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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:


If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.


  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell


  • touch your eyes, nose or mouth if your hands are not clean

Cartilage allows bones to move over one another smoothly and acts as a shock absorber. Although robust and flexible, knee cartilage damage is a common injury, typically caused by trauma in sports or the development of osteoarthritis.

More Information

Knee cartilage damage symptoms can be challenging to differentiate from other injuries such as a sprain and include:

  • Knee joint pain
  • Swelling
  • Stiffness
  • Clicking or grinding sensation
  • The joint locking, catching or giving way

Your GP will start with a physical examination as the symptoms of cartilage damage are similar to ligament damage and sprains. To confirm the diagnosis, they may request the following tests: -

  • MRI - Useful but an MRI cannot always detect cartilage damage
  • Arthroscopy - Used to establish the extent of the injury, an arthroscope is inserted into a joint to examine and repair it

Perhaps the most common cause of knee cartilage damage is from a sudden heavy impact. Sports people are associated with this type of injury in sports like rugby and American Football, but you may also suffer from this type of condition following something like a car accident.

Wear and tear - think of cartilage-like a seal on a tap. After a time, the seal fails through wear and tear! Your cartilage also experiences wear and tear over your lifetime and how long it lasts can be influenced by factors such as your lifestyle and weight. Loss of cartilage over time in joints is commonly diagnosed as osteoarthritis.

Lack of movement - like the tap mentioned above, regular use of our joints helps them stay in excellent condition and reduce the risk of knee cartilage damage.

Self-care treatment for minor joint injuries. For the first few days: -

  • Protect the knee by using a support, such as a knee brace
  • Rest the knee joint
  • Elevate the affected limb and apply an ice pack to the joint frequently
  • Take pain relief and anti-inflammatory medication

After a few days, if the symptoms don't improve, seek medical advice as you may need physiotherapy or surgery in the most severe cases.

Surgery can include: -

  • Encouraging the growth of new cartilage
  • Replacing the damaged cartilage with healthy cartilage
  • Replacing the entire knee joint

The following links may also prove useful: -

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