Professor Nima Heidari
Glossary

Plain-English medical terms

Every medical word on this site, explained as if I were talking to an 8-year-old. If a term confuses you, look it up here — it’s probably written more clearly than you’d expect.

Royal College British Orthopaedic AO Trauma Churchill Limb Recon Specialist Reg.

A

Achilles tendon

The big rope-like cord at the back of your ankle. It joins your calf muscle to your heel bone and helps you push off when you walk or run.

Achilles rupture

When the Achilles tendon snaps. It often happens during sport. People say it feels like being kicked at the back of the ankle.

Amputation

An operation to remove part of a leg, foot, or other limb when it can’t be saved. We always try to avoid this if there’s any other way.

Ankle arthroscopy (keyhole surgery)

An operation where the surgeon makes tiny cuts and uses a small camera to look and work inside the ankle. Smaller cuts mean a faster recovery.

Ankle replacement

A surgery to swap a worn-out ankle joint for an artificial one made of metal and plastic. It can stop the pain and let you keep moving the joint.

Ankle fusion

A surgery that joins the ankle bones into one solid piece so they can’t move — and so they can’t hurt. Used when an ankle is badly worn out.

Ankle instability

When the ankle gives way, sometimes after lots of sprains. The ligaments holding it together have stretched out and don’t hold the bones in place properly.

Anaesthetic

Medicine that stops you feeling pain. A general anaesthetic puts you to sleep for an operation. A local anaesthetic just numbs one part of you.

Antibiotic

Medicine that kills germs (bacteria). Used to treat or prevent infections.

Arthritis

When a joint gets sore and stiff because the smooth cushion inside it (cartilage) has worn away. Can happen with age or after an injury.

Arthrodesis (fusion)

Another word for fusion — joining bones together so a worn-out joint stops moving and stops hurting.

Arthroscopy

Keyhole surgery on a joint. The surgeon uses a small camera and tiny tools through small cuts.

Autograft

When a surgeon takes a small piece of bone or tissue from one part of your body and uses it to repair another part.

B

Bone graft

Extra bone added during an operation to help broken bones grow back together. Can come from your own body, a donor, or be man-made.

Bone infection (osteomyelitis)

When germs get inside a bone and cause damage. It can be very serious if not treated, and is one of the main things Professor Heidari is known for treating.

Bone transport

A clever surgery to fill in a missing piece of bone. The surgeon slowly moves a healthy section of bone across the gap, and new bone grows behind it.

Bunion (hallux valgus)

A bony bump on the side of the big toe. The toe leans towards the others and the joint sticks out. It can hurt and make shoes uncomfortable.

C

Cartilage

The smooth slippery layer covering the ends of bones inside a joint. It lets bones glide. When it wears away, the joint hurts.

Charcot foot

A serious problem some people with diabetes get. The bones of the foot quietly weaken and collapse, and the foot changes shape.

Consultation

A meeting with the doctor to talk about your problem. The first one is usually face-to-face; later ones can sometimes be on Zoom.

Cortisone injection (steroid jab)

An injection that calms down swelling and pain inside a joint or tendon. Useful, but not used too often as it can weaken tissue over time.

CT scan

A 3D X-ray that builds a detailed picture of bones from many angles. Better than a normal X-ray for complicated breaks.

D

Debridement

When the surgeon carefully cleans out infected or dead tissue so the rest of the area can heal.

Deformity

When a bone or joint isn’t in the shape it should be — for example, leaning the wrong way or sticking out. We can usually correct this with surgery.

Diabetic foot

Foot problems that happen because diabetes has damaged the nerves and blood vessels in the foot. Cuts and sores can be hard to feel and slow to heal.

E

Exostectomy

A surgery to shave off an extra bony bump on the foot — often used to help a wound or ulcer heal.

External fixator (frame)

A metal frame outside the leg, attached to the bone with pins. Holds bones in the right place while they heal. Used for tricky breaks and reconstructions.

F

Flat foot

When the arch of the foot drops down. Can be there from childhood or appear in adults when a tendon stretches out.

Fracture

A medical word for a broken bone.

Fracture-related infection

An infection that develops around a broken bone or the metalwork holding it together. Needs careful treatment to clear it without losing the limb.

Free flap

When a surgeon takes a piece of healthy skin and muscle from one part of the body, with its own blood vessels, and moves it to cover a wound somewhere else.

Fusion (arthrodesis)

Joining two bones together so the painful joint between them stops moving and stops hurting.

H

Hallux rigidus

When the big toe joint becomes stiff and painful because of arthritis. “Hallux” means big toe, “rigidus” means stiff.

Hammer toe

A toe that bends in the middle so it looks like a tiny hammer. The bent bit can rub in shoes and hurt.

