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Treatment of Knee Osteoarthritis

Stage-based management of cartilage wear in the knee, from exercise to joint replacement.

Knee osteoarthritis is managed in steps. Early and intermediate stages are treated without surgery; surgical options are considered when pain and functional limitation persist despite adequate conservative treatment. The aim at every stage is to reduce pain, preserve movement and slow progression.

Non-Surgical Treatment

  • A structured exercise programme for the thigh and hip muscles
  • Weight management — every kilogram lost reduces knee load disproportionately
  • Low-impact activity: swimming, cycling, elliptical training
  • Physiotherapy and pain management as advised by your doctor
  • Intra-articular injections in selected patients
  • Insoles or a brace when leg alignment is a contributing factor

Surgical Options

  • Arthroscopic procedures in selected patients with mechanical symptoms such as locking or catching
  • Osteotomy to shift load away from the worn compartment in younger patients with malalignment
  • Partial knee replacement when wear is limited to one compartment
  • Total knee replacement in widespread, advanced osteoarthritis

The choice depends on age, activity level, degree of wear and the patient's expectations.

When Should You See a Doctor?

If knee pain has begun to limit your walking distance or disturbs your sleep, an assessment will help define which step of treatment is appropriate.

Medical Disclaimer: The content on this page is for general information only and does not replace a medical examination. Please consult a physician for personal diagnosis and treatment.
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