Surgery when it is the right answer, and only then

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Surgery when it is the right answer, and only then

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Tendon and soft-tissue problems

Tennis elbow, Achilles problems and gluteal tendinopathy — rarely surgical.

What you may notice

Tendon and soft-tissue problems

Adults in their forties and fifties, and anyone who has increased activity quickly

Tendon problems are load problems, and the treatment with by far the best evidence is a progressive loading programme rather than an operation. Injection can help in the short term but does not change the tendon, and repeated injections do harm. Surgery is reserved for the small proportion who fail a properly executed programme over many months.

What people notice

  • Pain at a specific point that has lasted months
  • Worse at the start of activity, easing, then worse afterwards
  • Weakness gripping or pushing off
  • Pain lying on the affected side

This is general information, not a diagnosis. If any of it sounds like you, ask to be assessed.

Usually managed with

  • Consultant assessment
  • Rehabilitation
  • Injection therapy
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Procedures

Procedures

What each procedure involves, what recovery actually looks like, and how long before you are back.

  • Consultant assessment

    from £250

    A full examination with a consultant, imaging reviewed on the day, and a written plan.

  • Imaging and diagnostics

    from £190

    Radiographs, MRI, ultrasound and gait analysis, reported and explained.

  • Injection therapy

    from £320

    Ultrasound-guided injections for diagnosis and for symptom relief.

  • Arthroscopic surgery

    from £4,200

    Keyhole surgery for the knee, shoulder, hip and ankle, as a day case.

  • Ligament reconstruction

    from £7,500

    ACL and other ligament reconstruction, with rehabilitation planned from the start.

  • Knee replacement

    from £13,500

    Total or partial replacement for arthritis that has stopped responding to everything else.

  • Hip replacement

    from £13,900

    Replacing the worn ball and socket — among the most reliable operations in surgery.

  • Hand, foot and day-case surgery

    from £2,400

    Carpal tunnel, trigger finger, bunion correction and tendon procedures.

  • Rehabilitation

    from £62 per session

    Supervised, criteria-based recovery after injury or surgery.

Appointments

Request an appointment

Consultations are with a consultant orthopaedic surgeon. Bring any imaging you have already had — it often saves repeating it.

Request an appointmentContact the clinic