These are some of the most common questions we receive from our patients. If you have a question that is not covered here, pleas don’t hesitate to contact our reception team or your practitioner directly.
Contact us by phone on 01727 865 057 or email firstname.lastname@example.org and we will be happy to discuss your enquiry. Alternatively see our individual practitioner profiles for direct contact information.
No. Practitioners at the Elms Consulting Rooms see both insured and non-insured patients.
Yes. We have a side access from the car park with a ramp which can be opened on request.
Not at present.
No. All rooms are situated on the ground floor.
Yes. Free car parking is available at the rear of the building.
Baby changing unit is available on request.
Your practitioner will advise you on their method of payment when you make your appointment. Card payments can be taken for Andrew Irwin, Neil Davies and the Vaccination Clinic only.
No. Patients can be referred to Spire Harpenden Hospital for x-rays and scans.
The length of stay varies according to the procedure, but generally are as follows:
For joint replacement (primary or revision) – you will leave hospital, mobilising with sticks, able to self-care and able to manage stairs.
Arthroscopy – leave hospital same day, no need for crutches or walking sticks. Able to self-care.
ACL – leave hospital the next day, bandage on leg. Mobilising with crutches.
Again varies dependant on the surgery and the patient.
Arthroscopy usually after 48 hours from the surgery.
Hip or knee replacement, usually 3-5 weeks. If you can walk comfortably with one stick, get into your car with a reasonable amount of ease, and do an emergency stop then you are fit to drive. If you have had your left leg operated on and you drive an automatic car then this is obviously easy to drive earlier after.
We use a combination of treatments to lower your risk of Deep Vein Thrombosis. These include early mobilisation after your surgery, using anaesthetic techniques like a spinal epidural, Thrombo-Embolic Deterrent Stockings (TEDS) for 6 weeks, and clexane/rivaroxiban treatments to continue on discharge. For 2 weeks for a knee replacement and 3 weeks for a hip.
For the vast majority of patients I would use a PFC Sigma Total Knee replacement (De Puy), it has been used for over 20 years with excellent results both in national and international series. It is a always one of the best performing joints in all the registries. For hip replacements I would use the Corail Hip replacement (De Puy) with either a Pinnacle (De Puy) or Delta TT (Lima) shell. The bearing surfaces I use are predominantly ceramic, with occasionally a polyethylene cup. Again the Corail stem has excellent data supporting it now for over 20 years, and always scores very highly in all the major series. For patella-femoral replacements I use the Avon Prosthesis (Stryker) and the Oxford Unicompartmental Knee (Zimmer Biomet). Again these are well proven class leading implants in all series.
Yes, we would encourage you to undertake your physiotherapy with someone you have built up a professional relationship with.
The guidelines suggest that you should avoid flying for 4 weeks following an arthroscopy, and for 12 weeks following a hip or knee replacement. This can be reduced by using a variety of techniques to lower the risk of thrombosis.
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