Treatment FAQ

what is the best treatment for knees besides knee replacement surgery

by Prof. Donnie Brakus V Published 2 years ago Updated 2 years ago

17 Alternatives to Knee Replacement Surgery – Ranked According to Feedback from Real Patients.

  • 1) NSAIDs. Pain relief score: 1.10. Nonsteroidal anti-inflammatory drugs (i.e. ibuprofen) are clinically proven to provoke a large improvement in pain ...
  • 2) AposHealth®.
  • 3) Cortisone Shots.
  • 4) Prescription Opioids.
  • 5) Exercise.

Full Answer

What is the recovery time for a total knee replacement?

Recovery Timeline for TKR: Rehabilitation Stages and Physical Therapy

  • Day 1. Rehabilitation begins right after you wake up from surgery. ...
  • Day 2. On the second day, you might walk for brief periods using an assistive device. ...
  • Discharge day. ...
  • By week 3. ...
  • Weeks 4 to 6. ...
  • Weeks 7 to 11. ...
  • Week 12. ...
  • Week 13 and beyond. ...
  • 5 Reasons to Consider Knee Replacement Surgery

When should you get a knee replacement?

  • Research health conditions
  • Check your symptoms
  • Prepare for a doctor's visit or test
  • Find the best treatments and procedures for you
  • Explore options for better nutrition and exercise

Do I really need a knee replacement?

You should never have a knee replacement because your orthopedic surgeon told you that you need one. You should have a knee replacement when it is presented as an option and YOU decide you need it done because you are unwilling to live with your symptoms and they are not responding to anything non-surgical.

What to expect after a knee replacement?

What to Expect After a Knee Replacement

  • Hospital Stay. Not everyone who has a knee replacement has to stay in the hospital, but if you are admitted, you’ll likely just stay overnight.
  • Managing Your Pain. We will work with you to reduce your pain, which will aid in your recovery. ...
  • Exercise and Therapy. ...
  • Recovery at Home. ...
  • Taking Care of Your Wound. ...
  • Keeping in Touch with Your Team. ...

What can I do instead of a knee replacement?

6 alternatives to knee replacement surgeryExercise to keep your joints moving. When your knees hurt and feel stiff, exercise is usually the last thing on your mind. ... Lose weight to reduce pressure on your knees. ... Physical therapy to target knee pain. ... Joint supplements. ... Injections for knee pain. ... Orthobiologics.

How can I fix my knee without surgery?

Non-invasive treatments for knee painR.I.C.E. Rest, ice, compression, and elevation are the four basics applied to simple knee injuries. ... Physical therapy or massage therapy. ... Corticosteroid injections. ... Hyaluronic acid injections. ... PRP and stem cell injections. ... Radiofrequency Ablation (RFA)

Can you avoid knee replacement?

Losing weight, strengthening muscles, and increasing flexibility may help you stave off joint replacement. You may be putting off a doctor visit to address knee or hip osteoarthritis because you believe it will end with joint replacement surgery, but that's not always the case.

What can be done for bone on bone knee?

Treatments for bone on bone knee pain range from conservative treatments, such as exercise and bracing, to painkillers, and knee replacement surgery. Typically, multiple treatments are combined to treat bone on bone knee pain.

Is stem cell better than knee replacement?

Faster functional recovery- At 9 months, the stem cell group had faster recovery than the total knee group. Lower complication rates. Blood clots occurred in only 2% of the stem cell group compared to 12% in the knee replacement group.

Is walking good for bone on bone knees?

You may worry that a walk will put extra pressure on your joints and make the pain worse. But it has the opposite effect. Walking sends more blood and nutrients to your knee joints. This helps them feel better.

What is the latest treatment for knee pain?

People suffering with chronic knee pain now have a new, minimally invasive treatment option at Tidelands Health. Cooled radiofrequency treatment blocks pain signals sent by nerves to the brain. Patients can experience improved mobility and pain relief for up to 12 months.

How long do knee gel injections last?

How long the effects last varies. Some patients report pain relieving effects for several months following the injections. If the injections are effective they may be repeated after a period of time, usually 6 months.

What is the best treatment for knee pain?

Hyaluronic acid acts to lubricate the knee, which can improve mobility and reduce pain. Arthroscopic surgery — Arthroscopic surgery is a minimally invasive type of knee surgery performed with a camera inserted through small incisions.

What type of surgery is needed to replace a knee?

This type of surgery could delay or eliminate the need for knee replacement surgery. Osteotomy Osteotomy is a type of surgical procedure where the surgeon makes a cut in your shin or thigh bone to shift the load away from the arthritic area of the knee.

What is the best medicine for arthritis in the knee?

The two most common supplements used for knee arthritis are glucosamine sulfate and hyaluronic acid.

How to help knee arthritis?

Therapists can use ice and heat, electrical nerve stimulation and other therapies to increase blood flow to the knee.

Can arthroscopic surgery be done on a knee?

This type of surgery could delay or eliminate the need for knee replacement surgery.

Can knee replacement surgery help with arthritis?

