We use a number of methods to investigate you knee problem. These investigations allow us to better understand the issue and what treatment options are available.


These are normally performed during your consultation, you will have the opportunity of discussing the radiographs with your specialist immediately after they have been performed. The Xray facilities at the Manor Hospital are modern high quality digital images. Xrays are a painless investigation using small doses of radiation to image the bony skeleton. The are extremely useful in the diagnosis and management of bone and joint disorders, particularly osteoarthritis.

MRI scans

Because Xrays only show up the bony skeleton often MRI scans are requested. These show much greater detail of anatomical structures in and around the knee including the articular cartilage (joint surfaces), menisci (sports cartilages), ligaments, muscles and tendons . A Magnetic Resonance Scan (MRI) uses a pulsed magnetic field to obtain detailed images of the anatomy of  the joint, no radiation is used. The scans can take about 30 minutes and take place in  the imaging suite at the Manor Hospital. They will book you in prior to your appointment and you will be given a safety checklist to complete prior to the scan to ensure there are no contra-indications to you undergoing a scan.

Ultrasound scans

These are sometimes used to look at structures around the front of your knee (patella tendon and extensor mechanism).  They are similar to the scans women have during pregnancy. Some jelly is applied to the area being scanned and then a probe is passed over the area. This emits sound waves that rebound of the structures in the knee. They are picked up by the probe and processed into an image. The scan is painless and has no side-effects. You will be able to see the images and  the radiologist performing the scan will talk you through the images.

Bone scans

A bone scan is a method of looking at your bones to show conditions not seen using x-rays.  It requires an injection of a small amount of radioactive fluid, which is then taken up by the bones.  This scan is performed 3 hours after the injection.

Targeted Injections

These involve carefully controlled injections of Local anaesthetic and occasionally steroid into specific locations. This can be helpful in pinpointing problem areas. Sometimes the injections themselves can be effective treatments. The injections involve needles similar to the type used when blood samples are taken. Other than minor discomfort there are minimal risks. There is a very small risk of infection after an injection, the doctor will explain the process to you prior to performing the procedure.