“I felt fully engaged from the start and actually found the whole process quite enjoyable! I felt informed without being patronised, well prepared, both by the consultation with Neil, the paperwork and booklets. The outcome has exceeded my expectations and the care was tremendous, as was the pain... Read More

“Neil performed a PCL replacement in my right knee back in 2000. At the time, it was a procedure that few knee surgeons had the skills to perform. He fully informed me of the risks attached to the procedure, the likelihood of success and allowed me to take my time to decide on how I wished to... Read More

“You fitted me with a completely new knee on 20th June. It is absolutely amazing and I'm getting on and off, riding and jumping with ease. It has brought back all the possibilities in retirement that had come to an end with a bad knee. It's not yet four months since the operation.....lets hope the... Read More

“Now that I seem to be well on the road to recovery, I'd like to thank you personally for my new partial knee replacement on 31st July 2017. Having not quite had the courage to watch the full operation on your website, I am nevertheless aware of the enormous skill and expertise required for this... Read More

“All good. Both knees back to playing sport. Quality of life so much improved. Can't thank Neil and his team enough. Thank you”

“I felt that the whole team were excellent from start to finish.”

“I cannot recommend Neil highly enough. Six months after surgery my knee is back to normal and I am looking forward to our next ski holiday! I never imagined the process would be so painless or so quick - a truly incredible job - thank you so so much.”

“In 1952, at the age of 12 years, I was involved (and allegedly 'fatally injured') in a motor cycle crash. This left me with a damaged left knee, a compound fracture of the left femur that shortened my leg and a skull injury that totally destroyed any hope of hearing again with my right ear. At the... Read More

“I would like to thank Mr Bradbury for his amazing expertise. I am in my 6th month now following the operation and really feeling the benefit. Following a return from a holiday in Spain in a wheel chair, after getting out of a car awkwardly and having a bleed in what was already a painful knee, the... Read More

Symptom checker

 

If you're not sure what might be wrong with your knee our self-diagnosis tool, the symptom checker is a good place to start.

The symptom checker won't replace an experienced knee consultant and cannot give a definitive diagnosis but it may help you better understand your symptoms.

STEP 

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When did the knee pain start?

What caused the knee pain?

Where is your knee pain?

Did your knee swell straight away?

Does your knee give way?

STEP 1 - Run diagnostic

Ligament injury

Ligaments are soft tissue ropes that hold the bones together and provide the knee with stability. The collateral ligaments sit on either side of the knee; the medial is on the inside and the lateral is on the outside. The crucial ligaments (anterior - front or posterior - back) sit in the centre of the joint ligaments are often injured by sports people, for example, in rugby or skiing and rupture - urgent assessment is needed to ensure the best possible outcome.

 

Disclaimer: The symptom checker is for information purposes only and provides only an approximate guide as to what may be wrong with your knee. It should not be used instead of seeking professional medical advice or diagnosis.

Arthritis

There are two types of arthritis: inflammatory arthritis which commonly affects small joints, hands and feet is an auto immune condition spreading to larger joints. The second type is osteoarthritis, commonly described as wear and tear and usually affecting the over 50’s.

 

Disclaimer: The symptom checker is for information purposes only and provides only an approximate guide as to what may be wrong with your knee. It should not be used instead of seeking professional medical advice or diagnosis.

Meniscal problem (Meniscus; footballer’s cartilage)

There are two meniscus in each knee; they are shock absorbers and can be torn following an injury (acute meniscus tear) or they can gradually wear out (meniscal degeneration). They have a limited capacity to heal.

 

Disclaimer: The symptom checker is for information purposes only and provides only an approximate guide as to what may be wrong with your knee. It should not be used instead of seeking professional medical advice or diagnosis.

Anterior knee pain (knee cap)

Anterior knee pain is knee pain at the front of the knee or Patellofemoral Syndrome - pain from the knee cap joint. The causes vary from muscle imbalance through to damage or wearing of the surface of the knee cap joint. This is a very common condition particularly in the younger age group. It is associated with knee cap instability or dislocation.

Patellofemoral syndrome is a condition which should really be applied to a knee in which the patient experiences pain at the front of the knee in the absence of structural problems within the knee. It is often experienced by patients when ascending or particularly descending stairs, squatting, rising from a sitting position or when significant force is put through a bent knee such as lunging sports like tennis. It is thought to be due to poor muscle strength in the quadriceps muscle group in the front of the thigh often combined with muscle imbalance or tight hamstring muscles. The mainstay of treatment is phyiotherapy and muscle strengthening and balancing.

 

Disclaimer: The symptom checker is for information purposes only and provides only an approximate guide as to what may be wrong with your knee. It should not be used instead of seeking professional medical advice or diagnosis.

Soft tissue problems ie tendon problems

There are a large group of problems that occur or affect the soft tissue around the knee, for example Patella Tendonitis, Ileo Tiblial Band Friction Syndrome and Bursitis. These conditions are often associated with overuse or repetitive strain and do not often require surgery. Such knee problems are common in runners.

A bursa is a fluid filled sac which sits between moving body parts for example bone and skin or bone and tendons. A bursa helps the tissues slide easily over one another without causing friction. Imagine holding a ballon between both your hands and moving the hands – the balloon keeps the hands from rubbing on one another. Bursae sometimes become inflamed or sore and very occasionally infected. Most can be treated without surgery.

 

Disclaimer: The symptom checker is for information purposes only and provides only an approximate guide as to what may be wrong with your knee. It should not be used instead of seeking professional medical advice or diagnosis.

Fracture/Injury to knee joint surface

Fracture is another word for a crack or break in the bone. It usually occurs after a substantial injury and requires urgent assessment. Sometimes you can injure the surface of the knee (osteochondral injury) where the smooth surface grinds or articular cartilage is damaged.

Damage can occur to the articular cartilage or gristle that surfaces the patella and groove in which the patella runs (the trochlea). It can be a small area of damage with normal surrounding cartilage or it can be general wear with age, use and sport. Is sometimes occurs due to maltracking of the patella where the knee cap doesn’t run centrally in the trochlea groove on the front of the thigh bone or femur. Maltracking can be addressed by physiotherapy if mild or surgery if more severe. The chondral damage can be treated by a number of escalating treatments depending on severity from physiotherapy alone through chondral debridement, radiofrequency smoothing, surgical correction of maltracking to finally, patella-femoral replacement surgery. Most patients can be helped by the simpler and non-surgical teatments.

 

Disclaimer: The symptom checker is for information purposes only and provides only an approximate guide as to what may be wrong with your knee. It should not be used instead of seeking professional medical advice or diagnosis.

Bone bruise

A bruise is one of the most common sports injuries. Typically, it is a collection of blood under the skin that heals quickly when treated with rest, ice, compression, elevation and pain medication. However, sometimes a bruise can be a sign of deeper trauma. If left untreated, some large bruises can cause some muscle damage. When seen on MRI of a post-traumatic knee, bone bruising is most often a minor feature of a more complex picture and of variable significance. It may result from direct trauma or from indirect forces which have produced patellar dislocation. In such a case anterior knee pain may persist for three or four months as part of the post-traumatic symptoms.

 

Disclaimer: The symptom checker is for information purposes only and provides only an approximate guide as to what may be wrong with your knee. It should not be used instead of seeking professional medical advice or diagnosis.

No diagnosis

Based on your selected answers you fall outside of any obvious conditions and if the symptoms persist we would recommend you seek specialist advice. Please click here to view an index of various symptoms and conditions to help you further your research, alternative click to book a consultation or let one of our team advise how you can get your GP to refer you to us.