Eventually, this often leads to knee replacement surgery, which remains the most effective treatment for permanent pain relief.

Can osteotomy be done on one side of knee?

This typically is recommended for younger patients with deformity or damage only in one side of the knee. Although this is considered an alternative to knee replacement surgery, osteotomy might make it difficult for patients to undergo successful knee replacement surgery at a later time, if needed.

How to avoid knee replacement?

Two Ways To Help Avoid A Knee Replacement 1 Weight Loss And Exercise: By losing weight you are helping put less stress on your knees. Just by losing a few pounds can take a tremendous amount of stress off of your knee. You can achieve weight loss by exercising regularly. 2 Physical Therapy: Working with a physical therapist can help you come up with a plan to help take some stress off of your knees. Physical therapists can make sure that you are doing exercises properly and giving your knee the right therapy it needs.

How to heal a damaged knee?

It is performed by taking a small amount of your blood and removing the important nutrients that are found in your blood, which are known to help the body repair damaged tissue naturally. This concentrated blood is then injected back into your body, which works to heal the damaged area of the knee.

Why is infection a concern with knee replacement surgery?

Infection is a major concern with knee replacement surgery, because it could cause the need for an additional surgery to remove the infected parts and replace them with new artificial parts. There will be wear and tear on the artificial joints that could over time require an additional replacement surgery.

How to get rid of stress on knees?

Just by losing a few pounds can take a tremendous amount of stress off of your knee. You can achieve weight loss by exercising regularly. Physical Therapy: Working with a physical therapist can help you come up with a plan to help take some stress off of your knees.

How does ozone help knee pain?

This treatment is designed to permanently repair the damaged area of the knee and not just provide simple pain relief. It is considered a relatively safe knew replacement alternative that causes only minimal pain and discomfort. It works by using the powerful elements in ozone to help heal the area. This works because circulation in the body directly effects how quickly an injured area of the body will repair itself . Without proper circulation, repairs to the damaged tissues can be virtually impossible.

How to treat knee pain?

Stem cell treatment . This experimental treatment uses bone marrow stem cells from the hip to help regenerate cartilage tissue in the knee. have shown that stem cell therapy can help reduce knee pain and improve function, but it does not appear to result in cartilage regrowth.

What can a physical therapist do to help with knee pain?

A physical therapist can work out a plan to reduce pain and strengthen the key muscles that affect your knees. They can also work with you to make sure you’re doing the exercises correctly.

What is the treatment for a tendon injury?

Prolotherapy. In prolotherapy , a healthcare professional injects an irritant solution into the ligament or tendon to increase blood flow and supply of nutrients. This treatment aims to stimulate the healing process by irritating the tissue. A dextrose solution, which is a sugar mixture, is usually used. In one study.

Can you have a knee osteotomy?

This procedure shifts the weight-bearing load away from the damaged area of the knee. However, knee osteotomy is not suitable for everyone.

Can knee replacement surgery help with knee pain?

Knee replacement surgery is not usually the first option for treating knee pain. Various alternative treatments may help bring relief. If you’re experiencing knee pain, ask your doctor about less invasive ways to address it. Here are some suggestions.

Does hyaluronic acid help knees?

Knee injections of hyaluronic acid are thought to lubricate the knee joint. This may help improve shock absorption, reduce pain, and improve knee mobility. do not currently recommend using these injections, however, as there is not enough evidence that they are proven to work.

1. Exercise to keep your joints moving

When your knees hurt and feel stiff, exercise is usually the last thing on your mind. But moving more can actually help manage your knee pain in many ways, including:

2. Lose weight to reduce pressure on your knees

Our knees support us whenever we walk, sit or stand. They take a lot of wear and tear throughout our lives. If you’re overweight, losing weight can help make your knees’ work easier.

3. Physical therapy to target knee pain

Knee pain can affect your strength, balance and mobility. If knee pain has stopped you from doing something you enjoy, physical therapy may be able to help you get back to it.

4. Joint supplements

Some people with knee pain take nutritional supplements called glucosamine and chondroitin. These are substances found in cartilage, and they help to maintain cartilage structure and slow cartilage deterioration in joints.

5. Injections for knee pain

Injections are another common method used to reduce inflammation and knee pain quickly. There are several types of injections, and your doctor can help to determine the best type for you.

6. Orthobiologics

Orthobiologics, which some refer to as regenerative medicine, is an emerging field, and TRIA is at the forefront. Orthobiologic treatments are minimally invasive treatment options that use natural, tissue derived product to help restore function and help the body heal more quickly.

Are any of these non-surgical knee treatment options right for you? Talk with a doctor

You might be tempted to grit your teeth and continue to tough out your knee pain. But before you resign yourself to missing out on your favorite sport, jogs around the neighborhood or dancing at your grandkid’s wedding, ask an orthopedist how they can help.

Measuring the effectiveness of knee treatments

In this post, we are going to look at how effective 17 alternatives to knee replacement surgery were rated by patients in terms of:

Overview: what we found when we compared knee pain treatments

We compared clinical data from three current professional reviews and meta-analyses, performed and published by respected third parties such as the Osteoarthritis Research Society International (OARSI).

