Non-invasive treatments for knee pain
- R.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)
- 1 How can I heal my knee without surgery?
- 2 Can knee pain heal without surgery?
- 3 How can I make my knee heal faster?
- 4 Is walking is good for knee pain?
- 5 Is walking good for knee rehab?
- 6 What are the signs of needing a knee replacement?
- 7 Can you regrow cartilage in your knee?
- 8 How can I build cartilage in my knee naturally?
- 9 What are the symptoms of cartilage damage in the knee?
- 10 How do you rebuild cartilage in the knee?
- 11 Does water in the knee go away by itself?
- 12 What can I drink for knee pain?
- 13 Should I wrap my knee if it hurts?
- 14 How do you tell if knee is sprained or torn?
- 15 Non-Surgical Alternatives to Knee Surgery
- 16 6 alternatives to knee replacement surgery
- 17 1. Exercise to keep your joints moving
- 18 2. Lose weight to reduce pressure on your knees
- 19 3. Physical therapy to target knee pain
- 20 4. Joint supplements
- 21 6. Orthobiologics
- 22 Are any of these non-surgical knee treatment options right for you? Talk with a doctor.
- 23 5 Best Ways To Treat Knee Arthritis Without Surgery
- 23.1 Arthritis can result from many causes:
- 23.2 The knee joint is the most common joint to develop arthritis
- 23.3 Arthritis pain can begin suddenly but typically it develops slowly
- 23.4 5 things you can do to treat knee arthritis without surgery
- 23.5 Sometimes, knee surgery is your best option
- 23.6 How to know if you have knee arthritis
- 23.7 If you think you have arthritis in one or both of your knees, come see us
- 24 Knee Replacement Alternatives to Consider
- 25 Things You Can Try at Home to Ease Knee Pain
- 26 Ask Your Doctor About These Treatments
- 27 When It’s Time for Knee Replacement Surgery
- 28 Treating Chronic Knee Pain Without Surgery
- 29 Suffering from bad knees, some look for alternatives to surgery
- 30 5 Non-Surgical Ways to Treat Knee Arthritis Problems”/>
- 31 Physical Therapy
- 32 Anti-Inflammatory Medications
- 33 Ice
- 34 Injections
- 35 PRP Therapy
- 36 How to reduce your knee pain without surgery
- 37 New knee procedure eases arthritis pain without surgery
How can I heal my knee without surgery?
Before deciding on knee surgery, your physician may try several knee surgery alternatives to relieve the pain and inflammation in your knee.
- Lifestyle Modification.
- Exercise and Physical Therapy.
- Anti-Inflammatory Medications.
- Joint Fluid Therapy.
Can knee pain heal without surgery?
Fortunately, many non-surgical treatments can help reduce the symptoms of osteoarthritis. Used individually or in combination, these treatments can reduce pain, increase mobility, and improve quality of life.
How can I make my knee heal faster?
Lifestyle and home remedies
- Rest. Take a break from your normal activities to reduce repetitive strain on your knee, give the injury time to heal and help prevent further damage.
- Ice. Ice reduces both pain and inflammation.
Is walking is good for knee pain?
Walking is a fantastic option for many patients with knee arthritis because it is a low-impact activity that does not put undue stress on the joints. Furthermore, walking can increase the knee’s range of motion and keep it from becoming overly stiff.
Is walking good for knee rehab?
Walking is a low-impact activity that doesn’t put too much stress on your knees and can help strengthen the muscles in that area. Start slow and try to work up to a half-hour walk three to five times a week.
What are the signs of needing a knee replacement?
6 signs you might need a knee replacement
- Non-surgical treatment options are no longer working.
- Your knee pain is getting more intense and frequent.
- Your mobility has become increasingly limited.
- You notice swelling in your knee.
- It’s becoming more difficult to do everyday activities.
Can you regrow cartilage in your knee?
As you recover from surgery, the cartilage cells regenerate, forming new tissue to replace worn-out cartilage. “Healthy cartilage helps cushion the bones in your knee and give you better movement, but when it erodes, it causes pain which can be severe,” Wang says.
How can I build cartilage in my knee naturally?
Foods that Help Rebuild Cartilage
- Legumes. For optimal joint function, it is important to beat inflammation wherever possible—inflammation is the primary source of collagen and, by extension, cartilage breakdown.
- Green Tea.
- Brown Rice.
- Brussel Sprouts.
What are the symptoms of cartilage damage in the knee?
Symptoms of cartilage damage
- joint pain – this may continue even when resting and worsen when you put weight on the joint.
- swelling – this may not develop for a few hours or days.
- a clicking or grinding sensation.
- the joint locking, catching, or giving way.
How do you rebuild cartilage in the knee?
MACI is a surgical procedure that uses cartilage-forming cells from your body to restore damaged cartilage in the knees. It involves a biopsy to harvest chondrocytes (cartilage-forming cells), which are allowed to multiply in a lab, and surgery to implant them into the damaged area.
Does water in the knee go away by itself?
Water on the knee can be temporary due to a minor injury or infection. With treatment, it’s possible that you’ll feel better within weeks. After a serious injury or joint damage, your knee may improve with treatment only to have fluid build up again.
What can I drink for knee pain?
Besides being healthy choices, you may very well find them to help relieve arthritis pain!
- Tea. Tea is one of the best beverages for arthritis patients due to its many health benefits.
- Fresh juices.
- Red wine.
- When to seek a doctor’s advice.
Should I wrap my knee if it hurts?
