World-first · Surgeon-designed · Lanserhof Mayfair

How Old Are Your Knees?

The world's first Knee Age™ assessment — created by a consultant orthopaedic knee surgeon.

Designed for elite athletes. Now available to everyone.

Surgery · Sports Medicine · Physiotherapy · Strength & Conditioning · Nutrition · Sleep — one framework

Find My Knee Age — Free → Free · 60 seconds · Start instantly — no sign-up to begin
Watch — what is your Knee Age?

Five domains. One score.
Your Knee Age™.

PRIME is the five-domain assessment behind your Knee Age: Power, Risk, Injury, Movement, and Endocrine & Metabolic.

  1. Power

    Strength and force capacity

  2. Risk

    Genetic and genomic risk

  3. Injury

    Injury and load history

  4. Movement

    Range, mechanics, posture and function

  5. Endocrine & Metabolic

    Hormones, metabolism and inflammation

PRIME measures. Knee Age scores. R.E.P.A.I.R.™ treats.

How the score is built

Knee Age™ weighs your answers across the five PRIME domains against published risk factors for joint ageing and the patterns seen in over 25 years of clinical practice. It is an educational estimate, not a diagnosis — and it improves as the evidence does.

OrthoLongevity™

Where we practise

Dr Arj Imbuldeniya at Lanserhof Mayfair
Lanserhof Performance Lab
Strength assessment at Lanserhof
25+
Years clinical experience
90%*
Treated without surgery
4.99★
Verified across Google, Doctify, and Top Doctors
#1
Lanserhof at The Arts Club · Mayfair
* Around 90% of patients who came thinking they needed surgery didn't end up needing it. Cohort 2016–2026, across London's leading independent hospitals.
The problem with joint care today

The system is built to react.
Not to prevent.

Most people see a surgeon when the damage is already significant. Years of preventable deterioration have happened quietly — in the biology, the muscles, the metabolism — long before the pain becomes undeniable.

Joint damage starts decades before symptoms

Cartilage loss, muscle atrophy, and metabolic inflammation begin in your 30s and 40s. By the time it hurts, the window for easy prevention has closed.
530M affected globally

Fragmented care misses the full picture

A scan shows structure. It does not show biology, strength capacity, metabolic health, genetic risk, or recovery function. No single specialist sees all five. Until now.
Biology-first approach

Most joint ageing is modifiable

Strength, sleep, metabolic health, load management, and targeted biological therapies — applied in the right sequence — change the trajectory of a joint over a lifetime.
Evidence-based

Built by a Consultant Orthopaedic Surgeon
Dr Arj Imbuldeniya
FRCS(Tr&Orth)

Dr Arj Imbuldeniya

Consultant Orthopaedic Knee & Hip Surgeon · Founder, OrthoLongevity™
Lanserhof Mayfair · Cromwell Hospital · Chelsea & Westminster NHS Foundation Trust
"I've spent a decade seeing thousands of patients and operating on knees — so I understand the problem from the inside. Working alongside the best physiotherapists, osteopaths, sports medicine doctors, radiologists, and metabolic clinicians, I've built a joined-up, holistic framework that most patients never receive. What used to be available only to elite professional athletes — a complete, coordinated picture of joint health — should be available to everyone. That is what OrthoLongevity™ is."
MSc Global Health Policy, Imperial NHS Clinical Entrepreneur Fellow BiteLabs HealthTech Fellow 2026 Chelsea & Westminster NHS

Available at

Lanserhof Mayfair, London

Home of the OrthoLongevity™ Longevity Movement Clinic. Performance laboratory, Biodex isokinetic strength testing, gait analysis, ultrasound-guided procedures, and surgeon-led assessment under one roof.

Dr Arj with patient at Lanserhof
Lanserhof Mayfair reception
Lanserhof performance laboratory
Biodex strength assessment

What you are joining

The world's first surgeon-led joint longevity platform.

Register your email today and you will be first to access the full OrthoLongevity™ app and 12-week programme — before public launch, at early-access pricing.

Nutrition, Supplements & Sleep

An interactive, evidence-based resource covering everything that affects joint health — protein targets, omega-3, creatine, collagen, sleep protocols, stress management.
On the roadmap

Strength & Movement Plans

Personalised strength programmes based on your R.E.P.A.I.R.™ stage — designed by specialist S&C coaches working under surgeon governance.
On the roadmap

Biological Therapies Guide

Comprehensive, unbiased information on PRP, Arthrosamid, hyaluronic acid, shockwave therapy — what the evidence says, when they work, and when they do not.
On the roadmap

Virtual & Face-to-Face Consults

Direct access to consultant orthopaedic surgeon, sports medicine, physiotherapy, and metabolic medicine — virtually or in person at Lanserhof Mayfair and Cromwell Hospital.
On the roadmap

Your Health Portal

Store and view your MRI images, blood results (hs-CRP, HbA1c, Vitamin D), and all joint health tests in one secure, surgeon-accessible portal.
On the roadmap

Genomic Risk Layer

In development with Cromwell Hospital — formal polygenic risk scoring for osteoarthritis, integrated into your Knee Age as a personalised genetic modifier.
In development at Cromwell Hospital

AI-Powered Predictive Insights

The full platform will utilise AI to predict joint trajectory, personalise intervention sequencing, and flag early warning signs — reviewed and governed by your clinical team.
On the roadmap

Women's Joint Health

Scoring and recommendations specifically adjusted for hormonal changes — perimenopause, menopause, and HRT status — which significantly affect joint biology.
Included in the quiz

From the surgeon

Insights & guides on knee longevity.

