How young can knee arthritis start?

Written by: Mr Soulat Naim
Published: | Updated: 26/04/2023
Edited by: Laura Burgess

Arthritis can start relatively early and may vary in severity and extent in different individuals. This may be due to the fact that people are living a more active lifestyle these days. But what causes osteoarthritis of the knee in younger patients exactly? And is surgery going to be necessary? One of our leading orthopaedic surgeons Mr Soulat Naim, an expert in treating the knee, answers these questions and more.

A group of young adults are running in the sunshine.

What causes arthritis at a young age?

Often arthritis in younger patients can be triggered from sports-related injuries that they would have sustained in early years. Some individuals have a hereditary predisposition for developing arthritis at a younger age. It could also be contributed by alignment issues of their lower extremities and anatomical factors native to each individual.
 

How would a doctor diagnose knee arthritis in a young person?

Diagnosis is reached via a detailed history from the individual and examination helped by routine X-rays and specialist investigations like an MRI. Often an arthroscopy (keyhole surgery on the knee) may be required to ascertain the areas and extent of wear and tear (arthritis) in the knee. This helps towards diagnosing, planning and proposing tailored management/treatment plans for individuals.
 

What is the best way to manage knee arthritis in young patients?

There are various ways available now of addressing arthritis in younger patients of varying severity. These range from non-surgical methods like orthosis and injection therapy (of different types), to operative methods designed to address different patterns of affection of the arthritic knee joint. These range from cartilage surgery, bespoke mini knee replacements, realignment procedures around the knee, partial knee replacements and total knee replacements.
 

When might surgery be necessary for a young patient?

The idea generally is to defer a definitive procedure like knee replacement for as long as practically possible. This is dictated by the patients’ level of symptoms and trial/response of conservative non-operative treatments and relatively smaller procedures first. I believe in tailoring treatments for individuals based on their symptoms, extent and level of severity of arthritis (wear and tear) that they carry in the knee.


If you’re worried about your knee pain and would like Mr Naim’s expert opinion, you can book an appointment with him via his Top Doctor’s profile here.

By Mr Soulat Naim
Orthopaedic surgery

Mr Soulat Naim is a highly-regarded consultant orthopaedic surgeon specialising in all aspects of knee surgery including primary hip replacements, knee revision surgery, ACL soft tissue knee surgery and knee reconstructive surgery. He also specialises in hip replacements and cartilage repair.

After completing a prestigious fellowship in knee surgery at the Exeter Knee Reconstruction Unit in the Princess Elizabeth Orthopaedic Centre, Mr Naim became an NHS consultant before taking up a consultant position at Tameside General Hospital. He then worked in several distinct centres across the UK, including Exeter, Leighton Hospital in Crewe, University Hospital of North Midlands and Central Manchester University Hospital.

He performs hip and knee replacements incorporating principles of early functional recovery and the use of enhanced recovery techniques. He is especially interested in treating and managing knee arthritis in young patients using advanced surgical techniques and is additionally trained in the use of customised knee replacements, computer-aided knee replacements and arthroscopic knee surgery.

Mr Naim is actively committed to teaching and has a strong research background. He often presents his research and publishes extensively, for example, he co-authored a chapter in a significant reference textbook on knee reconstruction replacement and revision which was then published across the USA.

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