Sports Medicine and Orthopaedic

Hi I'm Dr. Andy

A World Leading
Sports Doctor and
Exercise Medicine
Specialist

In the words of BBC, Dr. Andy Franklyn-Miller is hailed as one of the worlds leading sports and exercise medicine specialists. 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.

As Seen On

What We Specialize In

Athletic Groin Pain

Athletic groin pain (AGP) is a term I will use to start this discussion, but includes osteitis pubis, gilmores groin, pubic bone stress, inguinal disruption etc.

3D Biomechanics

The most comprehensive testing of strength power and endurance in Europe using 3D biomechanics in running, jumping and change of direction…

Metabolic Health

The role of blood inflammation  in injury management is increasingly important and continuous glucose monitoring and dietary manipulation vital in…

Running Injuries

Andy has a comprehensive background of biomechanics testing of patients including the use of BOTOX and nerve conduction…

ACL Rehabilitation

Using 3D Biomechanics Lab testing, Andy has demonstrated the lowest re-injury rates in Europe and Lab guide return to play…

Underperformance

Overtraining becomes under recovery and RED-S, the management of exercise prescription is Andy’s specialist area of…

About

Dr. Andy Franklyn Miller

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.

Dr. Andy Franklyn Miller

Sports & Exercise - Medicine Physician

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Years of Excellence
in Sports Medicine

Building blocks
of movement and health.

Biomechanics.

Using gold standard motion capture in running, jumping and cutting, we can accurately assess the exact areas we need to work on in rehabilitation...

Collagen.

All tendon is made up of Collagen and we are born with a certain mix, some ‘tendiopaths’ commonly struggle and the role...

Prescription.

Exercise prescription , along with supplementation and dietary management after 3D Lab assessment are all part of your...

Machine learning.

Algorithms are run using our database to identify features which target your rehabilitation time and personalize your program...

Peptides.

The role of peptides as a n energy source and supplement in rehabilitation alongside B2 agonists and anabolic agents...

Digital.

Andy consults digitally across the world and you can book an appointment online now at a time to suit, please ensure your imaging is...

Artificial Intelligence

As our database gets bigger, you benefit from the data learning, and we get faster and more robust in program design...

Glycaemic Control.

Maintenance of high glucose levels leads to elevated CRP may in turn cause inflammatory arterial disease, and increased weight associated...

Future.

The use of inertial sensor will allow Andy to minto your progress remotely, lab testing centres across the world are planned to...

General FAQ

Frequently Asked
Questions

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 specialists, or Sports Physicians are musculoskeletal medicine specialists and often lead a clinical team to diagnose and manage not only sports- related injuries, but 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 Consultants, unlike orthopaedic surgeons, 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 the English Institute of Sport and exercise.

Dr Andy Franklyn-Miller runs a unique Biomechnics Laboratory 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.

Consultants in sport medicine  use @samsung ultrasound-guided injections of @arthrexmeded PRP injections, hyaluronic acid, corticosteroid or high volume saline dependent on the goals of treatment and also as part of a comprehensive Lab driven rehabilitation program.Shockwave therapy is often used to manage pain alongside strength training

Orthopaedic Surgeons train for a similar amount of higher specialist training in 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 the clinic. They provide ultrasound guided  joint injections where required and manage your recovery from diagnosis to recovery.

They refer patients directly to specialised orthopaedic surgeons, where that is required, usually in less than 10% of cases. They work with General practitioners and teams directly providing return to work, sport and play.

Dr Franklyn-Millers clinic see over 50,000 patients a year, of course including patients from elite sporting backgrounds, but also the general public. The conditions vary and as a global leader he will see international patients from around the world, or online consultation in athletic groin pain, sportsmans 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 franc injury and hallux valgus and plantar plate injury are common along with peripheral nerve entrapment  and soft tissue injury. 

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 and stress fractures.

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 biomechanics Lab testing and possible exercise science testing from our physician assistant team.

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 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 and has excellent patient feedback.

Orthopaedic surgery is the process for repairing complex fractures causing pain 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 ligament repair  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 consultant  can refer you immediately if you need surgery to the best available surgeons, 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.. 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 and other educational events.

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 sportsmedicine@sportssurgeryclinic.com We guarantee you an appointment with 7 days and we remain open as a Specialist Hospital including our Radiology department and outpatient 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.

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.

Have Some
Questions?

Research

ACL

Isokinetic muscle strength and readiness to return to sport following anterior cruciate ligament reconstruction: is there an association? A systematic review and a protocol recommendation

BACK PAIN

The effects of a free-weight-based resistance training intervention on pain, squat biomechanics and MRI-defined lumbar fat infiltration and functional cross-sectional area in those with chronic low back

CONCUSSION

Concussion in adolescent rugby union players: comprehensive acute assessment protocol and development of the SSC concussion passport to monitor long-term health

Read Our Latest Blogs

Each week, Andy summarises four of the latest sports medicine and science papers for you, each week.
Read them here or sign up to the newsletter and have them direct in your inbox each week.

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