At Theralife Clinics, we specialise in low-dose radiotherapy for benign conditions, including osteoarthritis, plantar fasciitis, tendonitis, bursitis, Dupuytren’s contracture, and Ledderhose disease. While the treatment approach is similar across these conditions, the decision of whether and when to treat is highly individual.
This article explains what happens during your initial consultation, what questions you may be asked, how your doctor may examine you, and how we determine whether radiotherapy is appropriate for you.
Before You Attend Your Appointment
Ahead of your visit, you will be asked to complete a short questionnaire. This allows your consultation time to be focused on understanding your symptoms, your condition, and your priorities rather than gathering basic background information.
What we’re most interested in are:
- How the problem began and how it has changed over time
- Whether it’s hurting, feeling tight or stiff, or making it hard to do things
- Whether you have other conditions that we need to know about
Symptoms We Pay Close Attention To
Different people deal with benign musculoskeletal problems in different ways. All of the following are important to know when thinking about radiotherapy treatment:
- Pain in the affected area
- Weakness of the affected area
- Tightness, pulling sensations, or stiffness
- Not being able to do normal movement or flexibility anymore
- Swelling or lumps – for instance, on the joints, the tendons, or on the palms or soles
Different people worry about different things: pain, function, and what might happen in the future. All of these worries are reasonable and play a role in the decision-making process.
Why We Ask About Lifestyle and Medical History
We will ask you questions to find out what things that you are doing (or not doing) may make the condition better or worse. We are also interested in how the condition is affecting your normal daily activities, hobbies and work activities.
You may be asked about:
- Smoking or drinking
- Diabetes or other medical conditions
- History of such conditions in the family
- Past injuries
- Medical or surgical procedures to the affected areas
We will also discuss work and leisure activities – mainly to find out what the condition is interfering with, but also, there may be some things that would be useful to modify to stop the condition from getting worse. This may include:
- The type of exercise that you do
- Using vibrating tools or machines
- Manual type jobs
- Sports and fitness activities
- Things that need specialist hand function, like playing a musical instrument
These questions help us understand how your body is put to use every day and how significant some of your movements or activities are to you as an individual.
Patients With Specialist or High-Demand Use
For some individuals, even small changes in function can have a significant impact. This includes musicians, sportspersons, tradespeople, and those whose job or hobby requires accuracy or repetition of movement.
For these people, early intervention can be taken to maintain function and avoid further deterioration as part of a proactive strategy to maintain long-term mobility and performance.
Figuring Out How Your Condition Has Progressed
We’ll want to know when you first started feeling unwell and how things have changed since then. It is normal for people not to always remember exact dates and times. We’re not looking for exact dates, but for patterns that show up over time.
Besides that, we’ll ask if you’ve had:
- Steroid or other injections
- Shockwave or needling treatments
- Surgery to the affected area
- Previous radiotherapy treatment
This helps you figure out what options you have right now and what might work best in the future.
What Happens During the Physical Exam
The test is thorough and well-planned. We will look at your areas in several different ways to look at:
- Movement and flexibility
- Areas of thickening, tenderness, or swelling
- Ability to fully straighten or bend the affected joint
Careful examination helps detect the areas that are affected and to what extent. Every test is specific to the person and the condition under assessment.
Clinical Photographs and Ongoing Monitoring
We may take pictures of the affected areas. These offer us:
- A clear starting point
- Peace of mind if things stay the same
- A fair way to look at how things have changed over time
This helps many people, especially if we choose to observe them rather than treat them right away.
When You Shouldn't Get Radiotherapy
Radiotherapy does not aim at undoing the structural damage or permanent deformities that have already been advanced. Other treatment methods can be better in situations where there is already serious joint destruction or a permanent contracture.
When You Shouldn't Get Radiotherapy
Radiotherapy does not aim at undoing the structural damage or permanent deformities that have already been advanced. Other treatment methods can be better in situations where there is already serious joint destruction or a permanent contracture.
If radiotherapy is not appropriate for your case, we will state the reason and provide alternative management options, including the need to refer you to other specialists.
When Radiotherapy Can Be Beneficial
Depending on the particular condition, low-dose radiotherapy is most effective when:
- Structural changes are still limited
- Symptoms are affecting comfort or function
- The condition is early or actively progressing
Used at the right time, radiotherapy can reduce inflammation, relieve pain, and slow or stabilise disease progression in the conditions treated at Theralife Clinics.
What the Treatment Process Looks Like
If radiotherapy is recommended, we will take time to explain:
- The goals of treatment
- Possible side effects
- Expected benefits
You will be asked to sign a consent form, and the treatment area will be carefully planned and marked. Treatment is delivered in two short courses:
- Five or six sessions over one or two weeks
- A break of approximately three months
- A second week of five or six treatments
Each session takes around 10 minutes. The treatment itself is painless and does not make you radioactive.
Side Effects and Safety
Most patients tolerate low-dose radiotherapy very well. Some short-term effects could be:
- A temporary increase in the pain
- Being red or dry on the skin
This feels like a light sunburn and goes away on its own in a couple of weeks. Some long-term effects are:
- Small changes to the skin
- Skin that stays dry (about 20% of cases)
The chance of getting skin cancer from radiation is very small, and it’s a lot smaller than the chance of getting skin cancer from being in the sun every day.
Follow-Up
Progress is usually reviewed around three months after treatment, often with a follow-up questionnaire. The full benefit of treatment may continue to develop for up to a year. Patients are always welcome to return for in-person review if needed.
Final Thoughts
At Theralife Clinics, treatment is based on timing, clinical opinion, and each person’s needs.
Some patients attend early, motivated by understandable concerns about the future. Others arrive later, when radiotherapy is no longer the best option. Our job is to help you make those choices, whether that means getting treatment right away, keeping a close eye on things, or finding another option.
Experience matters when managing benign conditions. Above all, we aim to ensure that every recommendation is made with care, clarity, and your long-term well-being in mind.