Hip and knee treatments

Treatment shaped around your diagnosis and goals

Explore the surgical and non-surgical treatments offered by Mr Daniel Dowen for painful hip and knee conditions, including primary joint replacement, revision surgery, knee arthroscopy and joint injections.

Choosing treatment

The right treatment begins with the right diagnosis

Treatment should be based on the cause of your symptoms, the severity of the joint damage and the impact the problem has on your everyday life.

Some patients benefit from activity modification, physiotherapy, medication, injections or ongoing monitoring. Others may be considering keyhole surgery or joint replacement because pain and restricted movement continue despite appropriate non-surgical treatment.

Mr Dowen will explain the diagnosis, discuss the expected benefits and limitations of each option and help you understand whether treatment is appropriate now or whether it may be reasonable to wait.

Where surgery is recommended, the procedure is planned around your anatomy, health, previous treatment and the outcome you hope to achieve.

Surgery is not automatically the first recommendation.

A consultation may lead to non-surgical treatment, further investigation, monitoring or surgery depending on your individual circumstances.

Treatments

Specialist hip and knee treatment options

Select a treatment to learn how it is performed, who it may be suitable for, the potential benefits and risks, and what recovery may involve.

Hip

Hip replacement

Replacement of a painful and damaged hip joint to help reduce pain, improve movement and support a return to everyday activity.

Learn about hip replacement
Knee

Knee replacement

Surgery for advanced knee joint damage when pain, stiffness and reduced mobility continue despite other appropriate treatment.

Learn about knee replacement
Keyhole surgery

Knee arthroscopy

Keyhole assessment and treatment for selected meniscal and mechanical knee problems where arthroscopy is clinically appropriate.

Learn about knee arthroscopy
Non-surgical

Hip and knee injections

Diagnostic or therapeutic injections that may help manage inflammation and joint pain in appropriately selected cases.

Learn about joint injections
Find the right pathway

What type of treatment are you exploring?

These pathways bring together the treatments most relevant to common hip, knee and previous joint replacement problems.

Specialist expertise

Complex primary and revision joint replacement

Some hip and knee replacements require additional planning because of previous surgery, altered anatomy, bone loss, implant failure or another complicating factor.

Mr Dowen has a particular interest in complex primary and revision hip and knee surgery, including the assessment of painful or poorly functioning joint replacements.

Complex primary surgery Planning and implants tailored to more challenging anatomy or clinical circumstances.
Implant loosening or wear Assessment of changes affecting the implant, surrounding bone or joint function.
Instability or stiffness Investigation of giving way, restricted movement or loss of confidence in the joint.
Possible infection Structured investigation and specialist planning where infection is a concern.
Making a decision

How a treatment plan is developed

01

Confirming the diagnosis

Your symptoms, clinical examination and available imaging are reviewed to identify the cause of the problem.

02

Understanding your priorities

The discussion includes how the condition affects work, sleep, mobility, exercise, independence and the activities that matter to you.

03

Comparing the options

Appropriate non-surgical and surgical choices are discussed, including likely benefits, limitations and important risks.

04

Planning treatment and recovery

Where treatment is agreed, the next steps, preparation, hospital care, rehabilitation and expected recovery are explained clearly.

Non-surgical treatment

Not every hip or knee problem requires an operation

Depending on the diagnosis and severity of the symptoms, treatment may include measures intended to reduce pain, improve strength, maintain movement or delay the need for surgery.

  • Activity modification and pacing strategies
  • Physiotherapy, strengthening and rehabilitation
  • Pain relief or anti-inflammatory medication where appropriate
  • Hip or knee injections in selected cases
  • Weight management and general health optimisation
  • Monitoring where symptoms and joint damage remain manageable
Your next step

Discuss which treatment options may be suitable for you

A consultation with Mr Dowen provides the opportunity to review your diagnosis, discuss the full range of appropriate options and understand what each treatment may involve.