5 doctors weighed in:

Old sports injury = torn meniscus surgery. Now, i'm in pain again. Is there any solution other than total knee replacement? I had surgery for a torn meniscus about 8 years ago and a significant amount of shredded cartilage was removed. In recent months, e

5 doctors weighed in
Dr. Raj Sinha
Orthopedic Surgery - Reconstruction
2 doctors agree

In brief: Pain meds, injection

The last treatment before knee replacement includes injections of cortisone or lubricants (synvisc, supartz, (hyaluronic acid) etc).
Weight loss, stretching and muscle strengthening help also. Anti-inflammatory meds and other pain meds also block the pain. Unfortunately, all of these are temporary. For some young patients, osteotomy (realignment of the limb) or partial knee replacement may be indicated.

In brief: Pain meds, injection

The last treatment before knee replacement includes injections of cortisone or lubricants (synvisc, supartz, (hyaluronic acid) etc).
Weight loss, stretching and muscle strengthening help also. Anti-inflammatory meds and other pain meds also block the pain. Unfortunately, all of these are temporary. For some young patients, osteotomy (realignment of the limb) or partial knee replacement may be indicated.
Dr. Raj Sinha
Dr. Raj Sinha
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1 comment
Dr. Brian Badman
Only disagreement is with regard to osteotomy. This can really complicate a total knee down the road and affect your patellar mechanism so would tread lightly with osteotomy as also only a short lived procedure. Even prior to considering this I would try an offloader brace to see if your pain is improved. If the brace fails to improve your pain the chances of an osteotomy working are slim to none.
Dr. Audie Rolnick
Orthopedic Surgery

In brief: Yes

You don't say whether or not there are arthritic changes.
Assuming yes, i would try and do anything to avoid total knee including, antiinflammatories, cortisone, weight loss , therapy and strengthening, bracing, hyaluronic acid injections.

In brief: Yes

You don't say whether or not there are arthritic changes.
Assuming yes, i would try and do anything to avoid total knee including, antiinflammatories, cortisone, weight loss , therapy and strengthening, bracing, hyaluronic acid injections.
Dr. Audie Rolnick
Dr. Audie Rolnick
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Dr. Daniel Ivankovich
Orthopedic Surgery - Spine

In brief: No

No need to go jumping to conclusions without first having the proper information .
. . Total knee replacement isn't a procedure that is typically discussed on the front-end of knee pain complaints. Depending on your age, activity level, weight and x-rays, there are multiple treatment modalities that are typically undertaken before a total knee replacement is considered. First thing you need to do is see your orthopedic surgeon or primary care physician for history & physical, examination and x-rays. From there, you'll have the information necessary to determine degree of degenerative changes in the knee joint. An MRI may, or may not be ordered as well. Once you have a diagnosis, appropriate treatment will be ordered by your physician. Total knee replacement is usually the very last choice, once all conservative measures have been exhausted.

In brief: No

No need to go jumping to conclusions without first having the proper information .
. . Total knee replacement isn't a procedure that is typically discussed on the front-end of knee pain complaints. Depending on your age, activity level, weight and x-rays, there are multiple treatment modalities that are typically undertaken before a total knee replacement is considered. First thing you need to do is see your orthopedic surgeon or primary care physician for history & physical, examination and x-rays. From there, you'll have the information necessary to determine degree of degenerative changes in the knee joint. An MRI may, or may not be ordered as well. Once you have a diagnosis, appropriate treatment will be ordered by your physician. Total knee replacement is usually the very last choice, once all conservative measures have been exhausted.
Dr. Daniel Ivankovich
Dr. Daniel Ivankovich
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