Had mri showed bone on bone one side of knee with bone spurs tried shots pt wear knee brace always in pain haven't sleep in 6 days cause of pain help?

Knee Replacement: If you have exhausted conservative treatment options you may be a candidate for a total or partial knee replacement please see my article about partial knee replacements http://www.Orthonc.Com/articles/july-august-september-2010.Html.

Cartilage loss : Bone on bone in MRI shows severe articular cartilage loss. You seem to be young to have lost such extensive cartilage . See a rheumatologist to evaluate reasons for such extensive cartilage loss . You don't mention any prior injury. Need to see an orthopedist for possible surgical intervention.