Mr Jehangir Mahaluxmivala is an Orthopaedic Surgeon who specialises in knee and hip surgery in Essex And Hertfordshire. Care And Compassion In Knee And Hip Surgery For Over 20 Years FULFILLED PATIENTS 30+ Years Of Orthopedic Experience 6000+ Surgeries Performed 19+ Years As A Hip and Knee Consultant 700+ 5 Star Patient Reviews About Mr. Mahaluxmivala is an esteemed orthopedic surgeon who trained at the prestigious Stanmore, London’s Royal National Orthopaedic Hospital. A renowned speaker, educator, and innovator, he has reached over 2,500 surgeons. Moreover, his exceptional dedication to patient safety has been recognized by the Medical Defence Union, which has awarded him the best premium for his outstanding record. Mr. Mahaluxmivala performs a high volume of hip and knee replacement surgeries annually. He leads the MDT for complex knee and revision knee surgery at the Princess Alexandra Hospital NHS Trust. About Me Personal Interests Mr. Mahaluxmivala was an avid badminton player who had competed at a national level. Sharing his passion for sport with many of his patients, he has treated numerous individuals, including previous elite-level athletes. Additionally, he is a strong advocate for weight training exercises and regularly attends the gym to maintain his physical fitness. Testimonials Knee Replacement The whole experience following my total knee replacement has been amazing from start to finish. Thrilled to bits at 6 weeks following my total knee replacement by Mr Mahaluxmivala. I cannot believe it is not artificial. It was very deformed and bent and now it's straight and level. I felt I was very well prepared before the operation. View 600+ Reviews Hip Replacement After much research Mr Mahaluxmivala was the surgeon we chose for my 80 year old Mother’s hip replacement and we could not recommend him highly enough. He explained everything fully from the initial consultation, aftercare during hospital stay through to post op discharge. The operation took place at The Rivers Hospital, Sawbridgeworth who also receive our recommendation: 10/10 all round View 600+ Reviews Revision Surgery I am over the moon following the revision re do total knee replacement which I was referred to Mr Mahaluxmivala for his experience in re do surgery. We have had a long journey together and we have won. I cannot thank Mr Mahaluxmivala enough. View 600+ Reviews Athlete Insight Extremely happy with the best service from Mr Mahaluxmivala. As a full time body builder and and sportsperson i couldn't have had any one better. Gave me the answers i needed and treated me the up most care. Highly recommend for anyone with any sporta based injuries or any urgent pain. View 600+ Reviews View Google Reviews Orthopaedic Expertise Mr Jehangir Mahaluxmivala, MS, MSc, FRCS (Tr&Orth), is a Consultant Orthopaedic Surgeon who has delivered exceptional care and compassion In hip and knee surgery for over 20 years. Utilising cutting-edge techniques with a strong emphasis on patient safety and education, Mr Mahaluxmivala performs a high volume of hip and knee replacement surgery annually. He is dedicated to delivering services with nationally matched outcome measures, with patient satisfaction being paramount to his practice. Contact Us REAL PATIENT RESULTS Knee Surgery Patient Story Knee Surgery Hip Surgery Patient Story Total Hip Replacement Patient Story View Patient Stories Courses Mr. Jehangir Mahaluxmivala offers specialised courses for medical professionals, developed in collaboration with leading experts. These courses emphasise cutting-edge techniques, patient safety, and education in hip and knee surgery. Enhance your skills to achieve superior patient outcomes by learning from one of the best in the field. Learn More HARLOW KNEE COURSE The Harlow Knee Course has had over 1000 previous delegates. After a period of absence due to the COVID pandemic Mr Mahaluxmivala and Mr Allen are delighted to have you back. Running for over 20 years, it is ideal for specialist registrars and fellows who want to further their knowledge of knee arthroplasty techniques. We are delighted to have on board Mr Jaison Patel who is a Consultant Orthopaedic Surgeon at The Barts Health. Register Mahaluxmivala-Sherman FRCS Course This interactive two-day course focuses on preparing delegates for the viva (oral) component of the FRCS (orth) in a friendly atmosphere. Delegates will work through a range of techniques to improve both oral skills and orthopaedic clinical examination. Register MDI Orthopaedic Consultant Interview course This instructional course is unique as it is focused purely on the consultant orthopaedic interview delivered by experts in the field. Register

