“Dr Andy Franklyn-Miller is one of the worlds leading sports and exercise medicine specialists”
“Dr Andy Franklyn-Miller is one of the worlds leading sports and exercise medicine specialists”
Dr Andy Franklyn-Miller completed his medical training at Imperial College, London in 1998. Before Medical School he started a successful rowing coaching career, in which he has coached Team GB at the World Junior Championship, Coupe de La Jeunesse and successes with Imperial College and the Temple Cup and St Pauls School, London and the Princess Elizabeth Cup at Henley Royal Regatta.
After Medical School, Andy joined the Royal Navy and served with the Royal Marines before starting cardiothoracic surgical training, he transferred to Sports Medicine to take up the post of Team GB Rowing doctor and completed higher specialist training in the UK and Australia as the Royal Navy’s Consultant in Sport and Exercise Medicine. Read More ↓
His final post before leaving the Military was as Head of Research and Director of the Centre for Human Performance, Sports Medicine and Rehabilitation at The Defence Medical Rehabilitation Centre, Headley Court.
Dr Franklyn-Miller has worked as Team doctor to British Olympic Rowing, England Rugby, Melbourne Storm Rugby League and the New Zealand Black Ferns alongside work for UK Athletics. He has appeared on the BBC Breakfast sofa, Radio 5 live, and Irelands Newstalk and RTE television and radio. He is a regular media contributor on athlete preparation, injury prevention and biomechanics and a regular contributor to both his own podcast and the BJSM podcast .
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In 2007, he started a research clinical Fellowship at the Centre for Health, Exercise and Sports Medicine at the University of Melbourne, this research has led to over 40 research publications on groin pain, fascial injury, injury prevention and sports medicine anatomy. Check the research section to read many of these papers.
Andy is a co author of Clinical Sports Anatomy, the leading Sports Medicine anatomy text and an author of Chapters in both “Sports injury prevention and rehabilitation” and the “IOC Manual of Sports Injuries”.
Andy’s current research is focussed on the use of artificial intelligence and mathematical modelling of 3D biomechanical athlete data on algorithms for rehabilitation optimisation in shoulder reconstruction, low back pain, knee injury, ACL-R, osteoarthritis, athletic groin pain and lower limb overuse injury.
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Andy lives in the UK with his wife, Shannon, and their children William, Sienna and Noah. He is Director of Sports Medicine , at Irelands leading Orthopaedic Hospital “The Sports Surgery Clinic” in Dublin and is the creator of SSCLab, a unique testing centre designed to enhance exercise prescription for rehabilitation using VICON motion capture and data analytics. SSC Sports Medicine, is housed in a purpose built 14,000 sqft unit with over 60 staff seeing over 1000 patients a week and is the busiest sports medicine clinic in Europe.
The Sports Surgery Clinic is Ireland’s leading private Orthopaedic hospital with over 40 Orthopaedic surgeons, 100 beds and 7 operating theatres sited 10 minutes form Dublin Airport.
Andy fill’s any spare time as a hobby winemaker at Wootton Vineyard, and shepherd of Balwen Welsh Mountain Sheep.
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For over two centuries medicine has been based on the principles of Sir William Osler. The foundation of medicine relies on the clinical history and examination of the patient in order to make a diagnosis. Sports & Exercise medicine is a new speciality, and steps on the toes of Orthopaedic surgeons, physiotherapists, cardiologist’s and respiratory physicians and rheumatologists but offers an opportunity to create a basis for an integrated approach between all specialities, focussed on accurate diagnosis and prescription of treatment.
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Fewer than 10% of our patients with joint, muscle or limb pain actually require surgery. Sports and Exercise Medicine physicians diagnose and treat every muscle, joint and limb injury in the body and are skilled in ultrasound imaging guided injections, exercise prescription and general medicine .
Our role also makes a diagnosis in fatigue, breathlessness, stress, cardiac arrythmias, underperformance and metabolic medicine and of course exercise prescription.
There is often a reluctance to embrace technology in medicine, due to the perception of high costs. Our practice aims to reduce the costs to the patient by initially focussing on the underpinning anatomical diagnosis and then using the very latest technoogy and data science using VICON 3D biomechanics ( the same as PIXAR and Hollywood use) to digitise our patients in SSCLab and take a “movement mri” allowing us to reduce time and expense in rehabilitation.
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In combination with SSCLab, we readily use magnetic resonance imaging (MRI) to provide detail to support our understanding of your anatomical diagnosis.
We will discuss this results with you and interpret your images in context of clinical examination and history. Our patients routinely the are assessed for strength, power and mechanics in our SSCLab by targeting the blocks of kinetics and kinematics – mathematical values of movement, we have almost halved rehabilitation time in athletic groin pain and reduced re-injury post ACL reconstruction to under 2%.
