Dx avn medial andateral both knees. i've done pt, shots, forteo. what's next?

Stem cells v surger: With avn there is little hope for a change in the underlying cause. Stem cells injections (or exosomes) are experimental and not covered by insurance. The real question for your orthopedic surgeon is if the knee implants can heal. A consult with vascular surgery may be helpful to see if there is possible method to improve blood supply to this area. Off loading braces, will Help symptoms now!