Are you considering knee replacement surgery in Shropshire or further afield? The following FAQs provide expert guidance from Mr Paul Jermin on preparing for surgery, recovery, and rehabilitation. For personalised advice, please contact his team directly.
Pre-Surgery
How can I prepare my home for recovery after surgery?
Before surgery, clear walkways, remove trip hazards and set up a comfortable area with your leg supported. Place essentials within reach and fit non-slip mats or grab rails in the bathroom. If possible, arrange a bed on the ground floor to avoid stairs initially.
What is a knee implant made from?
Knee implants are typically made of cobalt-chromium or titanium alloy, with a strong polyethylene (plastic) insert that allows smooth movement. These materials are safe, durable and designed to last >20 years.
What are the main risks of knee replacement surgery?
Although modern techniques make knee replacement very safe, complications can include infection, blood clots, stiffness, implant loosening, or nerve irritation. Mr Jermin takes every precaution to minimise these risks through meticulous technique and early rehabilitation, he is known to have complication rates lower than the national average.
Will I need anaesthetic?
Before surgery, you’ll meet the anaesthetic team to discuss your health and preferences. Most operations are done under spinal or regional anaesthesia, sometimes with sedation. In some cases, a general anaesthetic may be used. You’ll be comfortable and monitored throughout.
Can both knees be replaced at the same time?
In selected cases this is possible, but most patients recover more comfortably when one knee is operated on at a time. Mr Jermin will discuss what’s safest and most effective for your individual circumstances.
How does knee replacement surgery work?
During knee replacement surgery, Mr Jermin makes a precise incision at the front of the knee to expose the damaged joint. The worn bone and cartilage are removed and replaced with a carefully fitted artificial joint made from metal and medical-grade plastic. The operation usually takes around 30-60 minutes.
Should I have knee replacement surgery?
Surgery is considered when arthritis or injury causes ongoing pain, stiffness or loss of mobility that no longer responds to physiotherapy, medication or injections. Mr Jermin will assess your knee, lifestyle and overall health before confirming whether surgery is appropriate.
Is there much preparation before surgery?
You’ll have a full pre-operative assessment, including blood tests, scans and a medical review. You may be asked to adjust medications or complete a short exercise programme to strengthen the muscles before surgery. Preparing your home for recovery also helps ensure a smoother return.
Post-Surgery
When can I shower or bathe?
You can usually shower the day after surgery once your dressing is waterproof. Avoid soaking the wound in a bath until the incision has fully healed and been checked at follow-up.
How will I know if my wound is infected?
Mild redness or slight discharge is normal early on. Seek advice immediately if you notice increasing pain, swelling, warmth, or thick yellow discharge, or if you develop a temperature over 38°C.
How often will I see my surgeon after the operation?
Mr Jermin or his team will visit you during your hospital stay and review you at about 3 months after surgery. Further appointments are arranged as needed to monitor your recovery and long-term outcome.
How long will I need pain medication after surgery?
Pain improves gradually over the first few weeks. Prescription medication is used immediately after surgery, and most people switch to standard pain relief such as paracetamol or ibuprofen after two to four weeks.
When can I travel after knee replacement surgery?
Short car journeys are usually fine after a few weeks, but long flights should be delayed for at least six weeks. You’ll need to move your legs regularly during travel to reduce the risk of blood clots.
Will my knee replacement set off airport security?
Yes, metal implants can trigger scanners. Airport security staff are used to this — you can simply tell them you have an artificial knee; no medical certificate is required.
How long will I stay in hospital after surgery?
Often, these operations are done as day cases, it is not unusual to stay overnight depending on progress with walking and pain control.
You’ll begin physiotherapy the same or next day and can go home once you can move safely and manage stairs.
Why do I need antibiotics for dental or other procedures?
For at least two years after joint replacement, antibiotics may be recommended before dental or invasive medical procedures to prevent infection spreading to the knee. Always tell your dentist or GP that you have a knee implant.
How should I sleep to protect my knee?
You can sleep on your back or side, whichever feels most comfortable. Using a pillow between your knees helps to keep the joint aligned and supported during sleep.
Rehabilitation After Surgery
Will I have bruising or swelling?
Significant swelling and bruising are normal and may persist for several months. Elevating your leg, using compression stockings and gentle movement help reduce this.
When will I be able to drive again?
Most patients resume driving after four to six weeks, once they can control the pedals safely and are no longer taking strong painkillers.
Will I need physiotherapy?
Yes. Physiotherapy begins in hospital and continues at home or as an outpatient. It strengthens muscles, improves balance and prevents stiffness, supporting the best long-term outcome.
When can I return to work?
For desk jobs, expect to return after four to six weeks. More physical work may require two to three months off. Mr Jermin will advise based on your progress and job type.
How long does complete recovery take?
Recovery continues for several months:
• 6 weeks – comfortable walking and daily activities
• 3 months – pain subsiding and getting used to your new knee
• 6–12 months – continued improvement in comfort and confidence
What can I expect from recovery?
You’ll usually start walking with a frame or crutches within 24 hours of surgery. Movement and confidence increase over the following weeks. Following your exercise plan and resting when needed are key to a smooth recovery.
What activities can I do after knee replacement?
Low-impact exercise such as walking, swimming, golf, cycling or gentle yoga is encouraged. We do not know whether higher impact activities cause increased wear in your knee replacement, activities should be balanced with this possibility.
When can I kneel again?
You can usually begin kneeling once the wound is fully healed and comfortable, usually after three months. It may feel strange at first but is not harmful to the implant. Approximately half of people will not return to kneeling after a knee replacement.
Can I climb stairs after surgery?
Yes — physiotherapists will teach you how to go up and down stairs safely before you leave hospital. Most patients manage stairs confidently within a few weeks.
Fees & Practical Information
Are follow-up appointments included in the fee?
Initial post-operative appointments are normally included in the surgical package. Any additional reviews beyond the agreed period will be clearly outlined and quoted in advance.
What does knee replacement surgery cost?
Fees depend on the hospital, type of implant and whether it’s a partial or total replacement. A full, transparent quotation — including hospital, surgical and anaesthetic costs — is provided before booking.
Are consultations covered by private insurance?
Most private medical insurers cover consultations and surgery with Mr Jermin, subject to your policy terms and any excess. Always obtain pre-authorisation from your insurer before your appointment. Self-pay patients receive a fixed-price package covering consultation, surgery, hospital stay, and standard follow-up appointments.
What payment methods are accepted?
Payments can usually be made by card, bank transfer, or through your insurer. The hospital will confirm payment options and timing before your admission.
Will I receive a cost estimate before treatment?
Yes. All patients receive a written quotation detailing what is included and any potential additional fees (such as physiotherapy or imaging).
Still Have Questions?
A consultation gives you the answers specific to your situation
General information can only go so far. If you would like a thorough assessment of your knee and a clear explanation of what your options are, Mr Jermin is happy to help.