Knee Arthritis Treatments Without Surgery
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- Опубліковано 10 лют 2022
- This video will review the best non-surgical treatment for knee arthritis. We will go over treatment without surgery and review the best treatment options to treat short term pain, long term pain, and how to prevent arthritis from getting worse. Treatment options we will cover include exercise and physical therapy, load management, topical NSAIDs, PRP injections, viscosupplementation injections, tylenol, oral NSAIDs, opiates, steroid injections, and knee arthroscopy.
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► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a UA-cam channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypengmd.com/
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My content reflects my own opinion and does not represent the views or opinions of my employers or hospital systems I am affiliated with. They are meant for educational purposes only. They do not substitute for the medical advice of a physician. Always seek the advice of your physician with any questions you may have regarding your health.
I have had osteoarthritis of both knees for 16 years now. My orthopaedic doctor at first recommended physiotherapy to reduce the swelling and inflammation. After that I was given a set of exercises to strengthen my leg muscles that support the knees, to do daily for the rest of my life. As they got easier, I added ankle weights. Now I have graduated to 1.5 kg on each ankle. I am now 76 years old, go a few times a year on mountain treks (using knee supports) and I am pain free. It was also important to keep my weight down. I follow a very low carbohydrate, vegetarian diet with eggs and dairy. I avoid fruit because of the carbohydrate content and vegetables that grow underground. I lost 10 kg and now I'm at an acceptable weight. This diet is now normal for me. Discipline is preferable to pain!
@@ax1066a-ghd2 Discipline - daily exercise; fix a time. Think of food as nutrition and not entertainment. Anything is better than surgery, which doesn’t come with guarantees. I know of two people who now have fused knees because of infections that developed years later.
@@ax1066a-ghd2 The Keto diet is the most effective to lose weight. You don't have to overdo the fats. Just keep the carbohydrates as low as you can go. It takes a few days for the body to adjust. You may get a mild headache, but when you see the weight dropping away, that in itself is motivating. You can exercise till the cows come home but you will not be able to maintain that level for long. So go very low Carb and see the effect.
Wow! Thanks for sharing your experience
Ankle weights, I did the same though I got the idea from a Chiropractor called Bergman. It did the trick.
I’ve been doing physical therapy for about 2 months to help my knees. Strengthening quads, STRETCHING, strengthening hip muscles has really helped. You don’t have to jump right to knee replacement. Good luck, everyone.
Wife and I are in our 50’s and have been on the Mediterranean diet for a couple years now. Combined with daily exercise, especially walking, she’s down 30 lbs and I’m down 10. Her knee issues have significantly improved.
What’s Mediterranean diet?
Excellent presentation with a lot of explanation on treatments with pros and cons. Very comprehensive overview! Fantastic video.
Thank you Dr Peng with greetings and appreciation from Guyana. You were clear,simple and effective.
I admire you sharing this knowledge without any selfishness. Much helpful for us. May God bless you. 🙏
Thank you so much DR Peng - this information is so so valuable particularly the chart … has really motivated me to put rigour on diet, exercise and weight loss
Wow thanks I just had the X-ray yesterday and am feeling discouraged as I know I have significant arthritis in both knees. Usually pain in just one. I’m a new follower and looking forward to learning more.
Such a well explained video. So comprehensive, very useful for people who r confused about how to deal with knee osteoarthritis.
Glad it was helpful! Thanks for commenting!
Wow, very informative and right on time for me because I have an appointment to have my knee drained before I start my physical therapy! Thanks for sharing! 😊👍🏽😊👍🏽😊
Great information that most doctors don’t tell you.
I am so happy that I found your channel. You are informative, encouraging and offer so many helpful exercises to help this old lady. There is no one who could be compared to you.
You are so welcome! Thanks for your comment and sharing with others
Excellent and informative video. I'll rewatch it a few times.
Thank you so much for this informative video. I'm trying to find the safest and least invasive ways to address the OA in my knees that I got from years of overuse and rough martial arts.
I am 33 years old and work as a nurse. Two months ago I suddenly developed severe pain in both my knees. The doctor said I had osteoarthritis (grade 3 (moderate) in both knees, but I never noticed anything. I have resigned myself to the fact that I will soon be walking around with two knee replacements :(. The pain is very difficult to bear, even with painkillers. I'm still so young and just don't know what to do. I will soon no longer be able to do my job as it is very physically demanding. My doctor told me that knee prostheses don't last as long in young people (because young people are more active). My life is hell, I'm afraid of my future. Maybe one day a miracle will happen and the much hoped-for healing will come for us all. Sorry for my poor English.
