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Dislocation of Kneecaps – A Simple Solution

12/04/2021 Specialists

By Dr Philip Dupre - Orthopaedic Surgeon

This condition invariably presents in adoles­cence and mainly affects girls. The first disloca­tion usually occurs with a twisting movement while the knee is in slight flexion. Reduction is often spontaneous so diagnosis of what has happened may not be obvious.

There is always tenderness medial to the patella where the capsule has been torn and severe apprehension is demonstrated if the patella is gently pushed laterally while flexing the knee. (Apprehension test).

Following the initial dislocation, recurrence is common, because the medial patello-femoral ligament and capsule have been torn and stretched. Physiotherapy is usually arranged initially in order to strengthen the medial quadri­ceps muscle. Operative correction is required if the problem becomes recurrent and fails to re­spond to conservative measures.

The aim of surgery is to tighten the medial cap­sule and release the lateral. More severe cases may require realignment of the patellar tendon.

An alternative to operative treatment is to con­tract and strengthen the medial capsule and patello-femoral ligament by injecting a mixture of 50% glucose solution mixed with local anaes­thetic in equal parts. This has the effect of causing an inflammatory reaction which con­tracts and thickens connective tissues.

The technique is to infiltrate 3mls. of this mix­ture into the medial patello-femoral ligament which lies supero-medial to the patella. Symptomatic improvement is usually noticed about a week later and repeat injections may be necessary at 3 to 4 week intervals which will give successive improvement.

About 3 to 4 injections are usually required over the next few weeks or months to give complete stability and symptomatic relief.

In older patients with patello-femoral pain, the same principle applies if skyline x-rays of the patella show lateral shift or malalignment.

14/02/2020 Specialists

Over the past two weeks, we have welcomed two new specialists to our Health Hub Doctors Morayfield team.

Dr Akshay Mishra - Cardiologist

Dr Mishra completed his MBBS and MD at the Armed Forces Medical College, India and served in the Indian Army for ten years, two of which were with the Special Forces.

Upon moving to Australia, Dr Mishra initially trained at the Canberra Hospital before moving to Queensland where he trained in Cardiology at the Gold Coast and Prince Charles Hospitals. In 2009, Dr Mishra moved to the US to pursue a fellowship in Interventional Cardiology at the Lenox Hill Hospital, New York, where he trained extensively in coronary and peripheral procedures with Dr Gary Roubin. Upon his return to Australia, Akshay continued his training in Canberra before moving to Brisbane to join The Prince Charles Hospital as a Staff Specialist. Akshay also joined Heart Care Partners working part time with them at the Mater Private Hospital, where he established a successful and popular practice. Akshay then chose to consolidate his practice on Brisbane’s northside and started his private practice at the Holy Spirit Northside Private Hospital in 2014 whilst continuing with his public work with The Prince Charles Hospital. He is also a Senior Lecturer with the School of Medicine, University of Queensland.

Areas of Special Interest/Expertise

  • Primary angioplasty for acute myocardial infarction.
  • Complex coronary and peripheral interventions and carotid stenting. CTCA imaging and imaging modalities to evaluate coronary and structural heart disease.

Dr Akshay Mishra consults from Purple rooms 46 and 47 on a monthly basis.

See your GP for a referral.

Dr Roshini D'Souza - Renal Physician







Dr Roshini D’Souza obtained her MBChB from the University of Dundee, Scotland in 2004. She commenced her medical training at the James Cook University Hospital in Middlesborough, UK prior to moving to Australia.

Dr D’Souza completed her basic physician training and the majority of her advanced training at the Princess Alexandra Hospital. This provided her with extensive exposure in general nephrology and renal transplantation.

In addition, Dr D’Souza also completed a year of training at the Royal Brisbane and Women’s Hospital with vast experience in vasculitis and management of CKD patients in the community. Dr D’Souza received her FRACP in 2013.

Her special interests are in Chronic Kidney Disease, Acute Kidney Injury in the ICU setting, Renal anaemia, Bone Mineral complications of Chronic Kidney Disease, Resistant Hypertension, Renal replacement therapy and renal transplantation.

Dr D’Souza is dedicated to providing a renal consulting service within the hospital. She strives to achieve the best outcomes for her patients with a focus on evidence based medicine.

Dr Roshini D'Souza consults fortnightly on Mondays

See your GP for a referral.

Our specialist Oncologist Dr Sharon Heng talks about travelling with cancer.