Wrapping your knee with an elastic bandage can help alleviate knee pain and instability by providing external support to your knee joint. Wrapping your knee can be most beneficial if you have knee pain from osteoarthritis, which develops over time.
How do you tell if knee is sprained or torn?
The following are sprained knee symptoms:
- Pain around the affected area.
- Swelling around the sprained section of the knee.
- Knee instability, leading to your knee buckling under the pressure of your weight.
- Bruising, moderate to severe, depending on the sprain.
- A popping sound when the injury occurs.
Non-Surgical Alternatives to Knee Surgery
Before recommending knee surgery, your doctor may recommend a number of non-surgical options to alleviate the pain and inflammation in your knee before recommending surgery.
A number of non-surgical options for treating knee pain and inflammation may be tried by your doctor before recommending knee surgery as a treatment option for you.
Exercise and Physical Therapy
Strengthening and stretching exercises as well as physical therapy may be suggested to enhance flexibility and strength. Stamina-building workouts, such as riding a stationary bike, can be combined with stretching exercises, such as flexing your ankle up and down, tightening and holding your hip muscles, moving your heel forward on the floor, leg lifts, and knee extensions, to name a few. Exercise can help to strengthen your leg muscles while also alleviating your discomfort. If you are in desperate need of knee surgery, this may not be of assistance, but exercising can help to alleviate many types of knee discomfort.
Arthritis pain in the knee is produced by inflammation as the bones rub against each other as a result of deteriorated cartilage in the joint. Reduced inflammation of the tissue in the knee can give temporary pain relief while also delaying the need for knee surgery for a short period of time. If the swelling in the joint is severe, anti-inflammatory drugs may be recommended to reduce the swelling. In addition, new drugs known as Cox-2 inhibitors may be utilized to lower inflammation, therefore momentarily alleviating pain.
A dietary supplement known as glucosamine/chondroitin may help to increase the mobility of the joint and reduce discomfort associated with osteoarthritis of the knee. Glucosamine and chondroitin sulfate can help to halt the degeneration of cartilage in the joint, which can help to reduce the discomfort of bone on bone contact between the bones. Both of these compounds are found in naturally occurring quantities in the body. According to some theories, glucosamine helps to encourage the formation of new cartilage and the healing of damaged cartilage, while chondroitin is supposed to help to improve the flexibility of cartilage by promoting water retention.
Joint Fluid Therapy
While drugs and supplements can be beneficial in lowering inflammation and discomfort, as well as in delaying or avoiding knee surgery, there are risks associated with using them. It is possible that drug therapy will cause adverse effects, and there is a limit to how much pain can be reduced. A method known as joint fluid therapy involves the administration of a series of injections directly into the knee joints. When used in conjunction with other treatments, this therapy is intended to relieve pain by enhancing lubrication in the knee and restoring synovial fluid, which lubricates the knee.
This treatment makes use of a solution containing highly purified sodium hyaluronate (brand name SUPARTZ*) that is utilized to hydrate the skin.
SUPARTZ is found in high concentrations in joint tissues as well as in the fluid (Synovial fluid) that fills the joints.
Osteoarthritis impairs the capacity of your synovial fluid to preserve and lubricate your joint, resulting in decreased mobility.
This helps to re-lubricate your knee and minimize the discomfort associated with osteoarthritis, potentially postponing or preventing the need for knee surgery altogether. More information on SUPARTZ may be found at mykneeandme.com.
An external knee brace may be used to offer external stability to the knee joint when necessary. Various types of braces, such as those made of plastic or metal or leather and/or foam, are used to support a joint while also reducing discomfort and inflammation and strengthening the muscles of the knee joint. By applying pressure to the sidewalls of the joint, the brace encourages the joint to realign, which in turn lowers the contact between the two rough bone surfaces, so reducing the discomfort while simultaneously expanding the joint’s range of motion.
These techniques, which provide short-term comfort, can help you avoid having to have knee surgery.
Additionally, non-surgical therapies may have limited outcomes when compared to the long-term outcomes of knee surgery.
6 alternatives to knee replacement surgery
You’ve come to accept that nagging knee discomfort is an undesirable part of your existence. You’ve tried all of the traditional home remedies – gels, lotions, heat and cold, over-the-counter pain relievers, and the list goes on. But nothing seems to work. However, you continue to turn down invitations to a friendly tennis match or a pickup game of basketball, as well as avoid engaging in hobbies such as gardening. You’d want to put an end to your persistent knee discomfort, but you’re not quite ready to undergo a knee replacement.
What is one of the most often asked questions by my patients is: “What are all of my non-surgical therapy alternatives for knee pain?” The proper type of knee surgery, performed at the right time and for the right reasons, may be incredibly beneficial.
As an orthopedist at TRIA, I’ve worked with hundreds of patients who have suffered from knee discomfort.
Many of my patients are unaware that there are non-surgical solutions available to them for treating their knee pain.
1. Exercise to keep your joints moving
In most cases, when your knees pain and feel stiff, exercise is the last thing on your list of things to do. However, increasing your physical activity might really help you manage your knee pain in a variety of ways, including:
- Increasing muscular strength to aid in the stability of your knees
- Increasing the flexibility of your knees and decreasing stiffness
- The flow of fluid surrounding the knee is stimulated in order to decrease the accumulation.
Low-impact activities that target the legs, hips, and core are preferred over high-impact workouts. Examples of such exercises include: Is it necessary to exercise on a regular basis? To begin, simply get up and move about. At some point, you’ll be able to progress to exercising three to five times a week, depending on your fitness level. The most important thing is to establish and maintain a regular fitness regimen. Keep in mind that just because something hurts doesn’t always indicate it’s bad for you.
