Joint Pain and Severe Arthritis
Osteoarthritis of the knee
Osteoarthritis is a chronic, progressive disease of the joints involving the breakdown of cartilage. It is often the result of years of accumulated wear and tear on the joint. Other factors that may play a role in the development of osteoarthritis include overuse, occupational injuries, obesity, poor joint alignment, sports injuries, and a family history of arthritis.
Osteoarthritis cannot be cured, but usually it can be managed so that patients experience less pain and stiffness and can engage in more activities. The initial treatment plan typically includes physical therapy, exercise, weight management, and non-prescription pain relievers. 
The second stage of treatment typically includes prescription pain relievers and joint injections of steroids, which decrease joint inflammation, and sodium hyaluronate (Hyalgan & Synvisc). These agents work like lubricants and shock absorbers to provide cushioning for your knee joint. The Clinic will help patients obtain approval for injections from their insurance carriers.
The third stage of treatment can involve surgical procedures such as total knee replacement surgery, abrasion, or arthroplasty.