In-depth articles written and reviewed by Dr Arj — honest, evidence-based guidance on treatments, surgery decisions, and keeping your knees for life.


Patient stories

Real patients.
Real results.

★★★★★
"He recommended a programme of focused physio and weight-training. This has helped considerably — my knees are now virtually pain-free. Not only does Dr Imbuldeniya give great advice, he's also very friendly, cheerful and compassionate."
Jemima G. · Google
Bilateral knee pain
★★★★★
"Mr Imbuldeniya changed the quality of my life and for that I will be forever grateful. He will try the least invasive option first, he actually listens to your concerns, worries and fears. He is without question in my opinion the best orthopod in the country."
Anna F. · Google
Knee surgery & ongoing management
★★★★★
"He explained the imaging and diagnosis in a way that I could understand. At the moment I do not need any surgical intervention but if that changes then I would have every confidence that I would be in safe hands."
Rose A. · Google
Knee assessment

Clinical bases
Lanserhof at The Arts Club View profile →
Cromwell Hospital View profile →

Early access subscribers hear about the full app and 12-week OrthoLongevity™ programme first.

Your Knee Age scoreBiological age of your joints vs chronological age
Five pillar analysisStrength, biology, movement, injury history & genetic risk
Adjusted for womenHormonal status including perimenopause & HRT
Paediatric scoringSpecially calibrated Joint Health Score for under 18s

By submitting your email you agree to receive the OrthoLongevity™ newsletter and early access updates. You can unsubscribe at any time.


Common questions

What is your Knee Age? Your questions, answered.

What is my knee age?

Your knee age is the biological age of your knees — which can be younger or older than the age on your passport. The Knee Age™ assessment scores you across five clinical domains in around 60 seconds and gives you a single number comparing your knees' biological age to your chronological age.

How old are my knees?

Probably not the same age as you. Cartilage health, muscle strength, movement quality, injury history and underlying biology all push knee age up or down. The free Knee Age™ test gives you an evidence-informed estimate in about a minute.

Is this the first knee age calculator?

Yes. Knee Age™ is the world's first knee-specific biological age assessment, launched in 2025 and created by Dr Arj Imbuldeniya, a London consultant orthopaedic knee and hip surgeon. Heart Age changed how people think about their hearts; Knee Age™ does the same for your joints.

What about my other joints — how old are my joints overall?

Knee Age™ focuses on the knee, the joint most likely to limit how you move and age. Many of the domains it measures — muscle strength, movement quality, metabolic health — affect every joint in your body, so your result is a strong signal for your wider joint health too.

Is the Knee Age test a medical diagnosis?

No. It is an educational assessment, not a diagnosis, and it does not replace a consultation with a doctor. If you have knee pain, swelling, instability or an injury, seek a proper clinical assessment.

How much does it cost?

Nothing. The Knee Age™ test is free and takes around 60 seconds.

Important — Medical & Regulatory Information
Wellness assessment — not a medical device or diagnostic service. The OrthoLongevity™ Knee Age assessment is a self-reported wellness questionnaire designed to support healthy lifestyle choices and general joint health awareness. It is classified as a Class I wellness tool and does not constitute a medical diagnosis, clinical assessment, or regulated medical device under UK Medicines and Healthcare products Regulatory Agency (MHRA) guidance or the Medical Devices Regulations 2002 (as amended). It is not regulated by the Care Quality Commission (CQC).

Not a substitute for clinical care. The Knee Age score and associated recommendations are for general informational and educational purposes only. They do not replace a clinical consultation with a qualified healthcare professional. If you have joint pain, injury, swelling, locking, instability, or any other musculoskeletal symptom, you should seek advice from a registered medical practitioner. Do not delay seeking medical advice on the basis of information received through this tool.

Future platform. Features described as 'coming soon' — including AI-powered predictive insights, genomic risk scoring, health portal, and diagnostic integrations — are in development and not currently available. When launched, features involving the analysis of health data or clinical decision support will be subject to appropriate regulatory classification and approval processes, including MHRA Medical Device registration where required.

Clinical services. Face-to-face consultations with Dr Arj Imbuldeniya and the OrthoLongevity™ clinical team are delivered at Lanserhof Mayfair and Cromwell Hospital, both regulated healthcare facilities. These services are separate from this wellness assessment and are subject to full GMC, CQC, and professional regulatory oversight.

Dr Arj Imbuldeniya is registered with the General Medical Council (GMC). Specialist registration: Trauma & Orthopaedic Surgery. · ortholongevity.co.uk · arj@ortholongevity.ai · © 2026 OrthoLongevity™ · ICO Registration: ZB152266

Data protection & privacy. OrthoLongevity™ is operated by Ice Ortho Limited. Dr Arj Imbuldeniya is a registered Data Controller with the Information Commissioner's Office (ICO). Your personal data — including your email address and quiz responses — is collected and processed in accordance with the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018. Your data is used solely to provide the OrthoLongevity™ wellness assessment service, send relevant health and product communications you have consented to receive, and improve the platform. Your data will never be sold to third parties, shared with advertisers, or passed to any organisation outside the OrthoLongevity™ clinical team without your explicit consent, except where required by law. Health-related quiz responses are treated as special category data under UK GDPR Article 9 and are processed on the basis of explicit consent. You have the right to access, correct, restrict, or delete your personal data at any time by contacting arj@ortholongevity.ai. You may withdraw consent and unsubscribe at any time. For our full privacy policy, please contact us directly. ICO registration: Ice Ortho Limited.