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.
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.
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