44 years old with knee problems. knee cartridge is gone and the joints bones are starting to wear. what are my options at this age.

Orthopedic specialis: An orthopedic specialist is best qualified to evaluate and advise you. Common options include taking anti-inflammatory medications like advil, getting instillations of synvisc, (hylan g-f 20) cortisone injections into the knee, a course of physical therapy, wearing a brace, acupuncture,arthroscopic surgery to remove debris and to shave off spurs and partial or complete knee replacement.