News & Blog

Information on all things hips and knees

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Hip arthritis is when you experience hip pain and stiffness due to the cartilage that protects the joints wearing down.

Symptoms of hip arthritis are:

  • Pain in the hip
  • Swelling and tenderness in the hip

Due to pain and discomfort in your hip, your mobility may be reduced, resulting in other joints and muscles taking more strain than they usually would. It is common for the spine to take this strain and thus become tired and worn.

Treatment for hip arthritis

Treatment involves taking painkillers and anti-inflammatory medication to help ease pain and inflammation. Physiotherapy and exercise may help strengthen the muscles around the joint.

If the above have not been successful or if your arthritic hip is advanced, then hip surgery to repair or replace the damaged hip joint may be considered.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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Due to the sudden twists and turns when playing football, as well as the repetitive nature of running it is common for footballers to experience hip and knee pain.

4 common injuries to the hip and knee are:

Anterior Cruciate Ligament (ACL) injury

The ACL connects the thighbone to the shinbone, stabilising the knee joint, and is a common injury in footballers due to quick twists and turns of the body.

Symptoms include difficulty bearing weight on the knee, swelling of the knee and pain and ‘popping’ in the knee.

ACL reconstruction surgery can be carried out via a minimally invasive approach, and consists of taking tissue from somewhere else in your body, or from a donor, to replace the damaged ligament.

Meniscus tear

The meniscus is cartilage between the shinbone and thighbone that absorbs shock. It can be injured through sudden twisting and turning of the knee.

Symptoms include sudden knee pain, swelling and difficulty bending or extending the knee.

Treatment can involve surgery to repair the damaged tissue, or surgery to replace the whole meniscus.

Hip labral tear

Hip labral tear is a tear to the cartilage holding the ball and socket of the hip together. This can be caused by repetitive fast changes in direction when running.

Symptoms involve pain and instability in the hip.

Surgery is usually performed via a hip arthroscopy and consists of stitching the torn tissue back together or reconfiguring the damaged tissue with tissue from elsewhere in your body, or from a donor.

Hip osteoarthritis

Osteoarthritis is when the cartilage that protects the hip joint wears over time as you age or if you are particularly active. It is not unusual for football players to develop hip osteoarthritis due to repetitive vigorous hip movement.

Symptoms include joint pain, difficulty walking and stiffness in the hip.

Hip replacement surgery can repair or replace the damaged hip joint with a prosthetic joint.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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Bursitis is when the bursa, small fluid filled sacks that cushion the joint to help reduce friction, become inflamed and painful.

Symptoms of hip bursitis

  • Painful hip
  • Tender and achy hip
  • Swelling around the hip
  • Redness around the hip
  • The hip might be more painful when you put pressure on it

Treating hip bursitis

Painkillers and anti-inflammatory medication can help to reduce the swelling, along with resting and avoiding putting pressure on the hip joint.

Usually, you might be given a course of antibiotics if the bursitis is caused by an infection or steroid injections to help reduce the swelling. If the bursitis is severe then the bursa may need to be drained or surgically removed.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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Hip osteoarthritis occurs when the protective cartilage breaks down usually due to wear and tear as we age, leaving the bones to rub against each other.

However, it is also possible to be more susceptible to osteoarthritis if you have had previous injury or trauma to the joint, if you are overweight, female and have had past conditions that may damage the joint, such as gout or rheumatoid arthritis.

Typically, symptoms of arthritis of the hip present as pain, swelling and tenderness of the joint. It is possible to experience knee pain, as well as groin pain if your hip is arthritic because the nerve that supplies the knee runs past the hip, which may be inflamed and sore.

Treating hip arthritis consists of taking painkillers and anti-inflammatory medication to help with pain and inflammation. Physiotherapy and exercise to help strengthen the muscles around the joint and loosing weight if you are overweight to reduce pressure on the joint.

If the above have not been successful or if your arthritic hip is advanced, then hip surgery to repair or replace the damaged hip joint can be considered.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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Mr Makrides has proudly celebrated being part of the team at Spire Little Aston Hospital, who have achieved 500 Mako Robotic Assisted Joint Replacements!

Mako allows your surgeon to create a 3D virtual model of your hip or knee’s unique anatomy so he can follow your unique personalised plan during surgery.During surgery, the robotic arm guides the surgeon within a pre-defined area using real-time tracking feedback which can adjust for very small movements. This makes it extremely precise and accurate when putting the implant in.

Advantages of the Mako robotic arm are:

  • Can be used for partial or total hip and knee replacements
  • Helps create a personalised surgical plan
  • 2-3 times more accurate joint replacement than manual replacement
  • Produces minimal blood loss and a smaller scar
  • Helps preserve healthy bone and soft tissue
  • Results in less post-operative pain than manual techniques
  • Provides a quicker recovery and shorter hospital stay

What is recovery like?

