Knee osteoarthritis

Knee arthritis means that there is a diffuse injury to the cartilage throughout the knee. This type of problem is not amenable to knee arthroscopy.  Many patients will have had a MRI showing a meniscal tear – this is secondary to the inflammation caused by osteoarthritis.  Multiple randomized controlled trials have proven that a knee arthroscopy and a meniscal trim will not improve a patient’s pain in the setting of osteoarthritis.

There are good options however to reduce pain and improve functions.  Physiotherapy can help.  Strengthening the leg muscles by riding an exercise / stationary bike three times a week for 30 minutes can help.  Other options include injections.   Cortisone injections can help, but only for 2 to 6 weeks.  Platelet rich plasma is a good option, with evidence that this can provide pain relief for up to a year.

Ultimately patients can have a total knee replacement. However, this is a very large operation with significant risks, and we will do everything we can to avoid you having to undertake this option.

Link to further information on injections for osteoarthritis: https://drtimdwyer.com/osteoarthritis/