At Home with Chris Jessen 2018 - 141

Wear and tear

To find out exactly what is wrong
with a patient's knees (commonly
pain, swelling, stiffness or instability),
the first step is to make a precise
assessment of the cause of the
problem, plus an examination that
often includes X-rays and scans.
In many instances, this can be
done at your doctor's surgery.
Sometimes, however, it may be
necessary to obtain the opinion of
an orthopaedic surgeon.
In discussion with the patient, the
surgeon will be able to recommend
a suitable course of treatment. For
most people, this will entail advice
and possibly painkillers, splints or
physiotherapy. In some cases,
surgery may be appropriate.
Being utterly central to mobility,
there are many things that can go
wrong with our knees.
In children and adolescents, pain
may come from the pull of muscles
on growing parts of the bones.
However, doctors will be careful to
consider other factors including the
possibility that pain at the knee may
be related to the hip. And as we get
older, osteoarthritis (wear and tear)
at the knee is common (eight million
Britons suffer from it).

Knee pain

Regardless of age, pain at the front
may come from the kneecap and
linked bones (a healthy knee is
dependent on the strength and
balance of the quadricep muscles at
the front of the thigh). Among the

MEET THE EXPERT
Mr Nimalan
Maruthainar is
a consultant in
orthopaedic and
trauma surgery
at the Royal Free
Hospital in London
and honorary
senior lecturer at
University College, London. He also
consults at the Hospital of St John and
St Elizabeth and at the Wellington
Hospital, both in London.
Mr Maruthainar trained in medicine
at the Royal Free and after qualifying
worked in Leeds, York and Norwich
before undertaking specialist
orthopaedic training at the Royal
National Orthopaedic Hospital and
Royal Free Hospital. He has been a
consultant since 2005.
In addition to his clinical practice
he holds responsibilities in teaching
and training and is a member of the
medical advisory boards of a number
of certified organisations.
His published works include peer
reviewed articles and contributions to
orthopaedic reference texts.
He is married with two daughters.

problems people may experience at
different life stages are sprains and
strains of the major ligaments, tears of
the meniscal cartilage or inflammation
of the adjoining muscles and tendons.
An orthopaedic surgeon will try to
determine exactly what the problem is.

THE FORCE ON THE
KNEE AT WALKING
PACE IS THREE TIMES
YOUR BODY WEIGHT
- WHEN YOU RUN IT'S
FIVE TO SEVEN TIMES
YOUR WEIGHT
They would then be able to advise you
whether your particular injury is better
treated by supports, physiotherapy,
injection and other non-surgical
treatments or if you would be better
helped by an operation. Surgical options
include keyhole (arthroscopic) surgery,
procedures to reconstruct a torn
ligament or, in knees particularly worn
or badly damaged, a knee replacement.
Knees quietly take the knocks of daily
life, but if yours start to play up, a
careful diagnosis and expert treatment
from a specialist will soon get you back
on the road to full recovery.

FOR MORE INFORMATION
Call 07871 269062
Visit londonkneespecialists.co.uk/
consultants/mr-nimalanmaruthainar
Email osteoid@btinternet.com


http://londonkneespecialists.co.uk/

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