If, on the other hand, you experience severe discomfort, you should cease performing that specific activity.
If you want to enhance your fitness level and strengthen your knees, it will normally take four to six weeks, so don’t give up too soon. Consistency can aid in the provision of long-term pain alleviation.
2. Lose weight to reduce pressure on your knees
When we walk, sit, or stand, our knees provide us with support. They are subjected to a great deal of wear and tear during our lifetimes. If you’re overweight, decreasing weight might make the job on your knees a little bit less difficult. Even a little reduction in body weight, such as 10 percent, can help ease knee discomfort. One pound dropped can alleviate four pounds of pressure on your knees, according to research. In addition, carrying too much weight can contribute to inflammation throughout your body, which can make the inflammation in your knee worse.
If you have had difficulty losing weight in the past, there is assistance available.
3. Physical therapy to target knee pain
Knee discomfort might impair your ability to move, balance, and maintain your equilibrium. If knee discomfort has prevented you from participating in an activity you like, physical therapy may be able to assist you in returning to it. Physical therapy, often known as rehabilitation, is a kind of treatment that involves the use of exercise, education, and hands-on care to help muscles and joints become stronger and more flexible. During physical therapy, a physical therapist will lead you through a treatment plan that is tailored to your unique requirements.
You and your doctor will collaborate to develop a treatment objective, such as enhancing your knee mobility, lowering swelling, or improving your balance and coordination.
You will also learn about the causes of your knee discomfort from a physical therapist, as well as how to do daily tasks to avoid pain and future injury.
You should, however, maintain physical therapy activities at home in order to get long-term improvements.
4. Joint supplements
Some people who suffer from knee discomfort use nutritional supplements called glucosamine and chondroitin to alleviate their symptoms. It is composed of chemicals that are found in cartilage, and they aid to maintain cartilage structure while also slowing cartilage degeneration in the joints. The use of high-dose supplements has been demonstrated to relieve pain in around 60 percent of those who use them. Despite the fact that the risk is not particularly great, some people believe it is worthwhile to try it as an alternative to surgery.
Consult with your doctor to determine whether or not nutritional supplements are a viable option for you and your knee discomfort.
Injections are another frequent way for reducing inflammation and knee discomfort in a short period of time. There are various different sorts of injections, and your doctor can assist you in determining which one is best for you.
Steroid injections to reduce inflammation
Corticosteroids (sometimes known as cortisone injections) are the most often used steroid injections for knee discomfort. Cortisone is a medication that replicates the actions of a hormone known as cortisol, which is naturally generated by the adrenal glands. Inflammation and pain reduction are provided by steroids, which is beneficial because knee discomfort is frequently caused by inflamed tissue. It normally takes three to seven days for steroid injections to have their maximum impact, depending on the individual.
Despite the fact that steroid injections provide great pain relief, their benefits are only transitory.
Side effects from steroid injections are possible.
It is your doctor’s responsibility to address any concerns you may have concerning the adverse effects of the medication.
Hyaluronic acid injections to lubricate your joints
Hyaluronic acid is produced by your body on its own. It is a fluid that aids in the lubrication of your joints in order to keep them from being worn out. As an analogy, consider it a shock absorber for your knees. Injecting extra hyaluronic acid into your knees can assist to increase the amount of hyaluronic acid your body produces naturally. Hyaluronic acid supplementation may aid in better protecting your knees and alleviating knee discomfort. Despite the fact that these injections can provide considerable pain relief, it may take multiple injections over a period of several weeks before you see any improvement.
Orthobiologics, often known as regenerative medicine, is a new sector in which TRIA is at the forefront of innovation. Using natural, tissue-derived products, orthobiologic therapies are minimally invasive therapy alternatives that aid in the restoration of function as well as the speeding up of the healing process. Orthobiologics are typically used in conjunction with other types of knee pain treatment, such as physical therapy. And, based on the nature of your pain, your medical history, and your personal preferences, your doctor can advise you on the most appropriate orthobiologic strategy for you.
- Platelet-rich plasma (PRP)
- Bone marrow aspirate concentrate (BMAC)
- Placental tissue matrix therapy (PTMT)
- And a variety of other treatments are available.
Are any of these non-surgical knee treatment options right for you? Talk with a doctor.
You might be tempted to clench your teeth and bear with the discomfort of your knee pain for the time being. Nonetheless, before you give up on your preferred activity, neighborhood jogs, or perhaps dancing at your grandkids’ wedding, consult with an orthopedist to see if they can assist you. I have the privilege of collaborating with highly skilled orthopedists and orthopedic surgeons who are among the best in the Midwestern United States. At TRIA, non-surgical therapies are always the first step in the treatment process.
Whenever the time comes to consider knee replacement surgery, we will walk you through every step of the decision-making process. Are you ready to consult with an orthopedist? We’re here to assist you. Make an appointment with an orthopedic specialist.
5 Best Ways To Treat Knee Arthritis Without Surgery
In the case of many people over the age of 50, knees that have served you well for years eventually begin to pain and swell. This is known as degenerative arthritis. You may notice cracking or popping sounds coming from your knees, and you may even notice a grinding feeling in your knees when you walk. Almost certainly, you’ve got osteoarthritis of the knee, which is something we see pretty frequently at Westchester Health & Hospital. Simply said, “arthritis” is defined as “inflammation of a joint.” The word “arthritis” is used to cover more than 200 rheumatic illnesses and syndromes that affect joints, the tissues that surround the joint, and other connective tissue.
