Here is the thought process that you need to go through when deciding:
Your current medical status.
A personal trainer is not a medical professional. That means that if you have a clinical problem or pathology he/she (Myself included!) is not the person to look for. It is perhaps even irresponsible for me as a personal trainer to take on a client who is having a serious medical condition or joint problem. If you fall into this category you need a therapy guy (chiro, osteopath, body worker, physio etc). Get well before you decide to get fit
If your problem is not acute (sharp pain all day!) then its possible that you have an inefficiency. This is not as "bad" as a pathology. A really good trainer can help you with this. That guy usually has a strong knowledge of bio mechanics and kniesology (how the body and joints move). And has in his "toolbox" an assortment of assessment and corrective training tools to get you both a corrective training effect as well as a fitness training effect. I.E. you get fixed and fit at the same time.
There is no "clear" line between these 2 medical states. But use a bit of wisdom to figure out which side you are on. A responsible professional will do what is best for you. Either refer you out or take you on as a client.
This is one reason I work closely with medical professionals (Orthopedic Doctors, Physios, etc) because its best for our clients to have a network of integrated services (personal trainers, medical, manual therapy etc) to meet any of their needs.
If this is you...you need a surgeon, not a personal trainer...
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