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Specialised non-surgical care to delay or eliminate the need for knee replacement

Non-Surgical Knee Treatments

Effective Alternatives to Avoid or Delay Knee Replacement

Are you experiencing crunching sounds while climbing stairs or suffering from knee pain and swelling? This could be a sign of advancing knee osteoarthritis, which can be quite painful. If you're dealing with it, you might be thinking about getting surgery. Getting a knee replacement is one approach, but you might be able to delay surgery with non-surgical knee treatments.

There are many reasons why these non-surgical treatments are an effective alternative to knee replacement surgeries. This is because some patients cannot undergo knee replacement surgery for various reasons, such as being too young for a knee replacement. The major factor behind this artificial knee often lasts for 15 to 20 years. After this, the person may require a revision surgery.

If you're experiencing knee pain, our specialists may suggest a few non-surgical options that could alleviate your symptoms or delay the inevitable replacement surgery. While there is no treatment for arthritis, there are ways to manage the discomfort and stay moving.

Non-Surgical Knee Treatments

1. Non-Medical Conservative Treatments

a. Weight Management to Reduce Stress on the Knee Joint

Carrying around more pounds puts extra pressure on your knees, which can lead to more discomfort and faster cartilage degeneration. According to experts, being overweight increases your risk of developing knee arthritis and hastens the process of joint degeneration. Losing weight isn't easy, but any amount helps with knee pain. Our bariatric expert or nutritionist may be able to help you if you are overweight or obese.

b. Low-Impact Exercise for Improving the Strength and Flexibility of the Knee Joint

In order to decrease discomfort and increase mobility, it is recommended to strengthen the leg muscles, particularly the quadriceps and hamstrings. Our experts advise engaging in low-impact exercises like cycling or treadmill walking regularly for muscle strengthening. It can be extremely helpful to undergo structured physical treatment under expert supervision. With the help of our physical therapist, you can undergo personalised physical training.

2. Medical Treatments

a. Pain Management With Medication

Nonsteroidal anti-inflammatory drug (NSAID) therapy can be helpful in the long term for knee pain treatment. Our experts will discuss the benefits and potential adverse effects of these pain management medicines with you before prescribing them. You will be under strict medical supervision while taking these medications long-term.

a. Injections for Knee Pain

Injections of corticosteroids and hyaluronic acid (HA) can alleviate inflammation and improve joint lubrication, which can be helpful in the short term. To delay surgery, injection-based treatments usually work for a few months.

c. Cartilage Restoration Options

Newer therapies that replace cartilage instead of the entire joint may be an option for patients with minimal knee joint arthritis and excellent bone alignment. Consult our orthopaedic surgeons on whether cartilage-regeneration procedures are a suitable option for you. For example, autologous chondrocyte implantation (ACI) entails extracting a sample of your cartilage cells, culturing them in a lab, and then surgically implanting them in your knee. It is not suitable for everyone. The young patients and athletes suffering from cartilage loss can be the most eligible candidates for this procedure.

3. Radiofrequency Ablation (RFA)

If none of these treatments work for your osteoarthritis-related knee discomfort, there are still options. Radiofrequency ablation treats knee pain by eliminating the sensory nerves that transmit the pain signal from the knee to the brain. RFA is a temporary solution to your knee pain because nerves regenerate in six months to two years, causing pain to return.

When Non-Surgical Knee Treatments Are Not Considered As An Alternative to Knee Replacement

Knee arthritis might worsen despite treatment. If you've tried these approaches and are still experiencing discomfort, you should consult our expert orthopaedic surgeon about knee replacement. Knee replacement is the safest and most effective surgical treatment and can provide long-term improvements in quality of life and mobility.

Dr. Ishwar Bohra

#Robotic Joint Replacement and Arthroscopic

Dr. Ishwar Bohra is currently the Senior Director at BLK-Max Hospital with over 24 years of experience in Joint Replacement and Arthroscopic.

Education

  • MBBS, M.Ch. (Ortho), MS (Ortho), MAMS
  • Fellowship in Arthroscopy and Sports Medicine, Barcelona, Spain
  • Fellowship in Upper limb Surgery (Shoulder) Upper Limb Unit, Scotland, UK
  • Fellowship in Knee Replacement and Arthroscopic Surgery, NHS, UK

Experience

  • Presently working as a Senior Director in BLK-Max Centre for Orthopaedics, Joint Reconstruction & Spine Surgery at BLK-Max Super Speciality Hospital, New Delhi
  • Spine Consultant - Jaipur Golden Hospital, New Delhi
  • Attending Consultant - Dr B.L. Kapur Memorial Hospital, New Delhi
  • Senior Resident - Deen Dayal Upadhyay Hospital, New Delhi.
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Our patients’ trust is our driving force behind consistently high satisfaction rates and successful knee treatment outcomes. Read to know how our patients’ dedication and our unwavering efforts led to their mobility improvement, pain reduction, and renewed confidence in living freely.

Patient Stories
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Meet Mrs. Chandra, a 53-year-old patient who triumphantly overcame varus and FFD deformity under the care of Dr. Ishwar Bohra. Enduring six years of leg issues and unsuccessful treatments, Mrs. Chandra's plight took a turn for the better when she sought help. Dr. Bohra's expertise and reassuring counsel guided her through the surgical process, utilizing advanced robotic techniques for optimal results.

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Mr. Austin Chisangu, from Zambia, had severe osteoarthritis that was causing him unbearable pain and difficulty in movement. His case was more challenging to manage because of his overweight, chronic cardiac issues, and a cardiac device implantation. Under the expert care of Dr. Ishwar Bohra and his dedicated team, Mr. Austin's condition was effectively managed.

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After struggling with severe osteoarthritis and carpal tunnel syndrome, Mrs. Baglees took the brave step to undergo Knee Replacement and Carpal Tunnel Release Surgery under the expert care of Dr. Ishwar Bohra at BLK-Max Super Speciality Hospital. This life-changing decision not only restored her mobility but also significantly improved her quality of life.

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After struggling with severe osteoarthritis, Savitri Devi made the brave decision to undergo knee replacement surgery with Dr. Ishwar Bohra at BLK-Max Super Speciality Hospital. Initially hesitant, her choice transformed her life—now, she’s well on her way to recovery and regaining her mobility.

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F.A.Q

Frequently
Asked Questions

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Q1: Are non-surgical treatments a permanent solution for knee arthritis?

A: No. Non-surgical treatments are not a permanent solution for knee arthritis. However, it can significantly reduce pain, improve mobility, and slow disease progression.

Q2: For what time are non-surgical treatments effective?

A: Relief varies depending on the treatment and severity of the ailment. Some alternatives may provide temporary relief for weeks or months, while others, when paired with lifestyle modifications, can provide long-term symptom control.

Q3: Can I delay surgery with non-surgical care?

A: Yes. Structured and well-planned non-surgical solutions can greatly delay the need for knee replacement in many patients for several years.

Q4: Are injections safe for knee pain?

A: When appropriately selected and administered, injections are generally safe. Your doctor will assess your medical history, joint condition, and risk factors before recommending them.

Q5: Is surgery necessary in the future if knee damage has started?

A: As arthritis worsens, some people may require knee replacement surgery. But nonsurgical therapy often assists in postponing surgery and maintaining function in many patients.