London NHS Dance Injury Clinic

Royal National Orthopaedic Hospital (RNOH) 

Bolsover Street, London W1W 5AQ and Brockley Hill, Stanmore, Middlesex HA7 4LP 

Founded in partnership with NIDMS and One Dance UK

Download referral information as PDF

How can I get an appointment?

  • You must first visit your GP, explain your injury concern and that you are a dancer, teacher, or choreographer and would benefit from dance-specialist treatment. Your GP will refer you to your chosen NHS Dance Injury clinic using the information below. 

  • Please print this information (pdf above) or show this information on your phone during your GP appointment to help them make the referral.

  • Please note this service is a Secondary service, not Tertiary. Due to this service being an NHS service it is free at the point of use and as an NHS patient it is your legal right to choose where you would like to be referred

Referral options/details

From 1st October 2018, all GP referrals are now done electronically through the e-Referral System (e-RS).

Dr Wolman’s Sports and Dance clinics are available on e-RS as follows:

 

  • Specialty – Sports & Exercise Medicine

  • Clinic types – Exercise Medicine/non-surgical/soft tissue injury/sport medicine

 

GPs, who are not familiar with the clinic, can search the electronic address using the key terms “Dr Roger Wolman” and “Royal National Orthopaedic Hospital” 

Referrals can also be made by Consultants and Medical Specialists from other hospitals. These can be done via letter, fax or email.

Secretaries names, emails and phone numbers

Laura Park and Pauline Lenihan

020 3947 0044.

rnoh.rheumatologyadmin@nhs.net

Additional useful phone numbers

Changing or confirming physiotherapy appointments –

0208 909 5820/5519 or Therapies.admin@nhs.net

Full postal details:

Dr Roger Wolman, Consultant Rheumatologist, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, HA7 4LP

What to expect at your first appointment

You will be sent a letter and also a text with the date/time/location of your first appointment. If you cannot make this appointment please cancel and re-schedule the appointment giving as much notice as possible. The slot can then be used for another patient on the waiting list.

To cancel or reschedule an appointment phone: 020 3947 0044

 

The 1st appointment usually takes between 30 - 45 minutes and  you will be seen by either Dr Wolman (Consultant in Sport and Exercise Medicine (SEM)), his trainee registrar (in their final year of SEM training) or Caroline Jubb (Specialist Dance Physiotherapist).  Every patient is discussed with Dr Wolman either during or at the end of the clinic.

What to expect after your first appointment 

 

Further investigations (where required)

These can include the following:-

  • Xrays - Can be performed on the lower ground floor at Bolsover Street and will usually be performed on the same day, the consultant will advise you.

  • Blood Tests - are performed on the 1st floor of Bolsover Street and will usually be performed on the same day, again the consultant will advise you.

  • MRI/MRA/Injections/CT scans/Ultrasound scans - Are normally performed at Stanmore on the consultant’s request. They can take up to a few weeks to organise. You will receive a letter/phone call with the time/date and location of the test. Once you have received this appointment YOU MUST arrange a follow up appointment in clinic, a minimum of 3 weeks after your scheduled investigation to ensure that it has been fully reported. Please arrange this appointment as soon as you know the date of the investigation otherwise there might be further delays.

 

To arrange a follow up appointment in clinic phone: 020 3947 0044

 

Follow up appointment

After your first appointment you will be asked to take a form to the reception desk to make a follow up appointment. This is to ensure that you have a pre-arranged appointment to follow up with the consultant where you can review progress made in your rehabilitation without having to go back to your GP to start the referral process from scratch, particularly helpful if you need further treatment.

If you cannot or do not want to attend your follow up appointment, for whatever reason, PLEASE CANCEL IT! Missed appointments mean that other dancers have to wait longer to be seen.

 

To cancel or reschedule an appointment phone: 020 3947 0044

 

Results

Xrays - Will be discussed during the clinic appointment.

Blood tests - You will only hear from the doctor if there is a problem with your blood test. They will be discussed at your next clinic appointment.

MRI and other scans/MRA/Injection - will be discussed in a follow up appointment with the Doctor/Consultant 3 weeks after the scan/injection has been performed. It is your responsibility to book this follow up appointment once you know the date of your test/investigation.

 

Treatment – Physiotherapy

If you are referred for Physiotherapy at the RNOH please expect a letter with the time/date/location within 6 weeks of your clinic appointment. If you cannot make this appointment please cancel and re-schedule the appointment giving as much notice as possible.

