Updated August, 2026
If you’re living with knee arthritis, you’re not alone - and more importantly, you’re not stuck with it.
We see many people across Hertfordshire who’ve been told “it’s just wear and tear” or “you’ll have to live with it”. The good news? That’s simply not true.
By the time you've come to see us, you've likely already tried all sorts of things to manage your knee on your own. You might have tried turmeric or supplements, ice, gels and creams, knee supports or braces, or simply tried resting it whenever it flares up.
The problem is that the knee often keeps becoming painful, stiff or inflamed, and gradually you find yourself changing what you do because of it. Which unfortunately is becoming less active.
Perhaps you’ve stopped going on longer walks with friends or family. Gardening has become difficult because you’re worried about kneeling or spending too long on your feet. You may have given up a sport or activity you enjoy, or find yourself thinking twice before planning a day out because you’re wondering how your knee will cope.
And that’s often the most frustrating part of knee arthritis: it starts to interfere with your life. You become conscious of your knee and start worrying about whether an activity is going to make it worse - and worrying is no fun!
However we find with the right treatment plan, many people can reduce pain, improve movement and strength, manage flare-ups more effectively and get back to doing more of the things they love - and often that doesn't mean surgery.
For many people, surgery is something they would rather avoid if possible, or consider only as a last resort. Fortunately, there are several treatment options we can work through before reaching that point.
We’ll take these in the order we would generally recommend considering them, starting with the most conservative approaches before moving towards more advanced treatments or surgery.
And don’t worry if you’ve already tried one or two of them. It just mean it's time to consider the next option.
So, let’s start by looking at the signs and symptoms of knee arthritis and what may actually be causing your knee to hurt.
With the right treatment plan, most people can reduce pain, improve movement, and get back to doing what they enjoy - without jumping straight to surgery.
Knee arthritis (most commonly osteoarthritis) happens when the cartilage that cushions the joint begins to thin. This can lead to:

Picture showing the Arthritic effects of the Knee
But here’s the key thing people often miss:
👉 Pain does not always equal damage, and movement is usually one of the best forms of treatment. However, the key is how we get you moving and often patients need professional advice and treatment in order to calm the knee down.
Here are your best options - the order I would recommend you try first.
This is often your first step - is one of the most effective treatments for knee arthritis that not too severe.
A personalised plan can:
The right exercises - done correctly - often reduce pain more effectively than rest or painkillers.
If you've already had physiotherapy and exercise have not helped or been enough then I would recommend your try advanced (specialist) treatment technologies that can target Knee Arthritis - like Shockwave therapy and Tecar therapy. Generally, we have found Tecar therapy most effective for arthritic knee and is also more gentle.

Picture: Sports therapist manipulating the knee to aid movement and pain.
One of the most talked-about treatments for knee arthritis in is Tecar Therapy.
Why TECAR Therapy Is Particularly Effective for Knee Arthritis
Video - What is Tecar Therapy and how does it work?
TECAR therapy is particularly effective for knee arthritis because it works from the inside out, helping the body heal rather than just masking symptoms. By using gentle radiofrequency energy, TECAR increases blood flow to the knee joint, reduces inflammation, and helps relax stiff, overloaded muscles around the joint. This improved circulation brings oxygen and nutrients to irritated tissues, which can significantly reduce pain and swelling.
Many people notice that their knee feels looser, warmer, and easier to move after treatment, making everyday activities like walking, climbing stairs, or getting up from a chair more comfortable. When combined with physiotherapy and strengthening exercises, TECAR therapy helps patients move more freely, recover faster, and manage knee arthritis more effectively without relying solely on pain medication.
Tecar Therapy uses radiofrequency energy to:
Many patients describe it as warm, comfortable, and deeply soothing, especially for arthritic knees that feel tight or swollen.
Tecar Treatment in Action - specialist treatment for Knee arthritis

Picture: Advanced Electrotherapy - Tecar Therapy is a highly effective treatment for Knee Arthritis.
It’s often used alongside exercises, not instead of it - helping you move more freely so rehab exercises feel easier.
Video - How many Tecar sessions will I need to feel results?
In some cases, injections may be recommended to help manage pain and inflammation.
These can include:
They’re not a long-term fix on their own, but for the right person, they can:
Even small lifestyle changes can make a big difference. Losing just a little weight can significantly reduce the load going through the knee joint with every step.
Low-impact activities like:
help keep the joint moving and nourished - which is crucial for arthritic knees.
For most people, surgery is not the first step - and often not needed at all.
Many patients in Hertfordshire manage knee arthritis successfully with:
Surgery is usually considered only when conservative treatments have been fully explored.
There’s no one-size-fits-all answer. An assessment will help to understand your knee pain and what the recommended plan of treatment that would work best for you.
The most effective approach usually combines:
✔ Expert assessment
✔ Tailored physiotherapy (sports therapy)
✔ Modern pain-relief technologies like Tecar Therapy
✔ Education and confidence in movement
If you’re struggling with knee pain or arthritis in Hertfordshire, the right treatment can help you move better, feel stronger, and stay active.
If any of this have struck a cord with you and you want to get some clarity and and get back to enjoying life and your activities then I have some options;
👉 Click on the link before to find a solution to your pain - either a friendly expect call for more information or if you're ready to book and start treatment immediately! - here's our diary:
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