Services
Surgical Treatments
Surgery isn’t always the first step, but it can be the most effective when pain, instability, or limited movement interfere with daily life or sport. We offer advanced procedures that support long-term recovery and a confident return to activity.
Arthroscopic ACL Reconstruction
This is a minimally invasive surgery to repair a torn anterior cruciate ligament (ACL) in your knee. Using small cameras and instruments, the damaged ligament is replaced with a healthy tissue graft, usually taken from your own body or a donor.
The surgery restores knee stability, reduces pain, and helps you regain full movement—allowing you to return safely to sports, work, and everyday activities.
Meniscus Repair & Meniscectomy
Meniscus Repair and Meniscectomy are surgical procedures used to treat a torn meniscus — a C-shaped piece of cartilage in the knee that cushions and stabilizes the joint. A meniscus repair involves stitching the torn cartilage back together and is often preferred for younger, active patients or tears with good blood supply. A meniscectomy, on the other hand, involves removing the damaged portion of the meniscus when repair isn't possible. These procedures are typically recommended for individuals experiencing knee pain, swelling, or limited movement due to a meniscus tear, often caused by sports injuries, twisting motions, or age-related wear and tear.
Rotator Cuff Repair (Arthroscopic)
Rotator cuff repair is a surgical procedure used to fix a tear in the group of muscles and tendons that help stabilise and move your shoulder. Using a minimally invasive technique called arthroscopy, Dr Nkosi repairs the torn tendons through small incisions, guided by a camera. This approach allows for a faster recovery, less pain, and minimal scarring compared to open surgery.
 It’s typically recommended for individuals with a rotator cuff tear that hasn’t improved with rest, physiotherapy, or medication — often due to injury, overuse, or age-related wear. If you’re struggling with ongoing shoulder pain, weakness, or difficulty lifting your arm, this procedure may help restore strength, mobility, and quality of life.
Shoulder Stabilisation (Bankart Repair, Latarjet Procedure)
Shoulder stabilization surgery is performed to treat recurrent shoulder dislocations or instability, often caused by injury or repeated strain. Two procedures used are Bankart Repair and the Latarjet Procedure.
Bankart Repair involves reattaching and tightening the torn labrum (the cartilage rim around the shoulder socket) using minimally invasive arthroscopic techniques. The Latarjet Procedure is typically recommended when there is significant bone loss or previous failed surgeries. It involves transferring a piece of bone to the front of the shoulder socket to prevent further dislocations.
These procedures are ideal for active individuals, athletes, or those whose shoulder frequently slips out of place. The goal is to restore stability, reduce the risk of future dislocations, and allow a safe return to physical activity or sport.
Labral Repair (Hip & Shoulder)
Labral repair is a surgical procedure used to treat a tear in the labrum — the ring of cartilage that lines and supports the ball-and-socket joints of the hip and shoulder. The labrum helps keep the joint stable and moving smoothly, but injury, overuse, or structural issues can cause it to tear, leading to pain, clicking, weakness, or limited movement.
Dr Nkosi reattaches the torn labrum to restore stability and reduce discomfort.
This procedure is commonly recommended for active individuals, athletes, or patients who haven’t responded to conservative treatments like rest or physiotherapy.
Cartilage Restoration (Microfracture, OATS, ACI)
Cartilage restoration is a group of advanced surgical techniques used to repair damaged cartilage in joints — most commonly the knee. Cartilage doesn't heal well on its own, so procedures like microfracture, OATS (Osteochondral Autograft Transfer System), and ACI (Autologous Chondrocyte Implantation) are designed to stimulate new cartilage growth and preserve joint function.
These treatments are typically recommended for active patients with localized cartilage damage, often due to injury or wear, who are experiencing joint pain, swelling, or limited movement but are not yet candidates for joint replacement. Dr Nkosi carefully selects the most suitable approach based on the size and location of the damage, aiming to relieve pain, restore smooth movement, and prolong joint health.