Get answers to frequently asked questions about our medical services. Learn about procedures, treatments, recovery, insurance, and more. Consultation & Treatment Rates New Consultation: £200 Follow Up Consultation: £120 Telephone/Virtual Consultation: £100 Book An Appointment Total Knee Replacement The approximate cost for Total Knee Replacement is £12,983. This includes: H ospital/Consultant/Anaesthetist fees. Pre admission review Covid test. 2 follow up consultations if needed. Inpatient physiotherapy. 4 Sessions of outpatient Physiotherapy. Sticks, helping hand and shoe horn if needed. Book An Appointment Total Hip Replacement The approximate cost for Total Hip Replacement is £13,418. This includes: Hospital/Consultant/Anaesthetist fees. Pre admission review Covid test. 2 follow up consultations if needed. Inpatient physiotherapy. 4 Sessions of outpatient Physiotherapy. Sticks, helping hand and shoe horn if needed. Book An Appointment Health Insurance & Self Pay Patients Mr Mahaluxmivala adheres to all major insurance companies fee guidelines for operative procedures. For insured patients Mr Mahaluxmivala secretary will provide the operative and procedure codes for all treatments prior to surgery. The above Total Knee & Hip Replacement rates are for self-paying patients. It is the amount billed by the Rivers Hospital independently. It is a package deal which includes the hospital stay, implant costs, aftercare, etc. The final figure can be confirmed by direct contact with the Rivers Hospital after the initial consultation. There are various ways to pay, including our Interest Free Option finance over 10 months, subject to status.

Explore our comprehensive non-surgical treatment options for managing pain and improving mobility. Learn about physical therapy, medication, lifestyle changes, and other innovative therapies designed to help you achieve optimal health without surgery. Non-Surgical Treatment, Orthopaedic Counselling & Physiotherapy Non-surgical treatment and orthopaedic counselling are often recommended for patients who do not require surgical treatment. These modalities are as vital as “high tech” surgery. Physiotherapy is used in The immediate post-operative period of an operation. Knee injuries like ligament and soft tissue injuries not needing surgery All anterior cruciate ligament ( ACL) injuries. Patella dislocations of subluxation, especially after the first and second episodes. Non-traumatic knee conditions like patella tendinitis and quadriceps tendinitis. These often benefit from local utrasound treatment as well. Osteoarthritis of the knee which is not severe enough for an operation may benefit from targeted sessions of knee physiotherapy to strengthen muscles. However, results of physiotherapy for osteoarthritis of the hip are not as favorable as for other joints. Nevertheless, if part of the pain pattern is related to a back problem, then physiotherapy can be beneficial. Local ultrasound treatment can also be used to assist in cases of trochanteric bursitis and snapping iliotibial band (snapping or popping hip) Orthopaedic Counselling: As a high-volume joint replacement surgeon with extensive experience, Mr. Mahaluxmivala understands that optimal patient selection is crucial for achieving the best surgical results. High-risk and overweight patients may still benefit from joint replacement surgery, provided they are fully informed about the risk-benefit ratio. Therefore, Mr. Mahaluxmivala accepts these patients after ensuring they have been adequately counselled and all conservative or non-surgical treatments have been exhausted. The clinic advocates for: General counselling on "joint health," advising patients to lose weight if overweight and engage in regular activities such as walking, cycling, swimming, and traditional gym workouts. Exploring non-surgical treatments such as osteopathy, acupressure, and acupuncture, if surgery is not an option. The clinic emphasises respecting other specialties to maximise patient care. Encouraging patients to join gyms and work with personal trainers to ensure that exercises to strengthen muscles around the knee are performed correctly. Correct form and sustained muscle-strengthening regimes are crucial for addressing lower limb and back pain issues. For patients in the Hertfordshire and Essex areas, the clinic can recommend personal trainers to assist with these efforts. Book an Appointment

Please feel free to call us or send us a message if you have any queries or would like to book an appointment. Contact Us Please Call Us Or Send Us A Message If You Have A Query or Wish To Book An Appointment. Let Us Help You Solve Your Knee And Hip Problems In As Pain Free Manner As Possible. Rivers Hospital, High Wych Road, Sawbridgeworth, Hertfordshire. CM21 0HH. Secretary +44 (0) 333 7727497 WhatsApp appointment +44 (0) 7404 573302 First Name Last Name Email Message Send Thanks for submitting!

