Restoring our patients' mobility since 1999 With 25 years of experience in the field, Mr Trevor Lawrence has helped thousands of patients overcome hip and knee pain and regain their quality of life. Why choose Mr Lawrence's Clinic? Whether you're struggling with daily tasks due to arthritis, sports injuries, or chronic pain, Mr Lawrence and his team of highly experienced medical professionals and dedicated care providers are here to guide you every step, from diagnosis to operation to recovery. BOOK AN APPOINTMENT PROVEN RESULTS - HIGHEST SUCCESS RATES The National Joint Registry (NJR) data confirms that Mr Lawrence performs over three times the UK National Average of primary hip replacements annually, demonstrating his extensive expertise and highly successful surgical practice. Read more HIGH PATIENT SATISFACTION Mr Lawrence's meticulous approach and commitment to state-of-the-art technology translate to a remarkably low repeat surgery rate due to implant failure - only 1/3 of the national average. This signifies the longevity and success of his procedures. Read more PERSONALISED CARE Mr Lawrence understands that every patient is unique. He takes the time to listen to your concerns, tailor treatment plans to your needs, and provide comprehensive support throughout your journey to regaining mobility. Read more Helping you regain your active lifestyle. HIP SURGERY Advanced hip replacement surgery techniques for treating arthritis, fractures and other hip conditions - - - Hip surgery is a broad term that encompasses various procedures to address different hip problems. Here are some of the most common issues that might necessitate hip surgery: 1. Osteoarthritis: This is the most common reason for hip surgery, affecting millions of people worldwide. It's a degenerative joint disease that causes cartilage breakdown in the hip joint, leading to pain, stiffness, and reduced mobility. 2. Rheumatoid arthritis: This autoimmune disease can attack the hip joint, causing inflammation, pain, and damage to the cartilage and bone. In severe cases, hip replacement surgery may be necessary. 3. Hip fractures: These are often caused by falls or accidents, especially in older adults. Depending on the severity and location of the fracture, surgery may be required to repair or replace the hip joint. 4. Avascular necrosis (AVN): This condition occurs when the blood supply to the hip bone is disrupted, leading to bone death and eventual joint collapse. Early diagnosis and treatment are crucial to prevent the need for surgery. 5. Hip impingement: This occurs when the bones of the hip joint rub against each other abnormally, causing pain and limited range of motion. In some cases, arthroscopic surgery can be performed to trim the bone and create more space in the joint. 6. Labral tears: The labrum is a soft ring of cartilage that lines the hip socket. Tears in this labrum can cause pain, clicking, and catching sensations in the hip. Surgery may be recommended to repair or remove the torn labrum. 7. Septic arthritis: This is a potentially life-threatening infection of the hip joint. It requires immediate medical attention and often involves surgery to drain the joint and remove infected tissue. 8. Tumors: Tumors in or around the hip joint can be benign or malignant. Depending on the type and location of the tumor, surgery may be necessary to remove it or replace the hip joint. It's important to note that this is not an exhaustive list. The appropriate treatment can be only after a consolation to determine the underlying causes and discuss potential treatment options, including joint replacement surgery. KNEE SURGERY Treating a range of issues from minor ligament tears to severe damage requiring joint replacement - - - There are numerous knee issues that might call for surgery, ranging from minor tears and sprains to severe damage requiring joint replacement. Here's a breakdown of some common reasons why someone might need knee surgery: 1. Meniscus tears: The menisci are two C-shaped pieces of cartilage that cushion and stabilise the knee joint. Tears can occur due to sudden twisting motions, sports injuries, or age-related wear and tear. Symptoms include