What is the best medicine or injection for restoring joint function and relief pain of knee osteoarthritis?

Nutrition, supplem't. Start with good nutrition and try: glucosamine (500 mg 3x/ day), same (don't take if bipolar or with prostate cancer) 400 mg on empty stomach (may eventually take up to 800 mg 2x/ day) and must have b-complex with the same, and wait 2-3 months to see if these are helping. Both have good evidence for treating osteoarthritis and are safe. Physical therapy can help any misalignment in muscles.
Supplements. Start with good nutrition and try: glucosamine (500 mg 3x/ day), same (don't take if bipolar or with prostate cancer) 400 mg on empty stomach (may eventually take up to 800 mg 2x/ day) and must have b-complex with the same, and wait 2-3 months to see if these are helping. Both have good evidence for treating osteoarthritis and are safe. Physical therapy can help any misalignment in muscles.
Cortisone. Cortisone is the "gold standard". Other types of injections of forms of hyaluronic acid (the building block of joint cartilage) for "visco-supplementation" can be helpful. It is an "artificial joint juice".

Related Questions

Mud therapy or hyaluronic acid injections: which is better for knee osteoarthritis?

Injections with PT. With my experience as a geriatric sports medicine physician, I have found tremendous success with those patients that received the injections in conjunction with physical therapy . Read more...
Not familiar. I am not familiar with mud therapy so i really could not tell you about that. Hyaluronic acid injections are helpful for people with moderate osteoarthritis and give up to 6 months of relief in sucessfull cases. They do not work well in people with severe osteoarthritis. Read more...
One part of OA treatment. Euflexa is hyaluronic acid. This is a normal component of joint fluid. In osteoarthritis the amount of ha reduces in your joint fluid. The idea of doing ha injections is to replenish this reduced amount of ha. It has been shown to be about 70% effective for 6 to 9 months in correctly chosen patients. Read more...

Had Durolane injection: knee (osteoarthritis). Initially, pain was gone, but pain gets worse (can’t bend knee fully). Normal? How long pain will last?

NeedToTalkToYourDoc! They say it can last up to 6 months.That's"up to..."So think of that old bell shaped curve and consider that maybe you're on the short end of it. No specific medication, especially those based on biomechanics,will work optimally for everyone.That's because there are so many aspects specific to you alone that are involved.So,it worked for as long as it could for you,barring any alterable variables. Read more...
A few days is common. Pain at the injection site is common. You may also experience joint pain, swelling and stiffness after injection. It is advised to limit activity for 24-48 hours after an injection. This should resolve after a few days. Other treatments should be tried along with the injection such as physical therapy, swimming, or cycling. Read more...

I am a physician. I can't off my practice now. I have advanced bilat knee osteoarthritis. I am 50yrs old. Severe pain. Prescribed diclofenc patches, arcoxia 120 mg tab and actamenophen codeine tabs. On msd for 3days barely any relief of pain. How muc

Think about T K R. It sound to me you have disabling condition, sever pain clear diagnosis, i would suggest to see orthopedic surgeon how could arthroscopy and clean of the joints and see if this procedure could relief most of your pain , if that the case , that will give some time tell you will you have total knee replacement in the future. Read more...
Conservative/surgica. Options include meds, arthritis creams, pt, weight loss, bracing, injections of steroids or hyaluronic acids, total knee replacement. Scope will do nothing to improve arthritis. Read more...

would viscosupplementation be beneficiary for my knee osteoarthritis age 57 female, I can forward u digital copy my knees xray?

Mild benefits. The benefits are mild if any. There are other alternatives that you should consider: intra-articular HGH, intra articular platelet rich plasma. This last two modalities, although not FDA approved, regenerate cartilage and decrease pain with increasing mobility. Read more...
Pain = Muscles first. There is a huge error in medical logic and reasoning. The most common location for pain is in the muscle system. Stressed and strained muscle will begin to contract choking other and secondarily leading to tendinitis, bursitis, nerve pain, vessels, degeneration of joint structures. Tx cause w stretching hands-on PT, acupuncture, wet/dry IM needling will restore the muscles and no secondary issues. Read more...

Go to NY in 5 days. Knee osteoarthritis n pain if walk for long. Steroid jab or others to walk without pain? Immediate n long term risks n side effect?

Maybe. I have patients who know that they will sooner or later need knee replacement surgery. Some were planning on traveling and requested injections for pain relief. All of these patients had good temporary relief of their pain. However, the pain always returns sooner or later, and the patient runs the small but real risk of infection with any injection. Think carefully and discuss with your Doctor. Read more...

Yesterday I found out I've knee osteoarthritis, I'm only 25! is it dangerous? Dr. Has given me vit d. Tnx in advnc

Get another opinion. Vitamin d is worthless for this issue. Get another opinion if for no other reason that i would question the diagnosis of oa in a 25 year old from the same doctor who would prescribe vitamin d to treat it. Read more...

I suffer from advanced knee osteoarthritis. What exercise can I do to lose weight given that even walking is very painful?

Avoid weightbearing. Unfortunately it's not great that at 50 you have severe knee osteoarthritis. But you really don't want to do a knee replacement at your age until you try everything else. If you can lose weight with non weight bearing activities such as cycling elliptical and swimming along with diet you may have less knee pain. Read more...
Low impact. You might want to try swimming, elliptical, exercise bike as low impact alternatives. Weight training with light weights will help your joints as well by building the muscles around them. Read more...

Can I use my exercise bike everyday to treat my moderate knee osteoarthritis? What about daily leg strengthening exercises? How much is too much?

Weight loss. Bicycling is a good form of exercise for those with knee oa. It is also important to strengthen the quadriceps. However, weight loss is the only way to slow progression of knee oa. Weight loss also helps reduce pain. Losing 1lb of total body weight translates to 4-5 lbs off the knees. Read more...
Yes. A bike is good excercise if suffering from knee arthrits. Swimming is also good. Unfortunately this is going to be a trial and error process for you in terms of how much is too much. Depending on the severity of the arthritis i would avoid excessive strengthening and focus more on tone and maintenance. Read more...
Low impact. If you have a loss of cartilage in your knee (arthritis), you still need to exercise for health benefits. Low impact is always favored. This would include swimming, biking, elliptical machine use. Walking is moderate impact but still better than high impact activities such as running or jumping. Read more...
Manage OA. Using an exercise bike is an excellent exercise if one suffers with osteoarthritis. Your knee will tell you if you've had enough. Progression of OA can be generally minimized by losing weight, performing light weight training and low impact cardiovascular exercise (elliptical, exercise bike, swimming). Glucosamine and chondroitin supplementation can help to rebuild lost cartilage as well. Read more...