and quality of this fluid, ensuring it is at an optimal level for your baby's development and well-being.

    Placental Location

    Understanding the position of the placenta is important for several reasons, including planning for delivery. The scan evaluates the placenta's location, checking for any conditions like placenta previa that might impact your pregnancy.

    Cervical Assessment

    We also examine the cervix's length and opening. Typically, this is done via a transabdominal ultrasound, where the transducer is placed on your abdomen. If any anomalies are suspected, and with your consent, a transvaginal ultrasound may be performed. This involves inserting a small, tampon-like probe into the vagina, which is quick and generally painless.

    Basic Anatomy Check

    This check is preliminary and does not replace the detailed anomaly scan between 18 and 24 weeks. For those who require or prefer a private service, Harley Street Ultrasound also offers comprehensive anomaly scans.

    Keeping Gender a Surprise—It's Your Choice

    The gender reveal is one of the most anticipated stages of the pregnancy journey for many parents-to-be. However, not everyone wishes to learn their baby's gender before birth. At Harley Street Ultrasound, we understand and respect the variety of preferences when it comes to this special moment.

    So, if you prefer to keep your baby's gender a surprise until delivery, simply communicate this wish to your specialist before the scan begins. Our team is committed to honouring your preferences and ensuring your experience is tailored to your desires.

    After the Gender Scan

    Following your scan, you can resume your normal activities right away. The sonographer will discuss the findings with you and provide images of your baby. If there are any concerns or anomalies detected during the scan, they will advise you on the next steps.

    FAQs

    Can I bring family or friends to the gender reveal scan?

    Absolutely! We understand that a gender scan is a special moment, and sharing it with loved ones can make it even more memorable. Feel free to bring your family or friends along for the appointment. Just give us a heads-up beforehand to know about any guidelines we might have on the number of people you can bring.

    How long does the gender ultrasound take?

    Expect the gender scan to last around 20 to 30 minutes. This gives our team enough time to do a detailed check, make sure everything's going well with your baby's development, and find out the gender if you want to know. Sometimes, the scan's duration might vary depending on how your baby is positioned and how clear the images are.

    What should I do if the scan cannot determine the gender?

    It's rare, but sometimes we can't figure out the gender during the scan, maybe because of how the baby is lying. No worries—we can always schedule another scan a bit later to give it another try. It's just one of those things; sometimes, babies don't sit still for us, and that can affect what we can and cannot see.

    How accurate are gender reveal ultrasounds?

    Gender reveal ultrasounds are usually spot-on, but they're not 100% all the time. One study found that they're about 87.6% accurate for boys and 96.8% for girls.

    Ready to Schedule Your Ultrasound?

    A gender scan is a memorable part of your pregnancy journey. At Harley Street Ultrasound, we are committed to providing a supportive and informative experience, helping you to connect with your baby and enjoy this special moment.

    If you are ready to schedule an appointment, get in touch or book online. We look forward to welcoming you and your family into our London clinic.

    Resources:


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    Shoulder Pain Causes, Treatment & Symptoms

    Dr Shayan AhmedJanuary 10, 2024

    Shoulder injuries can be more than just a nuisance. It can disrupt your daily routine, limiting your movements and causing discomfort that's hard to ignore.

    Your shoulder is a highly flexible ball-and-socket joint made up of the humerus (your upper arm bone), the clavicle (your collarbone), and the scapula (or the shoulder blade). These bones are nestled in a cushion of cartilage, allowing your shoulder its wide range of motion. This means you can swing your arm in circles, reach both forwards and backward, and lift things up high.

    Much of this impressive flexibility comes from your rotator cuff, four tendons that connect your muscles to your bones. But, like any hardworking part of the body, it can get injured or inflamed, making simple actions like lifting your arm a real challenge.

    Managing shoulder pain often starts at home with some rest and care, but sometimes, it needs a bit more attention. This is where treatments like physical therapy, medication, or even surgery come into play. 

    Understanding what's causing your shoulder pain is key to finding the proper treatment and preventing further issues. Schedule your shoulder ultrasound scan today or learn more below.

    Shoulder Pain Causes and Types

    Understanding the potential causes and shoulder pain types is crucial for an accurate diagnosis and treatment. Let's take a look at the common shoulder issues you might be experiencing:

    Bone Spurs

    Small, smooth bone growths (osteophytes) can wear on the rotator cuff, causing tendinitis or a rotator cuff tear and restricting shoulder movement.