Arthritis is defined as the destruction or loss of cartilage between the bones of a joint.
Arthritis can result from many causes:
- Trauma or injury are two terms that might be used to describe what happened. Lori Sloane, MD
- Lori Sloane, MD Normal wear and tear
- The passage of time
- And infection
The knee joint is the most common joint to develop arthritis
The knee is the joint in which arthritis develops most commonly, and osteoarthritis is the most common kind of arthritis in the knee. Osteoarthritis is the most prevalent type of arthritis in the knee. This is a degenerative, “wear-and-tear” kind of arthritis that most commonly affects persons over the age of 50, although it can also affect those younger than 50 as well. Osteoarthritis is a degenerative condition in which the cartilage in the knee joint gradually wears away. Knee discomfort that wakes you up in the middle of the night may be an indication of osteoarthritis of the knee.
Sometimes years after the fact, a torn meniscus, ligament damage, or a fracture of the knee might result in this condition as a result of the accident.
Arthritis pain can begin suddenly but typically it develops slowly
Morning and after a long period of walking or jogging, knee arthritis pain is frequently the most excruciating. The act of going up and down stairs, as well as crouching, is very unpleasant. Some of our arthritis patients have reported that moist weather or other variations in weather might exacerbate their symptoms.
5 things you can do to treat knee arthritis without surgery
Before resorting to surgery to relieve the discomfort of osteoarthritis of the knee and improve joint function, there are a number of effective treatment alternatives available. The following are the five most effective:
- Physical therapy is a type of treatment that involves the movement of the body. Exercise-based physical therapy is the primary line of treatment for osteoarthritis of the knee. Stretching your quadriceps and hamstrings might help to relieve tension on your knee joint. Furthermore, strengthening these muscles aids in the maintenance of good knee alignment as well as the reduction of discomfort.
- The majority of people find that anti-inflammatory medications are useful in managing knee swelling and discomfort.
- Ice is a highly safe and efficient therapy that should be used after any rigorous exercise, such as walking for an extended period of time.
- If your knee discomfort persists after attempting the three treatments listed above, the next step is to get injections to relieve the inflammation. Steroid injections are successful and quick to work for the majority of patients, however they only last an average of 4 weeks. Natural lubricant and anti-inflammatory hyaluronic acid injections are also highly effective and last an average of 6 months, however they may take a few weeks to begin to function.
- PRP treatment is a type of stem cell therapy. Platelet Rich Plasma (PRP) is another sort of injection that is quite successful (PRP). The platelets are extracted from your own blood and spun in a high-speed centrifuge before being injected into your knee in specified areas of the procedure. Despite the fact that many physicians consider PRP therapy to be experimental, multiple studies have demonstrated that it is quite successful.
Sometimes, knee surgery is your best option
You should consider knee replacement surgery if none of the non-surgical options work, your pain persists, and your ability to function is impaired. Knee replacement surgery is one of the most successful operations available today. In this treatment, the injured cartilage and underlying bone are removed, with the damaged cartilage and underlying bone replaced with smooth metal and plastic. Pain alleviation is almost instantaneous and significant.
How to know if you have knee arthritis
Even though knee arthritis is quite prevalent, it is important to ensure that you have received the accurate diagnosis before beginning therapy for it.
The only way to be assured is to get a comprehensive physical examination by a qualified professional.
If you think you have arthritis in one or both of your knees, come see us
Contact one of our Westchester Health rheumatologists or Internal Medicine experts at (914) 232-1919 if you are having pain, swelling, and/or stiffness in your knee(s) and would like to schedule an appointment. If your knee arthritis is indeed a result of a traumatic injury, we can identify the best course of action to take to offer you the best potential outcome. We’ll be there for you whenever and wherever you require us. Dr. Lori Sloane is a rheumatologist and internal medicine physician at Westchester Health and a member of the Westchester Health Physician Partners.
Knee Replacement Alternatives to Consider
Orthopedics Knee Replacement Surgery It’s a great nuisance to hear crunching sounds when you ascend stairs, and it’s much worse to have persistent soreness and swelling. In the event that you are suffering from it, you may be thinking about surgery. An alternative to surgery is to get a knee replacement, although you may not require surgery, at least not immediately soon. Furthermore, some people are unable to have knee replacement surgery for a variety of reasons. Many other people who suffer from knee discomfort are too young to have a knee replacement – an artificial knee is only expected to last 15 to 20 years, after which the person will require revision surgery.
Despite the fact that arthritis does not go away, there are things you may do to reduce the discomfort and remain more active.
Things You Can Try at Home to Ease Knee Pain
- Extra weight puts strain on the knees and raises stress on the joint, resulting in increased discomfort and making it difficult to engage in physical activity. Several studies, including one conducted by the Johns Hopkins Arthritis Center, have confirmed that carrying additional pounds increases your chance of getting knee arthritis and accelerates the degradation of cartilage that cushions the joint. Even though it’s difficult, reducing weight can be beneficial if you have arthritis in one or both of your knees. For those who are overweight or obese, speaking with a nutritionist or a bariatric expert may be an excellent first step.
Try Low-Impact Exercise for Strength and Mobility
- Strengthening the quadriceps and hamstring muscles in the leg will aid in the reduction of discomfort and the ability to remain flexible in the affected area. Regular low-impact exercise, such as biking or walking on a treadmill, is recommended by health professionals to keep the body in good shape. Physical therapy may be quite beneficial in many situations. A physical therapist can collaborate with you to develop a customized treatment plan.
