Doctor insights on:
Bone To Bone Knee
Use pain as guide: There is no magic mileage number. Simply use pain and swelling as a guide. Exercise should not just be about walking. Remember to do simple stretching and range of motion exercises regularly to maintain a full range of motion. Walking is good for cardio and strength, which helps maintain ideal body weight and prepare for any surgeries. ...Read more
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
Laminectomy: Classically sucessful when conservative meadures fail high sucess rate low complication rate ...Read more
Is umbilical cord derived mesenchymal stem cells proven treatment for bone on bone knee OA? How long will relief last?
Unproven treatment: This is not scientifically documented or approved treatment. It isn't proved at all. There's no way to know whether it will provide relief or how long it will last. Be very skeptical of claims by the doctor or clinic proposing such treatment. [Additional comment after seeing your reply message: There's a reason this treatment isn't covered by most health insurance plans! ] ...Read more
Should I put my 90 yo mother on coumadin (warfarin)? she does not have a history of falling but does have a bone on bone knee problem and a balance problem.
Tough call: There are a few scores out there to calculate the risks and benefits of Coumadin (warfarin) therapy. The CHADSVASC score, the TIMI bleed score, the HASBLED score etc. Ultimately quality of life and avoiding a complicated medication like this with frequent checks and interactions might trump everything else. Is she alert enough to contribute to the discussion? ...Read more
I have pain and slight swelling to the top of my foot and pain that goes up & down the outside of my leg (from knee down). I am 57 female had diabetes (no insulin) and have bone on bone knees (insides only). What can be causing the pain and should I see
Depends on the cause: Your pain could be as a result of many different things. A thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause. Causes of pain may include: trauma (fracture, sprain, arthritis), infection, metabolic conditions (gout), musculoskeletal or biomechanical abnormality and neurologic conditions (neuropathy). ...Read more
I Have bone on bone knee arthritis. I feel September 18th 4 days prior to total knee replacement. I fractured my femur neck. How longbefore I'm walkin?
Varies: It varies based upon the type of femoral neck fracture you had and type of surgery used to fix it. For example, in a displaced femoral neck fracture we often do a cemented hemi arthriplastyband you can begin walking on it that day. In a fracture fixed with screws, weight bearing is based in part on the quality of bone purchase noted intra operatively. Discuss with your surgeon. ...Read more
No cartilage in knees, bone on bone, and knee caps are misaligned. Do I need total knee replacement surgery?
Total knee surgery: Possibly, however the decision to perform a total knee replacement doesn't just depend on xray findings of "bone on bone" arthritis. Many non-surgical options are available to improve symptoms of knee arthritis in an effort to delay surgery such as: medications, injections, braces, activity modification, and physical therapy. ...Read more
Can you tell if you destroyed Cartlidge in your knee without getting it checked. What about bone to bone in the knee?
Knee pain: A good orthopedist or sports doctor can perform a series of maneuvers in the office to make an initial diagnosis. If it is a serious problem that requires intervention (arthroscopy, etc), then you will have an MRI before surgery so the surgeon can see exactly the problem. Bone-on-bone arthritis doesn't happen at 17 yo. Often knee strain will heal with rest and time, but if persistent, get checked. ...Read more
Maybe, but...: Cortisone in the capsule and joint can help reduce any inflammation present temporarily. However, unless you have had very significant trauma in the past or an unusual congenital variation of your knee, then bone to bone pain in a patient your age would be unlikely. You need to have a complete work-up to find the cause of your knee pain. Then you can plan a treatment program with your Doctor. ...Read more
I have bone-on-bone in both knee joints, it is very painful. Any suggestions? What should I do? Do you recommend arthroscopic surgery?
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?
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. ...Read more
Mri shows three lobulations in bone above knee. Bone scan says everything ok. How could mri and bone scan show two different results?
Different studies: The meaning of "lobulations" in the bone on an MRI study is uncertain. This may mean an osteophyte, cortical thickening, old trauma, a normal variant, or something else. The bone scan measures bone chemistry and activity such as repair of the bone. When the bone scan is normal with these findings on MRI, it means normal bone chemistry, and indicates a non serious problem. ...Read more
I had a MRI that showed one side of knee was wore down to the bone and have bone spurs in knee tried everything for pain haven't slept got 6 days help?
Possible replacement: To have that description of joint damage at 33 years old is unusual. Discuss options with an orthopedic surgeon. ...Read more
I have oa in knees& ddd in back. Very hard to do adl's.Knees r bone n. Bone. Ortho says get knee replacements on both. Will pain stop after replacement?