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Our approach reduces the number of consultation or appointments you need and gives the control of intervention to you the patient or athletes. We want to see you less..in the nicest possible way…
Would you like a summary of four current sports medicine, science, rehabilitation and performance papers, each week, delivered to your inbox? Then sign up to Andy’s research review and start engaging
Andy is on the Specialist register of Sports and Exercise Medicine in the UK GMC 4551919 and Medical Council of Ireland 403638. He consults in person at the 14,000sqft Sports Medicine facility at The Sports Surgery Clinic in Dublin or by Digitally Consultation. He leads the world leading SSCLab Centre in Dublin
What is a Consultant in Sports and Exercise Medicine Physician? This is a protected title for a Doctor (physician) with higher speciality training, after medical school and common medical or surgical training of 5 years or more then, a further 4 years in South Africa, Australia, Canada, Netherlands, UK or Ireland before awarded a CCST, Certificate of completion of Specialist Training, allowing entry onto the Specialist Register with the General Medical Council in the UK or Medical Council of Ireland in Ireland.
Sports and Exercise Medicine Consultant’s are musculoskeletal medicine specialists and diagnose and manage a huge range of conditions including neck, shoulder, back, hip and groin knee, ankle and foot injuries including referral for medical imaging including MRI, ultrasound examination and rehabilitation prescription or guided injection treatments.
Sports and Exercise Medicine Consultant’s also manage concussion, fatigue, breathlessness, weight loss and blood glucose control, obesity, exercise prescription, and work with Rheumatology, Cardiology and Respiratory physicians alongside Orthopaedic surgeons.
Dr Franklyn-Miller is among the leading specialist’s in the world with over 40 research publications, with most recent publication in @BJSM_BMJ and @AJSM_SportsMed and has been team doctors previously with @britishrowing @englandrugby @blackferns @storm, @TeamGB and @eis2win
Dr Andy Franklyn-Miller runs the unique SSCLab which uses strength, power and 3D biomechanics @vicon testing, the same technology that powers @pixar and @officialavatar movies , to understand why you have pain, and to prescribe your rehabilitation with objective targets and judge your progress.
Sports and Exercise Medicine Consultant’s use @samsung ultrasound to examine tendon, muscle and joints, to guide injections of @arthrexmeded PRP, corticosteroid or high volume saline dependent on the goals of treatment and as part of a comprehensive SSCLab driven rehabilitation program.
Orthopaedic Surgeons train for a similar amount of higher specialist training how to perform common surgical operations such as managing fractures, total hip replacement, hip surgery , knee replacement, total knee replacement, shoulder reconstruction, plastic surgery, spinal surgery and maxillofacial surgery. Surgeons often specialise in just one joint of the body as surgery becomes more detailed and complex.
Sport and Exercise medicine consultants train in a broader curriculum including all joints and muscle and tendon injuries.
They also are physicians so manage cardiac rehabilitation, fatigue, overtraining, performance sports, pitchside care, and they also are all trained in diagnostic ultrasound and can use this in clinic. They provide guided ultrasound joint injections where required and manage your recovery form diagnosis to recovery.
They refer patient directly to specialised orthopaedic surgeons, where that is required, usually in less than 10% of cases. They work with General practitoners and teams directly providing return to work, sport ad play.
Dr Andy Franklyn-Millers clinic see over 50,000 patients a year, of course the conditions vary and as a global leader he will see international patients flying to Dublin from around the world usually for consultation in athletic groin pain, sportmans hernia, osteiitis pubis, pubic bone overload, groin pain and hernia.
Anterior knee pain, knee osteoarthritis, ilitiobial band syndrome, and patellar tendinopathy are common knee conditions with meniscal tears and anterior cruciate ACL rupture and repair.
Hip impingement, FAI, hip osteoarthritis and Cam and pincer deformities along with Ischio femoral impingement syndrome, stress fracture, Hamstring tendinopathy and sacroiliac pain are all common
Low back pain, spondylolisthesis, pars fractures, radiculopathy, disc bulges and facet joint osteoarthritis all present.
Shoulder impingement, rotator cuff pain, ACJ pain, dislocation, and instability are common shoulder conditions.
In the foot, stress fractures, plantar fasciitis, achilles tendinopathy, talar dome injury, syndesmosis or high ankle sprain, metatarsalgia, cuboid syndrome, liz frac injury and hallux valgus and plantar plate injury are common
Concussion, neck pain and whiplash are also common after falls and road traffic accident but one area of specialist expertise is the management of poor blood glucose control, pre diabetes, osteopenia, osteoporosis.
The management of sporting performance, fatigue, recovery and under performance are also specialist management of common presentations.
You can attend your specialist in sports medicine without a referral (if you intend to claim back your costs against private health insurance, when you pay your bill – you may need your GP to refer you), your consultant will refer you for MRI or X ray or CT imaging or you can take a referral form to an imaging centre of your choice. They will refer you for exercise and biomechanics testing in SSCLab and possible exercise science testing from our physician assistant team of SSCLab.