Use Pain Medications with Care
- The American Association of Hip and Knee Surgeons recommends against the use of opioid medicines for the treatment of knee osteoarthritis, unless in extremely rare circumstances. In addition to being addicted, opiate pain medications have not been shown to be any more effective in treating knee pain over the long term than nonsteroidal anti-inflammatory drugs (NSAIDs) (NSAIDs). NSAIDs are not for everyone, despite the fact that they are safer than opiate medications, and physicians suggest using them with caution. Even over-the-counter medications such as naproxen and ibuprofen can cause negative effects, so consult your doctor before taking any medications. With nonsteroidal anti-inflammatory drugs (NSAIDs), it is possible to have an elevation in blood pressure. Larger studies have found a relationship between some of these pain relievers and a slight increase in the risk of heart attack, and the more you take, the more probable it is that you may get heartburn, stomach irritation, or even bleeding ulcers as a result of the medication.
Ask Your Doctor About These Treatments
Cortisone injections and other injections, such as hyaluronic acid (HA) injections, that lubricate the inner workings of the knee and help reduce arthritic pain are supported by sound scientific evidence. There is little evidence to support the advantages of other injectable substances, such as platelet-rich plasma (PRP) and concentrated bone marrow or stem cells, according to specialists. However, additional research will disclose more about their usefulness in the treatment of knee arthritis in the future.
Doctors may be able to give novel therapies that restore cartilage instead of replacing the complete joint for knees that have a limited level of arthritis and good bone alignment, according to the National Institutes of Health. Consider and discuss with an orthopaedic surgeon the various cartilage-regeneration treatments that are available to you at this time. When it comes to ACI, for example, it is done by obtaining a sample of your cartilage cells, growing them in a lab and then replanting them in your knee using surgical means.
Radiofrequency Ablation (RFA) for Knee Pain
If none of these treatments are successful in alleviating your osteoarthritis-related knee discomfort, there are still solutions available.
In order to manage pain in the knees, radiofrequency ablation is used to kill the sensory nerves that transmit the pain signal from the knees to the brain. RFA is likely to be a temporary solution, as nerves will regenerate in six months to two years and the pain may reappear at that point.
When It’s Time for Knee Replacement Surgery
Knee arthritis can deteriorate despite the best efforts of medical professionals. If you’ve tried these approaches and are still experiencing discomfort, it may be time to consult with an expert orthopaedic surgeon about knee replacement. Despite the fact that total knee replacement is a big treatment, it can provide a higher quality of life as well as greater mobility that lasts for several years. Rather than replacing the bones in the knee, a complete knee replacement involves resurfacing them: the end of the femur (thigh bone), the top of the tibia (the thicker of the two bones in the shin), and the inward facing surface of the patella (kneecap), among other things.
The plastic performs the same function as the cartilage in that it allows the implants to move smoothly against one another when they are in place.
Consider that more surgeons are using regional anaesthetic as opposed to general anesthesia for the treatment, which can result in a shorter hospital stay as compared to when general anesthesia is utilized.
Hip and Knee Replacement at Johns Hopkins
The Johns Hopkins Hip and Knee Replacement program is comprised of an expert team of orthopaedic surgeons who are highly experienced in joint replacement surgeries of all types. Our experts will walk you through every step of the process, from preoperative education through postoperative care and physical therapy. Getting you back to your chosen level of activity as quickly as possible is our primary objective.
Treating Chronic Knee Pain Without Surgery
Dr. Joshua Steere is the author of this article. In my clinic, I encounter a lot of patients who are suffering from persistent knee pain caused by osteoarthritis. Osteoarthritis is a condition in which the natural cushion of cartilage in the knee wears away as a result of stress, strain, aging, inflammation, or injury. This results in discomfort, which can make it difficult to appreciate life to its utmost extent. Fortunately, there are a variety of non-surgical therapies available to assist alleviate the symptoms of osteoarthritis.
- According to recommendations from the American Academy of Orthopaedic Surgeons (AAOS), the American Association of Hip and Knee Surgeons (AAHKS), and the American College of Rheumatology, the treatment choices outlined below are appropriate for most patients.
- Aerobic Exercise with a Low Environmental Impact *** When we are in pain, our natural impulse is to relax or avoid moving the affected joint as much as possible.
- The fact that low-impact activities are part of the first-line treatment for knee arthritis and that they have some of the greatest supporting data for symptom improvement is unexpected to many patients.
- In the first instance, “low impact” exercise is defined as physical activity that moves the body without imposing undue stress on the joint.
- Another key factor is “aerobic,” which means that the exercise must be sustained for an extended period of time (typically 20-30 minutes) in order to boost the heart rate and develop muscular endurance.
- *** Physical Therapy is recommended.
- The tendency for people to overcompensate with their knees when doing actions such as rising up from a chair or walking up and down stairs is fairly widespread among people.
Improving the function of all of the muscles and joints in the legs can help to alleviate the load on the knees and other joints.
Participating in physical therapy may be excellent for the knees, as well as for the entire body, if done correctly.
Non-steroidal anti-inflammatory medicines (NSAIDs) are an abbreviation for non-steroidal anti-inflammatory pharmaceuticals.
NSAIDs operate by lowering painful inflammation without the usage of steroids or addictive opioids, which makes them a safer alternative to these medications.
