Runnymede Hospital
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Phone
Reception: 01932 877800
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Opening hours
Mon-Sun: 9am-12am
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Car parking
Limited parking
We offer tailored treatment for knee pain at The Runnymede Hospital in Chertsey
If less invasive treatments aren't enough to manage your pain, your consultant might suggest knee surgery. If this is the case, you will receive more information about what this will involve, including how to prepare for surgery and the benefits of undergoing a knee operation. We want to make sure you feel informed and involved throughout the whole process, so we will also provide you with detailed information about your recovery period.
The Runnymede Hospital is in the historic town of Chertsey in Surrey. People come to us from all over Surrey, including Hersham, Walton on Thames, West Byfleet, Cobham, Esher, Woking and Byfleet. We also welcome patients from further afield, and even overseas.
This type of arthritis causes chronic pain and stiffness, which in turn has a negative impact on your overall mobility. This is the most common type of arthritis in the UK, occurring when the smooth cartilage which protects and cushions your joints becomes worn down over time. It tends to happen as we get older. Symptoms differ from person to person with osteoarthritis.
Rheumatoid arthritis (RA) is an inflammatory joint condition caused by an autoimmune process, which occurs when your body mistakenly attacks its healthy cells. This often causes severe pain, swelling, inflammation and limited mobility.
Significant injuries to your knee ligaments may need to be repaired with surgery, which is usually done arthroscopically. A very common ligament injury is an ACL tear, which is damage to your anterior cruciate ligament.
Comprised of cartilage, the menisci are the 'shock absorbers' in your knee, helping to absorb and safely dissipate energy created in the joint every time you move it. If you damage the cartilage, meniscus surgery may be needed to either remove the cartilage or tor repair it.
From a fracture to bursitis, there are a wide variety of knee conditions that can be treated with knee surgery. Where possible, we will aim to treat your knee problems using conservative methods, but when surgery is the best choice, it is a highly effective treatment option.
Common knee surgery alternatives include:
Also known as steroid injection therapy, this treatment involves injecting steroid medication into your painful knee joint. It can be effective at reducing swelling and inflammation and lowering your pain levels.
Your doctor might recommend using heat therapy (in the form of icepacks or heat pads) to manage your pain. This can be an effective way of reducing swelling or numbing pain, if needed.
A physiotherapist will work with you to build a tailored exercise plan to help strengthen your knee muscles and relieve any tension or pain around your joint.
Physiotherapy can be an alternative to knee replacement surgery, and it is also used to help people recover faster from a knee replacement operation. If you have knee surgery with Circle, you'll be seen by a specialist physiotherapist who will guide you through a set of knee replacement exercises to perform throughout your recovery.
These can help you to get better more quickly and should give you the best chance of a full recovery.
Your consultant will monitor your knee health and whether it improves with these treatment options. If it does not, they might recommend knee surgery.
If you would like a personalised quote for the treatment you need, give us a call and one of our dedicated advisors can provide one.
If you are paying for your own treatment, you'll be given a fixed-price package, which will include a full breakdown of costs so you know exactly what's included. Our self-pay customers can take advantage of flexible payment options, allowing you to spread the cost over monthly instalments.
If you have private medical insurance, knee surgery may be covered by your policy. Speak to your provider to find out, or call our team for advice. We liaise directly with insurers to make things easier for you.
Your initial consultation is a chance for your specialist to find out as much as they can about you and your knee. They will ask you lots of questions about your health, and they'll examine your medical history in detail. they want to know about both previous and existing medical conditions, whether you are taking any medications or currently undergoing any treatments for your knee pain, and whether anything has helped to ease your knee problems in the past.
They will ask you personal questions too, perhaps about your hobbies and interests and how your pain has affected your ability to enjoy these. This is because they want to understand what's important to you and why you are seeking treatment for knee pain. They want to know how long you've been in pain, how and when the pain began, and how it impacts your daily life.
In order to assess your symptoms properly and make an accurate diagnosis of your knee pain, your consultant will gently carry out a physical examination of your knee joint(s). They want to evaluate how you move your knee joint and in which positions it causes you the most pain. Sometimes your consultant will request an X-ray to help confirm their diagnosis. If so, this will be performed by one of our radiographers. Other diagnostic testing that could be used includes CT scanning and blood tests.
