Finding the best knee specialists Bristol is important when you have pain.
We help people avoid surgery and overcome injury and pain everyday. A FREE discovery call could be the key in saving time, money and energy on surgery.
Many people who had a severe trauma or persistent knee problem are looking to resolve this and return to normal activities.
A knee specialist in Bristol can help you recover quickly by facilitating the healing process and avoiding surgery.
It is important in acute injuries to get the right management early to get the best result.
Our experienced clinicians helped to identify the cause by external testing. They have close links with local surgeons and can refer for further investigation such as MRI if necessary.
It is important to find a knee specialist who has experience in a wide range of conditions. At The Physio Crew we complete regular CPD to allow shared learning.
With our strong connections with local sports teams we are used to seeing acute injuries. With experienced sports physios is within the team there are establish connections with local surgeons.
An important thing to remember is that all healthcare professionals are biased.
Bear with me. Let me explain…
When you see a surgeon their main expertise is in surgery.
They like doing surgery. They are experts in it.
The population sample they see is biased.
The options are to recommend injection, physiotherapy or surgery. They are often seeing patients who have exhausted conservative management but in reality the person may just have had poor physio which may mean they offer surgery after perceived failure of physio. Perhaps 4 sessions and poor commitment from the patient was not known to the surgeon
When you see a physio we are also biased.
We have seen people recover without the need for surgery. These patients can sometimes be complex, with high levels of pain, but can still do well with the right treatment.
So you must make your decision based on what is right for you.
Physiotherapy focuses on specialist equipment, exercise and hands-on treatment to resolve your knee pain.
There are very few negative consequences of physio besides occasional increased short-term discomfort and time.
Unfortunately, surgery can have poor outcomes and can result in postop complications such as infection, increased pain, deep-vein thrombosis, bleeding and surgical failure. Although successful techniques have greatly improved they are not without risk and patients often see them as the only answer without considering all the options.
Surgery has its place but conservative treatment should be exhausted first in all non-salvage procedures.
Names and events may have been changed to protect patient confidentiality.
Heather presented in clinic six months following an anterior cruciate ligament tear.
She was seen four times within the NHS.
The injury occurred during a netball match. She attended A&E following a sudden giving way and swelling of her left knee.
Her knee was x-rayed and the doctor confirmed there was no fracture. She was advised it was likely a ligament sprain and sent home and advice to see the GP if pain persisted.
Within a week she was walking fairly normally again so she began short runs. On her first training session back to netball as she twisted to catch the ball honey gave way and a loud pop was heard.
She attended four sessions of physiotherapy within the NHS following a GP appointment. She was given a sheet of and minimal hands-on treatment.
Four months later she had now had five episodes of giving way where she had ended up on the floor. She been referred to an MSK specialist and was now considering surgery.
When we look at this case we have to consider a number of things.
Is the knee strong? Is the knee stable? Can she return to her previous level of function? How is her knee problem affecting her everyday activities?
Now Heather may feel that she is exhausted physiotherapy however full sessions is simply not enough to know whether this me can be sufficiently stable without the need for surgery.
There is an increasing body of evidence that shows elite athletes returning to play without surgery.
An MRI may be necessary to confirm which ligaments have been affected but then a individual decision reached based on the individual and what they wish to get back to in terms of function.
Heather chose to delay surgery and try physiotherapy.
Heather worked as a vet and did not want to take time off the surgery. She would like to return to some level of sport after the birth of her daughter had decided that she probably would not return to netball. She enjoys running and this was the second choice.
On the assessment she had an extremely weak quadricep, hamstring and glut. on assessment her balance, proprioception and confidence were poor.
The team outlined a rehabilitation programme for her. This included a graded return to load exercise combined with soft tissue mobilisation affected muscles and advice on how to build it running. We stressed the importance of building up strength before she progressed to knee exercises that required sudden change in direction.
We agree that if she was to experience repeated giving way following rehabilitation programme then she should be reviewed by surgeon to consider intervention.
At the end of a three-month programme she had experienced no giving way and was able to return to running half marathons. She decided against surgical intervention and continues to do science and strengthening exercises as part of her normal activity.
In summary choosing the right knee specialist in Bristol is important. If you are looking to exhaust conservative management before proceeding with surgery why not book your free discovery call. Click here to book.