MIHP Health

Specialist Clinics


A network of specialists based at The Manchester Institute of Health & Performance work together to provide integrated clinical services.

Our specialist clinics give you direct access to leading clinicians from a variety of specialties. They offer innovative and sophisticated treatment options based on the latest medical evidence.

Practice is linked into live research, to inform the most up-to-date programme for performance and recovery.

Our Specialist Clinics


MSK

The MSK clinic at The Manchester Institute of Health & Performance is dedicated to diagnosing and optimising the treatment of a full range of musculoskeletal injuries as well as reducing the development and impact of conditions including osteoarthritis.

The consultant-led MSK team includes senior physiotherapists, experienced in managing sports injuries, joint replacement and preservation, and surgical rehabilitation. Top consultants offer specialist knowledge on each part of the body.

Our clinicians fully understand the impact of injury in elite sports, and are committed to supporting clients in recovery and the pursuit of performance goals.

How to book into our clinic
To book a private appointment, please contact The Manchester Institute of Health & Performance directly:

T: 0161 641 8300
E: MIHPappointments@mihp.co.uk

To use your private medical insurance, please obtain a GP referral and contact your insurer before booking an appointment with us.

T: 0161 641 8300
E: MIHPappointments@mihp.co.uk

Orthopaedics

Consultants, physiotherapists and sports injury specialists at The Manchester Institute of Health & Performance provide the highest quality orthopaedic care, working together as part of a multi-disciplinary team.

The range of on-site diagnostic facilities enables the team to deliver fast and accurate diagnosis and the immediate progression towards treatment, rehabilitation and surgery, where required.

How to book into our clinic
To book a private appointment, please contact The Manchester Institute of Health & Performance directly:

T: 0161 641 8300
E: MIHPappointments@mihp.co.uk

To use your private medical insurance, please obtain a GP referral and contact your insurer before booking an appointment with us.

T: 0161 641 8300
E: MIHPappointments@mihp.co.uk

Concussion Clinic

The Concussion Clinic brings together specialists from Neurosurgery and Sports Medicine to give expert advice on brain injury, and is the first dedicated concussion clinic in the North West. This unique multidisciplinary team allows for best-practice assessment and treatment, but also strives to inform the future of concussion management through research.

Our clinic is available to non-athletes as well as for amateur and professional athletes.

What is concussion and how do you recognise it?

A concussion is a condition that results in a temporary disruption in the normal functioning of the brain as a result of an injury. This injury is often classified as ‘minor’ and can happen as a result of a fall, road traffic accident, assault or as part of playing sports (football, rugby, hockey). People with concussions often cannot remember what happened immediately before or after the injury and may act confused.

Contrary to popular belief less than 10% of concussions involve a loss of consciousness and these can be so momentary that they can be missed altogether.

Common symptoms of concussion

Concussion affects different people in different ways. The most common symptoms are dizziness and a headache, but people report a wide range of symptoms which can include:

  • Vertigo
  • Hearing loss
  • Blurred vision
  • Light and noise sensitivity
  • Diminished taste and smell
  • Personality change
  • Fatigue
  • Sleep disturbances
  • Memory dysfunction
  • Impaired concentration and attention

Acute management and return to activity

The initial management of concussion is focused on a period of relative physical and cognitive rest, meaning that the patient should try to limit activities that stimulate the mind such as excessive use of personal electronic devices, watching television or even driving. Once the symptoms have completely resolved the individual undergoes a programme of gradually increasing stimulation and activity before they are medically cleared to return to all activities.

Around 80-90% of patients with acute concussions have an uncomplicated recovery generally resolving in 7-10 days.

The Concussion Clinic offers:

  • Specialist clinical assessment
  • Screening of cognitive and emotional symptoms
  • Balance problem assessment
  • Visual disturbance assessment
  • Pre-season screening and assessment for amateur and professional athletes
  • Education programmes for amateur and professional clubs

How to book into our clinic

To book a private appointment, please contact The Manchester Institute of Health & Performance directly:

T: 0161 641 8300
E: concussionclinic@mihp.co.uk

To use your private medical insurance, please obtain a GP referral and contact your insurer before booking an appointment with us. You can also obtain a referral via. our private GP Service.

T: 0161 641 8300
E: concussionclinic@mihp.co.uk

Private GP Service

At The Manchester Institute of Health & Performance, we appreciate how in today’s fast paced, stressful world it’s all too easy to neglect your health and ignore niggles, aches and pains.

