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Expert Orthopaedic Insights

Evidence-based articles from MSK specialists

Explore our latest guidance on joint health, sports injuries and personalised treatment pathways. All content is written and reviewed by our consultant specialists.

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Cartilage Repair29 May 2026

Knee cartilage repair options before joint replacement

Focal knee cartilage defects can be treated with chondroplasty, grafting or cell-based repair, but diffuse osteoarthritis usually points towards knee replacement instead. NICE-funded ACI is available in England for selected symptomatic full-thickness defect...

John Davies

Joint Conditions29 May 2026

Physio first or scan and surgery for common injuries

Sudden joint or tendon pain is usually a sprain, strain or tendinopathy, best managed first with relative rest, simple pain relief and targeted exercise rather than an immediate scan. MRI, injections and surgery are reserved for red flags, persistent instab...

John Davies

PRP29 May 2026

When PRP, fat or marrow injections make sense

PRP has the broadest evidence for chronic tendon pain and mild to moderate osteoarthritis, while microfragmented fat and bone-marrow concentrate remain lower-certainty options best suited to earlier-stage disease or focal cartilage defects. Steroid injectio...

John Davies

Joint Conditions28 May 2026

When common joint and tendon problems need specialist care

Acute Achilles rupture, hip osteoarthritis, frozen shoulder and GTPS usually need an active rehabilitation plan first, but imaging or consultant review becomes important when pain, function or tendon position show a clear plateau, or when rerupture, advance...

John Davies

PRP28 May 2026

What to expect after a PRP knee injection

PRP knee injections usually cause an early flare of ache, stiffness and swelling before any benefit appears, because the treatment is designed to trigger a short-lived inflammatory healing response. Improvement typically builds over 1 to 6 months, with many...

John Davies

Joint Conditions28 May 2026

When hip or shoulder stiffness needs assessment

Persistent hip stiffness that limits walking, rising from a chair or bending to put on shoes, and shoulder stiffness with night pain or progressive loss of movement, needs assessment. Hip osteoarthritis often causes groin pain and reduced range of motion; f...

John Davies

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