Understanding your knee
The severity of an X-ray alone does not determine whether surgery is right. Symptoms, examination, mobility, other pain sources and personal goals all matter.
A shared decision
James will discuss treatment options and, where knee replacement is appropriate, the expected gains, limits, risks and rehabilitation. There is time to ask questions before deciding.
Pain after an earlier replacement
A painful knee replacement needs a diagnosis before further surgery is proposed.
Read about revision assessmentArthrosamid for knee osteoarthritis
For some people with knee osteoarthritis, a discussion of injection treatments may be appropriate. Arthrosamid is one option to explore alongside its evidence and limitations.
Read about ArthrosamidPreparation and expectations
If you choose surgery, a pre-operative assessment helps your team plan safely around your health and medicines. Discuss the support you will need at home and the activities you hope to return to. Physiotherapy and recovery plans should be tailored to you.
What should the consent discussion cover?
Replacement aims to improve pain and function, but improvement is not guaranteed. The discussion includes infection, blood clots, bleeding, persistent pain and the possibility of further surgery. Your surgeon will explain the risks specific to the procedure and your health, as well as the alternatives.
Progress takes time
Rehabilitation starts early, but recovery continues over the following months. Pain, swelling, walking aids and help at home may be part of that period. Advice on driving, work, exercise and restrictions should come from your treating team rather than a fixed timetable for everyone.
NHS specialist guide to joint replacement