Expertise
Knee arthritis.
Treatment for both early and advanced knee arthritis, from injections, bracing and physiotherapy through to joint-preserving surgery and replacement.
What arthritis is
Arthritis is the gradual loss of the smooth cartilage that lets the joint glide, until bone begins to rub on bone. On an X-ray it shows as narrowing of the joint space and the formation of bone spurs; in daily life it is felt as a dull, toothache-like pain with stiffness, swelling and flare-ups that interrupt the things you want to do.
Who it affects
It becomes more common from the forties onwards, and the risk rises with previous knee injuries, excess weight, a family history, and inflammatory conditions.
Non-surgical treatment first
Most knees are managed without an operation, often for years: activity modification, weight loss, physiotherapy, supportive bracing, anti-inflammatory medication and injections into the joint all have a role. The aim is to keep you active in the least invasive way that works.
When surgery is needed
If severe pain persists despite conservative care, the surgical options run from joint-preserving procedures and realignment (osteotomy) through to partial or total knee replacement, chosen around your age, anatomy and goals.
faqs
Common questions.
Can knee arthritis be treated without surgery?
Yes. Most arthritic knees are managed without an operation, often for years. Activity modification, weight loss, physiotherapy, bracing, anti-inflammatory medication and injections all have a role.
Will exercise make my arthritis worse?
No. The right exercise is one of the best treatments. Strengthening the muscles around the knee supports the joint and reduces pain; a physiotherapist tailors the programme to your knee.
What injections are available?
Injections into the joint can settle flare-ups and buy comfortable time. Which option suits you depends on your knee, and is discussed at consultation.
How do I know when it is time for surgery?
When severe pain persists despite conservative care and limits your everyday activities. The options then run from joint-preserving surgery and realignment through to partial or total replacement.
Case Studies
Back to what matters.
Jane
Total knee replacement
Jonty
No surgery
Stephanie
Knee arthroscopy
Mathew
Patient story
Davina
Patient story
Lucy
Patient story