Some nonsteroidal anti-inflammatory drugs (NSAIDs) are only accessible with a prescription, such as celecoxib and meloxicam.
While using nonsteroidal anti-inflammatory drugs (NSAIDs) for a short period of time is generally safe for most individuals, it is not always the case for everyone due to medical conditions and other prescriptions.
Acetaminophen Acetaminophen (commonly known as Tylenol) can also be used to relieve the discomfort associated with osteoarthritis of the knee.
Acetaminophen can be used in combination with nonsteroidal anti-inflammatory drugs (NSAIDs) to provide further pain relief.
Medications used in addition to the ones listed above Nonsteroidal anti-inflammatory drugs (NSAIDs), glucosamine, chondroitin, and other supplements have less predictable effects for knee pain caused by arthritis than NSAIDs and are thus not generally advised for the treatment of osteoarthritis of the knee.
- However, it does not reverse or replace damaged cartilage, and it is less helpful for persistent daily pain or more severe kinds of arthritis.
- Controlling One’s Weight The pressure on the knees is increased when the body weight is excessive.
- When we walk on a level surface, our knees absorb around 1.5 to 2 times our body weight, depending on how fast we go.
- This means that even slight increases in body weight might exacerbate the discomfort associated with knee arthritis.
- While knee osteoarthritis may limit the intensity and frequency of exercise alternatives available to you, there are still evidence-based approaches to lose weight efficiently even if you just have a few minutes a day to spare.
- This is made possible by our collaboration with local doctors who can assist our patients in developing tailored weight loss strategies.
- When doing tasks such as walking up and down stairs, climbing ladders, or stooping down, the knees are put under the most strain, causing pain.
As previously said, a physical therapist may be quite beneficial in teaching patients how to execute tasks in a modified or optimum manner while alleviating knee stress.
Using them can help to move the body’s center of gravity away from the problematic side, which can help to alleviate the stress on the joint.
Braces A knee brace may be necessary at times to help the knee feel more stable.
The unloader can help to shift some forces away from the painful side of their knee and towards the side that is not affected as much.
*** The American Academy of Orthopaedic Surgeons has designated this as a “Strong Evidence Recommendation.” To book an appointment with one of our doctors if you are suffering from knee discomfort, please call (215) 348-7000 or contact us online.
A patient care library provided by the American Association of Hip & Knee Surgeons (AAHKS).
The American College of Rheumatology and the Arthritis Foundation have developed a guideline for the treatment of osteoarthritis of the hand, hip, and knee. Physical Activity Guidelines for Americans, published by the United States Department of Health and Human Services.
Suffering from bad knees, some look for alternatives to surgery
Now, ten years later, Bedard, 57, runs about with his young children, climbs stairs, and rides his bicycle for up to 60 kilometers on weekends, all without any discomfort. Overall, Bedard’s journey to repair his knees without surgery was “a long and drawn-out procedure.” Bedard has produced an e-book on his successful attempt to repair his knees without surgery. “I do detect some burning in my knees while I’m sitting,” he continued, but “for the most part, my knees are feeling extremely wonderful.” Knee pain is mostly caused by osteoarthritis, a chronic ailment that affects an estimated 30 million Americans of all ages and is a leading cause of disability worldwide.
- As a result, pain, swelling, and stiffness are experienced.
- However, because it lacks pain receptors, injuries go undiscovered until a significant amount of cartilage has been worn away and the joint has been injured.
- According to the National Inpatient Sample, which is a government study of hospital patients, around 680,000 complete knee replacements were done in the year 2014.
- Estimates indicate that almost 1.3 million Americans will have knee replacement surgery by 2030 if current patterns remain the same.
- An estimated $15,000 in expenses is incurred for the surgery, which involves general anesthesia and a minimum of three to four days in the hospital, followed by months of physical rehabilitation after the treatment.
- Chronic discomfort is generally relieved following a complete knee replacement, although the patient’s full range of motion is not always regained.
According to the surgeon, “knee replacement is done for pain alleviation rather than necessarily to increase range of motion.” As a result, specialists say there is significant interest in nonsurgical treatments to reduce joint discomfort while also providing more mobility and a higher quality of life for patients.
- In addition, weight loss can be beneficial, particularly for people who are moderately overweight or obese.
- Treatment for joint pain can be accomplished with medications ranging from over-the-counter ibuprofen to strong prescription pharmaceuticals that reduce inflammation.
- It comes down to this: people who suffer from early osteoarthritis, which is characterized by knee discomfort during physical activity and joint achiness, are the most likely to benefit from the usual lifestyle therapy of increasing physical activity and losing weight.
- Treatment options include acupuncture, external braces, dietary supplements such as glucosamine and chondroitin sulfate, needle lavage, stem cell or hyaluronic acid injections, arthroscopy to repair meniscus tears, the use of acetaminophen, steroid injections, opioid drugs, and pain patches.
According to Matzkin, the majority of commonly used therapies fail to address the underlying issues of cartilage loss and joint restoration, stating that “if the cartilage is injured and worn down, you can treat the symptoms, but you can’t actually makego away.” Given that cartilage cells do not have their own blood supply, it has long been assumed that these cells were incapable of regenerating.
- Evidence that cartilage can repair includes a research conducted in 2006 on 325 persons with an average age of 45 years.
- What was the difference between those who improved and those who did not?
- Women, older persons, those who started with thinner cartilage, and people who did not lose weight between the first and second MRIs had a lower chance of experiencing spontaneous healing of their knee cartilage than the rest of the study participants.
