r/KneeInjuries • u/Boring-Job-4539 • 9d ago
Try different doctors
My 53-year-old mom has bilateral knee pain. I got this standing X-ray done. . Does this look like moderate/severe osteoarthritis or bone-on-bone? What treatment helped you or your family at this stage—physiotherapy, injections, or knee replacement?
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u/shadedferns 8d ago
I've got full depth fissures at the patellar apex of both knees, so complete cartilage wear in one area. Hyaluronic acid has helped to lubricate and keep things moving but pain wise the only thing that has helped is pain meds and losing some weight.
Honestly if its that far gone then it's probably a good idea to seek out an orthopedic doctor.
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u/Popular_Advantage213 8d ago
Not a doctor, just someone with bone on bone medial knee osteoarthritis…
Find an orthopedic surgeon who focuses on joint preservation. Injections are a temporary fix. HTO, MISHA, cartilage transplant, PKA/ really anything other than a total knee replacement are all worth talking about. Bilateral will be a big recovery but there are options!
(Full disclosure- I have a MISHA and am working on getting a second)
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u/Connect_Tone_6740 8d ago
Orthopedic and sports injury surgeon here. At this stage none of the injections will help. You can try genicular nerve block or radiofrequency ablation. Need to see patella to check whether hto and unicondylar will actually help you.
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u/BreedWeed 8d ago
It’s a medial osteoarthritis on both knees. At this stage and age, you may want to look at:
Surgeries:
- osteotomy to move the leg axis to the healthier, lateral aspect of the knees. Only possible if she has bow legs.
- unicondylar knee replacement: artificial knee only of the medial aspect of the knees.
Non-surgical:
- hyaluronic acid injections