You will leave with a diagnosis, an understanding of the anatomy and how your sport injury or your pain, condition or illness has happened, we will look at radiology findings and images so you have a comprehensive understanding and then develop a management plan with physical therapy and performance driven rehabilitation in SSCLab and only in few circumstances will we need to refer you for surgery.
Dr Andy Franklyn-Miller has written numerous health articles, research papers and featured on the BBC, RTE, Sky news, and Radio 5 Live, and hosts his own podcast on itunes
Orthopaedic surgery is the process for repairing complex fractures in the operating room and commonly in total knee replacement and total hip replacement for osteoarthritis. Surgeons specialise in specific areas, and so it is useful to be referred by a specialist to the correct one, and consider options, perhaps one or two to get a different opinion before committing.
Excellent surgeons collect their outcome data in a registry, where they publish their outcomes from surgery in peer reviewed journals. Arthroscopic surgery, shoulder replacement, spinal care and surgery are carried out at orthopaedic centers by orthopaedic surgeons after referral form emergency rooms, GP or sports medicine and orthopaedics. Anterior cruciate ligamant repair at SSC Santry is part of a comprehensive orthopaedic hospital program to measure outcome following surgery and re-injury after cruciate repair.
Your sports medicine consultant can be your first point of call, most muscle, tendon and joint injuries and pain do not require surgery and the accurate diagnosis will help guided a specific exercise and intervention to get you better. Your sports medicine doctor can refer you immediately if you need surgery to the best available, but this is often less than 5% of patients. Importantly, sports medicine doctors are experts in pain management.
Orthopaedic Surgeons perform operations, simply put – they rarely manage rehabilitation, physiotherapy, strength training or exercise medicine. Surprisingly, that is the main difference in orthopaedic and sports medicine. Often patients come from the emergency department with fractures for repair or soft tissue injuries. Orthopaedic surgeons undergo specialist training at university and many surgeon undergo specialist royal college training. All constants undergo ongoing continuing education. Many surgeons in Ireland train at Trinity College Dublin, University College Cork, and Royal College of Surgeons and University College Dublin which are all major medical schools. Whilst learning health sciences, via a competitive application. Orthopaedic surgeons aim to work at the Sports Surgery Clinic which also offers exercise testing, exercise science and computer science programming, and pain management alongside working with the Faculty of Sports and Exercise Medicine to provide taught courses such as the Sports Medicine Annual Conference
You can book a sports medicine appointment as your first point of call without a referral, your consultant will make a diagnosis, offer treatment options including surgery if needed, and begin your recovery. Call our team on +353 1 5262030 or email firstname.lastname@example.org We guarantee you an appointment with 7 days and we remain open as a Specialist Hospital including our Radiology department and outpatient Physiotherapy and SSC Lab, We have COVID safe policies including social distancing, face masks and extra sanitation and cleaning protocols, along with pre screening and COVID testing where needed.
Dr Andy Franklyn-Miller has led the research at Sports Surgery Clinic with orthopaedic surgeons and formed a bridge between orthopaedics and sports medicine particularly in the field of anterior cruciate ligament repair. The cruciate ligament is a common cause of injury in athletes in field sports with or without damage to the articular cartilage and meniscal injuries, commonly results in ACL reconstructions, although conservative measures and non-operative treatment can be tried for ACL injury in less demanding sports.
Anterior cruciate ligament surgery is a sports injury most commonly performed by SSC Medical Director Mr Ray Moran, and the department of orthopaedic surgery, although referral is common from orthopaedic sports medicine and health care professionals such as athletic trainers.
Orthopaedic sports medicine runs a similar sports medicine programme with referring physicians in sports and exercise medicine leading conservative management. ACL injuries in athletes in competitive sports are part of a registry at SSC where the department of orthopaedic sports medicine manages the basic science of soft tissue ligament reconstruction. This is a surgical treatment of anterior cruciate ligament reconstructions are minimally invasive designed to optimise return to play after athletic injuries.
The American Orthopaedic society and Irish Orthopaedic society for Sports Medicine Sports surgeons regularly meet to discuss results and publish data in the American Journal of Sports Medicine on anterior cruciate ligament reconstruction re-injury rates both in professional athletes such as those in the Winter Olympics where ACL injuries are common and cruciate ligament reconstruction used in return to play.
SSC are about to commence a new registry for orthopaedic surgeons in Shoulder stability after minimally invasive surgery in the upper extremity, or shoulder and elbow. Here conservative measures are often used but surgery for rotator cuff tears and overuse injuries and superior labrum and anterior labrum and more traumatic shoulder injuries with orthopaedic surgery., elbow surgery and shoulder surgery for type three AC joint disruptions. Unlike the Hip and knee joint replacement surgery is less common than conservative measures in the shoulder.
SSC will start a foot and ankle registry for the achilles tendon and outcomes of rehabilitation led by Colin Griffin in Sports Medicine leading the way the patient resources in conservative measures in occupational therapy.