    Bursitis

    Repetitive motions or injuries can inflame the bursa, a cushioning sac in the joint. This leads to pain most noticeable during shoulder movement.

    Cartilage Tear

    Repeated motion or injury can tear the cartilage around the shoulder joint, causing pain, especially when reaching overhead. It can also create sensations of catching, locking, or grinding.

    Dislocation

    If the shoulder is excessively pulled back or rotated, the arm's top can dislocate from its socket, causing pain, weakness, swelling, numbness, and bruising.

    Fracture

    A fall or a hard hit can fracture bones like the clavicle or humerus. This results in intense pain, bruising, and, in the case of a broken collarbone, a sagging shoulder and inability to lift the arm.

    Frozen Shoulder

    Characterised by limited joint movement due to abnormal tissue bands (adhesions), frozen shoulder can occur from reduced usage following pain or surgery.

    Heart Attack

    Shoulder pain accompanied by breathing difficulty or chest tightness could be a medical emergency requiring immediate attention.

    Impingement

    This condition arises when the rotator cuff tendons get pinched in the shoulder bones, causing swelling and pain often exacerbated by lifting the arms overhead.

    Osteoarthritis

    A common form of arthritis, osteoarthritis involves cartilage breakdown between bones, resulting in pain and stiffness in the shoulders.

    Referred Pain

    Shoulder pain without an apparent shoulder issue can indicate problems with other organs like the gallbladder or liver.

    Rheumatoid Arthritis

    An autoimmune disease, rheumatoid arthritis attacks the joint lining, leading to shoulder pain and stiffness.

    Rotator Cuff Tear

    The rotator cuff can be damaged through overuse, ageing, or injury, leading to pain (especially at night), difficulty lifting the arm, and a crackling sound during movement.

    Separation

    This injury affects the acromioclavicular (AC) joint, where the collarbone and shoulder blade meet. A fall or a hard blow can tear the ligaments, leading to a noticeable bump on the shoulder.

    Tendinitis

    An inflammation of the rotator cuff tendons, tendinitis can develop over time or from injury, leading to pain in the shoulder.

    Shoulder Pain Diagnosis

    When you visit a doctor with concerns about shoulder pain, they will first conduct a physical exam. This is to check for structural problems and ensure the pain isn't related to your spine or neck.

    Your doctor will assess the strength and flexibility of your shoulder. This involves various movements like lifting your arms above your head, across your body, behind you, and rotating them to different degrees.

    Shoulder Injury Diagnosis: The Role of Shoulder Ultrasounds

    To gain a deeper insight into your shoulder injury, your doctor might recommend an ultrasound scan. Ultrasound is a non-invasive medical imaging technology that uses high-frequency sound waves to create images of the inside of your body.

    What Can an Ultrasound Check For?

    • Shoulder Joint: Ultrasound can assess the condition of your shoulder joint.

    • Range of Movement: It helps in evaluating the causes of pain and any restrictions in movement.

    • Tendons, Muscles, and Ligaments: The scan provides a clear picture of these structures in and around your shoulder.

    • Inflammation and Fluid: Ultrasound can detect any inflammation or fluid accumulation.

    • Lumps: It helps identify abnormal growths.

    • Abnormalities and Other Causes of Concern: Ultrasound aids in identifying any specific concerns that might need further investigation or treatment.

    The Ultrasound Process

    If it's your first time undergoing a shoulder ultrasound, you might be curious about the procedure. Here's what to expect:

    • A shoulder ultrasound is painless and usually takes between 15 and 30 minutes.

    • The doctor or specialist will apply a clear, water-based gel to your affected shoulder. This gel helps the ultrasound probe move smoothly over your skin.

    • As the probe moves over your shoulder, it projects images of your shoulder muscles, joints, and surrounding soft tissues onto a screen.

    • These images allow your doctor to see inside your shoulder and diagnose the cause of your discomfort or pain.

    Once the ultrasound is complete, you can typically go home right away. No specific aftercare is required, although follow-up treatment may be necessary depending on your diagnosis. Your doctor can often provide results immediately.

    Treating Shoulder Pain

    To treat your shoulder pain, it's essential to pinpoint the exact cause and how severe it is. How you manage it can vary, from simple care at home to more involved medical treatments.