Travel for patients with cancer has become more achievable because of gains in quality of life and overall survival. The risk assessment of these patients is complex, and there is a paucity of data to which clinicians can refer. We present the challenges of traveling with cancer and a review of the literature.

A review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed. A search using the terms ”cancer,” “advanced cancer,” ”metastases,” “brain edema,” “lymphoedema,” “pneumothorax,” ”pleural effusion,” “pericardial effusion,” pneumonitis,” “hypoxia,” “end-of-life,” and “shunt,” combined with “flying” and “air travel,” was conducted. The PubMed and Cochrane databases were searched for English-language studies up to December 2018. Studies, case reports, or guidelines referring to travel in the context of adult patients with malignancies were included. A total of 745 published articles were identified; 16 studies were included. An inclusive approach to data extraction was used.

There were no specific criteria to deem a patient with cancer fit to travel. Neurologic, respiratory, and cardiac implications, and time from recent surgery or procedure need to be considered There was a lack of high-quality studies to inform decisions, but the British Thoracic Society and Aerospace Medical Association Medical Guidelines included recommendations for fitness to fly for patients with cancer.

In the absence of large prospective studies, individual fitness to travel should be assessed on a case-by-case basis, bearing in mind that maximizing a patient’s ability to safely travel is an important goal for many individuals with cancer.

To read the article in full, please visit https://ascopubs.org/doi/full/10.1200/JGO.19.00029

To book an appointment with Dr Sharon Heng, please call (07) 3859 0690

25/03/2019 Specialists

Here at Health Hub Doctors, our musculoskeletal specialist Dr Scott Masters is here to assist you with the management of spinal, shoulder, hip and knee pain.


Dr Scott Masters graduated from the University of Queensland and has post-graduate qualifications in musculoskeletal and sports medicine. He has a strong interest in the management of spinal pain, shoulder, hip and knee pain. He is also interested in work injuries and optimising return to work.

Dr Masters utilises an interdisciplinary and holistic approach. This includes a variety of injection techniques to assist pain management.

He is committed to educating patients about their health conditions so that they have a full understanding of the nature of their symptoms and management options. He is passionate about improving the management of spinal and musculoskeletal conditions by travelling to present research, educate professionals and keep up to date with management trends.


Dr Scott Masters is available for appointments at Health Hub Doctors fortnightly on Fridays.

To book an appointment with Dr Scott Masters or for more information, please call Health Hub Doctors reception on 5322 4900.

22/03/2019 Specialists

Dr Sonia Anwar is an Australian trained Obstetrician and Gynaecologist that will be soon providing services at Health Hub Doctors Morayfield.

Dr Anwar is pleased to provide gynaecology services for women in all areas with special interest in endometriosis, infertility and management of pelvic organ prolapse.

Her expertise includes:

  • General Gynaecology
  • Abnormal periods
  • Contraception/IUD insertion
  • Menopause
  • Endometriosis
  • Cervical screening and Colposcopy
  • Pelvic Organ Prolapse
  • Laparoscopic surgery
  • Hysteroscopic surgery

Dr Anwar is a highly skilled and competent physician, offering over 8 years of experience in all aspects of women’s health. She underwent early medical education at a premier Institute in Pakistan. After arriving in Australia in 2008 she has worked at multiple tertiary institutes in Sydney and Newcastle which gave her a wide scope of experience and knowledge. Dr Anwar completed her specialist qualification with the Royal Australian College of the Obstetricians and Gynaecologists in Queensland. She underwent training at Royal Brisbane and Women’s Hospital, Bundaberg Base Hospital and Redcliffe Hospital. She is currently working as a specialist at Redcliffe Hospital. Dr Anwar has special interest in reproductive health and completed a Post Graduate degree in Reproductive Medicine from UNSW.

Sonia is passionate about women’s health. She believes in good communication and to provide best possible evidence base care for her patients.  As a woman she understands their needs, privacy and expectations. She is experienced, knowledgeable and very capable with wide scope of experience working with women of diverse cultural backgrounds. She can fluently speak Urdu, Hindi and Punjabi. Outside of work Sonia love spending time with her young family, gardening and long walks.

04/03/2019 Specialists

Dr Padmini Menon is a Medical Oncologist that will be providing services at Health Hub Doctors Morayfield from Friday 8th March.

Dr Menon will be available for consultations fortnightly on Fridays.