Access essential information and resources for patients. Learn about our services, appointment scheduling, patient forms, insurance, and what to expect during your visit. Patient Experiences What Our Patients Have Said About Their Experience Following Surgery Knee Replacement Surgery Knee Replacement Surgery Play Video Play Video 00:26 Knee Replacement Family Experience Play Video Play Video 00:51 Four Joints Replaced In A Single Patient Play Video Play Video 00:19 Five Years After Knee Replacement Surgery Play Video Play Video 00:21 Before The Surgery, I couldn’t Walk Far Hip Replacement Surgery Hip Replacement Surgery Play Video Play Video 00:24 After Surgery, Now I Can Do Anything Play Video Play Video 00:26 85 Years Old, No Pain After Hip Replacement Play Video Play Video 00:18 Never Had Any Problems – I am Very Pleased Play Video Play Video 00:19 It Changed My Life Play Video Play Video 00:15 I am A Different Person – New Life Patient Education Videos education videos Play Video Play Video 00:55 Why do we do TKR Play Video Play Video 00:39 Why do we need Xrays Play Video Play Video 02:41 reasons TKR cannot be done Play Video Play Video 00:48 Everyone cannot have TKR

Discover the benefits of Total Hip Replacement surgery for relieving pain and restoring mobility. Learn about the procedure, recovery process, and how our expert surgeons utilize advanced techniques for optimal outcomes. Total Hip Replacement What is Total Hip Replacement Surgery? This operation involves removing the arthritic part of the hip joint and replacing it with a socket, while the ball joint is replaced with an artificial component that anchors in the thigh bone. Mr. Mahaluxmivala commonly uses a ceramic ball bearing surface, which, although more expensive, is utilised when indicated to ensure optimal outcomes Symptoms Proper diagnosis of hip joint pain is crucial to ensure it's not referred from the back. Key indicators include: Pain in the groin, inner thigh, or front of the thigh extending to the knee. Buttock pain, but unlike sciatica, it doesn't radiate below the knee or cause pins and needles. Pain when rising from a sitting position or while going up and down stairs, sometimes needing to take one step at a time,. The hip locking, catching, or giving way. Pain that worsens with activity but can also be present at rest. Difficulty cutting toenails and getting in and out of a bath or car, common in severe hip arthritis. For a successful hip replacement, a thorough history and examination of the knee, hip, and back are essential to ensure the correct diagnosis and appropriate treatment T What Are The Causes For Hip Replacement? Hip replacement surgery is commonly performed for: Osteoarthritis of the hip. Severe osteoarthritis or fracture collapse resulting from past injuries or surgeries to the hip joint. Old conditions such as dislocated hips at birth, Perthes disease, slipped capital femoral epiphysis, and avascular necrosis. While these conditions themselves don't necessitate a hip replacement, they often lead to severe osteoarthritis, which does Diagnosis Diagnosis is made from medical history and full examination. It is confirmed by an x-ray of the hip which includes two specialised views.

Get answers to frequently asked questions about our medical services. Learn about procedures, treatments, recovery, insurance, and more. How do I make an appointment? Click on the “Book an Appointment” button at the bottom of the page. Visit the “Contact page, fill in the form and send it to us. Call us on 03337727497. WhatsApp message us on 07404573302. Will I be given an appointment time straight away? Every effort will be made to give you a mutually convenient appointment time straight away on your first call. However, the clinic will be happy to entertain your preferred time and hence may call you back to secure that. How long will my appointment last? Generally a new consultation visit is around 30 minutes. However, no patient is ever rushed during the consultation. What will I expect at the new or first consultation? Patients will receive a comprehensive examination in a spacious, COVID-safe setting. This includes a full history review and necessary x-rays during the same visit. Diagnoses and treatment options will be clearly explained, ensuring patient understanding and comfort. Consultations won't conclude until all concerns are thoroughly addressed. Can I have my follow up appointment to discuss the results of the scan or tests on the phone? During the COVID-19 pandemic, any measure to keep footfall low in hospitals is encouraged. Hence, if the patient prefers, a telephone conference call is possible. Do you take insurance? Yes we do. We deal with many insurance companies in the UK. What can I do if I do not have private insurance? Patients without private insurance can easily book appointments as self-pay patients using the same channels. To minimize costs, bring any previous x-rays or scans for the consultation. What is the cost of consultation/treatment? Please visit our Fees page for more details. Do I need a GP letter? The clinic does not need a GP letter but some insurance companies might need a GP referral letter in order to validate the claim. Do I have access to my records from the consultation? Every patient will be copied into the letter which is written to the GP. (This helps with subsequent phone call dealings with the insurance companies) Where is your clinic located? Our clinic is located within The Rivers Hospital, High Wych Road, Sawbridgeworth, Hertfordshire, CM21 0HH.

