Our expert clinical team of surgeons, exercise physiologists, physiotherapists, strength & conditioning coaches, and nurse practitioners are dedicated to delivering you the best possible treatment in your journey towards a more pain-free, functional lifestyle.
Wondering if your TKR recovery is on track? From swelling and pain to disrupted sleep, learn what’s normal after a total knee replacement and how to manage your recovery effectively. Discover tips, common experiences, and when to seek expert guidance for a smoother healing journey.
Nagging pain on the inside of your knee can disrupt daily life and activity. This blog explores the anatomy of the medial knee and delves into common causes such as meniscal tears, MCL sprains, and osteoarthritis. Discover physiotherapy-based approaches to managing pain, from conservative treatments to surgical options, and learn how to take the first steps toward relief and recovery.
Recovering from an ACL injury requires more than just focusing on the knee. Lumbopelvic stability—strength and control in the lower back and pelvis—is a critical yet often overlooked aspect of rehabilitation. Discover how it protects your knee, improves movement efficiency, and enhances recovery outcomes. Learn practical strategies to integrate core strengthening, balance training, and functional movement into your rehab journey for a more confident and pain-free return to activity.
Over recent years, a lot of attention has been focused on the potential for stem cells to treat osteoarthritis. This attention was largely due to claims that stem cells could regenerate the articular cartilage.
This treatment involves a gel-like fluid called Hyaluronic Acid (HA) being injected into your affected knee. Hyaluronic Acid is a naturally occurring substance found in the synovial fluid around joints. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads.
The Cochrane Collaboration states that corticosteroid injections may cause a moderate improvement in pain and a small improvement in physical function, but that the quality of the evidence is low and results are inconclusive.
Overall, the balance of evidence suggests that chondroitin may improve the pain of knee osteoarthritis (OA) slightly in the short-term (less than six months) and may have a small effect (approximately 20%) on pain.
Neuropathic pain is a complex, chronic pain state, which is usually associated with damaged tissue. There is strong evidence that some
anticonvulsant and anti-depressant medications can be effective in treating certain neuropathic (nerve) pain conditions.
There is evidence from a 2014 Cochrane review of 22 trials of opioids for osteoarthritis pain that there may be a small improvement in pain and function when compared to placebo treatment.
There is strong evidence from multiple randomised trials and meta-analyses of randomised trials that NSAIDs are more effective for the treatment of osteoarthritis than placebo or paracetamol.
Also known as acetaminophen, paracetamol is commonly prescribed for a wide spectrum of pain, including knee OA.
There is very little published evidence for these hybrid-braces that have the ability to provide cold-therapy, compression and stabilisation. However, cold-therapy and compression are well-established methods of decreasing pain and inflammation.
There is good evidence unloader braces reduce the symptoms of osteoarthritis. The benefits can include reduced pain and stiffness, reduced need for medication, improved knee function, and they may even slow the progression of OA.
The main benefits of these sleeves are warmth and an increased feeling of security and stability. Like heat therapy, these sleeves can help relieve low-level chronic aches and pains and give a boost in physical confidence, which makes a patient more likely to increase their level of activity.
Custom shoes or orthotic inserts can alter the way your foot engages with the ground, and can change the alignment and loads placed through your ankle and knee. The shoe or insert can be designed to give relief to the worn and painful parts of your knee with the added benefit of providing shock absorption during walking.
The bulk of significant favourable clinical evidence rests with the more established brands, such as Weight Watchers or Jenny Craig.
Whilst it appears that Omega-3 acids are not specifically effective in treating knee osteoarthritis, they are nonetheless an important part of a healthy diet, and have been shown to play a part in controlling inflammation generally.
The scientific evidence strongly supports good nutrition and diet in general, as it directly impacts the health of all bodily systems and functions. A healthy diet will help you maintain a healthy body weight, which is critical for effective treatment of knee OA.
There is strong evidence that heat and cold therapies are effective and provide rapid relief from knee arthritis pain and inflammation, although the duration of time for which the relief lasts varies from patient to patient.
Radiofrequency genicular nerve ablation is an emerging therapy for which there is a developing evidence base. This currently consists of case reports, case series and a single randomised trial.
Ultrasound uses sound waves to heat and deliver energy to the structures in the knee joint. Apart from the benefits of heat (see relevant section), the sound waves are thought to create small amounts of trauma at the cellular level, stimulating a healing response.
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