Wow, if you actually believe the worst for your future situation for your knees healing will come with much difficulty...I have knee OA from my early 20s...I am way past that now and have had no surgeries...multiple injuries and very active lifestyle...get a 2nd opionion...listen to this doc and look at various options and give serious consideration to them.
I kicked something out of frustration a couple years back and gave myself injury induced arthritis in my knee. I completely understand your pain. I'm so sorry you have to go through this so young. I'm 46 and have a hard job too. Life is suffering.
YES! to what Deann said. You are too young to give up so easily. Every year there are better and better options. Giving up is not one of them.
Leg exercises to strengthen all the leg muscles to support the knees. Quadriceps, hamstrings, calf, abductors, aductors. Search on UA-cam for physiotherapists demonstrating these exercises.
I had to have a hip replacement at 27 due to a developmental disease which led to deformity and severe arthritis. I am now 57 and still climb mountains. Replacement joints are not the end of the world.
I also have a degenerative me is cal condition in one knee that is doing well with diet and exercise for eight years. Initially I paid for a course of Apos therapy which really helped with the pain.
You may require time off work to let your knees settle initially, but there is no need to despair. Best of luck.
Thank you & God bless you!!!
Thank you for this video. How well does vicso and PRP injections work for metatarsophalangeal (MTP) joint osteoarthritis? How do stem cell injections compare in terms of benefits? Also for PRP/stem cell, is there reduced benefits if you have other underlying joint issues, such as hypermobility or EDS?
Thank you so much Dr. Peng for informative infos you're giving us. I used to be very active person , but now with lots of pain in my knee; my life is ups & down & gaining a few 1b?. I certainly will consider PRP and hopping for the best. Your honesty is appreciated.😊
Good luck! Thanks for commenting
Did the PRP injection helped?
Great video...Doc, you informed us , educated us, without giving any panicky solutions .....the knee jerk variety !! BRAVO !!!
Thanks for commenting!
Thank you Dr.peng for the great information on arthritis treatment.
Really very worthy information 👌
Glad it was helpful! Thanks for commenting
Just was told that my arthritis has progressed to moderate.. thanks for the thorough information 🌺🙏🏽
Excellent video. Thanks for sharing
Thank you for such a thorough coverage of my knee hurting. I have tried exercise, steroids, weight loss, and now moved to jell shots which are working very well at present. I never had a table showing the medical progressions and I truly thank you for your explanation and chart. Sincerely yours Bill Agnor age 82
Thank u for comprehensive information and guid❤🎉
Dr. Peng has given me a brighter more happier look at my life. I applaud you. I have advanced arthritis in both legs right bring the worst, painful. I’m 61, I refuse to take oral medication,meloxicam and now I’m just trying to decide what is my best option, & tolerating the pain while I make my decision, I think I’ll try Tylenols, and biking swimming etc. Thank you Dr. Peng
Great information !..PRP seems to be the long term remedy..thanks for the content and advice!
thank you so much for sharing this wonderful and perfect information about knee osteoarthritis. you answered all of my questions about treatment. I am glad I found you.
You're welcome!
Great information. Thank you.
God bless you Dr Peng for all your invaluable sharing and teaching. from Singapore
Glad I watched this video prior to my jell injections tomorrow. Thanks.
Best of luck!
wow the most informative video I have seen on this subject thank you
Very useful topic. Thank you doctor Peng. More blessings to you.🙏
You're welcome!
That was great! Thank you for informing us of our choices
Glad you liked it! Thanks for commenting
Very comprehensive informative and excellent thank you sir
Thanks DrPeng😊Im at the beginning of my research journey, so that I can be more informed in supporting my elderly aunt.
Best of luck to you and your aunt!
Thank you for the video very helpful
I've just started with therapy for arthritis in my right knee.
At first I was eager to undergo surgery...
My doctor was saying he wants to hold off on surgery until I'm 60...I'm 47 years old now.
Thus far I'm two days into my knee therapy...so far the muscles in the quadriceps and hips feel so much more stable....I'm convinced therapy is a go to for relief from arthritis.
P.S. You remind me of my Orthopedic doctor who performed my total shoulder replacement surgery in June of 2023...
