Knee osteoarthritis: what to know before deciding on surgery

Knee arthritis

Knee osteoarthritis does not always mean you need surgery. Treatment decisions depend on pain, limitations in daily life, examination findings and the results of previous treatment.

Where does treatment start?

Exercise suited to your abilities, help with weight loss if you are overweight, and pain management are nonsurgical options. Your doctor will consider your medical conditions and medicines when choosing a suitable plan. This guide is not a prescription or a personal exercise programme.

When is it time to discuss surgery?

If pain and limitations continue to interfere with daily life despite appropriate treatment, surgery and its benefits and risks can be discussed. A knee X-ray is one part of the assessment; your description of sleep, walking and daily activities also matters.

Questions to ask at your appointment

• How much of my pain is related to osteoarthritis?
• Which nonsurgical treatment is suitable for me, and when will we assess the result?
• What should I expect if I have surgery or decide not to have it for now?

Further reading

• All knee guides
• If knee replacement has been discussed: the guide to preparing for surgery

Sources

1. https://www.orthoinfo.org/diseases--conditions/arthritis-of-the-knee/
2. https://www.nhs.uk/conditions/osteoarthritis/treatment/