pain, swelling, locking of the knee, and difficulty bending it. 2. Ligament tears: The knee has four main ligaments that provide stability. The most commonly torn ligaments are the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), and the lateral collateral ligament (LCL). Tears can happen due to sports injuries, car accidents, or falls. Symptoms include pain, swelling, instability, and difficulty putting weight on the knee. 3. Osteoarthritis: This is the most common type of arthritis, causing the cartilage in the knee joint to wear down over time. This can lead to pain, stiffness, swelling, and difficulty moving the knee. In severe cases, surgery like joint replacement may be necessary. 4. Patellar Tendinitis (Jumper's Knee): This is an inflammation of the tendon that connects the kneecap (patella) to the shinbone. It's common in athletes who jump frequently, such as basketball players. Symptoms include pain below the kneecap, especially when jumping or running. 5. Baker's cyst: This is a fluid-filled sac that forms behind the knee joint, often caused by arthritis or other inflammatory conditions. It can cause pain, swelling, and tightness in the back of the knee. Surgery may be needed to remove the cyst if it's causing significant discomfort. Remember, this isn't an exhaustive list, and it's crucial to consult a doctor for proper diagnosis and treatment recommendations. If you're experiencing any knee pain or limitations, don't hesitate to seek professional medical advice. REVISION SURGERY Repairing a failed joint implant. In essence, a redo of the initial hip replacement surgery, performed when the original implant isn't functioning properly anymore. About Trevor Lawrence Hip & Knee Clinic Mr Trevor Lawrence is a consultant orthopaedic surgeon based in Birmingham in the West Midlands, UK. He specialises in hip and knee procedures, including hip, knee and revision hip replacements. Mr Lawrence practices privately at Spire Parkway Hospital and Spire Little Aston Hospital alongside his lead consultant work for University Hospitals Birmingham (UHB). ​ Mr Lawrence's philosophy is simple: personalised care with exceptional outcomes. He believes in understanding each patient's unique needs and goals and tailoring treatment plans that perfectly align with their aspirations. His meticulous approach and use of state-of-the-art technology translate to a remarkably low repeat surgery rate due to implant failure, a testament to his dedication to long-lasting results. ​ Read more ... The Royal Society of Medicine British Medical Association General Medical Council British Hip Society British Orthopaedic Association What Mr lawrence's patient say? "Absolutely excellent, but came highly recommended anyway, so expected nothing less." Patient testimonials left at the anonimous feedback portal at Spire Parkway Hospital , Solihull, UK. Patient Satisfaction. Mr Trevor Lawrence's profile on PHIN - the Private Healthcare Information Network , the independent, government-mandated organisation publishing performance and fees information about private consultants and hospitals. FIND OUT MORE Book your appointment today Contact our clinic today to schedule your consultation and take your first step towards a pain-free future. Studies and Articles on Hip & Knee surgery. HIP REPLACEMENT - OVERVIEW A hip replacement is a common type of surgery where a damaged hip joint is replaced with an artificial one (known as an implant). Adults... Post not marked as liked KNEE REPLACEMENT - OVERVIEW Knee replacement surgery (arthroplasty) is a common operation that involves replacing a damaged, worn or diseased knee with an artificial... Post not marked as liked PARTIAL KNEE REPLACEMENT Understanding the partial knee replacement alternative to a total knee replacement. The surgery has a great track record for relieving... 1 like. Post not marked as liked 1 SEE MORE ARTICLES

PRIORY HOSPITAL The Priory has excellent facilities including intensive care, physiotherapy, and occupational therapy. It has an excellent reputation for delivering high quality and safe health care. Bone scanning, MRI, CT scanning is all available for accurate diagnosis of your joint problem.

