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.
Research shows that every extra 10 pounds increase the chance of developing knee osteoarthritis by
Suitable activities include:
Experts note that exercising with a group or a physical therapist may be more effective than exercising alone. They also recommend choosing an activity that you enjoy and can afford.
A healthcare professional can advise on suitable exercises.
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.
They may apply ice and heat to reduce pain and inflammation.
Knee injections of hyaluronic acid are thought to lubricate the knee joint. This may help improve shock absorption, reduce pain, and improve knee mobility.
Over-the-counter (OTC) medication may help manage knee pain.
- over-the-counter pain relief drugs, such as acetaminophen
- topical and oral nonsteroidal anti-inflammatories (NSAIDs)
- topical creams that contain capsaicin
If OTC treatments do not work, your doctor may prescribe stronger medication, such as duloxetine or tramadol.
Tramadol is an opioid, and opioids can be addictive. Experts only advise using tramadol if you cannot use other medications, and they do not recommend any other type of opioid.
Another option is to have a steroid injection into the affected area. This can reduce the pain and inflammation in your knee. The pain usually reduces within a few days, and relief lasts several weeks.
Acupuncture is an ancient Chinese technique that may help relieve pain. It uses sharp, thin needles to change the flow of energy within the body.
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.
A surgeon may suggest arthroscopic surgery to remove bone fragments, pieces of torn meniscus, or damaged cartilage, as well as repair ligaments.
An arthroscope is a type of camera. It allows a surgeon to view the inside of your joint through a small incision. After making two to four incisions, the surgeon uses the arthroscope to operate on the inside of your knee.
This technique is less invasive than traditional surgery. Most people can go home on the same day. Recovery, too, is likely to be quicker.
However, it may not help in all types of knee arthritis.
This experimental treatment uses bone marrow stem cells from the hip to help regenerate cartilage tissue in the knee.
Stem cell treatment for joint injuries is not yet part of medical practice.
Another experimental treatment involves injecting an osteoarthritic knee with plasma-rich protein (PRP) in three steps.
- A healthcare provider takes some blood from the person who needs the treatment.
- Using a centrifuge, they separate the platelets that contain growth factors from the blood.
- Then, they inject these platelets into the knee joint.
Current guidelines advise people not to use this therapy, as there is a lack of standardization in preparing and administering the injections. This means it is not possible to know what the preparation consists of.
People with a knee deformity or damage to only one side of their knee may benefit from an osteotomy.
This procedure shifts the weight-bearing load away from the damaged area of the knee.
However, knee osteotomy is not suitable for everyone. It is usually used for younger people with limited knee damage.
Devices that may help include:
- a walking cane, which can help with balance
- a knee brace, to support the knee joint
Kineseo tape is a form of support dressing that encourages the body to heal naturally by increasing blood flow around a muscle. It also supports the joint while allowing it to move freely. It can relieve pain and may help prevent OA from developing or getting worse.
Current guidelines do not recommend using modified shoes or lateral and medial-wedged insoles.
- transcutaneous electrical nerve stimulation (TENS)
- glucosamine and chondroitin sulfate supplements
Before opting for knee replacement surgery, it’s important to consider all your options.
However, if you feel you have tried everything or your surgeon suggests a total or partial replacement, it may be time to consider surgery.