- Scientists from the University of Pennsylvania write in the journal Science Advances that their findings reveal “a potential for regeneration” that might be utilized to improve joint healing and provide a foundation for human limb regeneration.
Because cartilage lacks a direct blood supply, it has a very poor capacity to generate energy to mend itself, according to Austin physical therapist Doug Kelsey, author of “The 90 Day Knee Arthritis Remedy.” It takes a great deal of time, as well as many repetitions and perseverance,” says the author.
- In order to bathe the cartilage cells in joint fluid, the proper amount of movement and weight-bearing pressure must be applied in order for them to be nourished and recovered without causing more joint injury.
- What makes recuperation even more difficult is the fact that knee discomfort frequently does not manifest itself until several hours following an activity.
- “The discomfort manifests itself later that day or the next day.” As an example, Kelly cites to a customer who lived in a three-story townhouse.
- Kelly urged her to do the steps one at a time with her good knee, in order to allow her arthritic knee to recuperate as quickly as possible.
- “In the end, she was able to ascend the stairs in the traditional manner,” Kelly added, and she did not require knee replacement surgery.
- A recumbent bike was the source of Sparks’ first injury, which occurred when he was attempting to get fit.
- Physical therapy did not provide any relief.
As part of his recovery process in 2015, he read Kelsey’s book and then spoke with Kelly, who collaborated with him for several months on a leg-strengthening program that gradually increased the weight placed on his knees.
For Sparks, it was worth it simply to be pain-free so that he could walk and do the things he wanted to do.
He is now able to trek on a regular basis without experiencing any pain or discomfort.
His pals who have undergone knee replacements tell him that they can’t perform certain activities because of the pain they are experiencing.
“The longer I can defer having knee replacement surgery, the better,” I say.
It is important to note that “all patients who proceed to knee replacement therapy have failed nonoperative treatments,” says Matzkin, who adds that “I’m not sure that these people are actually restoring their cartilage,” but that “they made the symptoms better, which can absolutely be accomplished with diet and exercise.” Sally Squires is a former health and nutrition journalist for the Washington Post who now writes a blog at leanplateclub.com.
Why I always ‘listen’ to my knees
My family has a history of bad knees, but I never imagined that they would force me to retire. I used to be able to sit cross-legged with no problem. Kneeling was something I had never considered before. Then, as I reached the age of 60, my knees began “speaking” to me. There was the burning and pain during long trips in tiny economy seats, and then there was this. The thought of going up and down stairs gave me pause. Even curbs were a source of discomfort at times. That started my long journey with my knee, which has included physical therapy, X-rays, and magnetic resonance imaging (MRI), multiple doctors, a pricey brace that is so difficult to put on that it goes unworn, numerous nonsteroidal anti-inflammatory medications, numerous ice packs, cortisone injections in both knees, various dietary supplements, topical ointments, and one foldable cane.
- It was a terrifying experience.
- I would have removed my kneecap in an instant if the option had been available to me.
- My introduction to physical therapist Doug Kelsey and his book “The 90 Day Knee Arthritis Remedy” was made possible by this article.
- Neither of them objected to my experimenting with Kelsey’s software.
- Do my knees seem to be getting better?
- However, if I fail to adhere to the schedule, I will soon suffer from stiffer knees, decreased flexibility, and increased discomfort.
- But I’m also aware that knee recovery will occur slowly and on cartilage time — not my timeline — and that it will be vital to pay great attention to my knees in order to avoid causing any further harm to the valuable cartilage or joints in question.
5 Non-Surgical Ways to Treat Knee Arthritis Problems”/>
In this section, you will find 5 non-surgical ways to treat knee arthritis problems. Arthritis of the knee is the most common type of arthritis, and it can have a substantial influence on your quality of life. Activities that you used to be able to complete with ease might suddenly become difficult and cause substantial discomfort.
Despite the fact that knee replacement in Atlanta is a treatment option for this condition, it is frequently one that patients prefer to avoid if at all feasible. So, if you’re having troubles with your knees due to arthritis and you want to avoid surgery, have a look at these five alternatives.
When you begin to experience symptoms of arthritis, your doctor will most likely prescribe this as the initial course of action. Stretching and strengthening the muscles of the quadriceps and hamstrings can relieve stress on the knee, aid in the preservation of the joint’s appropriate alignment, and reduce the amount of discomfort you experience as a result of your injury. Make sure to inquire with your doctor about this possibility.
Anti-inflammatory drugs are routinely provided to those who suffer from arthritis, according to the Mayo Clinic. This sort of drug helps lower the amount of swelling in the damaged joint, which can help to reduce the amount of discomfort you feel in your arthritic knee or knees.
However, while you clearly cannot use ice on a continual basis, this easy home cure is always an excellent idea after any type of severe physical exercise of any kind. Icing your knees after exercise will assist to lessen the amount of swelling that occurs, resulting in reduced discomfort and stiffness in the joints.
The use of injections would likely be the next step if the combination of the three therapies listed above does not sufficiently alleviate your pain and suffering. When it comes to treating arthritis in the knees, there are two types of injections available:
- The use of steroid injections can produce quick and effective effects, but they only last around 4 weeks on average, necessitating the use of further injections every month. 2.Anti-inflammatory injections: These injections are a mix of hyaluronic acid, natural lubricants, and anti-inflammatory medicines, and they are used to relieve inflammation. It may take a few weeks for them to begin to work, but once they do, they are quite powerful, and the benefits continue for around 6 months.
