Knee Evaluation And Treatment With Hip & Knee Orthopaedics

A detailed history-taking and clinical examination can help to localise the pathology that leads to the
knee symptoms.

Pain can arise from the following anatomical regions:

1. Tendons – most commonly over the patella tendon, also known as patella tendinopathy. These are usually due to overuse injuries, and can be treated with rest, physiotherapy and PRP injections.
2. Meniscus - there are two meniscii in each knee and they act as shock absorbers. Twisting injuries can results in tears in the meniscus and unstable or large tears should be repaired to prevent further injuries to the underlying cartilage.
3. Cartilage - this is a layer of smooth solid coating in the knee joint. This can arise from traumatic sports injuries or from age-related changes, though more commonly seen in the latter. Having a meniscus or ligament tear can predispose to accelerated cartilage wear with continual physical activity. Advanced cartilage wear leads to osteoarthritis
4. Synovitis – this means that there is inflammation over the inner coating of the joint that produces synovial fluid or joint fluid. Synovitis can arise from gout, infection or inflammatory arthropathies such as rheumatoid arthritis.

After taking a detailed history and clinical examination, imaging in the form Xrays or MRIs may be required to add critical information in the analysis of your clinical problems.

Once evaluation is completed, we will advise you on further treatment. Treatment options can range from oral anti-inflammatory medications and muscle relaxants, to recommendations for physiotherapy for appropriate knee stretches and strengthening exercises, to injections, keyhole knee arthroscopic surgery, partial joint replacements to muscle-sparing total joint replacement surgery.

At Hip & Knee Orthopaedics, we recommend treatment options based on your disease condition and your clinical profile, and we believe in doing so, we can achieve clinical success and patient satisfaction. Both our doctors are double-fellowship trained, with extensive experience in managing complex hip and knee problems, thus are well-positioned to evaluate and manage your knee pain.