Dr Menon was born and raised in India. She undertook her tertiary studies at the University of Calicut, obtaining a Bachelor of Science, a Bachelor of Medicine and a Bachelor of Surgery. After completing three years of Basic Physician Training in hospitals throughout Victoria and Queensland, she was selected into the Royal Australasian College of Physicians (RACP); after successful completion of the RACP Fellowship examination in Medical Oncology and Palliative Medicine. She underwent five years of supervised training at the Princess Alexandra Hospital, Royal Brisbane and Women’s Hospital, Gold Coast University Hospital, St Vincent’s Private Hospital, the Redcliffe Hospital, and the Tweed Heads Hospital.

Throughout her career Dr Menon has been actively involved in the training of medical students and medical trainees. In 2015 she was made Associate Lecturer at Griffith University, in recognition of her involvement in medical education and research. In 2016 she was awarded Lecturer at the University of Queensland School of Medicine. She maintains an active involvement in research and has presented her work at several local and international conferences. She also participates in GP education forums.

Dr Menon manages all tumour streams, however has a special interest in gastrointestinal, hepatobiliary, and head and neck cancers. She also has completed her training in Palliative Medicine and provides holistic
cancer care to her patients.

To book a consultation with Dr Padmini Menon, call 07 3859 0690.

22/02/2019 Specialists

Dr Heng is a dual-trained Medical Oncologist and Palliative Care Physician who will soon be providing services at Health Hub Doctors Morayfield.

With a focus on the most up-to-date treatment, she aims to provide compassionate patient-centred cancer care services to the growing Moreton Bay region.

Dr Heng takes a collaborative approach to patient care, working closely with surgeons, radiation oncologists, general practitioners and other members of the medical community to ensure patients receive comprehensive personalised care and treatment through all stages of their cancer journey.

Dr Heng has a broad range of experience in solid cancers with special clinical interest in lung, breast, gastro-intestinal and gynaecological cancers.



  • Fellow of the Royal Australasian College of Physicians (FRACP) in Medical Oncology, 2017
  • Fellow of the Australasian Chapter of Palliative Medicine (FAChPM), 2018
  • Doctor of Medicine (MD), Universiti Putra Malaysia, 2007


Clinical Trials and Research

Dr Heng actively participates in clinical trials, has presented research at both national and international conferences and has had research published in internationally recognised medical journals.


Clinical Experience

Dr Heng undertook physician and advanced training in medical oncology and palliative care in major hospitals throughout South East Queensland including the Royal Brisbane and Women's Hospital, Princess Alexandra Hospital, Gold Coast University Hospital and Mater Hospital Brisbane. Upon completion of her advanced training, she consulted in Gold Coast University Hospital before founding Moreton Bay Cancer Care.


Professional Memberships

  • Medical Oncology Group of Australia (MOGA)
  • European Society for Medical Oncology (ESMO)
  • American Society of Clinical Oncology (ASCO)
  • Australasian Lung Cancer Trials Group (ALTG)
  • Australasian Gastro-intestinal Trials Group (AGITG)
  • Australian and New Zealand Urological and Prostate Cancer Clinical Trials Group (ANZUP)



18/02/2019 Specialists

Dr Kavin Nanda is a Gastroenterologist and therapeutic endoscopist that is now offering services here at Health Hub Doctors Morayfield on a monthly basis.

After graduating with honours from the National University of Ireland, Dr Kavin completed Internal Medicine and Gastroenterology training in Dublin, Ireland. He then undertook subspecialty training in inflammatory bowel disease at BIDMC in Boston, USA.

In 2012 he moved to Australia to undertake training in therapeutic endoscopy at the world renowned Westmead Hospital Endoscopy unit in Sydney. He moved to QLD in 2014. He has both a public appointment at two Brisbane tertiary hospitals and practices privately in the city. Dr Kavin is also an associate with the open access endoscopy group Gastrointestinal Endoscopy (GIE).

Dr Kavin was awarded Doctorate in Medicine (MD) from University College, Dublin 2011 and is the author of over 20 publications in the field of inflammatory bowel disease and therapeutic endoscopy.

Dr Kavin Nanda’s areas of interest include:

  • Open access endoscopy
  • Inflammatory bowel disease
  • Colorectal cancer screening, quality measures in colonoscopy
  • Diseases of the pancreas and biliary tree
  • Functional bowel disorders/ coeliac disease

To make an appointment with Dr Kavin Nanda, please call 07 3554 0282

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