Left knee injury . 1974 knee operation to repair tibia. operation done 1999 adjustment on outside alignment of knee. at the moment severe pain inner side of tibia. do we need a reference from our local dr or could we go to a orthopaedic? and who

Varies: You would be well served to see an orthopedic surgeon with your history of previous surgeries and the severe pain you are having. It varies based from doctor to doctor whether or not a referral is needed or you can just call and make an appointment. Most physicians now days have a web site and have information listed on the site about how to get an appointment.