One dose of yellow fever vaccination will last at least 10 years and a booster vaccination is recommended after 10 years if you are still at risk from contracting the disease. After your initial vaccination you will be given a certificate to prove you have been vaccinated against the disease for 10 years from the date of vaccination.

Are you delayed in receiving treatment under the NHS? Would you like a private second opinion that is independant and un-biased with treatment recommendations? Try our private service and beat the long waiting lists to get help sooner.

Any patient can benefit, especially if you are

• Experiencing muscle and joint pain which is not resolving normally
• Have autoimmune or rheumatic disease (as these conditions run in families)
• Your symptoms are significantly worsening over a short period of time

These disorders can fluctuate in severity over time and while symptoms can improve or temporarily resolve when initially treated by a GP, they can return once e.g medication is stopped. When this occurs, treatment should not be delayed and you should consider an immediate booking with a rheumatologist.

Joint damage can occur very early if the symptoms of joint pain are ignored or not treated properly over a period of time. This damage cannot always be reversed with treatment and may be permanent. Do not delay appropriate evaluation.

Our Consultant Rheumatologist will gather a complete medical history and may perform a physical exam to look for signs and symptoms of inflammation/pain throughout the entire body and musculoskeletal system.

Our Consultant Rheumatologist will review the results of any prior testing that has been performed on a patient and may order additional blood tests to assess inflammation or to help diagnose symptoms and is able to order on site radiographic testing (X-ray, ultrasound, CT scan, or MRI) to assess for musculoskeletal abnormalities.

Once the diagnosis is developed an individual treatment plan will be put forward with the patient. Treatment recommendations may include medications, joint/tendon injections, physiotherapy or occupational therapy. Several visits for the rheumatologist might be necessary to fully investigate the underlying issue, condition or cause of symptoms.

Focus is often directed toward improving coping mechanisms, techniques for preventing disability and regaining function, and ways to improve their quality of life.

• Disorders affecting muscles, tendons, ligaments, intervertebral discs,meniscus and bursa.
• Degenerative joint diseases. Osteoarthritis . Knees, hips and chronic back and neck pain
• Inflammatory disorders, such as Rheumatoid arthritis, Ankylosing-spondyli-tis
• Connective tissue disease (Systemic Lupus Erythematous, Scleroderma).
• Soft tissue disorders, (fibromyalgia and hypermobility)

Individual appointments are available. You can book a single consultation with a private rheumatologist if you want some quality time for e.g. a second opinion, some independent advice or to discuss any specific concerns you may have. All appointments at Pall Mall Medical are confidential and discreet. Don't forget, we do not share your records with the NHS.

Pall Mall Medical provide family friendly appointments with paediatric rheumatology services available. Children’s Rheumatology can look at common problems with rheumatic diseases which often involve swelling and inflammation in the joints or muscles. Read more

The experts here at Pall Mall Medical can diagnose and treat a number of rheumatology issues in children including the following:

Hypermobility

Hypermobility means the joints can stretch further than normal, which can cause pain and stiffness in joints and muscles, the joints to dislocate and cause recurrent injuries such as sprains. Treatment options include lifestyle changes such as eating a healthy diet, improving sleep patterns and taking low-impact exercises to improve muscle strength and core stability.

Lupus

Symptoms of lupus (also known as systemic lupus erythematosus or SLE) include joint pain, rashes and a lack of energy. Symptoms can vary greatly between individuals. Lupus is usually treated by immunosuppressive medication.

Musculoskeletal pain

Musculoskeletal pain refers to pain in the bones, muscles, tendons and ligaments. Symptoms can be caused by injury, sport or even day to day activities. Symptoms include localised or general pain, aching muscles and fatigue. Once a diagnosis has been given then the pain may be treated with physical therapy, footwear advice, cognitive and acceptance therapy, anti-inflammatory medication or lifestyle changes such as stress reduction.

Some travel vaccinations may case a risk to the baby during pregnancy. These include ‘live’ vaccinations which means they are prepared from a small amount of the virus which can replicate cells once inside the human body.

Live vaccinations are often used in travel vaccinations such as yellow fever and BGC (for tuberculosis) as well as the oral vaccination for typhoid. Speak to one of our GPs about the risks and benefits of having travel vaccinations – often it will be deemed less dangerous to take the vaccination if you cannot avoid travelling to a high risk country, rather than risking contracting an illness.

Some vaccinations are recommended for pregnant women and include:

• The seasonal flu vaccination is usually given as soon as possible during pregnancy, particularly if you are pregnant during the flu season from September to February but can be given at any time of year and is safe for pregnancy.
• The whooping cough vaccination is recommended to pregnant women when they are between 28 and 38 weeks pregnant to protect the baby from whooping cough when it’s born.
• If you are at a higher risk of contracting hepatitis B, for example if you work in close contact with blood such as in health care or if you travel to countries where the risk is higher, then it may be advisable to have a hepatitis B vaccination when pregnant or planning to become pregnant. This vaccination is safe as there is no evidence that a hepatitis B vaccination harms unborn babies.

Choosing a private clinic for a vaccination means you can be seen by an expert at a time convenient to you for a complete range of vaccinations. Clinic location is a key consideration for vaccinations so look for clinics in your local area as for many vaccinations you will need to visit the clinic more than once, Pall Mall Medical have facilitates in Manchester, Liverpool and Newton-le-Willows.

Choose a clinic which offers a full suite of vaccinations, particularly travel vaccinations where you may need more than one vaccination when traveling to certain areas, this way you can speak to an experts about all the vaccinations you may need for your trip. Look at what reviews and testimonials the clinic has to see the experience previous patients have had at the clinic.

The flu jab is a short-term immunisation which lasts for a few months and is usually given to provide protection throughout the flu season. Yearly injections are advisable for people at risk from flu or complications from flu.

The flu jab is a short-term immunisation which lasts for a few months and is usually given to provide protection throughout the flu season. Yearly injections are advisable for people at risk from flu or complications from flu.

Symptoms of chicken pox, although rarely serious, can be extremely uncomfortable for children and cause an extremely itchy rash, sickness, aches and pains and high temperatures and symptoms can last up to two weeks.

Vaccination against chicken pox is not routinely available on the NHS as usually once a child has had the illness, they develop immunity to it so are unlikely to get it again as children but may contract it again as adults in the form of shingles. It’s worth having your child immunised against chicken pox if you are worried about how they would cope with the symptoms of the virus.

The chicken pox vaccination is a ‘live’ vaccination, meaning that it contains a weakened form of the chicken pox virus. The vaccination works by stimulating the body’s immune system so it responds to the chicken pox virus, without causing the illness, by creating antibodies to protect the body from the disease.

Children are usually given the chicken pox vaccination at 12-18 months and 4-6 years. If your child is older than this and hasn’t yet had chicken pox or a vaccination then speak to one of our GPs about immunising them against the disease.

Protection from measles, mumps and rubella varies after the MMR injection with immunity against measles lasting approximately 30 years, rubella approximately 23 years and mumps approximately 19 years.