Paul’s expertise is in the diagnosis and treatment of conditions affecting both the hip and knee. Whether the ultimate outcome is a non-surgical or minimally invasive surgical route there will always be a multi-disciplinary team approach. Patients can be assured that their care involves all the professionals required to guide them to their optimal health and function.
The most common conditions in the hip and knee are listed here. However, Paul provides a comprehensive service, covering all aspects of hip and knee complaints including acute injuries, chronic conditions, frequently providing second opinions for patients with complex diagnoses, or even those just needing some reassurance.
Hip Conditions
FEMOROACETABULAR IMPINGEMENT (FAI)
“There is a spectrum of hip disease, with Femoroacetabular Impingement at one end and Osteoarthritis at the other. This occurs due to abnormal/excessive contact between femoral neck and edge of the socket causing damage to the joint.”
HIP OSTEOARTHRITIS (OA)
“This is when there is severe degeneration and damage to the hip joint, with loss of articular cartilage (bare bone). Pain can be felt anywhere around the hip and sometimes confused with back or knee pain.”
Knee Conditions
MENISCAL TEAR
“The meniscus is the shock absorber of the knee and spreads out the load. It, unfortunately, has no ability to heal by itself and if left untreated, will eventually lead to arthritis.”
ACL RUPTURE (ANTERIOR CRUCIATE LIGAMENT)
“The ACL is the main stabilising ligament of the knee. It has no ability to heal by itself and if left untreated results in instability and the risk of further cartilage damage and hence arthritis.”
ARTICULAR CARTILAGE DAMAGE
“Articular Cartilage Damage The articular cartilage covers the ends of the bones and forms the smooth, frictionless surface that allows the joint to articulate. Damage can be due to repetitive trauma and may be anything from fissuring or delamination which…”
KNEE OSTEOARTHRITIS (OA)
“Knee Osteoarthritis – This is when there is severe degeneration and damage to the knee joint, with loss of articular cartilage (bare bone). Patients complain of pain, swelling, stiffness, loss of range of motion and reduction in activity levels.”