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MR PAUL MANNING

Consultant Shoulder and Elbow Surgeon

BMedSci, BM, BS, DM, FRCS (Tr&Orth)

MR PAUL MANNING

Consultant Shoulder and Elbow Surgeon

BMedSci, BM, BS, DM, FRCS (Tr&Orth)

Specialty Upper limb, Sports injuries, Shoulder and elbow

Year Qualified 1992

Reviews

Fast track your treatment with Mr Paul Manning

Mr Paul Manning is a Consultant Shoulder and Elbow Surgeon. Upon graduating from the University of Nottingham, Mr Manning trained as an orthopaedic surgeon at both the Harlow Wood Orthopaedic Hospital and Nottingham University Hospitals NHS Trust.

He was appointed as a Consultant Orthopaedic Surgeon at Nottingham University Hospitals in 2004. He is the senior surgeon at the Nottingham Shoulder and Elbow Unit, which has both a national and international reputation.

Mr Manning’s expertise has been recognised by his peers many times and he has been a recipient of the prestigious Lipmann-Kessel prize from the British Elbow and Shoulder Society (BESS) at their Annual Scientific Meeting. He continues to be heavily involved in the further education and professional development of doctors.

He is the Director of Hospitals and Responsible Officer for Circle Health UK.

Qualifications:
BMedSci 1990
BM BS 1992
DM 2003

FRCS 1996
FRCS (Tr&Orth) 2003

Additional training:
Surgical Fellowship at the Derby Royal Infirmary

GMC registration: 3583753

Professional bodies (positions held)
Training Programme Director, Health Education East Midlands 2007 – 2016
Deputy Head of the School of Surgery, Health Education East Midlands 2012
Chairman of the Training Programme Directors’ Forum of the British Orthopaedic Association 2012 – 2015

Affiliations/memberships
Member of the British Medical Association

Member of the British Orthopaedic Research Society (BORS)

Fellow of the English Royal College of Surgeons (Tr&Orth)

Member of the British Orthopaedic Association (BOA)

Member/Council Member of the British Elbow and Shoulder Society (BESS)

Rotator cuff tear

Describes a tear in the group of muscles and tendons that surround the shoulder joint and help to keep it stable. Causes include trauma, such as a fall onto the shoulder, or age-related wear and tear. Surgical repair may be needed for more significant tears.

Tear in long head of biceps

Characterised by a sharp pain in the biceps, often becoming worse when the arm is lifted overhead. Tears can range from mild to complete rupture, and treatment will depend on the extent of the damage. Surgical repair may be needed.

Tear of labrum

The labrum is a ring of cartilage attached to the edge of the shoulder socket. A tear can occur as a result of trauma or age-related wear and tear. While surgery may not be required for a smaller tear, it may be needed for a larger one.

Shoulder Impingement

Pain or weakness in your arm can sometimes be caused by a tendon in your shoulder rubbing or catching on a nearby bone. This is known as shoulder impingement. While rest, painkillers and specific exercises can often help relieve pain, surgery may be needed in more severe cases.

Elbow/shoulder stiffness

While most of us will experience stiff joints from time to time (often a result of being more active than normal), longer-term or worsening stiffness in the shoulder or elbow should always be investigated. Mr Manning will diagnose the cause of the stiffness then talk with you through any suitable treatment options where indicated.

Acromioclavicular (AC) Joint pain

Located at the top of the shoulder, the AC joint is formed where the acromion (part of the shoulder blade) meets the clavicle (collarbone). Pain in this joint can be caused by trauma or degenerative changes. Mr Manning will assess the cause of your pain and then talk through any treatment options with you at your consultation.

Shoulder or elbow instability

Both the shoulder and elbow joints provides an incredible level of movement and rotation. Where injury or disease affects the stability of the joint, there can be a loss of movement and function, significantly affecting our ability to carry out our normal activities. Surgery will sometimes be needed to stabilise the joint adequately.

Frozen Shoulder

Used to describe a stiff or painful shoulder, some people can struggle with a frozen shoulder for a long time before deciding to seek expert help. While if often starts as a mild ache, sharp, sudden movements can be incredibly painful. A frozen shoulder will eventually resolve itself, but this may take up to 18 months. Many people prefer to more proactive in their treatment, and Mr Manning can provide a cortisone injection into the joint or manipulation under anaesthetic to resolve the problem.

