What Can You Do for Bone-On-Bone Knee Pain? Alternatives to Surgery Revealed

TLDRLearn about alternatives to knee replacement surgery for bone-on-bone knee pain, including exercise, weight loss, and assistive devices. Understand the different grades of knee arthritis and how they affect treatment options. Discover the benefits of physical therapy and strengthening exercises. Consider conservative treatments before deciding on knee replacement surgery.

Key insights

⭐️Bone-on-bone knee pain refers to grade four knee arthritis, which involves severe joint space loss and hardening of the subc condal bone.

🏋️‍♂️Exercise is one of the most effective treatments for knee pain, improving function and reducing discomfort across all grades of knee arthritis.

🌊Walking in water can provide relief for bone-on-bone knee pain by reducing weight-bearing pressure on the knee joint.

📏Weight loss can significantly decrease the pressure on the knee joint, relieving pain and improving function.

🦵Strengthening the hip and glute muscles can help stabilize the knee joint and reduce shearing forces on the cartilage.

Q&A

Is bone-on-bone knee pain the same as grade four knee arthritis?

Yes, bone-on-bone knee pain refers to the severe joint space loss and subc condal bone hardening associated with grade four knee arthritis.

Can exercise help with bone-on-bone knee pain?

Yes, exercise is one of the most effective treatments for knee pain, regardless of the grade of knee arthritis. It improves function, reduces discomfort, and may even affect the structure of the knee.

What are some alternative treatments for bone-on-bone knee pain?

In addition to exercise, alternatives to knee replacement surgery include weight loss, walking in water to unload the knee joint, and using assistive devices such as canes, rollators, or knee unloader braces.

Are cortisone injections or PRP injections effective for bone-on-bone knee pain?

Cortisone injections can provide short-term pain relief, but should not be relied on long-term. The effectiveness of PRP injections for knee arthritis is not superior to other interventions such as cortisone injections, hyaluronic acid injections, or exercise therapy.

Do I need knee replacement surgery for bone-on-bone knee pain?

The decision to undergo knee replacement surgery is ultimately up to you. Conservative treatments and alternative interventions should be explored first, and knee replacement surgery should be considered if these options do not provide sufficient relief.

Timestamped Summary

00:00Bone-on-bone knee pain refers to grade four knee arthritis, which involves severe joint space loss and hardening of the subc condal bone.

02:53Exercise is one of the most effective treatments for knee pain, improving function and reducing discomfort across all grades of knee arthritis.

03:47Walking in water can provide relief for bone-on-bone knee pain by reducing weight-bearing pressure on the knee joint.

04:12Weight loss can significantly decrease the pressure on the knee joint, relieving pain and improving function.

05:47Strengthening the hip and glute muscles can help stabilize the knee joint and reduce shearing forces on the cartilage.