:format(webp)/cdn.mskdoctors.com/storage/2026/8/o5ovKxl85s6GjqXO0lxghkOnYgKV4rkk.jpg)
AMIC versus ACI for knee cartilage repairAMIC completes knee cartilage repair in a single operation using bone-marrow stem cells held by a collagen scaffold; ACI requires two procedures to culture and reimplant the patient's own cartilage cells. A 2024 meta-analysis found outcomes between the two approaches broadly equivalent.AMIC completes knee cartilage repair in a single operation using bone-marrow stem cells held by a collagen scaffold; ACI requires two procedures to culture and reimplant the patient's own cartilage cells. A 2024 meta-analysis found outcomes between the two approaches broadly equivalent.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/KrFVoOQZ12jhh6MLUrwKAQtNJok3RQHr.jpg)
Knee Cartilage Repair and PreservationArticular cartilage lacks blood vessels, so when damaged it forms fibrocartilage—a mechanically inferior scar tissue that typically deteriorates within two to three years. This biological constraint shapes every treatment option, from temporary symptom relief to procedures attempting true cartilage regeneration.Articular cartilage lacks blood vessels, so when damaged it forms fibrocartilage—a mechanically inferior scar tissue that typically deteriorates within two to three years. This biological constraint shapes every treatment option, from temporary symptom relief to procedures attempting true cartilage regeneration.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/NVBxTwqrhFf5MtzHXwBTNTJi8qrvNNkp.jpg)
Physiotherapist or surgeon first for a meniscus tearFor most meniscus tears, physiotherapy is the evidence-supported first step; surgery is reserved for locked knees, persistent instability, or severe acute injuries that fail to settle.For most meniscus tears, physiotherapy is the evidence-supported first step; surgery is reserved for locked knees, persistent instability, or severe acute injuries that fail to settle.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/5yqtnO9k0Fj59GMzO0kP7LWXrqltF5su.jpg)
When knee pain needs an orthopaedic assessmentMost knee pain settles with rest and physiotherapy; the threshold for orthopaedic assessment is persistent dysfunction despite weeks of conservative care, or acute structural changes—and assessment maps options rather than commits to surgery.Most knee pain settles with rest and physiotherapy; the threshold for orthopaedic assessment is persistent dysfunction despite weeks of conservative care, or acute structural changes—and assessment maps options rather than commits to surgery.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/D2kqxeavVUcZNASzOXi8rxUp6cWpjo8e.jpg)
High tibial osteotomy as a first step in knee preservationHigh tibial osteotomy repositions the tibia to shift weight-bearing from damaged inner knee cartilage to the healthier outer compartment. For younger, active patients, the procedure preserves the natural joint and potentially extends its working life by a decade or more.High tibial osteotomy repositions the tibia to shift weight-bearing from damaged inner knee cartilage to the healthier outer compartment. For younger, active patients, the procedure preserves the natural joint and potentially extends its working life by a decade or more.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/sVhm09ypYeQ9Qy5X03xJhmuglsmz6RAg.jpg)
When physiotherapy isn't enough for hip osteoarthritisHip osteoarthritis referral requires simultaneous criteria: Oxford Hip Score below 20, X-ray confirmation of moderate or severe OA, BMI optimisation, and inadequate response to conservative management—not automatic progression based on symptoms or time alone.Hip osteoarthritis referral requires simultaneous criteria: Oxford Hip Score below 20, X-ray confirmation of moderate or severe OA, BMI optimisation, and inadequate response to conservative management—not automatic progression based on symptoms or time alone.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/NGFDFqw1DslJZxXKVlgDs8fpuKp14lQb.jpg)
Which specialist treats supraspinatus tendinopathySupraspinatus tendinopathy follows a treatment pathway where specialist selection depends on how long symptoms have persisted and whether the tendon is structurally intact: specialist MSK physiotherapy is the first contact for most patients, surgery becomes relevant only when conservative care fails or imaging reveals substantial structural damage.Supraspinatus tendinopathy follows a treatment pathway where specialist selection depends on how long symptoms have persisted and whether the tendon is structurally intact: specialist MSK physiotherapy is the first contact for most patients, surgery becomes relevant only when conservative care fails or imaging reveals substantial structural damage.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/Xc2EYraU36Mqzzl7yRSHjrrwbnM4pNVP.jpg)
ChondroFiller™ durability compared with ArthrosamidChondroFiller™ recruits the patient's own progenitor cells to build new cartilage tissue within a collagen scaffold. Three-year published follow-up shows mean IKDC scores of 80 — a 32.4-point improvement from baseline — with durability reported to extend beyond five years.ChondroFiller™ recruits the patient's own progenitor cells to build new cartilage tissue within a collagen scaffold. Three-year published follow-up shows mean IKDC scores of 80 — a 32.4-point improvement from baseline — with durability reported to extend beyond five years.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/rvMqoN4JoeMkc33QwYKFHy0vXVb8fC3o.jpg)
Which specialist treats sciaticaAdults with uncomplicated sciatica in many NHS areas can self-refer directly to musculoskeletal physiotherapy without a GP appointment; most cases are diagnosed through clinical examination, not imaging.Adults with uncomplicated sciatica in many NHS areas can self-refer directly to musculoskeletal physiotherapy without a GP appointment; most cases are diagnosed through clinical examination, not imaging.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/ZVyRSTnIpoechG4d0W5QkRYWxGOiM7Ul.jpg)
Early signs of hip osteoarthritisHip osteoarthritis typically begins with a deep ache in the groin or front of the thigh that builds during weight-bearing and settles with rest, often fleeting enough to dismiss as muscle tension or general wear.Hip osteoarthritis typically begins with a deep ache in the groin or front of the thigh that builds during weight-bearing and settles with rest, often fleeting enough to dismiss as muscle tension or general wear.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/tvMjfKjLABdhRGs2LCmiONtEq1Ne2PeG.jpg)
Medial knee pain that isn't a meniscus tearAround 850,000 meniscal surgeries are performed annually in the United States, yet five other structures in the medial knee generate pain so similar that clinicians commonly mistake them for meniscal tears.Around 850,000 meniscal surgeries are performed annually in the United States, yet five other structures in the medial knee generate pain so similar that clinicians commonly mistake them for meniscal tears.
:format(webp)/cdn.mskdoctors.com/storage/2026/8/rjdUoSXZw7DBQPxbfDpZXz3tnkbbwYXu.jpg)
Who qualifies for MACI knee surgery?Patients aged 18–55 with deep focal cartilage damage (Grade III-IV, >2 cm²) qualify for MACI if their knees are structurally sound—stable ligaments, correct alignment, no generalised osteoarthritis—and conservative treatment has failed. The procedure is two-stage, with extended rehabilitation required.Patients aged 18–55 with deep focal cartilage damage (Grade III-IV, >2 cm²) qualify for MACI if their knees are structurally sound—stable ligaments, correct alignment, no generalised osteoarthritis—and conservative treatment has failed. The procedure is two-stage, with extended rehabilitation required.