    Home Treatment Strategies

    For minor shoulder pain, you may find these home remedies effective:

    • Icing: Apply ice to the shoulder for 15 to 20 minutes, three to four times a day, for several days. Always use an ice bag or wrap the ice in a towel to avoid direct skin contact.

    • Rest: Allow the shoulder to rest for a few days, avoiding movements and activities that exacerbate the pain.

    • Over-the-Counter Medication: Non-steroidal anti-inflammatory medications (NSAIDs) available without a prescription can help reduce pain and inflammation.

    • Compression: An elastic bandage can be used to compress the area, which helps in reducing swelling.

    Medical Interventions

    Depending on the specific shoulder issue, your doctor may suggest:

    • Physical or Occupational Therapy: These therapies are crucial for rehabilitation, especially after injuries or surgery.

    • Use of a Sling: For certain conditions like dislocations, separations, and fractures, immobilising the shoulder is necessary for healing.

    • Medication: NSAIDs are often recommended or prescribed to reduce pain and inflammation. In more severe cases, corticosteroids—either orally or via injection directly into the shoulder—can be used.

    • Surgery: Surgical intervention may be required for persistent issues such as cartilage tears, rotator cuff injuries, or frozen shoulder that don't respond to conservative treatments.

    Ongoing Management and Exercises

    Regardless of the shoulder injury type and severity of the issue, a key component of treatment often includes exercises aimed at improving the range of motion, strength, and flexibility of the joint. These exercises are essential for recovery and for preventing future complications.

    Overcoming Shoulder Pain

    Don't let shoulder pain hold you back any longer. Take the first step towards recovery and enhanced well-being. Book an ultrasound appointment online today, and let our dedicated team give you the answers you deserve.

    Resources:


    https://www.healthline.com/health/chronic-pain/shoulder-pain


    https://www.webmd.com/pain-management/why-does-my-shoulder-hurt


    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3698891/


    https://orthoinfo.aaos.org/en/diseases--conditions/ shoulder-pain-and-common-shoulder-problems/

    artivle-picture

    Shoulder Lumps: Causes, symptoms and how an ultrasound can help with diagnosis

    Dr Shayan AhmedDecember 22, 2023

    Discovering a lump in your shoulder can be an unsettling experience, causing both physical discomfort and a wave of concern.

    It's important to understand potential shoulder lump causes, recognise the accompanying symptoms, and explore the available diagnostic methods to gain clarity and peace of mind. This includes safe, non-invasive shoulder ultrasound scans

    Types of Lumps in Shoulder

    A lump in your shoulder could be caused by one of many conditions (1), each with its own distinctive characteristics. Learning about the various types of shoulder lumps is crucial in identifying the specific condition and determining the appropriate course of action for diagnosis and treatment.

    Abscess

    One cause of shoulder lumps is a skin abscess (2), which is a pus-filled lump deep under the skin. It is usually caused by a bacterial infection and can appear as a round, firm, and sometimes painful lump.

    Abscesses may also exhibit redness, pus drainage, and warmth to the touch and can be accompanied by fever and chills.

    Arthritis

    Shoulder lumps can be related to arthritis, which is joint inflammation. Rheumatoid arthritis (RA) can cause rheumatoid nodules, which are flesh-coloured, hard or dough-like lumps that usually appear on bony areas like the shoulders.

    Osteoarthritis (OA) can lead to bone spurs called osteophytes, which often occur around affected joints. Osteophytes on the shoulders, neck, knees, fingers, and feet may not always cause symptoms but can result in pain or limited joint motion if they press on nerves or tissues.

    Cancer

    While rare, a shoulder lump could indicate soft tissue sarcoma, a type of cancer that forms tumours in connective tissues like muscles, tendons, and nerves (3). Soft tissue sarcomas are typically painless but can cause pain and restricted movement as they progress.

    Squamous cell carcinoma, a type of skin cancer, can also cause shoulder lumps in the form of rough, scaly patches resembling warts.

    Cyst

    Shoulder lumps can also be cysts, which are closed sacs of tissue containing pus, air, or fluid. Different types of cysts can develop on the shoulder and around the shoulder area, such as epidermoid cysts, paralabral cysts, ganglion cysts, and bone cysts.

    Epidermoid cysts are painless coloured sacs filled with keratin, while paralabral cysts contain joint fluid and can sometimes cause pain if they press against nerves or tear surrounding cartilage.

    Lipoma

    A lipoma (4) is a benign fatty tissue lump that often appears on the neck, shoulder, and armpits. It is typically rubbery, soft, and doughy to the touch.

