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Knee osteoarthritis

We will make walking easy again

If you have been diagnosed with knee osteoarthritis, we work with you to choose the best-possible therapeutic approach for your specific case. In many cases, we can use conservative treatment to stop or delay the degenerative process in your knee. This way, your native knee may be preserved for longer. We believe in giving nature a helping hand to improve the situation rather than rushing in with what may be unnecessary surgery.

If the degenerative process is more advanced and conservative approaches simply are not working then we may then offer surgical procedures as a solution. Our team of experts will be happy to give detailed advice on the appropriate procedure and discuss the pros and cons of each option to agree on the best solution for each individual patient. This is achieved through a shared decision-making process between patient and clinician.

Conservative treatment of knee osteoarthritis

Non-operative or “ conservative” treatment is almost invariably the first port of call for knee arthritis. Whilst there are a huge range of so-called “breakthrough” therapies to be found for treating knee arthritis, very few, if any, have the necessary scientifically proven outcomes to justify the risks involved. For example, there are now numerous clinics, both in the UK and abroad offering “Stem cell” injections at great cost but sadly without the level of peer-reviewed publications to prove their worth. At Schoen Clinic we will never offer any treatments that we cannot justify.

Perhaps not surprisingly the basic principles of weight loss and physio led exercise with the occasional use of anti-inflammatory medications are the mainstay of non-operative treatment. There are, however, other complementary approaches such as lubricant injection that can help a proportion of patients but by no means all.

Conservative treatment methods

  • Conservative treatment of knee osteoarthritis

Joint replacement surgery

Knee replacement surgery has evolved tremendously in the last 40 years. At Schoen Clinic, our leading surgeons are experts in joint replacement surgery and have some of the best results on the UK National Joint Registry. 

Although called a knee replacement, the procedure could also be referred to as a resurfacing of the worn part of the knee. Your surgeon will carefully discuss the type and make of the replacement surface and also the latest techniques on sizing and aligning your new knee with you at your consultation.

Prior to surgery, you will be thoroughly assessed by our dedicated pre-assessment team including a Consultant Anaesthetist, Nurse and Physiotherapist.

Surgery generally takes 30-60 minutes and is very successful. We use the latest rapid recovery techniques both during and after surgery to keep you comfortable and most patients will be encouraged to walk as soon as 3-4 hours after surgery.

Schoen Clinic London is the first and only elective orthopaedic hospital to have resident intensive care consultants looking after its patients 24 hours a day, seven days a week, on the routine surgical ward. This enables us to pick up any post-operative medical issues early and deal with them before complications occur. It also enables us to use advanced local anaesthetic techniques on the ward after Knee replacement surgery, which in turn helps patients manage their pain better and keep mobile during the first few days after joint replacement surgery.

You will usually be discharged home two or three days after your joint replacement surgery and will be expected to have outpatient physiotherapy to make a full recovery. Some people may choose to go directly to a specialist rehabilitation facility for inpatient physiotherapy and hydrotherapy.

Surgical treatment methods

  • Joint replacement surgery