If knee pain is making it difficult for you to stay active, you’re not alone. Whether it’s a dull ache, sharp twinge, or something in between, understanding what’s behind the discomfort is the first step towards feeling better.

Orthopaedic knee specialist Mr Nicholas Bowman explains the most common causes of knee pain, your options for treatment, and how a rapid private assessment could get you back on your feet – fast.

Is it arthritis, a tear, or something else?

Knee pain can come from a number of sources – sometimes it's not easy to tell exactly what's causing it just from the symptoms alone.

For example, arthritis involves the wear and tear of the lining cartilage (the cartilage that sticks to the bone) and typically causes a constant, background ache. In contrast, a meniscal tear (of the shock-absorbing cartilage inside the knee) tends to cause sharp, shooting pain that comes and goes, often following a twist or injury.

Of course, there are other causes to consider – such as ligament damage or referred pain from the hip – which is why getting an expert opinion from a knee specialist is so valuable.

What are my treatment options – surgical and non-surgical?

Many knee conditions can be treated without surgery, especially in the early stages.

Non-surgical options include:

  • Tailored physiotherapy programmes
  • Muscle conditioning and strengthening
  • Targeted injections for pain relief (more on this below).

When needed, surgery can address a wide range of knee issues, including:

  • Keyhole surgery to repair or remove torn cartilage or loose fragments
  • Ligament reconstruction after injury
  • Treatment for arthritis, including:
    • Partial or full knee replacement
    • Realignment surgery (to shift pressure off a damaged part of the knee)

Ultimately, the right approach depends on your individual condition and goals, and should be discussed thoroughly with your surgeon.

Who is most at risk of knee problems?

Knee issues can affect anyone, but some people are more prone than others. You may be more at risk if you:

  • Have a family history of arthritis
  • Have suffered a previous injury, such as a sports accident or trauma (e.g. a car accident)
  • Are involved in high-impact activities or repetitive strain sports.

Even if your symptoms feel mild, early assessment can make a big difference in outcomes and recovery time.

Are there advanced non-surgical treatments available?

Yes – and the options continue to improve. At Mr Bowman’s clinic, injectable treatments are used as part of a tailored, stepwise approach:

  • Viscosupplementation: A gel-like substance (sometimes with steroid) that lubricates the joint.
  • Injectable hydrogel (anti-inflammatory implant): A newer treatment for osteoarthritis that’s delivered under ultrasound guidance, offering longer-lasting relief than traditional steroid injections.

These options can be particularly helpful for patients looking to delay or avoid surgery, or those needing relief while preparing for a surgical solution.

Why choose a private assessment – and how quickly can I be seen?

One of the biggest advantages of going private, whether using your insurance or self-funding, is speed and continuity.

In Mr Bowman’s clinic at Wells Health:

  • Appointments are usually available within two weeks
  • You’ll receive personal care directly from Mr Bowman
  • X-rays, MRI scans, and follow-ups are all coordinated quickly – often within 24 hours
  • With 15 years of exclusive knee practice, you’ll benefit from one of the UK’s most experienced knee specialists
  • Our self-funding packages also include physiotherapy sessions tailored to you

From first consultation to diagnosis and treatment, everything is done with clarity, expertise, and efficiency – helping you get back to doing what you love as soon as possible.

 

Ready to take the first step?

If knee pain is holding you back, it’s worth booking a consultation to get answers and explore your options. Whether it's physiotherapy, a simple injection, or something more advanced, the right treatment can make a world of difference.

About Mr Nicholas Bowman

Mr Nicholas Bowman is a highly experienced consultant orthopaedic surgeon specialising exclusively in knee conditions.

With over 15 years of dedicated knee practice in a high-volume clinic, he provides expert, personalised care at every stage – from consultation to diagnosis and treatment. 

All assessments, including X-rays and MRI scan interpretations, are carried out directly by Mr Bowman, with no involvement from trainees or junior staff. Patients benefit from rapid access, clear guidance, and the reassurance of being treated by a true knee specialist.

Call our team on 01892 741178

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