We provide pecialist service for the diagnosis and treatment of knee pain, knee injuries, osteoarthritis and knee deformities. We treat sports injuries of the knee including anterior cruciate and posterior cruciate ligament and meniscal tears.
At GIH Knee Clinic we have considerable experience in meniscal surgery including meniscal repair, meniscal augmentation and meniscal placement surgery, including meniscal transplantation. We also have a particular interest in patello-femoral problems and anterior knee pain, plus major interests in partial knee replacements and do partial and total knee replacements with a very short hospital stay. The majority of surgery is done on a day case basis.
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We have close links with our physiotherapy department, where many of our patients are sent for non-surgical treatment of their knee roblems, as appropriate, for post-operative rehabilitation after surgery.
The Human knee is far more than just a simple hinge joint. It is an extremely complicated structure with a complex arrangement of cartilages and ligaments, any one (or more) of which can suffer damage or wear and tear.
The most common symptoms in patients presenting with knee problems are:
- Giving way
Knee pain may be categorised as one or more of:
- Generalised and constant
- Sudden and sharp
- Localised to one specific point or area of the knee
- Referred pain
Generalised knee pain implies a generalised condition, such as osteoarthritis or an inflammatory arthritis (such as rheumatoid arthritis or gout). With osteoarthritis, knee pain is typically described as a nauseating constant dull ache, which is often worse towards the end of the day or after activities such as long walks.
Sudden sharp pains within the knee imply that there may be a mechanical problem within the knee, such as a torn cartilage (meniscal tear).
Searing or burning pains may be due to inflammation in a tendon, e.g. patellar tendonitis. Tendonitis pain often comes on specifically after exercise. Burning pain around the outer (lateral) side of the knee after running long distances may be due to iliotibial band friction syndrome.
When pain is Localised to one specific point or area, this normally implies damage or inflammation at that site. The area involved gives an indication of the possibly underlying problem:
Pain at the front of the knee (anterior knee pain):
- Patellofemoral arthritis
- Patellar maltracking/instability
- Patellar tendonitis
- Osgood Schlatter’s disease
Pain around the inner (medial) side of the knee:
- Medial meniscal cartilage tear
- Medial plica syndrome
- Medial collateral ligament strain
- Articular cartilage damage on medial femoral condyle
- Osteoarthritis affecting the medial side of the knee
Pain around the outer (lateral) side of the knee:
- Lateral meniscal cartilage tear
- Lateral collateral ligament strain
- Posterolateral corner injury/tendonitis
- Articular cartilage damage on the lateral femoral condyle
- Osteoarthritis affecting the lateral side of the knee
Pain in the back of the knee:
- Meniscal cartilage tear (affecting the posterior horns)
- Popliteal cyst (Baker’s cyst)
- Hamstring tendonitis