After your consultant has confirmed the cause of your knee pain, they will share more information about knee replacement surgery and whether it might be the right treatment option for you. They will also discuss other potential treatments for your knee pain to ensure you have a comprehensive understanding of your options.
Your consultant is there to answer any questions you might have about knee replacement surgery and to alleviate any concerns you might have about undergoing surgery, or any other treatment. Please don't hesitate to ask any and every question that comes into your head. No question is silly, no question is too small. We want you to feel as informed and involved as possible.
The exact timeframe will differ from person to person, but in general you will have fast access to treatment, without a waiting list. There shouldn't be any delays, and you can pick a time and date that are convenient for you.
A knee arthroscopy is an operation where a few small incisions are made around your knee joint to allow an arthroscope (a thin tube with a camera attached to the end) to be passed into the joint. Your Orthopaedic Surgeon will use this arthroscope to examine the inside of your joint and find the cause of symptoms such as persistent knee pain, swelling or stiffness. If possible, treatment will also be given during the arthroscopy
Total knee replacement surgery is recommended damage to more than one part of your knee. This could be caused by arthritis or a trauma (an injury) to your knee. Your total replacement surgery will involve removing and replacing the damaged ends of your femur (thigh bone) and tibia (shin bone) with artificial components, also known as a prosthesis. This might be made of plastic, ceramics, metal, or a combination of these materials.
Partial knee replacement surgery will be recommended if the damage is only to one part of your knee joint. This damaged part is removed and replaced with a prosthesis (an artificial component). Your Orthopaedic Surgeon will secure this prosthesis in place using bone cement (a synthetic paste) or cover this prosthesis in special coatings that allow it to attach to your bone.
Over time, the prosthesis used in knee replacement surgery (whether total or partial) is subject to wear and tear. Eventually, the artificial joint will need to be fixed or replaced. In this instance, you'll be recommended knee revision surgery.
Whatever surgery you have, you have a better chance of success if you are supported through your recovery by a physiotherapist.
At Circle Health Group, all our knee surgery patients will be supported by a dedicated registered physiotherapist who specialises in getting people back on their feet. They will work with you throughout your treatment journey, building a personalised recovery plan that will help you to regain your strength and support the healing of your knee as best as you can.
Knee replacement surgery is usually performed either under general anaesthetic, spinal anaesthetic, or epidural. Under general anesthetic, you will not be awake. When under spinal anaesthetic or epidural, you will be awake but numb from the waist down. If this is the case, you will probably be given a sedative too, so you are unlikely to remember the procedure.
During a total knee replacement operation, your orthopaedic surgeon will first create an incision in your knee to access your patella (kneecap). This is moved aside to provide access to your joint. Your surgeon will then remove the damaged ends of your femur (thighbone) and tibia (shinbone). The ends of these bones are measured and shaped to fit your prosthesis. But before this is fitted, your orthopaedic surgeon will test your joint with a trial prosthesis.
Once the prosthesis is ready to be fitted, your surgeon will replace the end of your femur with a curved metal piece, while a metal plate will replace the end of your tibia. They will position a plastic spacer between these two metal parts to minimise friction. Total knee replacement surgery could also include replacing the back of your patella (kneecap), but this will depend on the extent of damage to your knee.
If you are having partial knee replacement surgery to remove and replace a specific damaged part, surgery can be performed using a smaller incision.
After your partial or total knee replacement surgery, your incision will be closed with stitches or clips and covered with a dressing.
The surgery typically lasts for one to two hours, but this depends on the type of surgery your consultant is performing.
A traumatic fall or injury can damage your knee replacement, just as it would damage your real knee. Weakness in your knee joint can lead to a loss of balance after your knee replacement, which is why it is important to follow specialist knee replacement exercises set by your physiotherapist. We talk about these in more detail below.
Usually, a prosthesis is made of a metal alloy with a plastic insert. In some cases, implants are made from ceramics, or a ceramic and metal composite.
If you would like to learn more about knee surgery at The Runnymede Hospital, book your appointment online today or call a member of our team directly.
If you are paying for your own treatment, yes, you can usually self-refer for knee surgery at Runnymede Hospital.
If you wish to use private medical insurance, you will usually need a referral from your GP. Speak to your insurer directly to find out. If you don’t have a GP referral, we can help you arrange one. Give us a call and our advisors will explain the process.