Bryant Bonner, MD

Board Certified

Hip and Knee Replacement Specialist

Nonoperative Treatments

A woman is helping an elderly man with physical therapy.

Joint Care without Surgery

While joint replacement surgeries have excellent outcomes in our practice and the literature as a whole, sometimes you may not be ready to proceed with surgery or it may not be recommended quite yet. We are happy to discuss a number of different treatment options to help relieve your pain and improve your mobility.

These include, but are not limited to, things such as:

  • Activity modification
  • Weight loss
  • Physical therapy
  • Use of assistive devices or bracing
  • Non-steroidal anti-inflammatory drugs (NSAIDs) and Tylenol
  • Platelet-rich plasma (PRP) injections
  • Corticosteroid injections

Therapies for Lasting Joint Relief

We will work with you to design a plan with you to optimize your joint mobility and reduce your pain.

Ibuprofen liquid capsules on a table.

These are among the most common first line treatment for arthritis. These include over the counter medications such as Tylenol (acetaminophen) and non-steroidal anti-inflammatory medications (NSAIDs) such as Ibuprofen, Aleve, or Motrin. These medications can help relieve pain and inflammation in your joints to allow you to improve your mobility and activity.

There are a number of different injections that can also be useful in the nonoperative treatment of arthritis. Injections into the Knee we can do in the office, but for injections into the Hip we will need extra guidance with ultrasound or X-Ray to ensure that the medication has been placed inside the joint. 

The most common injection for arthritis is Cortisone. Cortisone injections work to help reduce your pain and inflammation locally within the joint. 

“Gel” injections or viscosupplementation is another type of injection that can be useful in the nonoperative treatment of arthritis. This involved the injection of hyaluronic acid (HA) which can help act like a lubricant to facilitate movement and provide pain relief. 

PLEASE NOTE: If you are considering a surgery on your painful joint in the future it is important to consider that you will need to wait at least 3 months after your last injection before proceeding with a surgery to reduce your risk of infection.

A glass bottle with a syringe sitting on a table.
An older couple riding stationary bikes in a gym.

Did you know that for every 10lb of weight you lose, it is around 50lbs less stress that your hips and knee experience in day to day activity? This is why weight loss can be such a helpful tool in our nonoperative management of arthritis. It allows for decreased stress across our painful joints and can help relieve some pain and improve your mobility.

Increasing your strength and mobility can be especially for patients with arthritis. Physical therapy can help to improve your mobility as well as strengthen your muscles around your joint to allow for increased stability and offloading of the joint.
A man is laying on a mat in a gym.
There are also other treatments such as bracing and alternative therapies such as acupuncture, cupping and more that we are happy to discuss as well!

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Your life free from joint pain starts here!

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