August 13, 2020

Droitwich Knee Clinic Functional Restoration Program

Mr. Kirti Moholkar, Consultant Knee and Shoulder Surgeon

DKC Functional rehabilitation program (BPC-FRP) is a community-based pathway to help patients who are riddled with chronic pain (Knee, Back, or other musculoskeletal issues), reduced function, poor quality of life and weight management issues. It is a patient-centered and multidisciplinary program based on patient-reported outcome measures which has been put together by a team of health personnel comprising of a Surgeon (s), Senior Physiotherapist (s), Dietician, Personal trainer, Pain management consultant and a psychologist. The DKC believes that their FRP has a Bio-Ortho-Socio-Psychological approach to help patients caught in a complex issue in their One-Stop Clinic.

Knee pain after injury

DKC-FRP Helps patients to achieve the following

  • Complex problem addressed by a multidisciplinary team
  • Reduce chronic pain
  • Improve mobility
  • Reduce stress
  • Minimise work related absence
  • Reduce weight

Reason for DKC-FRP

  • Individual patient needs
  • Differing patient pain threshold
  • Varying activities of daily living

The DKC-FRP has been put together to treat patients on a private basis in the clinic and the pathway starts with a consultation at the clinic. DKC-FRP was started by Mr. Moholkar for knee pain sufferers but has now been expanded to include most of the other commonly seen MSK conditions including back pain patients. The program lasts for 6-10 weeks and is mainly based on a 1:1 consultation and the clinic is devising some group sessions for NHS patients. Currently we cannot provide this service to NHS patients.

Who is the FRP suitable for

  • Chronic knee pain
  • Chronic back pain
  • Fibromyalgia
  • Chronic pain

How is referral arranged?

Ideally, a referral to the DKC from your GP or a physiotherapist will be suitable on a private/insured or a self-pay. If patients like to refer themselves, the clinic will have the responsibility to write to your GP to involve their help in treating you.

Why does it take 6-10 weeks?

Anterior Knee Pain in a young women

FRP is a complex and multidisciplinary pathway that needs partnership from the care providers and the patients. Understanding of the individual patient’s problems and multidisciplinary team basis is time-consuming and following an initial consultation, usually with a physiotherapist kick starts the process. The Patient is then placed on a DKC-FRP pathway and the second consultation in the second week is held to discuss the protocol and modalities of options. It is the patient’s responsibility to participate in the recommended routine as dropouts in the middle of the treatment will not result in successful results

Patient Reported Outcome Measures

The DKC Ethos is “Keen on Evidence and Passionate about outcomes”. The DKC-FRP will be gauged by the following outcome measures

-EQ5D

-VAS Scores

-BMI

– Return to work statistics including absence from work days since start of the program

Modalities involved in DKC-FRP

Consultations: This occurs at the Droitwich Knee Clinic

Physiotherapy: The clinic has its own physiotherapy and gym facility. The clinic also has relationship with local physiotherapists and gymnasiums to provide this facility

Dietician: The clinic has access to a private dietician who will contribute towards planning a bespoke pathway.

Surgeons: We mostly get patients assessed by a physiotherapist but the surgeons are available on a standby basis and consultation can be arranged to seek expert help as and when required

Pain Management Consultant: The Droitwich Knee Clinic has access to a pain management consultant who is available for consultation

Clinical psychologist: Psychological help is available as and when required

Specialist Personal Trainer: The Droitwich Knee Clinic works with a local specialist personal trainer to provide help in a gymnasium setting when required.

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