a non-surgical treatment option for joint pain relief. Learn about the types of injections, benefits, procedures, and how our specialists use this therapy to reduce inflammation and improve joint function. Intra-Articular And Peri-Articular Injections Steroids or other substances can be injected directly into a joint (intra-articular injection) or into the soft tissue close to the joint (peri-articular injection) Conditions where injections can be used to diagnose and treat: A) Trochanteric bursitis. B) Gluteus medius tendinopathy. C) Snapping ilio tibial band. (Clicking hip ). D) Ischial tuberosity bursitis. E) Patients with both hip pain and back pain. F) Labral tear (tear of cartilage within the hip joint). G) Femoroacetabular hip impingement (FAI). H) Osteoarthritis of the knee. Book an Appointment

"Learn about Knee Arthroscopy, a minimally invasive procedure used to diagnose and treat knee issues. Knee Arthroscopy 01 What is Arthroscopy? Arthroscopy is keyhole surgery used to diagnose and treat problems within the knee joint. Arthroscopy equipment is small, so only small cuts in the skin are needed. This has the advantage of less pain after the operation, faster healing time, and lower risk of infection. 03 Symptoms The best outcomes for this surgery are typically seen when the patient reports a clear history of twisting or injuring the knee, which triggered the symptoms. Key indicators include: Primary complaints of locking and giving way (mechanical symptoms) rather than constant pain. Pain localised to the inner or outer aspect of the knee, sometimes felt deep within or all over the knee. Pain and acute catching or locking worsen when walking on uneven surfaces or twisting the knee. Swelling and inflammation in the knee may be present initially when symptoms begin. Patients are often normally active and sporty, with no X-ray evidence of arthritis in the knee. 02 Causes The procedure is used to treat a number of conditions, including tears of the cartilage, (meniscus), removing fragments of loose bone or cartilage, drilling of bone to promote healing of cartilage and treatment of an anterior cruciate ligament (ACL) tear. The most common reason for knee arthroscopy surgery done by Mr Mahaluxmivala is a torn meniscus (shock absorbing cartilage) of the knee. Both the cartilage on the inside and outside of the knee can be torn and both can be suitable for knee arthroscopy. Mr Mahaluxmivala explains however that this is one of the operations where “patient selection” is vital for this surgery to have a successful outcome. Insurance companies have strict criteria for allowing this surgery to be performed and this is done to make sure unnecessary surgeries do not occur. 04 Diagnosis Diagnosis involves a detailed history and thorough examination. It is confirmed with: An X-ray of the knee, including three specialised views, such as standing views. An MRI scan to detect cartilage tears, ligament issues, or arthritis not visible on X-rays. Mr. Mahaluxmivala will review the patient's X-ray and MRI images during the consultation, explaining the issues and the need for knee arthroscopy.

Find out everything you need to know about Total Knee Replacement surgery, including indications, procedure details, benefits, and recovery process. Total knee Replacement What is Total Knee Replacement Surgery? Total Knee Replacement surgery is a procedure that involves replacing a worn-out knee with an artificial joint. This advanced and technical operation includes refashioning the ends of the femur and tibia bones, which form the knee joint. The artificial knee joint is then placed on the cut ends of these bones, with a high-performance polyethylene liner positioned between the two metal ends to ensure smooth movement and durability What Are The Causes For Knee Replacement? . Advanced or severe osteoarthritis, which is the most common reason for the procedure. Rheumatoid arthritis, after medical or drug treatment has been tried and exhausted. Severe injuries to the knee leading to significant arthritis Patients who have had their cartilage removed using old-fashioned open methods. Diagnosis The diagnostic process for Total Knee Replacement surgery includes: 1. A comprehensive patient medical history and complete examination. 2. Specialised X-rays of the knee, including standing, bent, and flexed views. These detailed images can reveal arthritis that might not be detected by routine X-rays performed by non-knee specialists. These views may potentially identify severe arthritis that had been previously overlooked. Implants And Techniques Used The knee joint implant used by Mr. Mahaluxmivala and his clinic is renowned for having one of the best longevities in the world. The implantation techniques and surgical approach are meticulously designed to provide the best outcomes, supported by rigorous international evidence-based practices. This commitment ensures optimal patient results and long-term success of the knee replacement surgery. Symptoms Patients recommended for Total Knee Replacement surgery often experience the following symptoms: Severe knee pain with a very limited walking distance of about ten to fifteen minutes. Pain throughout the knee or localised to the inner or outer aspect. Increased pain when rising from a sitting position, or while ascending or descending stairs, often requiring one step at a time. Complaints of the knee locking, catching, or giving way. Pain typically worsens with activity but may also be present at rest