Arthritis in the elbow or shoulder

A degenerative disease, arthritis in the shoulder can limit movement and function in the shoulder. As arthritis progresses, pain in the joint becomes much worse. Mr Manning will assess the extent of your arthritis and then talk with you through the different options available to you.

Arthroscopic Surgery

Traditional “open" surgery involves making a cut (or cuts) into the skin to access the affected area. Arthroscopic surgery is a form of keyhole surgery and involves making much smaller cuts. Using small surgical instruments, Mr Manning is able to carry out minimally-invasive investigations and surgical repair inside the shoulder and elbow joint. Recovery times can be significantly reduced using this approach.

Shoulder or elbow replacement

As a result of extensive damage to the joint, usually the result of advanced arthritis, Mr Manning may recommend you have a shoulder or elbow replacement to get you out of chronic pain and to give you back free movement in the joint.

Sports injuries

From a fractured clavicle as a result of a high-impact tackle in rugby through to tendon damage from playing tennis, sports injuries in the shoulder and elbow are all too common. Whether you are an elite athlete or a weekend enthusiast, Mr Manning can help get you out of pain and back to better health again.

Tennis/Golfer's Elbow

Despite their names, you don’t need to be a golfer of tennis player to suffer from either of these conditions. They both cause pain in the elbow and are usually caused by overusing the muscles and tendons in the forearm. Good treatments are available, and Mr Manning will talk you through your options at your consultation.

Private Clinics are held at BMI The Park Hospital every Wednesday between 8:30am – 12:30pm

Call 0115 871 8988 to book an appointment

Guide prices* are given below for your reference.

New patient consultation – £200

Follow-up consultation – £125

*Due to the nature of medical treatment, the exact price of treatment will depend on a range of factors. You will always be provided with a written fixed price before being admitted for treatment.

Consultant Trauma and Orthopaedic Surgeon, The Nottingham University Hospitals

Special clinical interests

All musculoskeletal (MSK) conditions of the shoulder and elbow, including:

– Sports injuries of the shoulder and elbow

– Soft tissue injuries of the shoulder and elbow

– Acute injuries of the shoulder and elbow

– Degenerative conditions of the shoulder and elbow

– Shoulder joint instability

How do I find out the cost of my treatment?

If you are a self-pay patient, then the fees for your treatment or surgery will be discussed with you individually and a detailed quote prepared for you. If you would like an estimate of the likely costs of surgery, please call the hospital on 0115 871 8988 and a member of the team will be happy to discuss this further with you.

Before You Arrive - Pre-assessment

Following your initial consultation, Mr Manning may recommend that you require surgery. Once you have agreed an operation date, you may receive a health questionnaire, if you have not completed one already. Please complete this as soon as possible after receipt and return it to the hospital.

When the hospital receives your completed health questionnaire, the nursing staff will review it and, in some cases, they may decide that a further assessment needs to be completed, either by telephone or in person, prior to your scheduled operation. Should a further assessment be required, a member of the team will contact you to arrange this at your convenience.

What should I bring for an overnight stay?

Toiletries such as:

Hairbrush, comb and shampoo

Toiletries

Nightwear

Underwear

Slippers (preferably non slip)

Some casual, loose fitting clothing to wear during the day

Dressing gown

Do I need a referral from my GP?

Depending on your private health insurer, you may need a GP referral to claim on your insurance. In the first instance, I would advise you contact your private healthcare insurer for further information.

Can I use a credit or debit card to pay?

Yes, payment by credit or debit card can be made by telephone prior to your admission.

Can I visit the hospital before my stay?

If you would like to visit the hospital before your admission please feel free to call the hospital and the staff will be delighted to arrange a suitable time to meet you and show you around the hospital.

Can I smoke at the hospital?

Smoking is prohibited within the hospital premises.

Coming into hospital is always an opportunity to consider giving up smoking, it may be useful to discuss nicotine replacement therapy with your GP and/or pharmacist prior to your admission.