Hexapod frame

A computer-controlled metal frame with six legs (hence “hex”). It can correct a crooked bone in three dimensions, slowly and accurately.

I

Intramedullary nail (IM nail)

A long metal rod placed inside a long bone (like the tibia or femur) to hold the bone in place while it heals. Stays inside permanently.

L

Lateral ligament

The ligaments on the outside of the ankle. The ones that get hurt when you go over on your ankle.

Length discrepancy

When one leg ends up shorter than the other. Can be from birth, from an injury, or from a healed fracture. Can be fixed by lengthening the shorter leg.

Ligament

A strong band of tissue that holds two bones together. When a ligament tears it’s called a sprain.

Limb reconstruction

A whole branch of surgery devoted to rebuilding the bone, alignment and length of a limb — usually a leg — after injury or disease.

Limb salvage

Surgery to save a leg or foot from amputation. Often involves several specialists working together.

Lisfranc injury

An injury where the bones in the middle of the foot are pulled apart. Often missed at first, but important to fix.

M

Malunion

When a broken bone has healed, but in the wrong position. The shape needs to be corrected with surgery.

MDT (multidisciplinary team)

A team of doctors and specialists from different areas who all look at the same patient together. Used for complicated cases like bone infection or diabetic foot.

Metatarsalgia

Pain in the ball of the foot — the part you push off from when you walk.

Minimally invasive surgery (MIS, keyhole)

Surgery done through tiny cuts instead of one big cut. Less pain, faster healing, smaller scar.

Morton’s neuroma

A pinched, swollen nerve between the toes. Feels like a stone or a marble in the shoe, with a sharp pain.

MRI scan

A scan that uses magnets and radio waves (no X-rays) to take detailed pictures of soft tissue — muscles, tendons, ligaments and cartilage.

N

Non-union

When a broken bone has not healed in the time it should have. Usually needs another operation to help it heal.

O

Orthobiologic (regenerative)

A treatment that uses your body’s own healing materials — like blood platelets or stem cells — to help joints and tendons heal.

Orthopaedic surgeon

A doctor who specialises in bones, joints, ligaments, tendons and muscles. Professor Heidari is one.

Orthoplastics

A way of working where the bone surgeon (orthopaedic) and the soft-tissue surgeon (plastic) plan and operate together. Used for the most complicated leg injuries.

Osteomyelitis (bone infection)

A serious infection inside a bone. Can be hard to clear with antibiotics alone — often needs surgery to remove the infected bone.

Osteotomy

An operation where the surgeon carefully cuts a bone to change its shape or angle, then fixes it in the new position to heal.

P

Pilon fracture

A bad break at the bottom of the shin bone where it meets the ankle — usually from a heavy fall or car accident.

Plantar fasciitis

Pain in the heel from a sore, inflamed band of tissue under the foot. Usually worse with the first steps in the morning.

PRECICE nail

A magnetic intramedullary nail that can lengthen a bone slowly — the patient holds a magnet on the leg each day and the nail extends a tiny amount.

PRP (platelet-rich plasma)

A treatment where blood is taken, the healing platelets concentrated, and injected back into a sore joint or tendon to help repair.

R

Reconstruction

Putting something back to how it should be. In surgery, rebuilding a damaged bone, joint, ligament or limb.

Revascularisation

Restoring blood flow to a part of the body where it’s blocked or weak — for example, before working on a diabetic foot.

S

Sinus tract

A small tunnel in the body that lets fluid or pus from a deep infection track to the surface of the skin. A clear sign of infection.

Sport injuries

Injuries to muscles, joints or bones that happen during exercise — sprains, strains, fractures, ligament tears, tendon ruptures.

Sprain

A torn or stretched ligament. Different from a strain (which is a torn or stretched muscle or tendon).

Stress fracture

A tiny crack in a bone caused by repeating the same activity over and over — common in runners. It needs rest, not surgery, in most cases.

T

Talus

The bone at the top of the foot that fits into the ankle joint. Important and tricky to fix when broken.

Tendon

A strong cord that joins a muscle to a bone — like the Achilles tendon at the back of the heel.

Tendinopathy

A sore, irritated tendon — usually because of overuse. Sometimes called tendinitis.

Total ankle replacement (TAR)

An operation to swap a worn-out ankle joint for an artificial one made of metal and plastic. Keeps the joint moving, unlike a fusion which stops it.

U

Ulcer

An open sore that doesn’t heal on its own — common in the diabetic foot when nerves and circulation are poor.

X

X-ray

A quick scan that shows up bones (and any breaks). The first investigation for almost any bone or joint problem.

Xenograft

A piece of bone or tissue used in an operation that comes from another species (often cow or pig), specially treated so the body accepts it. Sometimes used to fill bone gaps when there isn’t enough of the patient’s own bone available.

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