Non Surgical


Phone : 02035 987302

Leicester Nuffield: 01162 743753

Email : mskdoctors@medserv.co.uk


MSK doctors specialised in both the non-surgical and surgical management of the knee. We embrace highly effective one stop outpatient treatments without the need for a general anaesthetic and an inpatient hospital stay. Prof. Lee can offer effective solutions in the treatment of knee pain and deliver cutting edge medical therapy options to patients in an outpatient setting. The aim is to help you delay and avoid knee replacement surgery as much as possible. 


Prof Lee OA Knee Pain


Prof. Lee has published a recent update on "Non-surgical and Non-pharmacological Treatment of Knee Pain” and "Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain”  and was invited by the biological knee society to author the Latest Non-surgical treatments section for the society. Prof. Lee has a wide breadth of knowledge in supplements, bracing and injection therapy to treat arthritis, which can give his patients more options instead of knee replacement


Unloading Knee Brace

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One of the non-surgical treatment options for knee osteoarthtitis is the use of an Unloader knee brace. There are many different types of devices on the market and it can be very confusing. If the offloading knee brace is not used appropriately with a specialist prescription, it will become ineffective and does not have the desired effect of pain relief and delayed surgical intervention. Mr Lee has great experience with the Unloader knee brace and has published 8 years of results of its cost effectiveness compared to total knee replacement in the British Medical Journal (BMJ).

Unloader Knee Brace

 


Prof Lee’s 8 year results summary on the unloader: 

(All patients were on the waiting list for replacement at the begining of the study)

  •  Patients who wore an unloading knee brace for 2 years or more did not require surgery at 8 years follow-up.
  • A knee brace has a similar quality of life gain compared with total knee replacement at 8 years follow-up.
  • 6 months of knee brace use halved the chance of knee surgery compared with 3 months or less use.
  • Short-term use of an unloader knee brace can improve quality of life for patients awaiting surgery.
  • It is cost-effective to use an unloader knee brace while patients are waiting for surgery in the NHS setting.
  • Unloader knee brace can delay surgery and indeed deem it unnecessary over the long term for patients (40%) with unicompartmental arthritis. 
  • Patients were able to return to their daily activities and work while using the unloader knee brace.


Anti Inflammatory Knee sleeves

MSK doctors offers specialised anti inflammatory knee sleeves, which can help to improve circulation and reduce inflammation in the joint. 

Prof. Lee’s article on knee brace innovation. click here

GE knee sleeve
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Commonly overlooked knee problems:

Synovial plica syndrome occurs in the knee, when an otherwise normal structure becomes a source of pain due to injury or overuse. Patients may present with anterior knee pain with or without mechanical symptoms, and the diagnosis can sometimes be difficult. Several studies have examined the epidemiology, diagnosis, and treatment of synovial plica syndrome. Prof Lee has reviewed the latest update and published an evidence-based guide to the diagnosis and treatment of synovial plica syndrome of the knee. More




Prof Lee has travelled the World to learn highly advanced treatment techniques from centres of excellence. He offers highly effective treatment options that may not be available in the public healthcare system. Being dual qualified and experienced in Sports Medicine and Orthopaedic Surgery, he can access resources and treatments which are only available to the top 1% of the super elite.


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Biological MSK treatment


Decison tool for knee surgery: click here


Medical treatment offered by Prof Lee


Below is a list of publications by Prof Lee in the field of Non Surgical treatment in MSK conditions:

  • Lee PYF, Winfield TG, Harris SRS, et al (2017). Unloading knee brace is a cost-effective method to bridge and delay surgery in unicompartmental knee arthritis. BMJ Open Sport Exerc Med ;2:e000195.doi:10.1136/bmjsem- 016- 000195
  • Lee PYF, Nixion A, Chandratreya AP, Murray JM (2017) Synovial Plica Syndrome of the Knee: A Commonly Overlooked Cause of Anterior Knee Pain
    The Surgery Journal 2017; 01: e9-e16 doi: 10.1055/s-0037-1598047
  • Golding D, Brock J, Whiting B, Lee PYF (2017) Intra-articular Injections for Management of Knee Osteoarthritis. J Arthritis 6:242. doi: 10.4172/2167-7921.1000242
  • Perkins C, Whiting B, Lee PYF (2017) Steroids and Osteoarthritis. J Arthritis 6:e115. doi: 10.4172/2167-7921.1000e115
  • Golding D, Lee PYF (2016) Non-surgical and Non-pharmacological Treatment of Knee Pain. J Arthritis 5:225. doi: 10.4172/2167-7921.1000225
  •  Lee PYF, Brock J (2016) Intra-articular Injections for Osteoarthritis: From Bench to Bedside, can we Teach Old Drugs New Tricks?. J Arthritis 5:e111. doi:10.4172/2167-7921.1000e111
  • Lee PYF, Kwank A, Smith PM, Nokes LM (2016) “Should We Treat Soft Tissue Injuries with Actovegin?”. EC Orthopaedics 4.4: 600-604


Phone : 02035 987302

Email : mskdoctors@medserv.co.uk


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