NSAIDs, such as ibuprofen and naproxen, are available both over-the-counter and by prescription and in oral and topical (gel) forms. Oral NSAIDs are recommended to improve pain and function in people with knee osteoarthritis.
For mild symptoms, topical medications applied to the knees such as diclofenac gel relieve pain and have few adverse effects. Nonsteroidal anti-inflammatory medications such as ibuprofen and naproxen are the most effective oral medications for osteoarthritis.
UNM Researchers Inject Patients' Own Fat Tissue to Alleviate Pain. In a novel study, University of New Mexico researchers have shown that injecting a patient's own fat cells into arthritic knees is more effective at reducing pain and preserving function than other treatments.
Regenerative Stem Cell Therapy
Stem cell knee therapy is becoming a popular alternative to knee replacement surgery. Through a method known as autologous transplantation, the cells are extracted from the patient's bone marrow or fatty tissue, processed, and immediately injected into the damaged knee.
Your joints' lubricating fluid allows your joints to move with more ease and less stress. To activate those juices, start your exercise routine with a gentle 5-10-minute warm-up and gradually increase your effort. Another good way to self-lube is drinking more water. Stretch regularly.
The procedure—called autologous chondrocyte implantation (ACI)—takes healthy cartilage cells from the damaged knee, cultures them in a lab for four to six weeks, and then injects the new cells into the damaged joint for regeneration with the surrounding cartilage.
Doctors sometimes recommend that people under age 60 wait to undergo a knee replacement, because these artificial joints typically last only about 15 to 20 years. If someone younger gets the procedure, the joint will likely need to be replaced again down the line.
There are several cartilage-regeneration techniques that you may consider and discuss with an orthopaedic surgeon. Autologous chondrocyte implantation (ACI), for example, involves taking a sample of your cartilage cells, growing them in a lab and then surgically replanting them in your knee.
How Does Medicare Cover Knee Injection Treatment? Medicare will cover knee injections once every six months if they are medically necessary. The injections are covered under Medicare Part B and subject to the annual Part B deductible.
The gel injections tend to be effective for about 50% of patients, but for those that it works well for those patients tend to see improvement in VAS scores for at least 4-6 months.
Your doctor might recommend knee replacement if: You have very bad arthritis pain, and other treatments have not helped. You have lost a large amount of cartilage. Your knee pain is keeping you from being active enough to keep up your strength, flexibility, balance, or endurance.
Arthritis of the knee can get worse with time and stress on the joint. Try treatments like medications and physical therapy to ease symptoms and possibly slow down the progress of the disease.
It is recommended that adults with arthritis be moderately physically active for at least 150 minutes per week. Strength training is also recommended. Further, physical activity has been proven to reduce arthritis pain. You can do low impact physical activity to reduce joint pain.
Avoid high-impact workouts and exercises if you have osteoarthritis of the knee, hip, or ankle. These activities often place stress on weight-bearing joints. Basketball, football, hockey, and soccer are all examples of high-impact sports.
Results. For most people, knee replacement provides pain relief, improved mobility and a better quality of life. Most knee replacements can be expected to last at least 15 to 20 years.
You may NOT be a good candidate if:
Your knee symptoms are not related to joint disease. Your weight is too much for the artificial joint to support. You have fragile skin or poor skin coverage over your knee. You have a severe illness or infection.
Simply put, the longer you wait to get a knee replacement, the more wear and tear you put on your knees – and the longer you live with increasing pain, stiffness or mobility issues. But there are a few other things to consider, including: As your knee condition worsens, your quality of life can also decrease.
Barring any complications, most patients are able to return to most normal activities and walk without the need of assistive devices between three to six weeks after surgery. Overall, it usually takes two to three months to make a complete recovery from a minimally invasive knee replacement.
As knee arthritis progresses, the knee becomes much looser and more unstable. In some cases, this is mild. In other cases, it is substantial enough that cause the patient to fall. Patients who have bone-on-bone arthritis and are starting to fall because of it should strongly consider surgery.
A total knee replacement patient is typically looking at a one year recovery period for things to fully settle down. I should stress that doesn't mean you'll be living with constant pain for a year. But the occasional twinge or moment of discomfort could well last 12 months. Occasionally it could be two years.
Severe knee cartilage loss makes walking, sitting, standing, squatting, and going up and down stairs extremely painful. People with a total loss of knee cartilage can benefit from joint injections. In many cases, surgery including a total knee replacement is needed to treat no cartilage in the knee.
THE ROLE OF GLUCOSAMINE SULFATE
Glucosamine supposedly plays a part in the repair and maintenance of joint cartilage, stimulating cartilage cells to produce GAGs and proteoglycans.
Cartilage Regeneration Options
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.