However, it’s really important that we are all health conscious and aware of what is normal for us, so that we recognise any changes. Scheduling  time with your doctor, when a problem arises, is crucial but we understand that this can be difficult.

Our private GP Service takes the hassle out of booking a doctor’s appointment. It is run by highly qualified doctors with many years’ experience in both NHS and Private General Practice. We have same day and evening appointments readily available. You will also benefit from fast access to onsite diagnostic facilities and referrals to specialist consultants if required.

How to book a private GP appointment
To book a private appointment, please contact The Manchester Institute of Health & Performance directly:

T: 0161 641 8300
E: MIHPappointments@mihp.co.uk

Hip and Groin Clinic

The Hip and Groin clinic is a different approach that brings together four leading physicians, working together as a team out of a world class sports health and performance facility.

The Hip & Groin clinic is the only multi-disciplinary centre of its kind in the North of England, providing a dedicated resource for professional and elite sports people looking for the fastest possible return to competition. For those who play sports such as football, rugby and Olympic sports at the highest level, the risk of soft tissue injury around the hip and lower abdomen is never far away.

The groin is a complex area and problems can be very difficult to diagnose the issues causing injury. Speed is of the essence to get athletes back to full fitness and ready once again to pursue their personal goals.

The efficient multi-disciplinary approach provides athletes with the opportunity to see each of these experts during the same assessment, a holistic approach that allows the team to pinpoint the diagnosis whether it is one specific problem or, commonly, two or more factors combined. This means that conditions can then be treated all at the same time, giving the patient a better chance of full recovery and a faster return to their sport.

Running The Hip & Groin clinic out of The Manchester Institute of Health & Performance means that you not only have access to the best clinicians, but also the best equipment for both health and performance in the region, all under one roof.

To book an appointment, or to find out more about the clinic, email MIHPappointments@mihp.co.uk or call 0161 641 8300.

Endocrinology

Endocrinology looks at your glands which secrete hormones, including the thyroid, pituitary and adrenal glands. It is important, particularly in sport to ensure your hormones are working correctly, as they control many body functions and problems with the production of hormones can cause disorders such as diabetes, Cushing’s syndrome, fatigue and acromegaly (excess growth).

Our consultants work with specialist teams to diagnose and treat endocrine disorders. Treatments for endocrine disorders can include hormone replacement therapy, which can deal with issues caused during menopause, or problems caused as a result of hormone deficiency.

Diagnostics

  • Blood tests – these are the main way of checking hormone levels in the body. A wide range of tests can be done on a sample, and it is used for diagnosis and ongoing monitoring of these conditions.
  • Urine tests – these samples show up excess or unprocessed hormones and other substances that may signify things like diabetes and adrenal excess.
  • Imaging – MIHP has a range of imaging technology, including MRI, ultrasound and x-ray, which can be used to locate problem glands and problems caused by them.

Treatment

  • Medication – a range of drugs can be used to either act on the disordered gland or counteract its effects. These will be carefully monitored and adjusted over time. Naturally occurring hormones can also be replaced with medication if a gland has failed or been removed.
  • Surgery – in some cases it is most effective to remove a faulty gland. This is most common with thyroid, parathyroid and adrenal conditions.
  • Diet and lifestyle advice – some endocrine problems, such as diabetes, may be controlled simply by changing the way you eat and exercise, and a healthier lifestyle can help with most conditions. In addition to the endocrine consultants, we have a team of dieticians and physiotherapists who can help you plan the necessary changes.

To book an appointment, or to find out more about the clinic, email MIHPappointments@mihp.co.uk or call 0161 641 8300.

Elite Breathlessness Clinic

The Elite Breathless Clinic, the first private service of its kind in the North-West, provides tailored multi-disciplinary assessment and treatment for people struggling with breathlessness symptoms during exercise.

Exercise-induced bronchoconstriction, or EIB, is the preferred term for what was known for years as exercise-induced asthma and is the most common medical condition in athletes. EIB is the narrowing of the tubes in the lungs during exercise. The true prevalence is unknown, but it has been estimated that up to 70% of elite athletes are affected by the condition. People involved in sports that have challenging environments (e.g. cold climates) or high aerobic demands are at greater risk. However, not all exercise associated breathlessness is due to EIB. Several other conditions can mimic EIB, including upper airway conditions like exercise-induced laryngeal obstruction (E-ILO) and dysfunctional breathing.