Take that as a compliment,
Your upbeat personality shines through like no tomorrow..
You are a great doctor in great spirits.
Thank you for posting this helpful video!
Thanks Doc for the lovely information much appreciated. Blessings
Thanks for commenting!
A highly professional doctor, my royal salute.
Will keep watching and study carefully.
Thanks a lot
So nice of you!
Excellent advice
Very helpful information. Thanks Doc !!!
Glad it was helpful!
Thank you so much for this video, Dr. Peng. I'm headed down the right path on exercise, stretches, diet and weight, but need to keep at it daily, and I really appreciate the info. as to the good/bad injections.
Awesome! Thanks for commenting
I just turned 51 and have had my first Baker's cyst 10 years ago. I first noticed them when I moved to a new home which had hard wood floors. Within a few weeks of moving in and walking on the hard wood I had my first bakers cyst. I didn't even know I had a lump on the back of my knee until my fiance noticed it. It was huge! At the time I wasn't sure what it was but looked online and self diagnosed the issue. It went on for several days / weeks and it would not go away. It was only in my left knee. I started to wear slippers with cushioning to see if it would help. And it did!!! I now wear slippers at all times when on hard wood floors. If I remove the slippers only for 10 minutes my knee pain will come back and I will have another cyst. The best thing you can do is wear shoes or slippers with as much cushioning as you can. If you don't notice any improvement try another pair. Do not use just rubber like crocks because it does not help. You need slippers that are like walking shows for support. I would imagine if you have hip pain this might help as well. Needless to say 10 years later so long as I keep wearing my slippers and use good shoes I have been able to keep them away. But I am not kidding, if I take them off, within 10 minutes of walking on hard wood floors I will have bad pain and a lump will start.
Please pass this along to anyone who has baker's cysts!
My baker's didn't go away even l wear slipper
And doctor said not recommended to remove it due to my age but I experience pain mostly when I go downstairs each step
I buy sorbothane insoles. Get the black ones as they are 100% sorbothane. They reduce shock by 90% and are made of a material originally made for NASA. They last about 10 years. Night and day difference in my knees! Even custom orthotics didn't do what sorbothane did for me. They cost around $30. I also eat cabbage, garlic daily for my knees and a serving of frozen cherries because cherries act like ibuprofen in the body to reduce inflammation. Overseas I used dried cherries. Taste is better in frozen.
So informative
Glad I found the channel
Thanks for your kind words! Glad it was helpful
Thank you for the videos! I’ve had arthritis for 13 years and has been a couple years since my last flare up. 6 months I started a low carb and low sugar diet and went from a 40 in waist to a 34 and will soon be 32 in. I will be doing these exercises.
Best of luck!
@@JeffreyPengMD Thank you!
@@JeffreyPengMD @Jeffrey Peng MD Your videos are very informative but I haven’t seen one that offer’s recommendations for severe knee arthritis.
My Ortho is pushing for a knee replacement.
I travel in Mexico and have a doctor for stem cell and prp at affordable prices. I have watched your videos on both treatments. I’ve had two prp treatments and kind of re injured my knee. It hurts.
At the severe stage of OA is it generally too late for stem cell and prp?
I’m 58 and am an avid surfer and in no way am interested in another surgery let alone a full knee. Thank you🙏🏻
@@dionfeist5226hi, do you mean your flares disappeared after going low carb and low sugar diet? Thanks
@@dionfeist5226how arenu now hun
THANK YOU DOCTOR. THIS IS VERY EDUCATIVE
You're welcome
I have Rheumatoid Arthritis, and was facing possible knee replacement. My husband became ill and I became the caregiver requiring me to go up and down our stairs many times a day. Far more than I normally had. My knee improved so much! I was amazed! Exercise dramatically improved my knee problems.
Thank you for a very informative clip .I have Rheumatoid and Osteo Arthritis .I will definitely refuse cortisone injection again .My consultant left and told me not to have any more cortisone injections in my knee .I nowknow why !Last visit the nurse said I am going to give you another injection in your knee I said No as my consultant said No .Thank goodness she listened but not happy !!
Thank you Dr. Peng!
You're most welcome!
It is so informative in a simple way that a layman can understand.
Thanks for your comment, glad you found it useful!