Deep dive: the top 5 alternatives to knee replacement surgery ranked by pain relief

The highest-rated alternatives to knee replacement in terms of pain relief (compared by effect size) were:

Deep dive: top 5 alternatives to knee replacement surgery ranked by functional improvement

The highest-rated alternatives to knee replacement in terms of functional improvement (by effect size) were:

Choosing an alternative to knee replacement surgery

Each patient is different and has different goals and priorities when it comes to dealing with painful and limiting knee conditions. It’s important to weigh the medical options carefully with the advice of your physician as well.

What are the conditions that require knee replacement surgery?

They are still in pain or the pain has worsened. The most common condition that requires knee replacement surgery is advanced osteoarthritis. However, there are other conditions that can lead to this type of surgery, including: Gout. Rheumatoid arthritis. Knee deformities. Injury.

Why do doctors recommend partial knee replacement?

Doctors typically recommend a patient undergo a partial- or full-knee replacement surgery if they have advanced osteoarthritis. Another reason they would recommend surgery is if the patient has tried multiple conservative treatment options without success. They are still in pain or the pain has worsened.

What is angiogenesis in knee?

Angiogenesis is a key step in the initiation and maintenance of inflammation in the joint capsule. Abnormal vessels that breach into avascular cartilage in the knee is a hallmark of osteoarthritis, so much so that it is one of the diagnostic features of the disease.

What is the procedure called for knee replacement in 2021?

There is exciting news for patients looking for an alternative to knee replacement surgery in 2021. It is a procedure called genicular artery embolization, and it is used to treat osteoarthritis.

How to reduce knee pain from NSAIDs?

In fact, in addition to taking NSAIDs regularly, your doctor will likely recommend physical therapy . The treatment plan of your therapist will help strengthen your leg muscles, reducing your risk of falls and pain. Physical therapy and anti-inflammatory drugs work in conjun ction to reduce knee pain.

How to help knee pain?

Physical therapy and anti-inflammatory drugs work in conjunction to reduce knee pain. Unfortunately, these are just temporary solutions. If the root cause of the pain is not addressed, the inflammation will return.

How long does it take for a knee replacement to heal?

Then, after the surgery, the body has to heal. Even the healthiest people can take up to a year to fully recover.

How to treat a knee injury after surgery?

You may receive antibiotics, during and after the procedure, to help prevent infection. Your surgeon will make an incision over the middle of your knee, cutting through your skin and underlying tissue. He or she will remove the damaged portions of your thigh and shin bone, removing a little of the bone beneath as well.

What is total knee replacement?

What is a total knee replacement? Total knee replacement is a type of surgery to replace a damaged knee joint. A minimally invasive surgery uses a smaller cut (incision) than a traditional total knee replacement. This type of surgery typically requires special tools so that the surgery team can see and do the procedure through the smaller incision.

What is the purpose of cartilage in knee replacement?

During minimally invasive total knee replacement, your surgeon makes an incision to access your shinbone and thigh bone.

What are the risks of knee replacement surgery?

Possible complications of the surgery include: Infection. Excess bleeding. Blood clots. Injury to nearby nerves. Loosening of the components of the knee.

How long after knee replacement can you have a functioning knee?

Because of this, you may need revision surgery at some point. But most people will still have functioning knee replacements 15 years after their surgery.

How long after knee replacement do you have to have staples removed?

Make sure to keep all of your follow-up appointments with your surgeon. You may need to have your stitches or staples removed a week or so after your surgery. Most people note a significant decrease in their pain following a total knee replacement.

What to do if you smoke before surgery?

Herbs, vitamins, and other supplements. Ask if there are any medicines you should stop taking ahead of time, like blood thinners. If you smoke, try to quit before your surgery. If you are overweight, your provider may advise you to try to lose weight before your surgery.

What is the most important thing to know about knee replacement surgery?

One of the most important aspects of knee replacement surgery is determining the proper implant to be used in the operation. However, people disagree on what criteria are most important to select the best knee replacement implant.

What is knee replacement?

A knee replacement is performed to remove a worn out, arthritic joint, and replace it with an artificial implant that is most commonly made of metal and plastic. There are many orthopedic manufacturing companies that produce different implants used in knee replacement surgery. Most of these companies make several different knee replacement ...

Is there a study on knee replacement implants?

There are thousands of studies published in the scientific literature evaluating various knee replacement implants. Unfortunately, the studies are generally performed to prove that an implant that is coming to the market will perform satisfactorily.

Do orthopedic supply companies advertise?

Orthopedic supply companies have begun to advertise directly to consumers. The advertisements might make you believe that their implant has been shown to be better than other implants. This has been seen with ' gender-specific knee replacements ' and ' rotating knee replacements .'.

Can knee replacements be used for normal activities?

At the present time, however, we simply do not have sufficient data to determine the best knee replacement implant. The ideal knee replacement implant will allow for normal activities, normal motion, and last the patient's lifetime. The only way to know if these goals will be met is to use the implant in people doing normal activities, ...

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