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A hip replacement is a common type of surgery where a damaged hip joint is replaced with an artificial one (known as an implant). Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. A modern artificial hip joint is designed to last for at least 15 years. Most people have a significant reduction in pain and improvement in their range of movement. When a hip replacement is needed Hip replacement surgery is usually necessary when the hip joint is worn or damaged so that your mobility is reduced and you are in pain even while resting. The most common reason for hip replacement surgery is osteoarthritis. Other conditions that can cause hip joint damage include: Rheumatoid arthritis Hip fracture Septic arthritis Disorders that cause unusual bone growth (bone dysplasia) Who is offered hip replacement surgery? A hip replacement is a major surgery, so it is usually only recommended if other treatments, such as physiotherapy or steroid injections, have not helped reduce pain or improve mobility. You may be offered hip replacement surgery if: You have severe pain, swelling and stiffness in your hip joint, and your mobility is reduced Your hip pain is so severe that it interferes with your quality of life and sleep Everyday tasks, such as shopping or getting out of the bath, are difficult or impossible You're feeling depressed because of the pain and lack of mobility You cannot work or have a social life You'll also need to be well enough to cope with both a major operation and the rehabilitation afterwards. How hip replacement surgery is performed A hip replacement can be done under a general anaesthetic (where you're asleep during the operation) or under a spinal anaesthetic (where you're awake but have no feeling from the waist down). Sometimes you may have an epidural, which is similar to a spinal anaesthetic. The surgeon makes a cut (incision) into the hip, removes the damaged hip joint and replaces it with an artificial joint or implant. The surgery usually takes around 1 to 2 hours to complete. Find out more about how a hip replacement is done. Hip resurfacing Hip resurfacing is an alternative type of operation. This involves removing the damaged surfaces of the bones inside the hip joint and replacing them with a metal surface. This type of operation removes less bone. However, it is usually only done on men who are very active and have larger hips. Resurfacing is much less popular now due to concerns about the metal surface causing damage to soft tissues around the hip. Preparing for hip replacement surgery Before you go into hospital, find out as much as you can about what's involved in your operation. Your hospital should provide written information or videos. Stay as active as you can. Strengthening the muscles around your hip will help your recovery. If you can, continue to do gentle exercise, such as walking and swimming, in the weeks and months before your operation. You may be referred to a physiotherapist, who will give you helpful exercises. Your hospital may offer an enhanced recovery programme. This rehabilitation programme aims to get you back to full health quickly after major surgery. Find out more about preparing for surgery, including information on travel arrangements, what to bring with you and attending a pre-operative assessment. Recovering from hip replacement surgery You'll usually be in hospital for 3 to 5 days, but recovery time can vary. Once you're ready to be discharged, your hospital will give you advice about looking after your hip at home. You'll need to use a frame or crutches at first and a physiotherapist will teach you exercises to help strengthen your hip muscles. An occupational therapist will check if you need any equipment to help you manage at home. You may also be enrolled in an exercise programme that's designed to help you regain and then improve the use of your hip joint. It's usually possible to return to light activities or office-based work within around 6 weeks. However, everyone recovers differently and it's best to speak to your doctor or physiotherapist about when to return to normal activities. Find out more about recovering from hip replacement surgery. Risks of hip replacement surgery Complications of a hip replacement can include: hip dislocation infection at the site of the surgery injuries to the blood vessels or nerves DVT (deep vein thrombosis) a fracture in the bone around the hip replacement during or after the operation differences in leg length However, the risk of serious complications is low. There's also the risk that an artificial hip joint can wear out earlier than expected or go wrong in some way. Some people may require revision surgery to repair or replace the joint. Find out more about the risks of a hip replacement. Metal-on-metal implants There have been cases of some metal-on-metal (MoM) hip replacements wearing out sooner than expected, causing deterioration in the bone and tissue around the hip. There are also concerns that they could leak traces of metal into the blood. The Medicines and Healthcare Products Regulatory Agency (MHRA) has issued