Symptoms, Diagnosis and Treatment

The impact of breathlessness symptoms during exercise can range from reduction in performance to fatigue and, at extremes, withdrawal from competitive participation. Respiratory symptoms alone do not provide enough information for accurate, targeted treatment as breathlessness symptoms can be multi-factorial and therefore specific specialised tests are crucial to provide accurate diagnosis. In EIB the airways can become temporarily narrowed during exercise and symptoms include wheezing, cough and chest tightness. The International Olympic Committee recommend indirect airway challenge testing as a gold standard for determining EIB in a competitive athlete. Consensus guidelines advise continuous laryngoscopy, which is an examination of the back of your throat, your voice box (larynx) , and vocal cords with a scope (laryngoscope) during exercise to assess for EILO, all of which are offered at the Elite Breathlessness Clinic. An early, accurate diagnosis for the cause of breathlessness is key as it can prevent impaired performance. Treatment can include targeted medication or therapy programmes to gain control of breathing.

Running the Elite Breathlessness Clinic out of The Manchester Institute of Health & Performance means that you not only have access to the best clinicians, but also state-of-the-art equipment for both health and performance in the region, all under-one-roof. The clinic provides a unique infrastructure which ensures that each and every patient receives assessment, diagnosis and bespoke goal orientated treatment within one clinical service. The aim is to deliver comprehensive management packages which allow individuals to recover from breathlessness symptoms and fulfil their competitive goals.

The Elite Breathlessness Clinic is run by Dr Aashish Vyas, Consultant Chest Physician, and Jemma Haines, Consultant Speech and Language Therapist, who have more than 20 years combined experience treating individuals with complex breathlessness needs.

The service is open to individuals, clubs and groups across all sports and levels of ability. To book an appointment, or to find out more about the clinic, email MIHPappointments@mihp.co.uk or call 0161 641 8300.

 

Running Clinic

The Running Clinic at The Manchester Institute of Health & Performance (MIHP) offers one of the most comprehensive running gait analysis available and provides detailed information on your running biomechanics, what this means for any injuries you may have, and how this may influence your performance and future injury risk.

The service delivers a full 3D gait analysis as you run across our 60 metre indoor running track, as well as a physical assessment to inform the findings of the gait analysis. The information gained from this includes the movement patterns of your spine, pelvis, hips, knees and ankles, as well as the forces experienced by the body as you run.

Our assessments and gait analysis reports are carried out by our Specialist Physiotherapist, Chris Bramah, who has more than seven years’ experience delivering 3D running gait analysis for runners. We provide you with a detailed report including all of the gait analysis findings, details of what this means for you and recommendations on how to improve and use this information.

What you can expect from The Running Clinic

The clinic provides you with a full report detailing all the information from your running biomechanics assessment, as well as details on what this means for you and recommendations on where to improve.

What to bring to your session

When attending your appointment please bring your running trainers, running shorts and for female runners, a running crop top or tight fitting vest. If you have any details regarding previous medical investigations or scan reports, please bring these along with you.

Specifics of each assessment

In order to carry out the assessment, a number of reflective markers will be attached to your body using sticky tape. These markers allow our cameras to track the movement of your individual joints as you run. The reflective markers will be attached to your chest, back, pelvis, hips, thighs, lower legs and shoes.

Once the markers have been attached, you will run along our indoor running track at a number of different speeds similar to your normal running. This allows us to gain information on your biomechanics at the different paces you regularly run at and compare your biomechanics to our database of injury free runners.

Following the running assessment, our lead clinician will carry out a physical assessment of your strength, range of movement and movement control. This information is used in-conjunction with the findings from the running biomechanics and allows us to make specific recommendations on how to improve or recover from injury. During this part of the assessment we will discuss the findings with you, as well as our recommendations from the report and answer any questions you may have. You will then be sent a full copy of the report within five working days of the assessment.

Please note  this assessment is not recommended if you have any cardiovascular or medical conditions that prevent you from being able to safely run. All medical conditions must be disclosed prior to your appointment and you must ensure that you are able to safely run.

The service is open to individuals, clubs and groups across all sports and levels of ability. To book an appointment, or to find out more about the clinic, email MIHPappointments@mihp.co.uk or call 0161 641 8300.

MIHP running clinic 3

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