Recovery is much quicker than traditional hip and knee replacements. You will have a personalised physiotherapy plan and may be able to walk just hours after your surgery, and return to your everyday activities in 1-4 weeks.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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A hip fracture is a break in the femur (top of the thigh bone). Fractures are often caused by falls and are more common in the elderly. Some conditions such as Osteoporosis can weaken the bones and cause hip fractures.

Symptoms of a hip fracture

  • Hip pain
  • Difficulty bearing weight on your leg
  • Trouble moving and lifting your leg

Treating a hip fracture

Usually surgery is required for a hip fracture. Sometimes the hip can be supported with plates and screws, however most cases may need a hip replacement. The type of surgery you will be offered will depend on your age, your health, how bad the fracture is and the condition of your bones.

Can I prevent a hip fracture?

As most hip fractures occur in the elderly or those with osteoporosis, you could use a walking aid for support and perform exercises to help strengthen the muscles around your joints.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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Perthes’ disease is a rare childhood condition affecting the hip. The femoral head (the ball of the joint) loses blood supply and without oxygen from the blood supply, the femoral head becomes malformed.

Symptoms of Perthes’ diesease

  • Hip pain
  • Groin pain
  • Joint stiffness
  • Walking with a limp

Is Perthes’ disease curable?

Most children with Perthes’ disease respond well and recover from treatment. Treatment can involve surgery to re-shape the bone. This is done via an Osteotomy procedure where the bone is cut and repositioned and surgically held in place, until the bone has healed.

Can Perthes’ disease cause a problem later in life?

If left untreated Perthes’ disease can lead to arthritis of the hip joint which may result in needed a hip replacement.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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If you are experiencing groin pain, you may actually have a hip condition and the pain is radiating downwards. If you are older it may be due to arthritis or fracture. If you are younger you may have hip pain as a result of an underlying condition such as hip dysplasia or hip impingement.

Arthritis of the hip

Osteoarthritis is when the protective cartilage on the ends of your bones wears down over time which causes pain as the bones will rub against each other.

The main symptoms of osteoarthritis of the hip is pain, tenderness and stiffness.

Most commonly osteoarthritis is caused from wear and tear as we age, being overweight, having other conditions such as rheumatoid arthritis or gout. It is also more common in women than men.

If your symptoms are milk you can try to treat your symptoms with lifestyle changes such as loosing weight, taking anti-inflammatories or steroid injections. However, if your symptoms are interfering with the enjoyment of your daily life and the joint is badly damaged then surgery can be explored.

Hip replacement surgery, also known as an arthroplasty, is a common procedure where the damaged joint is removed and replaced with an artificial one.

Depending on the condition of your knee you may be offered a total hip replacement, or a partial hip replacement.

Mr Makrides specialised in minimally invasive hip surgery to reduce your hospital stay and increase your recovery time, as well as Mako robotic assisted hip replacement.

Hip fracture

A hip fracture is a break in the top of the thigh bone, usually caused by falling or a direct injury.

You may experience hip pain, difficulty moving your leg or bearing weight.

You may need hip surgery to secure the joint with plates while it heals, or you may need a hip replacement if the break is particularly bad.

Developmental dysplasia of the hip (DDH)

DDH is checked for at birth, however mild to moderate cases can be missed and only diagnosed in adulthood after an investigation into what is causing your hip pain.

DDH causes the hip socket to be shallow and not sit flush with the ball. If diagnosed later in life you may have arthritis at a younger age. A hip arthroscopy is usually performed to stabilise the hip joint.

Hip impingement

Hip impingement or femoroacetabular impingement (FAI), is when something causes the bones in the hip joint to rub against each other, such as a difference in the size compatibility of the ball and socket, which can cause pain.
 
It is often mistaken for other conditions such as sprains and many people may suffer with hip pain before a full diagnosis. It can cause arthritis at a younger age. You may have a hip arthroscopy to shave off excess bone to align the ball and socket.

Labral tear

A labral tear is an injury to the cartilage that holds the ball and socket of the hip together. It is often the result of conditions such as hip dysplasia or hip impingement. It can cause pain and instability in the hip joint and increase the risk of developing arthritis at a younger age.

Surgery is usually performed via a hip arthroscopy to repair the damage. If you have an underlying conditions such as hip dysplasia or hip impingement then you may also have treatment for them at the same time.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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Welcome to the Midland Hip and Knee Clinic based at Spire Parkway in Solihull and Spire Little Aston in Sutton Coldfield. We offer Self-funding and Private Insurance payment options.

Copyright 2022. Panos Makrides - Specialist Hip and Knee Surgeon