explore a variety of courses that Dr. Mahaluxmivala is actively involved in. His passion for teaching and guiding the next generation of medical professionals is evident in the comprehensive and meticulously designed courses he offers. Courses explore a variety of courses that Dr. Mahaluxmivala is actively involved in. His passion for teaching and guiding the next generation of medical professionals is evident in the comprehensive and meticulously designed courses he offers. HARLOW KNEE COURSE The Harlow Knee Course has had over 1000 previous delegates. After a period of absence due to the COVID pandemic Mr Mahaluxmivala and Mr Allen are delighted to have you back. Running for over 20 years, it is ideal for specialist registrars and fellows who want to further their knowledge of knee arthroplasty techniques. We are delighted to have on board Mr Jaison Patel who is a Consultant Orthopaedic Surgeon at The Barts Health. Register Mahaluxmivala-Sherman FRCS Course This interactive two-day course focuses on preparing delegates for the viva (oral) component of the FRCS (orth) in a friendly atmosphere. Delegates will work through a range of techniques to improve both oral skills and orthopaedic clinical examination. Register MDI Orthopaedic Consultant Interview course This instructional course is unique as it is focused purely on the consultant orthopaedic interview delivered by experts in the field. Register

Learn about Revision Total Knee Replacement surgery, a procedure to replace or repair a failed knee implant. Discover symptoms, treatment options, recovery process, and how our expert surgeons can help restore mobility and relieve pain. Revision Total Knee Replacement 01 What is Revision Total Knee Replacement Surgery? Revision Total Knee Replacement surgery involves replacing a previous knee replacement with a new artificial joint. It's a complex procedure, more intricate than the primary (initial) total knee replacement (TKR). Revision surgery is typically more complicated because the surgeon must remove the original implant, which has integrated into the existing bone. Additionally, there is often less bone remaining after the prosthesis is removed. Therefore, the procedure requires meticulous preoperative planning, specialised tools and implants, and greater surgical skill. It also takes longer to perform compared to a primary knee replacement. 03 Symptoms Revision knee replacement surgery is not offered solely due to pain; there must be a valid reason for undergoing major re-do surgery. Patients experiencing pain after knee replacement should be thoroughly examined by a knee revision specialist to determine the appropriate course of action. Key indicators for revision knee replacement surgery include: Pain in the knee joint, often with limited walking distance and possibly night pain. Confirmation that the pain originates from the knee joint, not from the hip or back. Complaints of the knee "giving way or collapsing." Swelling, inflammation, and reports of increased knee deformity. Accurate patient selection is crucial for a successful outcome in revision knee replacement surgery. Therefore, a complete history of complaints and a thorough examination of the previously operated knee, hip, and back are essential. 05 Treatment Revision surgery involves the careful removal of the old implant and the placement of a more complex implant designed to compensate for any bone loss. This complexity increases the risks associated with the surgery, and the outcomes may not be as favorable as those of primary surgery. However, advancements in instruments, implants, and surgical skills aim to restore the patient to the results of a successful primary surgery. The actual surgery typically lasts about 120 minutes. However, Mr. Mahaluxmivala advises relatives not to expect the patient back in the ward within this short time frame. This is because a significant amount of care and time is devoted to preparing the patient for anaesthesia and ensuring safe and correct positioning before surgery. 02 Causes The primary reason for revision knee or replacement surgery is often loosening of the previous implant. This loosening may be caused by infection or wear and tear over many years. Other reasons for revision knee replacement surgery include misalignment or instability. A less common but significant reason for revision knee replacement surgery is fracture around the original knee replacement (periprosthetic fracture). 04 Diagnosis Diagnosis of issues with the original total knee replacement involves: A thorough history and complete examination. Confirmation via X-ray of the knee, including three specialised views, including standing views. Periodic specialised X-rays may be needed to monitor for evidence of loosening. In some cases, a radioisotope bone scan or a CT scan may be necessary, typically performed 18 to 24 months after the initial knee replacement. Blood tests may also be required. Aspiration procedure to remove fluid from the knee, which is then sent to a lab for analysis to determine the type of infection and the need for revision surgery. This procedure is done in the operating theatre without the need for general anaesthesia.