For a Second Opinion

Many patients consult us having previously received some form of treatment or advice.  We are happy to see patients for second opinions or after failed previous treatments. You would be assessed thoroughly and potential treatment options discussed fully with you to enable you to make an informed choice about your preferred treatment choice.

Isolated Cartilage Defects

Some patients may develop knee symptoms  related to small defects in the articular cartilage (shiny surface on the end of the bones). These may be related to trauma , but sometimes there is no history of significant injury. Various techniques may be discussed with you to try and repair these defects. These include microfracture techniques […]

Patellofemoral Arthritis

This is arthritis affecting the kneecap. It causes pain in the front of your knee and can make it difficult to kneel or climb stairs. Patellofemoral arthritis occurs when the slippery substance, articular cartilage, along the femoral groove and on the underside of the kneecap wears down and becomes inflamed. When cartilage wears away, it […]

Patellofemoral Instability

In the normal knee, kneecap moves up and down in the femoral groove as the knee bends and straightens. Altered anatomy and biomechanics of the patellofemoral joint result in abnormal forces that can result in the kneecap popping out of place. For example, if the groove is shallow or the kneecap small and high, it […]

Patellofemoral Pain Syndrome

This refers to a number of medical conditions that cause pain around the kneecap, at the front of the knee. These conditions include anterior knee pain syndrome and chondromalacia patella. It usually gets better with simple treatments such as physiotherapy and exercises, although these can take some time before the symptoms start improving. Causes When […]

Knee Cap Problems

The knee joint is made up of three bones; the kneecap (patella), the thigh bone (femur) and the shin bone (tibia). The kneecap normally sits in a v-shaped groove in front of the femur and connects the muscles in the front of the thigh to the tibia. The patellofemoral joint is the articulation between the […]

Sports knee injuries

A significant number of patients consult us having sustained a knee injury. This can be the result of significant twisting injury, but occasionally the knee just seems to flare up after an activity. Severe twisting injuries can often lead to major ligament injuries (most commonly ACL and/or MCL), they may also lead to acute traumatic meniscal tears. More […]

Ligament Injuries

We often see patients who have sustained ligamentous injuries. The commonest injuries involve the anterior cruciate ligament and the medial collateral ligament, although occasionally other ligaments can be injured. The anterior cruciate runs in the middle of the knee and is commonly torn following twisting injuries during football, rugby and skiing. The ligament is important […]

Mensical Injuries

The menisci are commonly referred to as the sports cartilages in the knee. There are 2 menisci, one on the outside and one on the inside. The are shaped like semicircular discs and act as shock absorbers and stabilisers within the knee. Meniscal tears may occur following traumatic twisting injuries to the knee. Sometimes they […]

Knee Arthritis

Osteoarthritis is the disease process by which joints wear out. As the joint surface wears away it sheds wear particles which stimulate the joint lining to produce fluid causing the knee to swell. When the articular cartilage wears through the underlying bone becomes exposed. When walking the exposed bone rubs against  exposed bone and this […]