OA: Yes. Knee pains due to severe oa of knees with bone on bone will clear after knee joint replacements over few months once healed well. If there are referred pain to knees and legs from severe ddd to back then that component of referred pain may persist even after knee replacements as it is a different source of knee pain. Discuss with ortho. ...Read more
I'm obesed 340 lost 30 knees & leg pain poss bone n bone dr won't consider knee replacement also have COPD trying to lose more weight what options have?
Delay surgery: Based on your present state of health, proceeding with total knee replacement surgery now will put you at increased risk for medical complications and infection. A knee replacement surgery is safest to perform when the patient's bmi is under 40 and any medical conditions you may have are under good control. Ask your surgeon for a preop physical therapy referral to help with weight loss now. ...Read more
Had a MRI last year no arthritis but this year have arthritis so bad on one side that its almost bone on bone tried pt knee brace mobic (meloxicam) pain meds tkr?
See Ortho: Continue to see ortho, especially an orhto who specializes in knees. If you are overweight, it is crucial you lose weight. Tkr in a 33yo is rare as surgery is always the last option. Not sure if you have tried synvisc (hylan g-f 20) (hyalan g-f), which may help your condition. Keep seeing the ortho and working on the best treatment. Good luck. ...Read more
Fix knee. . .: Just because an xray shows bone on bone doesn't mean a joint needs to be "fixed". Reason for joint replacement is uncontrolled pain despite maximal medical management where function is impaired. Oftentimes, weight loss is enough to get pain under control. Some benefit from injections of "artificial" joint fluid eg hyaluronic acid and/or steroids. Physical therapy is another great option. ...Read more
Lube or steroid?: If "synvisc, " can forestall surgery for quite a while, if still getting good time between shots (=months). If dwindles to wks/days, tells you is time for surgical eval. If steroid, usually by third in same joint, consider surgery. Talk to your othopedist for advice in your specific situation. ...Read more
If I have sever osteoarthritis in both my knees almost bone on bone. If I glucosamine at this point would it help?
How do u get rid of edima on some one that is wheel chair bound due to bad knees and overweight knesset bone on bone?
Elevate: Have them elevate their legs at all time as much as possible so gravity can help drain them. ...Read more
I have a partial knee on the rt leg since 2004, now the tissue & bone in the rt knee is bone to bone. Also I have burning sensation on the medial rt l?
Partial knee: Your partial knee is 12 years old, now you are having the symptoms, I think the best is to see the surgeon, obtain x-rays then go from there. ...Read more
How can I tell if my knee pain is the result of bone on bone or if it is just tendinitis? I have the clicking sensation when I bend my knee.
Imaging studies: You seem young for "bone on bone" disease (AKA advanced arthritis). Xrays would be helpful as an initial screening imaging study to check for arthritis of your knee. If it is tendinitis, the majority of the time it is patellar tendinitis and is usually physical therapy responsive (with or without additional help with NSAIDs which are medications like ibuprofen, naprosyn). ...Read more
I have arthrictis in my knees. The left one is worse and tho its not bone to bone yet could I still have surgery on it? I've had couple shots in my knee and don't want anymore. I'd like to have the surgery if I can.
Yes: That is reasonable at your age to go ahead and replace the knees if advanced arthritis- does not have be completely bone-bone if you have tried other methods of treatment ...Read more
My knees, hip and jaw pop when moving them causing some pain. My shoulders grind, feels like bone on bone, this is very painful. Are these related?
Possibly: There are some people that have a generalized ligamentous laxity that can affect multiple joints and potentially cause the sptoms you are describing. Don't hesitate to be seen for it. ...Read more
My knee is bone on bone. I have a lot of pain and can not do stairs or hills. Ths interferes with my employment. Can I have a partial knee replacement?
More Info: The decision for a partial or a total knee replacement is based on the location of your pain, as well as the area and extent of involvement of arthritis on you xrays. If you are fortunate enough to be a candidate for a partial knee replacement, your recovery will be much quicker. Schedule an appointment with your orthopaedic surgeon. ...Read more
Yes: Bone on bone means that the cartilage has worn away and the internal hydrolics that allow separation of bones that form the knee are gone. An off loading brace will control the symptoms by not allowing the bone on bone to occur, but if you are that symptomatic and have no serious medical problems that would threaten your health, replacement is the best technology at that stage. ...Read more
Been on crutches due to foot injury. But now the other leg (weight bearing one) hurts severly in the knee. Feels like bone on bone rubbing.
Weight distribution: Balance yu weight better, good leg is working twice as hard, distribute your weight more through crutches, see your doctor ...Read more