Orthopaedic surgery and musculoskeletal medicine
Consultant orthopaedic care for joints, bones and soft tissue
Cassia assesses and treats problems of the joints, bones, ligaments and tendons — from a knee that has stopped bending to a hip that needs replacing. Every patient is seen by a consultant, and every consultation covers the non-surgical options before the surgical ones.
Appointments
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Conditions
Conditions we treat
What each problem is, what causes it, and what the options are before an operation is considered.
- 01
Hip arthritis
Groin pain and stiffness from wear of the hip joint, and what to do before replacement.
- 02
Knee arthritis
The commonest joint we replace, and the one where non-surgical treatment achieves most.
- 03
Shoulder pain and rotator cuff injury
Pain lifting the arm or lying on that side, from tendon, joint or capsule.
- 04
Ligament and cartilage injury
ACL, meniscus and cartilage injuries in people who intend to go back to sport.
- 05
Spinal pain and sciatica
Back and neck pain with or without nerve symptoms, most of which settles without surgery.
- 06
Hand and foot conditions
Carpal tunnel, trigger finger, bunions and Morton’s neuroma.
- 07
Fractures and trauma
Broken bones, and the follow-up care that determines how well they heal.
- 08
Tendon and soft-tissue problems
Tennis elbow, Achilles problems and gluteal tendinopathy — rarely surgical.
Registration and accreditation
- Statutory registration
- National registry
- Regulator registration
- Insurer recognition
- Clinical audit
Procedures
Procedures
What each procedure involves, what recovery actually looks like, and how long before you are back.
Consultant assessment
from £250A full examination with a consultant, imaging reviewed on the day, and a written plan.
Imaging and diagnostics
from £190Radiographs, MRI, ultrasound and gait analysis, reported and explained.
Injection therapy
from £320Ultrasound-guided injections for diagnosis and for symptom relief.
Arthroscopic surgery
from £4,200Keyhole surgery for the knee, shoulder, hip and ankle, as a day case.
Ligament reconstruction
from £7,500ACL and other ligament reconstruction, with rehabilitation planned from the start.
Knee replacement
from £13,500Total or partial replacement for arthritis that has stopped responding to everything else.
Hip replacement
from £13,900Replacing the worn ball and socket — among the most reliable operations in surgery.
Hand, foot and day-case surgery
from £2,400Carpal tunnel, trigger finger, bunion correction and tendon procedures.
Rehabilitation
from £62 per sessionSupervised, criteria-based recovery after injury or surgery.
How it works
How your care runs
- 01
Referral or direct booking
Come with a letter from your GP or physiotherapist, or contact us directly. Bring any imaging you already have.
- 02
Consultant assessment
A full examination with the subspecialist for your problem, and any imaging that will change the decision.
- 03
The non-surgical route first
For most people this is where it ends: a rehabilitation programme, an injection, or a change in load. Reviewed on a set date.
- 04
Surgery, where it is right
Pre-operative optimisation, the operation itself, and rehabilitation booked before you go in rather than after you come out.
- 05
Recovery and review
Staged rehabilitation with criteria at each stage, and consultant reviews at set intervals for a year.
The practice
In numbers
- —
- Years the practice has been running
- —
- Consultant orthopaedic surgeons
- —
- Subspecialty clinics each week
- —
- Patients treated without surgery
Consultants
The consultant surgeons who will treat you
Every appointment at Cassia is with a named consultant, and you will know who you are seeing before you arrive.
Consultant Orthopaedic Surgeon — Knee
Knee replacement, ligament reconstruction and arthroscopy
Medical degree · Fellowship in knee surgery · Specialist register entry
Consultant Orthopaedic Surgeon — Hip
Hip replacement and preservation surgery
Medical degree · Fellowship in hip surgery · Specialist register entry
Consultant Orthopaedic Surgeon — Shoulder & Elbow
Rotator cuff, instability and shoulder replacement
Medical degree · Fellowship in shoulder and elbow surgery · Specialist register entry
Extended Scope Practitioner
Assessment, injection and triage
Physiotherapy degree · MSc in advanced practice · Injection therapy qualification
Clinical Lead Physiotherapist
Prehabilitation and post-operative rehabilitation
Physiotherapy degree · Orthopaedic rehabilitation training · Professional registration
Fees
Insurance and fees
Authorisation before your appointment
Most insurers require a GP referral and a pre-authorisation number. Get both before you attend and bring the reference.
Package pricing for surgery
Self-funded surgery is quoted as a package covering the consultant, the anaesthetist, the hospital and the scheduled follow-up.
Check that rehabilitation is covered
Some policies cover the operation and not the physiotherapy afterwards, which is the half that determines the result.
Shortfalls
Where an insurer pays less than the quoted fee, you will be told the difference in writing before anything is booked.
Appointments
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Consultations are with a consultant orthopaedic surgeon. Bring any imaging you have already had — it often saves repeating it.
Questions we are asked
Most people who come to us do not, and that is the honest answer for the majority of the conditions on this site. The consultation exists to work out which group you are in, and it always covers the non-surgical options first.
Get a straight answer
Most people we see are trying to find out whether an operation is necessary. That is a question worth asking properly.
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