    While lipomas are usually painless, they can cause discomfort if they press on blood vessels or nerves.

    Injury

    Shoulder lumps can form following a shoulder injury, such as a fracture, separation, or muscle contusion. Fractures occur when a shoulder bone breaks, resulting in pain and swelling. You may also develop a lump in the area the bone broke.

    Separated shoulders occur when ligaments connecting the collarbone and shoulder blade rip apart, causing a lump on top of the shoulder. Muscle contusions, or injuries to the muscle fibres, can cause swelling, bluish discolouration, and the formation of a lump called a hematoma.

    Knots

    Muscle knots, also known as myofascial trigger points, can occur in any body part, including the neck and shoulder area. They are groups of tense muscle fibres that result from muscle tissue contracting even when at rest.

    Symptoms of muscle knots include pain, sensitivity, and swelling. A lack of activity or too much use can cause muscle knots. In contrast, exercise and massages can help alleviate them.

    Pimples or Warts

    Shoulder lumps can also be large pimples or warts. Pimples occur when pores are full of dead skin cells and oil. Larger pimples, such as cystic acne and nodules, can be painful.

    Warts — caused by a human papillomavirus (HPV) infection (5) — can occasionally appear on the shoulders, although they are more common on the hands. They can be small or large in size, bumpy or smooth, and may have various colours.

    Diagnosing Shoulder Lumps

    From physical examinations to advanced imaging techniques such as ultrasound, each diagnostic tool plays a crucial role in uncovering the underlying cause of the shoulder lump and guiding effective treatment decisions.

    Physical Exam

    A doctor will perform a physical exam, examining the lump by touch and looking for associated symptoms like redness and swelling. This evaluation helps determine the appropriate diagnostic approach.

    MRI Scan

    An MRI scan utilises radio waves to capture detailed images of soft tissues, providing valuable information for diagnosing shoulder lumps.

    X-Ray

    If a lump is suspected to be on the bone, an X-ray may be necessary to obtain images of the affected area and assess any bone-related abnormalities.

    CT Scan

    A CT scan involves taking X-rays from multiple angles to generate cross-sectional images, aiding in the diagnosis of shoulder lumps.

    Biopsy

    In cases where a lipoma or tumour is suspected, a doctor may recommend a biopsy. This procedure involves taking a sample of tissue from the lump and examining it in a laboratory to determine its nature.

    Ultrasound

    A shoulder ultrasound can play a crucial role in diagnosing various types of shoulder lumps. The quick, non-invasive, painless medical imaging technology uses sound waves to capture pictures of the inside workings of your shoulder.

    It allows for the visualisation of the shoulder joint, assessment of pain and range of movement, and evaluation of tendons, muscles, and ligaments. Specialists can also identify signs of inflammation and fluid, assess abnormalities, and flag any causes of concern.

    The ultrasound scan provides real-time imaging, enabling doctors to make accurate diagnoses based on the captured images.

    What to Expect from Your Shoulder Ultrasound

    A shoulder ultrasound typically lasts between 15 and 30 minutes. The doctor or specialist will apply a clear, water-based gel to the affected shoulder, easing the movement of the ultrasound probe over the skin without causing discomfort.

    The probe will emit sound waves and capture images of the muscles, joints, and soft tissues in the shoulder region. These images will help the doctor identify the underlying cause of the shoulder lump and provide an accurate diagnosis.

    After the ultrasound, no specific aftercare is required, though follow-up treatment may be necessary based on the diagnosis.

    When to Seek Medical Assistance

    If a shoulder lump persists for more than two weeks, grows in size, causes pain or discomfort, or does not move, visit a doctor for further evaluation.

    Seeking immediate medical attention is crucial in cases where the shoulder lump is a result of a recent injury or if there are signs of a serious condition.

    Schedule a Shoulder Ultrasound Today

    Shoulder lumps can vary in size, texture, and pain levels. While most lumps are harmless, it is essential to seek medical advice for proper diagnosis and appropriate treatment.

    Ultrasound is key in diagnosing lumps, providing detailed insights into the underlying shoulder lump causes. If you're experiencing shoulder lumps, schedule an ultrasound with our dedicated team of medical professionals to ensure a timely and accurate diagnosis. Book your appointment now.

    Don't ignore persistent or concerning shoulder lumps; take proactive steps to address them and regain your shoulder's health and comfort.


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