Knee Arthritis: Treatment Options From Medicine to Replacement
Knee osteoarthritis is a progressive condition, but there are many ways to manage it. Treatment is usually stepped, starting with the simplest measures.
Non-Surgical Treatments
- Lifestyle changes: Weight loss, low-impact exercise such as cycling or swimming, and activity pacing.
- Physiotherapy: Strengthening the muscles around the knee reduces pain and improves function.
- Medication: Pain relievers and anti-inflammatory medicines, used under medical advice.
- Walking aids and braces: A stick in the opposite hand can significantly reduce load on the painful knee.
- Injections: Steroid or hyaluronic acid injections may give temporary relief in selected patients.
Surgical Options
- Arthroscopy: Helpful for mechanical problems like a torn meniscus, but not for advanced arthritis on its own.
- Osteotomy: Realigning the bone in younger, active patients with limited arthritis.
- Partial or total knee replacement: For severe arthritis when other treatments no longer control pain.
Choosing the Right Time
Surgery is considered when pain disturbs sleep and daily life despite proper non-surgical treatment. Waiting too long can lead to weak muscles and deformity, making recovery harder.
Expert Tip
"There is no single correct treatment. The best plan matches the stage of arthritis with the goals and general health of the patient." — Dr. Gaurav Saini
An orthopedic consultation with an examination and X-rays can show where you are on this path and what to try next.
Medical References & Evidence
Written & Reviewed by: Dr. Gaurav Saini
MBBS, MS (Ortho), DNB (Ortho), MNAMS | Fellowship in Joint Replacement
Dr. Gaurav Saini is a leading Senior Consultant Orthopaedic & Robotic Joint Replacement Surgeon with nearly 20 years of expertise and over 5,000 successful surgeries. He practices at Max Super Speciality Hospital, Mohali, specializing in advanced CORI robotic-assisted knee and hip replacement surgery, sports arthroscopy, and complex trauma care.