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Musculoskeletal (MSK)

Here at Lanserhof at the Arts Club, we promote a comprehensive process that emphasises the assessment, diagnosis, and treatment of conditions affecting the musculoskeletal system.

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  • Our highly skilled team of experts, including specialist MSK physicians, biomechanists, physiologists and therapists, work together to provide the best possible care. We strive to help you recover quickly with minimal disruption.
  • We use preventive techniques, utilise unique technology andprovide specific training recommendations to identify and treat chronic overloading or improper weight-bearing situations, ensuring long-term success of any rehabilitation programme.

KNEE REGENERATION PROGRAMME

A clinically guided pathway to restoring knee function, developed by Dr Sam Botchey at Lanserhof at The Arts Club.

Restore movement | Regenerate naturally | Delay surgery

The Knee Regeneration Programme is a non-surgical approach aimed at individuals experiencing ongoing knee pain, joint degeneration, or injury. The programme brings together diagnostic tools, biological therapies, and rehabilitation strategies — all grounded in clinical practice and research.

Using his expertise in elite sports medicine, complex rehabilitation, and ortho-biologic interventions, Dr Botchey has designed a treatment model that looks beyond symptom management to support meaningful joint recovery.

A Personalised, Evidence-Based Approach:

This programme is not generic. Every stage — from assessment to rehabilitation — is tailored to your needs and based on current best practices in musculoskeletal medicine.

Programme Structure

1. Diagnostic Assessment
A detailed evaluation using movement analysis, joint imaging, and functional testing to identify the sources of pain and dysfunction.

2. Regenerative Therapies
Where appropriate, biological interventions such as Platelet-Rich Plasma (PRP) or other ortho-biologics are used to support healing, reduce inflammation, and improve joint health.

3. Targeted Rehabilitation
Physiotherapy and movement re-education focused on restoring strength, joint control, and functional balance — aligned with your lifestyle and recovery goals.

4. Ongoing Monitoring
Progress is tracked and treatments are adjusted as needed, ensuring a responsive and adaptive approach over time.

Who May Benefit

This programme may be suitable for individuals with:

  • Longstanding or recurrent knee pain
  • Early to moderate osteoarthritis
  • Soft tissue or cartilage injuries (e.g. ACL, meniscus)
  • Knee dysfunction after surgery
  • A desire to delay or avoid joint replacement

Patient Perspectives

“It’s the most effective treatment I’ve had for my knees. I avoided surgery, and I’m back playing with my kids pain-free.”
Michael, 45

“Sam and the team know exactly what they’re doing. This is next-level care, and the results speak for themselves.”
Wayne Bridge

If you’re managing knee pain or facing the prospect of surgery, this programme may offer a clinically grounded alternative.

Musculoskeletal therapists

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Meet the Expert

Dr Sam Botchey

As a Fellow of the Faculty of Sport and Exercise Medicine, Dr Botchey trained in the prestigious Oxford University Hospitals SEM Programme at the world-renowned Nuffield Orthopaedic Centre.

With over a decade of elite professional sports experience, he has worked with the England National Football Teams, Chelsea and Arsenal as well as in Premiership Rugby, currently consulting for Tottenham Hotspur Football Club and the NFL during their London games. His expertise extends to the Ministry of Defence, where he served as a civilian SEM consultant, and to an Advanced Community Musculoskeletal clinic within the NHS.

An expert in musculoskeletal ultrasound, using it as an extension of his examination to achieve the most accurate diagnoses possible, Dr Botchey’s diverse experiences have honed his multidisciplinary approach, enabling him to collaborate seamlessly with physiotherapy, performance, and functional medicine specialists to deliver holistic, personalised care.

Committed to innovative, non-surgical treatment methods, Dr Botchey offers modalities such as shockwave therapy, Platelet-Rich Plasma (PRP), and Arthrosamid injections. He is a strong proponent of regenerative medicine, prioritising surgery avoidance where possible.

Passionate about precision preventive medicine and performance optimisation, Dr Botchey leverages insights from our performance labs to create tailored plans that enhance health span and longevity.

When not in clinic, you’ll find Dr Botchey in the gym or chasing after his two young daughters.

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Head of Performance

Dr Arj Imbuldeniya

Dr Arj is a Consultant Orthopaedic Knee and Hip Surgeon with over 25 years of clinical experience and the founder of Ortholongevity™ — a surgeon-led, integrated approach to joint health that combines orthopaedic precision with longevity medicine.

Appointed NHS Consultant at Chelsea & Westminster Foundation Trust in 2015, Dr Imbuldeniya trained at St Bartholomew’s and The Royal London Hospital Medical School before completing international fellowship training in Sydney, Barcelona, and Munich. He is a Fellow of the Royal College of Surgeons of England and holds a Masters in Global Health Policy from Imperial College London.

At Lanserhof, he leads the Ortholongevity™ programme — an integrated clinical pathway that brings together advanced diagnostics, biological therapies, and a specialist multidisciplinary team within a single coordinated plan. Nine out of ten patients who come through his programme avoid surgery. For those who need it, surgery is performed on a biologically optimised, physically prepared patient — with measurably better outcomes.

Most orthopaedic care treats the joint in isolation. Ortholongevity™ treats the whole person — assessing and optimising the biological environment, movement mechanics, and physical capacity that determine whether any intervention will succeed.
Working in direct collaboration with Lanserhof’s specialist team, Dr Imbuldeniya coordinates a fully integrated MSK pathway drawing on physiotherapy, osteopathy, strength and conditioning, sports medicine, functional medicine, and nutrition — all communicating within a single shared plan. This is not multidisciplinary in name only. It is integrated care by design.

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Head of Orthopaedic & Joint Longevity Medicine