Mr Adrian Fairbank

Dear Sir or Madam Thank you very much for your feedback via the IWGC website. It is really helpful to have comments put through even of a negative nature as it allows us to think carefully and evaluate our consultation and our practise. IWGC naturally by its nature doesn’t allow us to identify you and if you did wish me to comment specifically with regard to your situation, I would very happily do so if you contact me through the info@wimbledonclinics.co.uk email address. It really didn’t sound from the description that I wasn’t very helpful to you at all and I obviously greatly apologise for this. It is always our intention to go to work to help people. Quite a lot of knee pain is caused by impact – shock absorbing heels on shoes, for example, making a big difference compared to hard heeled shoes and in the way in which the knee works the forces inside the knee are massively magnified by the load put upon them. It is of interest that the load or force behind the knee cap in getting out of a chair without using arms to push up can be as much as 5 or even 7 times body weight. You also are correct in that a normal body mass index as determined by a height and weight (which one can check on line via the BMI calculator website) is a good indication as to whether benefit from weight reduction can be gained. A raised BMI for the reasons above increasing the forces upon the knee and as a result the loads and the subsequent pain from a knee. I hope that these comments are useful and once again would like to thank you for your feedback – it can only help in modifying our practice for the better. Best wishes Yours sincerely Mr Adrian C Fairbank FRCS (Orth)