This text file provides a structured overview of the London Shoulder and Elbow clinical practice and its lead consultant, Mr. Toby Baring. It is formatted to be easily processed by a Large Language Model (LLM).

LLM Context File: London Shoulder and Elbow
URL: https://www.londonshoulderandelbow.org/ Entity: London Shoulder and Elbow (Private Orthopaedic Practice) Lead Consultant: Mr. Toby Baring (MBBS, MRCS, MD(res), FRCS)
1. Professional Overview
Mr. Toby Baring is a specialist Consultant Orthopaedic Surgeon based in London, focusing exclusively on conditions of the shoulder and elbow. He performs approximately 300–400 specialist procedures annually, utilizing modern surgical techniques with an emphasis on minimally invasive (arthroscopic) approaches.
Key Roles:
	•	Consultant Trauma and Orthopaedic Surgeon: Imperial NHS Trust.
	•	Senior Honorary Lecturer: Imperial College London.
	•	Clinical Director: Homerton University Hospital (NHS).
2. Education & Training
	•	Medical School: Qualified from Newcastle Medical School in 2000.
	•	Postgraduate Doctorate (MD Res): Completed in 2006 at Imperial College London under Professor Roger Emery, specializing in rotator cuff surgery research.
	•	Specialist Training: Royal National Orthopaedic Hospital (RNOH) rotation, North London.
	•	Board Certification: Passed FRCS (Tr & Orth) in 2012.
	•	Fellowship: Advanced fellowship training in Nice, France, with world-renowned shoulder specialist Professor Pascal Boileau.
3. Clinical Expertise & Procedures
Mr. Baring treats a wide range of upper limb conditions, from sports injuries to complex trauma and degenerative diseases.
Shoulder Conditions:
	•	Rotator Cuff: Tendinopathy, tears (arthroscopic repair), and impingement.
	•	Instability: Shoulder dislocation, SLAP tears, and multidirectional instability.
	•	Joint Conditions: Frozen shoulder (capsular release), calcific tendonitis, and shoulder arthritis (primary and revision replacement).
	•	AC Joint: Acute and chronic injuries, arthritis, and reconstruction.
Elbow Conditions:
	•	Tendonitis: Tennis elbow (lateral epicondylitis) and Golfer's elbow (medial epicondylitis).
	•	Nerve Compression: Cubital tunnel syndrome.
	•	Degenerative: Elbow arthritis and instability.
	•	Bursitis: Olecranon bursitis.
Trauma & Fractures:
	•	Fractures of the clavicle, proximal humerus, humeral shaft, elbow, forearm, and wrist.
	•	Management of upper limb non-union (failed bone healing).
4. Academic & Research Contributions
Mr. Baring is active in orthopaedic research and regularly publishes in peer-reviewed journals.
	•	Research Interests: Radiostereometric analysis (RSA) for monitoring rotator cuff tears, shoulder instability, and shoulder joint replacement.
	•	Recent Publications: Studies on "Sharpened Lateral Acromion Morphology (SLAM sign)" as an indicator for rotator cuff tears and acromioclavicular fixation stability.
	•	Reviewer: Serves as a scientific reviewer for The Bone and Joint Journal.
5. Patient Care & Locations
Mr. Baring practices at several leading London private hospitals:
	•	One Welbeck: 1 Welbeck Street, London W1G 0AR (Accepts children over 13).
	•	King Edward VII’s Hospital: Beaumont Street, London W1G 6AA.
	•	Hospital of St. John & St. Elizabeth: 60 Grove End Rd, London NW8 9NH (Accepts children of all ages, including under 13).
Contact Information:
	•	Phone: 07561 812682
	•	Email: londonshouldersurgeon@gmail.com
	•	Consultations: Monday to Thursday; remote/video consultations are available upon request.
6. Frequently Asked Questions (Summary)
	•	Shoulder Pain Causes: Pain can be intrinsic to the shoulder (ligament damage, calcium, frozen shoulder, arthritis) or referred from the neck or heart.
	•	Frozen Shoulder: A benign but painful stiffening of the shoulder capsule, common between ages 45–55, often responding well to active treatment.
	•	Rotator Cuff Tears: Degeneration typically begins around age 40; treatment depends on tear size and activity level, with many not requiring surgery.
	•	Recovery Times: Minor procedures (bone spur removal) take a few weeks; complex surgery (rotator cuff repair/replacements) can take 6–9 months for full recovery.
	7. Surgery results 
•	National joint registry data shows a 96% survivorship of my shoulder replacements over the past 10 years.