Dr Leonore Botha

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Services includes :

• Shoulder Pain
  The shoulder consists of a ball-and-socket joint comprised of three primary bones: the humerus, clavicle and scapula, protected by a thick layer of cartilage. The rotator cuff has four central tendons and allows the shoulder to have the highest motion range. You experience shoulder pain when the bones or tendons around the rotator cuff is inflamed. Age and degeneration, injury and degenerative diseases such as that of the liver and the heart can cause shoulder pain. Rotator cuff tendonitis is the most common shoulder pain cause where tendons surrounding the rotator cuff are irritated. Other conditions that can cause shoulder pain are shoulder arthritis, frozen shoulder, pinched shoulder or neck nerve, and bone spurs. Dr Botha treats all shoulder pain depends on the diagnoses.
• Shoulder Instability
  Shoulder instability results from the detachment or stretching of the lining of the shoulder joint, labrum or ligaments. Detachments cause the humeral head to either partially or entirely move from its socket. Shoulder instability can be organised into three categories: dislocated shoulder and subluxation, labral tear, and genetics (loose shoulder ligaments). Swelling, bruising, shoulder pain, sensation loss in the arm, and limited range of shoulder or arm motion are all indications of shoulder instability. Dr Botha will examine your shoulder blade to decide the best course of treatment which could include medication, braces or slings, physical therapy, arthroscopy, or traditional open surgery (Latarjet procedure).
• Shoulder Arthritis
  When cartilage inside shoulder joints suffers due to wear and tear over time, arthritis occurs. Ageing and injury may result in arthritis developing. The acromioclavicular (A-C) and glenohumeral (G-H) joints or the ball-and-socket joint make up the shoulder and are affected by arthritis. There are different shoulder arthritis types, namely: osteoarthritis, inflammatory arthritis, cuff tear arthropathy, osteonecrosis and post-traumatic arthritis. Shoulder arthritis symptoms are pain in the shoulder joint, shoulder stiffness and grinding, clicking or cracking. Depending on your condition, Dr Botha may recommend medication, corticosteroid injections, arthroscopy or shoulder joint replacement to treat shoulder arthritis.
• Meniscal and Ligament Injuries
  The meniscus is horseshoe-shaped cartilage that forms a cushion between the thigh and shinbone, and a tear of the meniscus is a prevalent knee injury that results from a turn or twist of the knee. Menisci can sustain damage and are prone to tears once you put significant pressure on the knee joint through activities such as contact sport, age or daily activities. The meniscus tear can occur because of age and overuse too. Meniscus pain, especially when turning the knee, stiffness and inflammation, limited range of knee motion, and locked knees indicate a torn meniscus following a popping noise. There are four ligaments in your knee: anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL) and the lateral collateral ligament (LCL). Injury to the ACL or PCL may be a result of contact sports or motor vehicle accidents. The ACL stretches or tears when you twist your knee. Collateral ligaments can stress or tear if there is trauma to one side of the knee. Knees popping, buckling and swelling can indicate either a cruciate or collateral ligament injury, but symptoms may vary. Dr Botha will treat meniscal and ligament injuries based on the severity of the diagnosis.
• Patella Instability and Dislocation
  Patella dislocation or subluxation can result in patella instability, and the patella may completely slide or partially move out of its groove as a result of trauma. Chronic patella instability is when the kneecap pushes out of its groove. After the first dislocation of the knee, there is a high potential for reoccurrence. One of the leading causes of patella instability is contact sports. Knee pain, stiff knees, buckled or locked knees, pain after sitting for an extended period, pain at the front of knee worsening after exercise, popping sensation in the knee, kneecap slips outside of usual position, and limited range of knee motion are all signs of patella instability. Rest, crutches, knee braces and surgery are all treatments for patella instability, and Dr Botha will recommend the best course of action.
• Iliotibial Band Syndrome (ITBS)
  A lengthy portion of fascia that travels from your hip to your knee is known as the iliotibial band or "Maissiat's band" and is responsible for the hip movement and stabilises the knee. With Iliotibial Band Syndrome, the band becomes inflamed and remains tight. The tight iliotibial band creates friction from the exterior of the knee and causes pain when bending. ITBS occurs with extreme friction due to the iliotibial band being too tight and in excess contact with bone. It develops primarily due to the overuse of knees. Pain on one side of the knee, pins and needles, intense pain resulting from pressure, popping or snapping sounds are all indications of ITBS. Dr Botha may recommend medication, physical therapy, ice, stretch and rest, and a mini-open surgical procedure as treatment.
• Elbow Tendinopathies
  Tennis elbow or extensor tendinopathy occurs when tendons in the elbow become exhausted due to repetitive arm and wrist movements resulting in lateral elbow pain. It develops as a result of overstressed tendons, and certain sports increase the risk of tennis elbow. Symptoms include elbow, wrist and arm pain as well as weak grip. Golfers Elbow Golfer's elbow is an inflammatory condition that causes pain in the elbow and forearm muscles due to overexertion of bones, muscles, and tendons due to wrist flexion. It is damage to tendons and muscles in wrists and fingers and could result from improper exercise techniques and inadequate conditioning. Stiffness in your elbow, weak hands and wrists, pins and needles sensation in fingers, and elbow pain are all indications of golfer's elbow. Dr Botha will diagnose you and discuss treatments for both tennis and golfer's elbow. Treatments could include medication, infiltration, therapy and surgery.
• Entrapment Neuropathies
  Carpal tunnel syndrome occurs when the median nerve becomes constricted as it passes through the hand and causes weakness and pins and needle sensations on the hand's side near the thumb. When there is an increase in pressure on the wrist and particularly the median nerve, carpal tunnel occurs. Diabetes, thyroid dysfunction, high blood pressure and wrist fractures risk carpal tunnel syndrome. The frequent dropping of items, hand "falling asleep", pain and tingling sensation in the thumb, pain travelling through the arm, weak hand muscles, and wrist pain in the evening indicate carpal tunnel syndrome symptoms.
• Hip Sports Injuries
  Hip pain can result from muscle strain or other associated causes linked to hip bursitis, stress fractures, hip labral tears, sports hernias or Femoroacetabular impingement. Common hip sports injuries include tendon damage or Avulsion fractures, labral tears and bursitis. Femoroacetabular impingement or hip impingement results from repetitive hip flexion that injures the cartilage of the hip socket. It may arise from deformities of the ball and socket. When the femoral head is unusually shaped, and the deformed portion of the head gets stuck in the socket when you bend your hip, that is Cam impingement. Pincer impingement is a hip impingement where the acetabulum protrudes too far out that during normal hip flexion movement, the femur's neck collides into the edge of the socket. Stiffness of the thigh or groin area, limited hip flexion, groin pain, particularly after hip flexion movements and pain in the hip, grown or lower back, indicate hip impingement. Dr Botha will present an accurate diagnosis to reduce the risk of osteoarthritis and damage to the cartilage and then discuss the best treatment.
• General Trauma and Sport-Related Injuries/Fractures
  Trauma, stress and general wear and tear of the joints and muscles are the leading causes of sports-related injuries. Minor injuries result from slight damage to ligaments, muscles, tendons or bones and include bruises, sprains and strains, sports-related fractures and dislocations. Dr Botha will determine the severity of the injury to determine the best treatment for sports injuries. For general sports injuries, rest, ice, compression and elevation (RICE) is recommended.