Knee osteoarthritis is a real pain - Crunching sounds as you climb stairs, chronic aching and swelling: you’re suffering with it, you may be considering surgery.

Getting a knee replacement is one approach, but you may not need surgery, at least not right away especially in patient age less than 60 years, people with knee pain are too young for a knee replacement — It is a fact over the years it has been founf that the artificial knee is only likely to last 15 or 20 years, after which the person may need revision surgery. Different people have been claiming more than 15 - 20 years but patients who had long lasting knees have been seen patients who had undergone knee replacement above 60 years but not in young.

 1.Lose Weight to Lessen Stress on Your Knees
Extra weight puts pressure on the knees and increases stress on the joint, increasing pain and making it hard to exercise, carrying extra pounds raises your risk of developing knee arthritis and speeds up the destruction of cartilage that cushions the joint.
 If you are overweight or obese, consulting with a nutritionist or a bariatric specialist may be the right place to start.

2.Try Low-Impact Exercise for Strength and Mobility

“Strengthening the quadriceps and hamstring muscles in the leg is going to help reduce pain and make it easier to stay mobile - regular low-impact exercise, such as riding a bike or walking on a treadmill.
A course of physical therapy can really help. “A physical therapist can work with you and put together an individualized program.” 

Lastly, Use Pain Medications with Care

Complex and well-regulated natural processes take place in the body during healing of injured or inflamed tissue. Platelets play an important role in this process. At the site of the injury, they release special proteins, known as growth factors. These initiate the reconstruction of the injured tissue and prevent painful inflammatory processes.

 PRP/ACP therapy, which can support the body‘s own healing in this way, is based on this principle. 

The Objectives of ACP Therapy: 

1. Reconstruction of the injured tissue
2. Prevention of painful inflammatory processes
3. Improvement in mobility
4. Delay in progression of the disease and the need for an artificial joint
5. Reduction of analgesics with possible side effects
6. Studies confirm the effectiveness of ACP therapy for painful mild to moderate osteoarthritis (grade I - III).

The Treatment Process 

1. Blood is drawn from a vein in the arm 
2. Separation process obtains the body’s active substances (proteins) in concentrated form 
3. These substances are injected into the affected region 

Benefits of the Treatment 

• Outpatient procedure
• Fast process (< 30 min.)
• Endogenous, biological agents with good tolerability
• Personalized treatment interval
• Customized to your needs

 consult today Dr. Ashish Paul

Knee arthritis can get worse in spite of treatment. If you’ve tried medications and other methods (PRP, Physio) and are still dealing with pain and at the same time you feel like some deformity you are developing in knee, it might be time to discuss knee replacement with an experienced orthopaedic surgeon Dr. Ashish Paul.

A total knee replacement is more of a resurfacing of the bones in the knee: the end of the femur (thigh bone), the top of the tibia (the thicker of the two bones in the shin) and the inward facing surface of the patella, or kneecap. The surgeon removes the bony surfaces and replaces them with metal and plastic implants. The plastic serves the same purpose as the cartilage, helping the implants glide against each other smoothly.

For some patients we do patella resurfacing for some not.

There is no surgery without risk or complications. Done in best hands surgical outcome is always best. Detail discussion & councelling is done prior to surgery, where risk factors & complications are explained in detail prior to surgery.

Proximal Tibia 

part of knee is Replaced rather then whole of knee