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Knee · condition

Knee arthritis

Wear of the cartilage that lines the knee joint, causing pain, stiffness and swelling. Many people improve with simple measures; some need an injection or an operation.

Non-surgical options first

Osteotomy or replacement if needed

Walking up stairs

Symptoms

Knee arthritis usually comes on gradually. Common symptoms include:

Pain when walking, on stairs or getting up from a chair

Stiffness after sitting or first thing in the morning

Swelling, or a feeling of warmth in the knee

Grinding or clicking as the knee moves

A knee that feels weak or gives way

Causes

Cartilage naturally thins with age. Arthritis is more likely after a previous injury such as a meniscal tear or fracture, when the leg is out of alignment, with extra body weight, or when it runs in the family.

Cycling outdoors

How it is diagnosed

Mr Morapudi will ask about your symptoms and examine your knee. Imaging helps to confirm the diagnosis and plan treatment.

1

Consultation

History and examination of the knee and hip.

2

Standing X-rays

To see the joint space and the alignment of the leg.

3

MRI if needed

When the cartilage or meniscus needs a closer look.

4

Your plan

Options explained, from self-help to surgery.

Treatment options

Treatment usually starts with the simplest option. If symptoms continue, the next step may be considered.

Exercising at home

Step 1

Self-help and physiotherapy

Exercise, weight management and pain relief

Ultrasound-guided joint injection

Step 2

Injections

Joint injections or viscosupplementation

Full-length leg alignment X-rays on a clinic lightbox

Step 3

Knee osteotomy

Realignment for arthritis on one side

A knee replacement implant

Step 4

Knee replacement

For advanced arthritis

Living with knee arthritis

Small changes can make a real difference to day-to-day comfort:

Keep active with low-impact exercise such as walking, cycling or swimming

Strengthen the muscles around the knee with a physiotherapy programme

Use pain relief as advised by your GP or pharmacist

Supportive footwear, and a stick in the opposite hand on bad days

See your GP or seek urgent advice if your knee becomes hot, red and very swollen, or if you feel unwell with a fever.

Questions about knee arthritis

Will my knee arthritis get worse?

Arthritis often changes slowly, and symptoms can come and go. Many people manage well for years with the right exercise and support.

Answer to follow: awaiting client copy.

Answer to follow: awaiting client copy.

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Talk through your options

Appointments at Spire Regency, Spire Manchester and Spire Hale Clinic. Self-pay and insured patients welcome.

Or call the practice

Mr Syam Morapudi, Consultant Orthopaedic Surgeon

Mr Syam Morapudi

MBBS, MRCS, FRCS (Tr & Orth) · GMC 6061203

Consultant Orthopaedic Surgeon, hip and knee. Fellowship-trained in Melbourne.

Ready to talk about your hip or knee?

Appointments at Spire Regency, Spire Manchester and Spire Hale Clinic, usually within two weeks.