Patellar Stabilisation (MPFL Reconstruction)
Patellar stabilisation surgery, specifically MPFL (Medial Patellofemoral Ligament) reconstruction, is performed to treat kneecap instability — when the patella (kneecap) frequently slips out of place or dislocates. The MPFL is the ligament that helps keep the kneecap properly aligned, and when it’s torn or stretched, instability and pain can occur.
During the procedure, Dr Nkosi reconstructs the MPFL using a tendon graft to restore stability and prevent future dislocations. This surgery is often recommended for active individuals, especially young athletes or those with recurrent kneecap dislocations, who haven’t responded to non-surgical treatments like physiotherapy.
Tendon Repairs (Achilles, Quadriceps, Hamstring, Biceps)
Tendon repair surgery is used to fix a torn or ruptured tendon, which can cause significant weakness, pain, and loss of function. Common tendons treated include the Achilles (at the back of the ankle), quadriceps (front of the thigh), hamstring (back of the thigh), and biceps (front of the upper arm). These injuries often result from sudden force, overstretching, or trauma — frequently during sports or physically demanding activities.
Surgical repair involves reattaching the torn tendon to the bone or surrounding tissue to restore strength and movement.
Osteotomies (Realignment procedures for joint preservation)
Osteotomies are surgical procedures used to realign bones around a joint, usually the knee or hip, to relieve pressure on damaged areas and preserve the natural joint for as long as possible. By carefully cutting and repositioning the bone, Dr Nkosi can shift weight away from the worn or injured part of the joint, improving alignment, reducing pain, and slowing the progression of arthritis.
This procedure is often recommended for younger, active patients with early-stage joint degeneration or deformity (such as bow-legged or knock-kneed alignment) who are not yet candidates for joint replacement.
Minimally Invasive Fracture Fixation
Minimally invasive fracture fixation is a surgical technique used to stabilise broken bones using small incisions and specialised instruments. Instead of opening the area fully, Dr Nkosi uses advanced imaging and precise tools to align and secure the fracture with plates, screws, or rods while preserving as much soft tissue as possible.
This approach is ideal for many types of fractures, especially in the limbs, and is designed to reduce pain, minimize scarring, lower the risk of complications, and speed up recovery. It’s often recommended for patients who want a quicker return to movement and function, with less disruption to the surrounding muscles and tissues.
Arthroscopic Debridement / Synovectomy
Arthroscopic debridement and synovectomy are minimally invasive procedures used to treat joint pain and inflammation. Debridement involves removing damaged tissue, loose cartilage, or debris from inside the joint to relieve pain and improve movement. Synovectomy is the removal of inflamed synovial tissue (the lining of the joint) that can cause swelling and discomfort, often due to arthritis or injury.
These procedures are typically recommended for patients experiencing persistent joint pain, swelling, or stiffness that hasn’t improved with conservative treatments. Using small incisions and a camera, Dr Nkosi can precisely target the problem areas, helping to reduce symptoms and improve joint function.
Non-Surgical Treatments
Not every injury needs surgery. We offer evidence-based, non-surgical treatments that support healing, reduce pain, and help you stay active.
Platelet-Rich Plasma (PRP) Therapy
Platelet-Rich Plasma (PRP) Therapy is a treatment that uses a concentrated dose of your own blood’s healing cells to reduce pain and promote tissue repair. It’s often used for tendon injuries or joint pain—especially when rest or rehab alone isn’t enough. PRP can help speed up recovery, reduce inflammation, and support long-term joint health without surgery.
Joint & Tendon Injections (Ultrasound-guided)
Ultrasound-guided injections are a precise, minimally invasive treatment where Dr Nkosi uses real-time ultrasound imaging to accurately deliver medication directly into a joint or around tendons. This technique improves the effectiveness of injections by ensuring the medicine reaches the exact area of pain or inflammation.