updated guidelines that certain types of MoM devices should be checked every year while the implant is in place. This is so any potential complications can be found early. MoM hip replacements are rarely used now. But if you're concerned about your hip replacement, contact your orthopaedic surgeon. They can give you a record of the type of hip replacement you have and tell you if any follow-up is required. Get more advice about a metal-on-metal implant. The National Joint Registry The National Joint Registry (NJR) collects details of hip replacements done in England, Wales, Northern Ireland and the Isle of Man. Although it's voluntary, it's worth registering. This enables the NJR to monitor hip replacements, so you can be identified if any problems emerge in the future. The registry also gives you the chance to participate in a patient feedback survey. It's confidential, and you have a right under the Data Protection Act to see what details are kept about you. An original NHS Article First published on 14 May 2020

Knee replacement surgery (arthroplasty) is a common operation that involves replacing a damaged, worn or diseased knee with an artificial joint. Adults of any age can be considered for a knee replacement, although most are carried out on people between the ages of 60 and 80. A smaller operation called a partial knee replacement tends to be performed on younger people aged between 55 and 64 where the artificial joint is expected to need redoing within 10 years. When a knee replacement is needed Knee replacement surgery is usually necessary when the knee joint is worn or damaged so that your mobility is reduced and you are in pain even while resting. The most common reason for knee replacement surgery is osteoarthritis. Other health conditions that cause knee damage include: Rheumatoid arthritis Haemophilia Gout Disorders that cause unusual bone growth Death of bone in the knee joint following blood supply problems Knee injury Knee deformity with pain and loss of cartilage Who is offered knee replacement surgery? A knee replacement is a major surgery, so is normally only recommended if other treatments, such as physiotherapy or steroid injections, have not reduced pain or improved mobility. You may be offered knee replacement surgery if: You have severe pain, swelling and stiffness in your knee joint and your mobility is reduced Your knee pain is so severe that it interferes with your quality of life and sleep Everyday tasks, such as shopping or getting out of the bath, are difficult or impossible You're feeling depressed because of the pain and lack of mobility You cannot work or have a social life You'll also need to be well enough to cope with both a major operation and rehabilitation afterwards. Types of knee replacement surgery There are 2 main types of surgery: Total knee replacement – both sides of your knee joint are replaced Partial (half) knee replacement – only 1 side of your joint is replaced in a smaller operation with a shorter hospital stay and recovery period Other surgery options There are other types of surgery which are an alternative to knee replacement, but results are often not as good in the long term. Your doctor will discuss the best treatment option with you. Other types of surgery may include: Arthroscopic washout and debridement – a tiny telescope (arthroscope) is inserted into the knee, which is then washed out with saline to clear any bits of bone or cartilage Osteotomy – the surgeon cuts the shin bone and realigns it so that your weight is no longer carried by the damaged part of the knee Mosaicplasty – a keyhole operation that involves transferring plugs of hard cartilage, together with some underlying bone from another part of your knee, to repair the damaged surface Preparing for knee replacement surgery Before you go into the hospital, find out as much as you can about what's involved in your operation. Your hospital should provide written information or videos. Stay as active as you can. Strengthening the muscles around your knee will aid your recovery. If you can, continue to do gentle exercise, such as walking and swimming, in the weeks and months before your operation. You can be referred to a physiotherapist, who will give you helpful exercises. Read about preparing for surgery, including information on travel arrangements, what to bring with you and attending a pre-operative assessment. Recovering from knee replacement surgery You'll usually be in the hospital for 3 to 5 days, but recovery times can vary. Once you're able to be discharged, your hospital will give you advice about looking after your knee at home. You'll need to use a frame or crutches at first and a physiotherapist will teach you exercises to help strengthen your knee. Most people can stop using walking aids around 6 weeks after surgery, and start driving after 6 to 8 weeks. Full recovery can take up to 2 years as scar tissue heals and your muscles are restored by exercise. A very small amount of people will continue to have some pain after 2 years. Risks of knee replacement surgery. Knee replacement surgery is a common operation and most people do