At 74 I am on the list for my second knee replacement. One damaged in a motorcycle accident decades ago had staph infection and no surgeon wanted to take a chance on surgery. Finally got so bad I was willing to get a prosthesis if they had to remove it. My other knee did all the work and now worn out and extremely painful will get replaced. I believe the first damaged knee spread arthritis to most other joints in my body. All osteo.
Awesome! Thanks Jeffrey Peng MD!!
You're welcome! Thanks for your comment
Good information DR
As a retired health care provider, I found this video very interesting. You have a new subscriber!
Wow, thanks!
Great Video, thank you. With regards to PRP I did two rounds and didn't get the desired result. I have had good luck with Simvisk, however I try to go 1 to 2 years in-between because one of the two ingredients is cortisone. Thank you for this and all your videos. Keep them coming.
Your video is very informative! Thank you. 😊
Glad it was helpful!
THANK YOU. Very helpful.
Glad it was helpful!
Very informative! Excellent!👍💪
Glad you liked it!
Tq so much Dr Peng for your great sharing . I am watching fr Malaysia .
You're welcome!
What about a combination of PRP and HA. Have you heard of any research experinces showcasing a greater positive effect from using both? Also, what is your take on peptides and pentosan polysulphate PPS for OA support/regen?
This video gave me good info that I can use right away. I was considering working up to the long distance walking that I used to do 'in the day', but you have confirmed that that is a good idea and not destructive the way I thought it might be. And some of the options that you mentioned at the end of your discussion also sound promising (ie the shots). I have a serious heart condition so I have to be careful and these two options make sense. I'm already on a keto - meat and greens type of diet and have gotten rid of about a hundred pounds as my 'covid project', but clearly I need to do more, and you have now given me some viable options. Thank you.
This was well done & helpful. I am on a quest which may be unrealistic--to avoid knee surgery. Sorry if name icon comes up 2x. Some sort of computer glitch we don't know how to fix.
Excellent. Thank you!
You're very welcome!
I have tried pretty much all of these options without much benefit. Loosing some weight did help. I walk a lot, but eventually that started to made things worse. I finally got a total knee replacement and it was like a miracle. I was 80 years old when I had it done. I had it done in Athens, Greece by a doctor who specializes in this surgery. After about only two weeks I was good to go. After a month or two I was near to perfect. I so regret not having this done sooner as I was in pain for nearly two years.
Wow, amazing! Glad you had a great result. There is lots of research to suggest that patients have better outcomes if operated by a high volume joint replacement surgeon. Unfortunately this is not the majority of cases and recovery / rehabilitation after a joint replacement can often take up to 1 year.
If I could use your doc I'd do it...happy for you.
Sounds like you had a great surgeon. At my 6 weekly check up my surgeon and his dismissive attitude left me in tears and the emotions that I was just a number he fulfilled each patient. I live with chronic back pain and take meds every day. Every body's body is different, no two people are the same. I am still in high level pain, there is no infection nor swelling and I would put this operation down to " BRUTAL ".
Sorry to hear that. I knew the surgeon because he fixed my wife's leg which was broken in 3 places. He did a great job on that, so when it came to replacing my knee, I knew e xactly where to go.
@@NZDefinitymaybe you have an allergy to the nickel in the replacement. Get your metal allergies tested thru orthopedic analysis. You request a kit and they will send it to you with instructions
Dr, what do you think about rebounding for exercise? Thank you!
Great video Dr. Peng. I have been dealing with some left knee pain for a few years. I had my first cortisone injection last month. So far my knee has less pain. Next appointment with my doctor I will inquire about PRP injections. Thank you.
Thanks for commenting!
Great information
Thanks for the pain treatment information. Are there no advances on fixing partial cartilage damage? Thanks again.
Merci beaucoup
Mmm!. very interesting!. Thank you
Great content!
🙏
Thank you! And thanks for your comment
Subscribed...very informative and it’s great that you try to respond to comments....
Thanks! I try to keep up with them. Most people are very kind and supportive!!
Dr. Peng thanks for the video - where do you stand on micro-fracturing surgery (stem cell growth from drilling holes in affected bone areas). I have been an athlete in the past and still try to take care of myself. However, I had two small areas of arthritis on my right knee and made the decision with my doctor to do micro-fracturing. Unbelievable how good my knee feels. I'm convinced it worked. Crutches for 9 weeks straight -need discipline. One of the requirements for success of this surgery is to not put any weight on the knee for at least two months even though it feels like you can. Just wanted to get your opinion. Thanks again.
