Question: Ive been told that I need a knee replacement. Are there other options?

Answer: If youve been told that you need a knee replacement, it is likely that you have advanced arthritis. There are various conservative options that must be considered before having joint replacement surgery. Some of the initial treatments include non-steroidal anti-inflammatory medication, physical therapy, cortisone, and visco-supplementation injections.

Emerging treatments include PRP (platelet rich plasma), stem cell therapy, as well as A2M (Alpha 2 Macroglobulin). These are newer options which bring much promise for the right candidate, but still have emerging data about their potential level of efficacy.

Should none of these provide adequate pain relief, there is the option of a genicular rhizotomy/radiofrequency ablation. This is where the nerves around the knee are treated to reduce or eliminate the perception of pain.

Some patients may benefit from a procedure called subchondroplasty, which reinforces the underlying, overstressed bone. Studies have shown that this can significantly delay or decrease the chances of having a knee replacement if done on the right patient.

If all else fails, it is possible in the appropriate patient to undergo a robotic-assisted partial knee replacement with a minimally invasive approach. This procedure resurfaces only the worn portion of the knee.

Dr. Noble specializes in non-operative treatment and innovative surgical techniques for the treatment of knee and hip arthritis. He completed a total joint replacement fellowship at the Harvard School of Medicine, Brigham and Womens Hospital, and Orthopaedic residency at the Medical College

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Palm Beach Orthopaedic Institute

Four locations: Jupiter, Palm Beach Gardens, Wellington, West Palm Beach

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Alternative treatments for knee arthritis - Palm Beach Post

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