not have complications. However, as with any operation, there are risks as well as benefits. Complications are rare but can include: Stiffness of the knee Infection of the wound Infection of the joint replacement, needing further surgery Unexpected bleeding into the knee joint Ligament, artery or nerve damage in the area around the knee joint Deep vein thrombosis (DVT) Persistent pain in the knee A break in the bone around the knee replacement during or after the operation In some cases, the new knee joint may not be completely stable and further surgery may be needed to correct it. The National Joint Registry. The National Joint Registry (NJR) collects details of knee replacements done in England, Wales, Northern Ireland and the Isle of Man. Although it's voluntary, it's worth registering. This enables the NJR to monitor knee replacements, so you can be identified if any problems emerge in the future. The registry also gives you the chance to participate in a patient feedback survey. It's confidential and you have a right under the Data Protection Act to see what details are kept about you. An original NHS Article First published on 2nd August 2019

Understanding the partial knee replacement alternative to a total knee replacement. The surgery has a great track record for relieving pain and improving function. But it’s a major operation with a relatively long rehabilitation period. Some patients with advanced knee osteoarthritis can get similar results with a faster recovery and other benefits by getting a partial knee replacement. Partial knee replacement isn’t for everyone, there are trade-offs. But for patients who meet the criteria, there are advantages. For example, “patients who get a partial knee replacement are more likely to feel like they have a normal knee,” says orthopaedic surgeon Peter Brooks, MD. Who’s a candidate for a partial knee replacement? Osteoarthritis is caused by deterioration of cartilage in your joints. (Cartilage is the tough material that covers the ends of your bones, providing a smooth gliding surface.) In the knee joint, where the thigh bone (femur) meets the shinbone (tibia), there are three places where bones make contact: On the inside - nearest the opposite knee, referred to as medial. On the outside - farthest from the opposite knee, referred to as lateral. The kneecap - patella. These three points are called compartments. If the arthritis is limited to one compartment, the patient may be a candidate for partial knee replacement. To be eligible, the patient also needs a sufficient range of motion and intact ligaments around the knee. Injury to the anterior cruciate ligament (the ACL, which is in the middle of the knee joint) is common, and it would disqualify the patient from having a partial knee replacement. How does a partial knee replacement work? A partial knee replacement, aka a unicompartmental knee replacement, is similar to total knee replacement, except that the metal and plastic implant that replaces damaged bone and cartilage is placed only on the affected compartment. Most patients with unicompartmental arthritis have it on the medial side. Healthy cartilage, bone and ligaments are left alone. For this reason, most patients report having a more natural-feeling knee. Rehab is quicker and easier than total knee replacement, which takes about three weeks. Because it’s a smaller operation, there’s less pain after surgery and a lower risk for complications. Surgical risks include infection, blood loss, blood clots and injury to a blood vessel or nerve. These are rare, and they’re even less likely with partial than with total knee replacement. Are there any disadvantages to a partial knee replacement? The downside to partial knee replacement is that there’s a higher risk that it will have to be revised in the future to a total knee replacement. There are several reasons for this. Common ones include: Loosening of the implant. Infection. Arthritis developing in the other compartments. Article adapted from Cleveland Clinic Arthritis Advisor First published 10th December 2019

CT or CAT scans (Computerised Tomography) combine several X-rays to produce detailed images of structures inside the body. CT scans typically take diagnostic images more quickly compared to MRI. For example, a CT scan is usually completed in less than 5 minutes, while MRI takes about 30 minutes.

MRI scan (Magnetic Resonance Imaging) allows doctors to see inside a patient's body in great anatomical detail. It involves combining X-rays / magnetic fields and a computer to create images of patients' organs, bones, blood vessels, nerves, etc. Thus, it shows far more detail than a regular X-ray. MRI is generally used to scan soft tissue.

Priorities include making a diagnosis for your pain, discussing treatment options, and if necessary, assessing your fitness for surgery. Please mention any previous illnesses such as heart problem, high blood pressure, previous operations, any complications with previous surgery that you may have experienced, or problems related to your waterworks. If you wish, you can always bring a relative or a friend to the consultation.