Can I access the internet during my stay?

Yes, internet services are available throughout the hospital for patients and visitors.

Each inpatient room offers access to music, television, films and the internet.

Professional profile

Mr Paul Manning is a Consultant Shoulder and Elbow Surgeon. Upon graduating from the University of Nottingham, Mr Manning trained as an orthopaedic surgeon at both the Harlow Wood Orthopaedic Hospital and Nottingham University Hospitals NHS Trust.

He was appointed as a Consultant Orthopaedic Surgeon at Nottingham University Hospitals in 2004. He is the senior surgeon at the Nottingham Shoulder and Elbow Unit, which has both a national and international reputation.

Mr Manning’s expertise has been recognised by his peers many times and he has been a recipient of the prestigious Lipmann-Kessel prize from the British Elbow and Shoulder Society (BESS) at their Annual Scientific Meeting. He continues to be heavily involved in the further education and professional development of doctors.

He is the Director of Hospitals and Responsible Officer for Circle Health UK.

Qualifications and training

Qualifications:
BMedSci 1990
BM BS 1992
DM 2003

FRCS 1996
FRCS (Tr&Orth) 2003

Additional training:
Surgical Fellowship at the Derby Royal Infirmary

GMC registration: 3583753

Professional bodies (positions held)
Training Programme Director, Health Education East Midlands 2007 – 2016
Deputy Head of the School of Surgery, Health Education East Midlands 2012
Chairman of the Training Programme Directors’ Forum of the British Orthopaedic Association 2012 – 2015

Affiliations/memberships
Member of the British Medical Association

Member of the British Orthopaedic Research Society (BORS)

Fellow of the English Royal College of Surgeons (Tr&Orth)

Member of the British Orthopaedic Association (BOA)

Member/Council Member of the British Elbow and Shoulder Society (BESS)

Treatments offered

Rotator cuff tear

Describes a tear in the group of muscles and tendons that surround the shoulder joint and help to keep it stable. Causes include trauma, such as a fall onto the shoulder, or age-related wear and tear. Surgical repair may be needed for more significant tears.

Tear in long head of biceps

Characterised by a sharp pain in the biceps, often becoming worse when the arm is lifted overhead. Tears can range from mild to complete rupture, and treatment will depend on the extent of the damage. Surgical repair may be needed.

Tear of labrum

The labrum is a ring of cartilage attached to the edge of the shoulder socket. A tear can occur as a result of trauma or age-related wear and tear. While surgery may not be required for a smaller tear, it may be needed for a larger one.

Shoulder Impingement

Pain or weakness in your arm can sometimes be caused by a tendon in your shoulder rubbing or catching on a nearby bone. This is known as shoulder impingement. While rest, painkillers and specific exercises can often help relieve pain, surgery may be needed in more severe cases.

Elbow/shoulder stiffness

While most of us will experience stiff joints from time to time (often a result of being more active than normal), longer-term or worsening stiffness in the shoulder or elbow should always be investigated. Mr Manning will diagnose the cause of the stiffness then talk with you through any suitable treatment options where indicated.

Acromioclavicular (AC) Joint pain

Located at the top of the shoulder, the AC joint is formed where the acromion (part of the shoulder blade) meets the clavicle (collarbone). Pain in this joint can be caused by trauma or degenerative changes. Mr Manning will assess the cause of your pain and then talk through any treatment options with you at your consultation.

Shoulder or elbow instability

Both the shoulder and elbow joints provides an incredible level of movement and rotation. Where injury or disease affects the stability of the joint, there can be a loss of movement and function, significantly affecting our ability to carry out our normal activities. Surgery will sometimes be needed to stabilise the joint adequately.

Frozen Shoulder

Used to describe a stiff or painful shoulder, some people can struggle with a frozen shoulder for a long time before deciding to seek expert help. While if often starts as a mild ache, sharp, sudden movements can be incredibly painful. A frozen shoulder will eventually resolve itself, but this may take up to 18 months. Many people prefer to more proactive in their treatment, and Mr Manning can provide a cortisone injection into the joint or manipulation under anaesthetic to resolve the problem.

