Does your knee or hip replacement still hurt?
A replacement that still hurts six months on usually has a cause that can be found. Dr Yas Edirisinghe works through the causes in a fixed order and explains what he finds in plain language. Pick your joint.
Not had surgery yet and want a second opinion before you decide? See the four specialties.
The seven checks, in order
When a replacement still hurts, Dr Yas works through the same seven checks every time. The order is a little different for a knee and a hip. Tap any check to read about it.
Knee replacement
Seven checks for a painful knee- Rule out infection
- Is the implant loose or worn?
- Is the balance right?
- Is it the bone?
- Is it the soft tissue?
- Is it coming from somewhere else?
- The rare ones
Feel unwell, or is the joint hot, red or swollen? Don’t wait — see your GP promptly.
Every patient fits one of four pathways
Want surgery designed for your anatomy, not the average?
Joint-preserving partial replacement where suitable, personalised total replacement with kinematic alignment and robotic precision, and direct anterior hip surgery — matched to your joint, not a standard mould.
Learn more
Had a replacement that still doesn’t feel right?
When a replacement hasn’t worked out there is often a specific reason — and a specific solution. An independent review: examination, imaging reviewed, and a written summary of your options.
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Been told you’re too young, too heavy, or to just wait?
Dr Yas reviews each patient case by case and recommends the operation that fits the joint — not the other way around. Higher-BMI patients considered on their individual merits, not declined on weight alone.
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Been told nothing more can be done?
Specialist revision hip & knee surgery, partial-to-total conversion with modern bone-preserving technique, and complex reconstruction after trauma — including limb-preserving surgery — considered case-by-case.
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Request a second-opinion review
Bring your imaging and the details of your previous surgery; the rooms will explain the rest.
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A knee or hip that still isn’t right
When a replacement hasn’t worked out — pain that hasn’t settled, a knee that feels off, a hip that gives way, or a sense that something isn’t right — you deserve a clear answer about why.
The review is independent, unhurried, and includes clinical examination, imaging review, and a written summary of findings and options. It does not commit you to surgery — it commits you to understanding what is happening with your joint.
What a second-opinion review involves
A careful examination
An unhurried history and examination, taking the time to understand what you’re experiencing and what matters to you.
Imaging reviewed
Your existing scans reviewed in detail; further imaging arranged only where it would change the picture.
A written summary
A written summary of the findings and your options, so you can take your time deciding.
Pain on the outside of the hip
Pain on the outside of the hip — especially lying on that side, on stairs, or rising from a chair — is one of the most under-recognised causes of unhappiness after hip replacement.
What happens after the review
The review is about finding out what is happening, not committing you to anything.
- 1
Get in touch
Send your details or call. The rooms will explain what to bring.
- 2
Examination & imaging
Dr Yas examines the joint and reviews your imaging with you.
- 3
Reassurance, or a plan
Many patients leave reassured their result is within normal limits.
- 4
Further investigation
Some are recommended further investigation.
- 5
A focused solution
A smaller number need a further operation — often a small focused procedure rather than a full revision.
Latest insights from Dr Yas
Plain-language articles on modern hip & knee surgery.
Common patterns on review
After joint replacement, patients describe their symptoms in many ways — but certain patterns come up repeatedly.