Knee Preservation

If pain from a knee injury or a structural knee issue is holding you back from sports, activities you enjoy or daily life, there’s hope. Knee preservation at Cleveland Clinic London includes therapies to help you feel better and maintain lasting relief. You receive personalised care from some of the U.K.’s leading consultants, so you can get back to your active lifestyle.

Knee preservation uses medical and surgical therapies to relieve pain from early wear on the knee joint. At Cleveland Clinic London, you receive care from trusted knee specialists who use the latest techniques.

We offer: 

• Expert consultants: Our team includes orthopaedic specialists with advanced (fellowship) training in knee surgery. These consultants actively participate in research, advancing the field and giving you access to innovative surgical and non-surgical therapies. You can also count on this expertise for personalised treatments responsive to your needs.
• Multidisciplinary care: A key element of the service is our team approach to knee preservation. In addition to knee consultants, our team includes radiologists specialising in musculoskeletal conditions and sports medicine physicians. We also work closely with local and national physiotherapists to tailor additional assessments and rehabilitation services.
• Exceptional results: Cleveland Clinic London is proud to monitor results of the specialist techniques through a special follow-up system helping to advance the field of knee preservation.

Quick, convenient access: We can often arrange initial visits with the team within a few days. All the specialists, tests and services you need to get started are in one location. If you need information about your care between appointments, it is all easily accessible in one place via MyChart, our electronic medical records system (available online or as a smartphone app). 

Cleveland Clinic London offers a large range of knee preservation services, including medical therapies and advanced surgical procedures. Many people benefit from a combination of treatments. We will work with you to determine the ones that will be most effective for you.

Issues causing persistent knee pain are often progressive, meaning they may worsen over time. Sometimes a treatment may stop working. Our knee specialists, sports medicine consultants and physiotherapists work together to develop a new strategy for long-term relief.

Rehabilitation

Rehabilitation optimises knee function. Physiotherapists and sports medicine specialists perform a comprehensive evaluation to identify weaknesses and imbalances. This information enables us to develop a customised programme that may include:

• Exercises: Physiotherapists guide you through gentle movements that build strength and increase flexibility.
• Education: We teach you techniques for reducing knee strain during daily activities.
• Knee braces and orthotics: Devices such as knee braces help position your knee in a specific way to relieve pressure on the joint.

Injections

Injections deliver substances that promote healing directly to the knee joint.

Consultants typically use real-time imaging to guide the needle to precisely the right spot. We apply a numbing solution to your skin before the injection, giving you a comfortable experience.

Types of injections we offer include:

• Hyaluronic acid.
• nSTRIDE® autologous protein solution, a newer option that uses concentrated blood factors to slow cartilage deterioration.
• Platelet-rich plasma.
• Steroids.

Knee preservation surgery

Knee preservation surgery repairs worn or malfunctioning knee structures but is less invasive than knee replacement. Surgeons typically use minimally invasive techniques that involve smaller incisions and result in a quicker recovery. We offer innovative options that aren’t widely available, giving you more chances for successful treatment.

Types of knee preservation surgery we offer include:

• Cartilage repair aims to rebuild the surface in the knee and make it work more efficiently. We offer many types of cartilage repair surgeries, such as removing loose or damaged cartilage (debridement) and procedures that stimulate tissue growth.
• Meniscal transplantation replaces the damaged or missing meniscus that protects the knee joint. Few U.K. private hospitals offer this treatment, and our surgeons at Cleveland Clinic London are leaders in the field.
• Osteotomy repositions shin or thigh bones to realign the knee, reducing the overload in damaged parts of the joint.
• Partial knee resurfacing uses custom implants and other methods to repair or replace specific parts of the knee. Such techniques include the Episealer® mini-metal implant from Episurf and the BioPoly® polyethylene implant.

Knee Replacement

Knee preservation gives many people years of pain-free movement so they can keep enjoying their favourite activities. However, if multiple treatments fail, it may be time for a knee replacement. This treatment uses a device made of metal and plastic to replace the damaged knee joint. Consultants at Cleveland Clinic London perform a high volume of these procedures, with excellent outcomes.

Orthopaedic Self-Pay Services

Whether you need to know the cost of a private MRI scan, surgical procedure or other service, we can help. Cleveland Clinic London has a broad range of tests and treatments available for self-pay, so you’re prepared for whatever turn your health takes. Find out more.

Learn More About Our Knee Preservation Services

Contact us or call +44 20 3423 7500 for more information about our services, including comprehensive hip, knee and pelvis care.