Arthritis in the elbow or shoulder

A degenerative disease, arthritis in the shoulder can limit movement and function in the shoulder. As arthritis progresses, pain in the joint becomes much worse. Mr Manning will assess the extent of your arthritis and then talk with you through the different options available to you.

Arthroscopic Surgery

Traditional “open" surgery involves making a cut (or cuts) into the skin to access the affected area. Arthroscopic surgery is a form of keyhole surgery and involves making much smaller cuts. Using small surgical instruments, Mr Manning is able to carry out minimally-invasive investigations and surgical repair inside the shoulder and elbow joint. Recovery times can be significantly reduced using this approach.

Shoulder or elbow replacement

As a result of extensive damage to the joint, usually the result of advanced arthritis, Mr Manning may recommend you have a shoulder or elbow replacement to get you out of chronic pain and to give you back free movement in the joint.

Sports injuries

From a fractured clavicle as a result of a high-impact tackle in rugby through to tendon damage from playing tennis, sports injuries in the shoulder and elbow are all too common. Whether you are an elite athlete or a weekend enthusiast, Mr Manning can help get you out of pain and back to better health again.

Tennis/Golfer's Elbow

Despite their names, you don’t need to be a golfer of tennis player to suffer from either of these conditions. They both cause pain in the elbow and are usually caused by overusing the muscles and tendons in the forearm. Good treatments are available, and Mr Manning will talk you through your options at your consultation.

Full information on clinics

Private Clinics are held at BMI The Park Hospital every Wednesday between 8:30am – 12:30pm

Call 0115 871 8988 to book an appointment

Pricing

Guide prices* are given below for your reference.

New patient consultation – £200

Follow-up consultation – £125

*Due to the nature of medical treatment, the exact price of treatment will depend on a range of factors. You will always be provided with a written fixed price before being admitted for treatment.

NHS position

Consultant Trauma and Orthopaedic Surgeon, The Nottingham University Hospitals

Special clinical interests

All musculoskeletal (MSK) conditions of the shoulder and elbow, including:

– Sports injuries of the shoulder and elbow

– Soft tissue injuries of the shoulder and elbow

– Acute injuries of the shoulder and elbow

– Degenerative conditions of the shoulder and elbow

– Shoulder joint instability

FAQs

How do I find out the cost of my treatment?

If you are a self-pay patient, then the fees for your treatment or surgery will be discussed with you individually and a detailed quote prepared for you. If you would like an estimate of the likely costs of surgery, please call the hospital on 0115 871 8988 and a member of the team will be happy to discuss this further with you.

Before You Arrive – Pre-assessment

Following your initial consultation, Mr Manning may recommend that you require surgery. Once you have agreed an operation date, you may receive a health questionnaire, if you have not completed one already. Please complete this as soon as possible after receipt and return it to the hospital.

When the hospital receives your completed health questionnaire, the nursing staff will review it and, in some cases, they may decide that a further assessment needs to be completed, either by telephone or in person, prior to your scheduled operation. Should a further assessment be required, a member of the team will contact you to arrange this at your convenience.

What should I bring for an overnight stay?

Toiletries such as:

Hairbrush, comb and shampoo

Toiletries

Nightwear

Underwear

Slippers (preferably non slip)

Some casual, loose fitting clothing to wear during the day

Dressing gown

Do I need a referral from my GP?

Depending on your private health insurer, you may need a GP referral to claim on your insurance. In the first instance, I would advise you contact your private healthcare insurer for further information.

Can I use a credit or debit card to pay?

Yes, payment by credit or debit card can be made by telephone prior to your admission.

Can I visit the hospital before my stay?

If you would like to visit the hospital before your admission please feel free to call the hospital and the staff will be delighted to arrange a suitable time to meet you and show you around the hospital.

Can I smoke at the hospital?

Smoking is prohibited within the hospital premises.

Coming into hospital is always an opportunity to consider giving up smoking, it may be useful to discuss nicotine replacement therapy with your GP and/or pharmacist prior to your admission.

Can I access the internet during my stay?

Yes, internet services are available throughout the hospital for patients and visitors.

Each inpatient room offers access to music, television, films and the internet.

Fast track your treatment with Mr Paul Manning (24 hour response time)

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