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Complex Musculoskeletal Injury Clinic

Ryan’s Story

Dr James Noake

Dr James Noake

Consultant in Sport, Exercise & Musculoskeletal Medicine

  • 22 September, 2026
  • Complex Musculoskeletal Injury Clinic
  • Stories
  • 1 min read

Patient tesitmonial_Ryan Hanratty

“James is not only a phenomenal doctor, but also an exceptional person.

His clinical expertise, commitment, and compassion enabled me to achieve something that had once felt impossible, and I will be forever grateful for his care.

I had been training for seven months to take on a double marathon in memory of my brother, who tragically took his own life just over a year ago.

The run meant everything to me – not just as a personal challenge, but as a way to honour him and raise money for The Hunchman Trust, a charity that supports young people navigating grief, especially after suicide.

By the time race day was in sight, I had already raised £28,000, and the weight of expectation – from myself and from those supporting me – felt enormous.

Seventeen days before the event, disaster struck.

I was injured, and despite visits to a physio, I was in terrible shape. With less than two weeks to go, I was convinced my dream was over. It was then that my physio referred me to James, who, upon hearing my story, went to great lengths to fit me into his schedule.

My case was complicated. I had an inflamed Kager’s fat pad around the Achilles tendon, and a trapped sural nerve – problems made even harder to diagnose because of a previous ankle reconstruction back in 2019.

Where others had struggled, James immediately identified the issue.

The very next morning, he came in early to give me the treatment and injection I desperately needed.

What happened next felt nothing short of remarkable.

Days earlier I had been ready to give up, certain I’d have to withdraw from the race. Instead, with James’s expertise and guidance, I was not only able to start but to finish the double marathon.

Throughout the event, he made himself available, checking in, offering advice, and guiding me on what I could and couldn’t do to protect myself.

Thanks to him, I was able to cross that finish line and, more importantly, honour my brother’s memory in the way I had hoped.”

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