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Do all patients with knee arthritis need total knee replacement?

September 26, 2024
Author : Dr. Venkatdeep Mohan

Knee osteoarthritis is a progressive degenerative (wear-and-tear) condition that affects the joint, causing pain, stiffness, and limited mobility.

As the arthritis progresses the symptoms may become more pronounced.  All treatments of knee arthritis are focussed on reducing pain and inflammation, improving mobility and thereby improving the quality of life.

In early stages knee arthritis is managed conservatively with medications, lifestyle modifications, braces and physical therapy. As the arthritis becomes more advanced some patients may require a knee replacement surgery. All patients with knee arthritis DO NOT NEED to undergo knee replacement surgery. Patients are suggested knee replacement only if all conservative methods of treatment have been tried and are not providing satisfactory relief.

Knee pain

Some of the non-surgical methods of managing knee arthritis are

-Intra articular injections of Hyaluronic acid also called visco supplementation,

-PRP therapy i.e. platelet rich plasma injections,

-Stem Cell injections (Allogenic stem cells, Bone marrow derived mesenchymal stem cell injections, Adipose derived cells etc)

These treatments provide pain relief, improve joint mobility and help to slow down progression of arthritis.

In some patients’ outpatient procedures like radiofrequency ablation (RFA) of genicular nerves are done in addition to provide more consistent and longer-term pain relief.

RFA procedure involves identifying the nerves which carry the pain signals from the knee using fluoroscopy or ultrasound scan, then using radiofrequency energy to ablate the nerves. This is a minimally invasive outpatient procedure. Works well in patients who have moderate arthritis of the knee.

Disclaimer Statement: The contents of the website is not meant to replace an in-person consultation. Please follow the advice of your doctor via in-person consultation. This website will not assume any legal responsibility for the patient’s medical condition.
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Dr. Venkatdeep Mohan
(Time : Mon to Sat , 11am to 1pm, and 5pm to 9pm)
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Address: 1309, 9th Cross Rd, ITI Layout, 1st Phase, J. P. Nagar, Bengaluru, Karnataka 560078
Mobile: 082963 47123 Email: prime.orthopedics@gmail.com

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