Thanks for information. Love from South Africa
You're welcome!
13:28
Very exhaustive and detailed set of treatment.
I am 82 weigh 69Kg
My right knee pains only when I try to sit on a low stool or toilet seat.
Also it hurts standing up from any sitting position.
Walking 30 min does not hurt my knee.
If it gets worse I will check PRP injections you mentioned work and have no side effects.
Thank you Doctor Peng
May Allah bless you.
Good luck! Thanks for commenting
Hahaha Allah does nothing. Religion is fake.
Arshad: You can buy a raised toilet seat which had helped my husband when he broke his hip in an accident and needed to sit higher in order to get up easier.
Thanks for your help its great
Thanks for very important and especially about "motion is lotion".It is my first time to view this chanel and it has helped me a lot.
Glad you found it helpful! Thanks for commenting
Thank you. I had never heard of prp injections. Most doctors inject steroids then surgery which doesn't work well. Thank you so much for a proper alternative
You're welcome! Glad you found it helpful
Thank you for your advice, I'm 50 year old lady, had injections for years and no longer work, I'm active and go to the gym but my knees ache and throb so much I'm in tears some days.
Please discuss with your health care provider, good luck!
Thank you
Very informative video, Dr Peng! Greetings from Athens 🇬🇷🧿
Glad it was helpful!
Thank you great information
Glad it was helpful! Thanks for commenting
I was diagnosed with rheumatoid arthritis.on my hip and the Dr wanted surgery. I told him I want physical therapy and I started to take a shot of Bragg's Raw Apple cider vinegar with a teaspoon of raw honey in 16 oz of warm water and it helps ‼️ I won't take pills or drugs... I rather do lemon, ginger root and turmeric before Rx
how are you doing after 9 months, if I may ask?
Just FYI Rheumatoid Arthritis is very different to Osteo-arthritis which is more physiological. What you are doing is great, I found Vegan diet with cider as explained by you works well.
I’m sorry to tell you “I don’t take medication” isn’t a viable strategy. This could be the death of you… supplements and diet aren’t covered by insurance companies for a reason, medications are much more effective
Thank you for the video good one
Glad you enjoyed it!
Dr thank you for your sharing knowledge is very very valuable video to understand all happened to me more power Dr.
You're welcome, thanks for commenting!
hello and thank you for the video it was very helpful, I was just diagnosis with osteoarthritis in all three areas, my PCP refused to listen to me when I complain of stiffness and pain, I went to a specialist received my first treatment of viscosupplementation injection and will begin PT in a week, thanks for explaining clearly and the visual chart was great I'll start the medite., diet and extra exercise now and will continue to follow you with a weight loss program.
Good luck!!
@@JeffreyPengMD thank you, if you like I'll keep informed. GOD BLESS
Thank u doctor for the information.
I would like to know whether PRP treatment will help in case of meniscus tear?
Thank you for taking time out of your busy schedule to share this information. Do you recommend ice or heat for osteoarthritis flares?
what great information and so well put together. Thank you
Thanks for your kind words!
Wonderful video!!
Thank you very much!
Thanks for the info
You're welcome!
Thanks for information
You're very welcome! Glad you found it useful, thanks for your comment
O.k.very good information.Going through a rough patch right now.I can attribute it to weight gain which came with a more sedentary life.When my weight was where it should be and I was hiking 1.5-2.5 miles in the woods everyday,things weren't bad.Had a cortisone shot last week with no relief.I take diclofenec twice a day,have Voltaren ready always.Thank you for this inspiration! Time to skip the doughnuts and ice cream and get moving again!
Good luck! Thanks for commenting
Excellent informative tips.
Glad it was helpful!
Visco injections have worked very well in my case for a number of years, however the best results came when i lost some weight.
Just dropping a line to commend you for freely sharing this invaluable information. I often scroll down comments on UA-cam and I am sorry to see nasty or thoughtless suggestions from some of the viewers. It's unfortunate but keep up the good job. You are way better than their thoughts..😂😂
Thanks for commenting!
Thank you so much for the info!! :)
You are so welcome!
My Dr wants surgery! I have a liver issue from the drugs prescribed! I’m left without medication and in pain. I have acupuncture physio and it only helps a little! I’m watching this to gain help for pain thanks for sharing
Thank you doctor for your opinion
Thanks for commenting!
Hi doctor thank you very very much God bless u
Thanks!