Knee Arthritis: Options for avoiding Knee Replacement
NON-OPERATIVE OPTIONS IN KNEE ARTHRITIS
Knee arthritis is among the most common causes of knee pain, especially in older populations. While knee replacements can provide excellent pain relief, it should truly be a last treatment option for knee arthritis. Non-surgical options include cortisone injections, Hyaluronic Acid Injections, physical therapy or knee bracing.
While results may vary from patient to patient, most patients can see significant improvements and pain relief from these modalities. Cortisone injections can be performed typically the same day of a visit. Hyaluronic Acid injections typically require ordering and are performing 2-4 weeks after the initial visit. These injections typically occur weekly over the course of 3-5 weeks depending on the formulation approved by your insurance company.
Occasionally, a patient will develop significant pain in the knee with minor arthritis. This could be a sign of significant bone marrow edema, a problem with the subchondral bone that supports the joints.
There are several procedures that can be performed to address this area of bone marrow edema. One procedure with excellent success is an IntraOsseous Bioplasty (IOBP), where bone marrow concentrate obtained from the hip is mixed with bone graft and is injected in the area of bone marrow edema during surgery.