Consult with your doctor to determine which sort of injection may be most appropriate for you.
A other type of injection is being investigated, although it is still in the experimental stage. PRP treatment is a procedure that includes injecting Platelet Rich Plasma (PRP) into a joint to alleviate pain and inflammation. Your own blood platelets are drawn and spun in a centrifuge to separate them, after which particular sections of the platelets are injected into the knee to repair the damage. While still in its early phases, some studies have demonstrated that this is a viable treatment option.
If none of the alternatives listed above are effective in alleviating your discomfort, speak with your doctor about Atlanta arthritis and knee replacement surgery.
How to reduce your knee pain without surgery
In the event that you have ever heard a pop when you twisted your knee and subsequently saw swelling in your knee, it is likely that you have had surgical repair of a torn meniscus or ligament in the knee performed. Surgical intervention is the sole option in some severe and life-threatening situations. However, what if your knee is uncomfortable but there was no snap or swelling, and it only aches after walking or doing some other form of physical activity? First and foremost, you must determine the source of the discomfort.
If the condition is not improving, X-rays and, in particular, a high-field, high-quality MRI can improve the accuracy of the diagnosis greatly.
Nonoperative treatment of knee joint problems has dramatically improved over the past ten years, and the way we think about a number of important issues has shifted.
In comparison to the early days of ultrasonography and massage, soft-tissue physical therapy has improved significantly.
How this manipulation works is that collagen cells, which are responsible for the formation of our connective tissue, have mechanoreceptors, which are fine hairlike projections that, when stimulated, release enzymes that both break down damaged tissue and stimulate the formation of new collagen (repair tissue).
- In addition, the massage helps to reduce edema.
- ICE (ice, compression, and elevation) is still a popular approach of lowering pain and swelling in the elderly and injured.
- While this is happening, the R (rest) from RICE has been removed.
- Our recommendation is for relative rest, which combines intensive exercise of the majority of the body while keeping the damaged joint protected.
- Exercise boosts the production of natural endorphins, adrenaline, testosterone, and pheromones, all of which are beneficial to healing and overall well-being.
- In order to concentrate the platelets and release the growth factors, a sample of your blood is spun briefly.
- Although the evidence is conflicting, there is no risk (apart from the cost) in attempting the injections.
- The traditional anti-inflammatory medication is ibuprofen, which is available under the brand names Advil and Motrin and is often used to relieve pain and inflammation.
- These medications have been shown to impair collagen and bone development, which are precisely the tissues that we are attempting to mend following an injury.
- It has also been demonstrated that bone repair following stress fractures is delayed.
- Taking nonsteroidal anti-inflammatory drugs (NSAIDs) may alleviate pain, but it will, unfortunately, slow the healing process.
There are several things you may take to expedite your recovery and return to competition as a more fit, quicker, and stronger athlete.
New knee procedure eases arthritis pain without surgery
Patients suffering from crippling chronic pain for whom surgery is not an option may benefit from a novel, non-invasive knee technique that is now being tested in clinical trials. The treatment, which was recently approved by the Food and Drug Administration, is known as “cooled radio frequency ablation,” and it is a less drastic option for people who have moderate to severe osteoarthritis pain but are not ready to undergo knee replacement surgery or who have medical conditions that prevent them from being a good candidate for surgery, according to the FDA.
- Coolief can not cure arthritis in the knee, but it helps alleviate the pain, allowing patients to return to their normal activities with less suffering and less prescription prescriptions.
- Amin Sandeep, a pain expert who performs the treatment, said to NBC News.
- Coolief helps to relieve pain for around 6 to 12 months, depending on how quickly the nerves in the knee regenerate after being injected.
- Related: Why Common Knee Surgery May Not Be BeneficialOsteoarthritis can affect any joint when the cartilage wears away over time, often striking big joints such as the knee.
- Physical therapy, non-steroidal anti-inflammatory medicines such as ibuprofen and naproxen, and the opioid painkiller tramadol are the three currently suggested methods for knee arthritis pain.
- The agonizing pain in her right knee made even the most basic of duties, like as going to the grocery store, difficult.
“My arthritis had gotten so terrible that I couldn’t even take a few steps without suffering tremendous agony.” Because she was ineligible for a knee replacement, she attempted a variety of treatments, including cortisone injections, physical therapy, and pharmaceuticals, but nothing worked to ease her agony.
Related: What Is the Best Treatment for Knee Pain?
First and foremost, she remarked, “I couldn’t even comprehend not having any discomfort.” “It completely eliminated all of that.” The outpatient operation normally takes around 40 minutes, is conducted with local anesthetic and doesn’t need an incision.
The therapy will cost between $2,000 and $4,000 depending on the extent of the damage.
Some of the dangers associated with the surgery have been noted, including bleeding and infection.
Recovery time is brief, with the majority of patients walking immediately after the treatment and returning to their typical activities within a day or two of the procedure.
Edgar Ross, a pain expert and assistant professor of anesthesia at Brigham and Women’s Hospital, the surgery will not be effective for some individuals who have structural abnormalities in the knee.
“However, if a patient is older, Coolief may be able to postpone the need for a total knee replacement,” Ross said.
While it can alleviate pain, it will not be able to stop the progression of osteoarthritis.
Lauren Dunn is a model and actress. The NBC News medical section in New York is home to Lauren Dunn, who works as a producer. In his current position as Associate Producer at NBC News, Felix Gussone oversees the HealthMedical Unit’s coverage of health and medicine.