These injections commonly contain corticosteroids to reduce inflammation or other substances to promote healing and relieve pain. They are recommended for patients suffering from conditions like arthritis, tendonitis, or bursitis who need targeted relief and want to avoid or delay surgery. The use of ultrasound guidance helps increase safety, comfort, and treatment accuracy.
Viscosupplementation (Hyaluronic Acid)
Viscosupplementation is a treatment for joint pain, especially in the knee, where a gel-like substance called hyaluronic acid is injected into the joint to improve lubrication and cushioning. This helps reduce pain, improve movement, and protect the joint from further wear.
It’s often recommended for patients with mild to moderate osteoarthritis who want to manage symptoms and delay more invasive treatments like surgery. The procedure is minimally invasive and can provide relief lasting several months.
Sports Injury Rehabilitation Planning
Sports injury rehabilitation planning is a personalised program designed to guide your recovery after an injury, helping you safely regain strength, flexibility, and function. Dr Nkosi collaborates with physiotherapists and other specialists to create a step-by-step plan tailored to your specific injury, sport, and goals.
This planning is ideal for athletes and active individuals recovering from injuries like ligament tears, fractures, or muscle strains. The goal is to support a safe return to your sport or activity while minimizing the risk of re-injury and optimizing long-term joint health.
Return-to-Play Assessments
Return-to-play assessments are comprehensive evaluations that help determine when an athlete or active individual is ready to safely resume sports or physical activities after an injury. Dr Nkosi uses functional assessments to ensure the injured area has healed properly and can handle the demands of your sport.
These assessments are crucial for reducing the risk of re-injury and ensuring confidence in your body’s readiness. They’re typically recommended after injuries like ligament tears, fractures, or surgeries, helping you make a safe, informed return to full activity.
Injury Prevention & Performance Optimisation Programs
Injury prevention and performance optimisation programs are tailored plans designed to help athletes and active individuals reduce the risk of injury while enhancing their strength, flexibility, and overall performance. Dr Nkosi works closely with you and allied health professionals to identify movement weaknesses, correct imbalances, and build resilience through targeted exercises and education.
These programs are ideal for anyone looking to stay healthy, improve athletic performance, or extend their active lifestyle safely — whether you're recovering from an injury or aiming to prevent one before it happens.
Bracing, Orthotics, and Taping Guidance
Bracing, orthotics, and taping guidance involves recommending and fitting supportive devices to help manage pain, improve joint stability, and aid recovery from injuries. Dr Nkosi provides expert advice on when and how to use braces, custom or off-the-shelf orthotic inserts, and therapeutic taping techniques tailored to your specific condition.
Conditions We Treat
We specialise in diagnosing and treating a wide range of musculoskeletal conditions affecting joints, muscles, tendons, and ligaments. Whether you’re dealing with an injury, chronic pain, or movement challenges, our personalised care aims to get you moving comfortably and confidently again.
Knee Conditions
- ACL/PCL/MCL/LCL injuries
- Meniscus tears
- Patellar instability
- Cartilage damage
- Patellar tendinopathy
- Osteoarthritis.
Shoulder Conditions
- Rotator cuff tears
- Dislocations
- Labral tears (SLAP, Bankart)
- AC joint injuries
- Frozen shoulder
- Impingement
- Throwing injuries
Elbow Conditions
- Tennis elbow (lateral epicondylitis)
- Golfer’s elbow (medial epicondylitis)
-Ulnar collateral ligament (UCL) injuries
- Olecranon bursitis
- Elbow instability
- Throwing-related injuries
Foot & Ankle Conditions
- Achilles injuries
- Ankle sprains
- Chronic instability
- Peroneal tendon issues
- Plantar fasciitis
- Osteochondral lesions
- Stress fractures.
Hip & Groin Conditions
- Labral tears
- Femoroacetabular impingement (FAI)
- Sports hernia (athletic pubalgia)
- Hip flexor and adductor strains.
General
- Muscle and tendon ruptures
- bursitis
- Tendinopathy
- Overuse injuries (especially in youth)
- Stress fractures
- Post-traumatic joint pain