To cancel or reschedule a physiotherapy appointment phone: 0208 909 5820/5519 or email: Therapies.admin@nhs.net

If you have any problems or questions regarding your referral please contact the NIDMS Manager on: 020 7713 0730 or manager@nidms.co.uk 

"The service was very good and it was clear to me that the doctors were experienced in the field. It was very important for me to be able to talk about my injury with them and assess how to go ahead"

- Igor Urzelai, Dance Artist. 

About the RNOH clinic

The clinic was set up in 2012 and has gradually expanded since then. It is run by Dr Wolman, Consultant in Sport and Exercise Medicine with support from Caroline Jubb, Specialist Dance Physiotherapist. Trainee Drs in SEM and in Rheumatology also attend the clinic. There is support from the Orthotics/Podiatry department and from a comprehensive X/ray and imaging department.

 

The clinic is also support by orthopaedic surgeons for the 5% of dancers that may require surgery. This includes Mr Nick Cullen and his team from the Foot and Ankle Unit, Mr Jonathan Miles and Mr Tahir Khan and their teams from the Hip and Knee Unit, Deborah Higgs and her team from the Shoulder and Elbow Unit and Mr Jan Lehovsky and Robert Lee from the Spinal Surgical Unit.  For those dancers requiring emotional support while recovering from their injury we are able to work with the Psychology department within the hospital.

The clinic sees approximately 160 dancers with new injuries each year and we now have experience of treating over 1000 dancers. Most of the injuries we see have been present for some time. Our objective is to make an early, accurate diagnosis which includes understanding how the injury occurred. We are then able to put a treatment plan in place which may require a period of relative rest with a graded exercise programme followed by a specific programme to get the dancer back to full activity. We see very few dancers with acute injuries as these are usually seen initially in an Accident and Emergency Unit and then passed on to the Orthopaedic team in the same hospital.  We are very pleased to continue the rehabilitation of these dancers once their acute injury has been addressed. We can do this in collaboration with the acute hospital.

Dance Therapy Department

The dancer is assessed and treated holistically by our Dance Specialist Physiotherapist, Caroline Jubb. The rehabilitation journey begins from their initial diagnosis, through to the final stages of their rehabilitation, ensuring they are both physically and mentally prepared to return to dance. A range of physiotherapy techniques are used such as:

  • Manipulation

  • Massage

  • Mobilisations

  • Acupuncture

  • Pilates

  • Gait and dance technique modification

  • Muscle patterning and retraining

  • Graded exercise progression specific to dance

  • Pacing

  • Injury prevention

We can communicate directly with the dancer’s school or company (with their consent) empowering them with knowledge regarding the injury to ensure a safe and effective return to dance.

Meet the team

Dr Roger Wolman MD (Res) FRCP FFSEM

Consultant in Rheumatology and SEM.  

Medical advisor to Dance UK

Dr Roger Wolman MD (res) FRCP FFSEM is a consultant in Rheumatology and SEM. He has worked at the Royal National Orthopaedic Hospital since 1994 having previously worked at the British Olympic Medical Centre. During that time he carried out research on bone health the Female athlete Triad (RED-S) which included studying the bone problems that occur in dancers. Since then he has worked with many dance companies and schools including Central School of Ballet, Riverdance, Rambert Dance Company, English National Ballet and Birmingham Royal Ballet. More recently he has focused on the relationship between vitamin D and bone health and muscle function in dancers. 

 

He has been a medical advisor to Dance UK for over 15 years and continues to work as medical advisor to One Dance UK. He is a founding partner of the National Institute of Dance Medicine and Science and as part of that venture set up the NHS Dance clinic at the Royal National Orthopaedic Hospital in 2012. The holistic management of the dancer forms a core principle in the clinic where the emphasis is on non-surgical treatment. There is also a recognition of the importance of psychological factors in the management of injury. Dr Wolman has developed the clinical service to help meet these principles.

Caroline Jubb MSc (Sports and Exs med) MCSP SRP

Dance Specialist Physiotherapist

Caroline Jubb is a specialist dance physiotherapist (ESP) who works with Dr Wolman in the NIDMS (National Institute of Dance Medicine and Science) and RNOH (Royal National orthopaedic Hospital) dance clinic in London. She has worked specifically in dance, and elite sport for over 15 years. In particular, she worked as the company physiotherapist for Rambert Dance Company for a number of years and was key in helping them establish better medical care and rehab for the dancers.

 

Caroline graduate from Liverpool University as a Physiotherapist in 2000 and completed her MSc in Sports and Exercises Medicine in 2007 from Queens Marys University (QMUL) in London. She is particularly interested in analysing biomechanics and alignment to prevent injuries.

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© 2019 National Institute of Dance Medicine and Science

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