Dr. Ademola Adejuwon

13/11/2023

Ultrasound as been shown to be more sensitive and faster at diagnosing rib fractures compared to X-rays, with the added benefit of no radiation. Accuracy though, depends on the skill of the person doing the scan.

In the images, you can see three-week-old fractures of the left 8th and 9th ribs:

➡️New bone (callus) can be seen at the fracture sites
➡️The fracture ends are lined up and aren’t separating when the patient is breathing (sorry, no video to show you)
➡️The lung is not collapsed/ no pneumothorax.

In the debate over whether to use an X-ray or an ultrasound for a suspected rib break, the more important questions are:

👉“Do you need imaging in the first place?” and
👉“Does it matter if you can see a rib fracture better with one over the other?”

Confirming a rib fracture with imaging will not change how it's managed as most heal in 6-8 weeks with rest and painkillers. However, for athletes, diagnosis can help in determining a safe timeline for returning to play and avoiding re-injury.

For the rest, imaging is usually done if there is concern that a more dangerous condition may be present. The decision is on a case-by-case basis with your doctor deciding which is the best imaging modality (X-ray, ultrasound, CT) for your case.

If you have a chest injury, be sure to see a doctor to get the best care and advice. 🦴🩺🩻💡

12/09/2023

04/04/2023

Week 7 couch to 5Km done💪🏾

In case you we’re concerned I had given up (I doubt that) don’t you worry. Had to take a little break for a couple of days as the knees weren’t too happy.

Probably the combined intensity of 3x runs a week, a day walking everywhere during the London tube strike then doing my first official CrossFit class . Very welcoming by the way but almost found puky at the end🤮.

All time on feet counts and what you do on your recovery days matter just as much as the training days.

As the run times increase you may want to have bigger gaps between run days. Important you listen to your body. Now back to the routine. Two more weeks to go. Let’s go get it!

08/03/2023

International women’s day.

I am nothing without the women in my life:

My mother, my wife, my daughters, my “surrogate” sisters - you know who you are, my wonderful team who do so much for me and my patients.

07/03/2023

MEDICAL MONDAY

This one’s for all the skiers and healthcarers out there who see winter sport injuries…

Straining a calf muscle skiing is surprisingly common. Off-the-bat your gastrocnemius, the one that usually goes, is already under tension because your ankle movement is partly restricted, and the calf muscle is being compressed by the ski boot. If you then add in poorly fitting equipment, technique, icy conditions, dehydration and fatigue it’s no wonder injuries are common.

Unfortunately, you are allowed to have more than one problem at the same time:

👉🏾First picture is what a calf muscle strain looks like on an ultrasound scan.
👉🏾Second is what a deep vein thrombosis (DVT)/blood clot (big round thing) looks like.
👉🏾Both are in the same leg of a patient.

Last couple of ski seasons I’ve come across at least one DVT ➕ calf strain. The common element in their story is that the calf pain was getting better but then worsened 5-7 days after the original injury.

➡️If you see a patient with pain from a calf strain that’s getting worse, not better, Think DVT🚨.

02/03/2023

Week 3 of couch to 5Km done.🎉

👉🏾90s run/90s walk
👉🏾3mins run/3 mins walk
👉🏾And repeat with 5 mins warm up and warm down. Short and sweet.

Looking forward to running in daylight but till then if like me you are running in the dark stay safe.

➡️Hi-Vis jacket or strap
➡️Light source if running in poorly lit areas. I prefer a torch to a head lamp. Less likely to blind oncoming vehicles and can be used as a weapon!
➡️Get familiar with your mobile device/watch Emergency 🆘 system if it has one. Better to know how to use it and not need it than try to figure it out when you do.

Week 4. Let’s get to it.💪🏾

23/02/2023

Week 2 done.💪🏾

It was cold out there tonight folks!🥶

I’ve taken to doing the 5 mins obligatory warm up jump roping. I find I get a better warm up and activation of the nervous system doing this than the recommended brisk walk. Really noticed a difference this evening when I skipped the skipping for the walk… Sluggish start 🐌

I appreciate this won’t work for everyone so find a warm up (and cool down routine) that works for you. Just make sure you do warm up!

16/02/2023

RESET. READY. GO!

Started the again!

If this is your first time let’s share the journey.

Run within your limits and don’t go out too hard. It doesn’t matter how fast you’re moving or what you look like. Heck, it’s not even about completing a 5Km for me. It’s about getting out and moving. Consistently.

And if this is not your first time you know what to expect so try and focus on your running technique and your breathing.

If you find the earlier stages too easy treat the shorter runs like tempo runs.

Remember that this is YOUR journey but everyone’s to celebrate. Let’s do this.🏃🏾‍♂️

29/12/2022

Really pleased to see that strength training and fitness programmes for older adults ranks high in the latest American College of Sports Medicine (ACSM) worldwide survey of fitness trends for 2023. Quoting “You can never be too strong!”

But coming in at number 1 is wearable tech. Seems we’re going to be leaning more into this to optimise our health and fitness over the next year. No surprises there, after all data is king. But haven’t we seen this before?

Just because you wear it won’t make you fitter. .

Infographic and full article from

19/12/2022

When you have been in pain for so long and you haven’t found a diagnosis you start to wonder if "they" believe you or if it is truly in your head. If you're young and active, this is especially true.

One not-too-uncommon cause of pain in youngsters (anyone younger than me is a youngster!) is osteoid osteoma. These are:

➡️Benign bone tumours
➡️Typically occur in children or young adults
➡️Causes a dull or sharp pain that gets worse at night
➡️Get amazing pain relief from taking aspirin or other NSAIDs like ibuprofen
➡️Curable with treatment

This patient (with permission) had been suffering from symptoms for over six months when they came to see us. The story was textbook for osteoid osteoma but what was unique (to me at least) was that they presented at an older age than would be expected - late 30s.

The relief of getting a diagnosis and feeling believed was palpable. I believe it was Ghandi who said “A correct diagnosis is three-fourths the remedy”.

For all of us working in sports medicine we should not forget that “badness” has no respect for age or physical prowess and we should be comfortable to think outside or knowledge box or not be too proud to ask. I’m definitely not.

Happy Monday folks.