Knee Arthritis X-ray Stages: What You Need To Know

[@Co-Rs]

Kellgren and Lawrence classification. 0: A normal Knee 1: Small osteophytes 2: Osteophytes + first signs of narrow space 3: Deformation at the end of the bones, narrowing of the joint space and sclerosis 4: Severe steoarthritis Thank you so much!

[@scrabbleking1965]

I have grade 3 on medial femoral condyle rather extensive area (arthroscopic imagines show even isolated bone exposed so grade 4!!!) could barely walk a year ago, having trouble sleeping because of pain at 57 years old. Followed Dr. Peng's videos and got hyaluronic acid injection also started oral hyaluronic acid (liposomal form!) at the same time, also take ASU (avocado soybean unsaponifiable) supplement, after a few weeks was able to return to tennis. Then a few months later after watching Dr Peng's PRP videos, got 3ml of PRP (with Xerthra kit, 15ml blood draw), takes time to fully take effect but was playing higher level SINGLES tennis again SIX days a week, 2 hours each session and pain free, some mild discomfort/stiffness after sitting long time or sleeping. ANYWAY yet another great video explaining reading the xrays....as a layperson/google search doctor I had no idea how to read my xrays....NOW I know what to look for!!!! SO SO SO GRATEFUL I didn't get sucked into the old school treatment of cortisone shots!!!! For anyone on a budget I would suggest trying oral hyaluronic acid (liposomal form!!!!), only costs about $20/month, I turned a couple of friends onto it and they say they notice a difference with that alone.

[@JeffreyPengMD]

Wow, great, thanks for sharing!

[@sapelesteve]

Hi! Can you tell me where I can order that oral hyaluronic acid? Thank you in advance! 👍👍

[@scrabbleking1965]

@@sapelesteve I got mine from Amazon, I am taking Genogna brand but there are several to choose from. My personal feeling is PRP along with hyaluronic acid is the best treatment option, as long as you can afford it.

[@zuzannajam35]

Jakbym dostała taka szansę w leczeniu jak ty ,to bym nigdy już nie grała w tenisa. Doceń to co otrzymałeś.

[@ybd3326]

Thank you, Dr. Peng for an excellent educational and informative video. Much appreciated.

[@davehill851]

I had a cartilage removed in 1984 when I was 16 after I tore it playing football …. Now aged 56 I’m having TKR on 4th December after many years of being stage 4 osteoarthritis … nervous but hopeful for a pain free future

[@jonteresastugan7296]

Well done and well explained .

[@kanchanadalai9836]

Sir Pranam I am Suffering from knee pain in grade 4. Please Suggest some Remedy without operation

[@lauraboudreaux6581]

I'm stage 4 and tried everything byt the tkr. I'm not thrilled about orthopedic recommending surgery.

[@solahsolahudin4794]

Saya grade 4 juga,sudah hampir dua tahun,bukan hanya kaki,tangan dan seluruh persendian sakit.obat hanya penahan sakit saja,sudah itu kambuh lagi.Ada yg menyarankan mengkonsumsi gelatine,dua sendok makan sehari,sudah seminggu,badan saya hampir normal,dan tulang tidak berbunyi lagi ketika berjalan, informasi ini semoga bermanfaat.

[@khushayarshah5595]

It just happened to me last month when my mother-in-law was hospitalized and I had to take of her at the hospital for few days. I think during these days I strained my knee and then without knowing what happened, I started a very mild pain and some stiffness in the early morning. Now I am stressed and do not know what has exactly happened to my knee.

[@bunoangami8164]

Excellent n helpful video . Can u also show some excercise for chest n headache pain also

[@JeffreyPengMD]

Thanks! That's pretty non specific, best to discuss with your health care provider about how to get treated

[@sapelesteve]

Excellent video Doc & it's apparent that DJD is progressive and not good long term. Have you had any luck with PRP injections & at what KL grade would they not be effective? Or does it just depend on patient response? Thanks.

[@JeffreyPengMD]

Yes, I've had EXCELLENT results with PRP! Here's more info: kzbin.info/www/bejne/lWirhpJjjqmZh7s

[@seanhuang8894]

nice explaination! thanks so much

[@JhaviaNicole]

This is so helpful, thank you!

[@86309]

how do you accurately grade patellafemoral arthritis?

[@fingers752000]

I'm one of the 17%. mine started in my mid 20s due to over exercise. I always knew I was special lol

[@johnbrennan9778]

I am now struggling with what to do about my knees. My xrays for 5+ years have noted the Osteophytes and mild to moderate narrowing of the space. What role might each of the two play in the pain? I want to use PRP, but if the spurs are causing 50% of the pain, the prp is not going to dissolve them (i assume). I have had kidney stones and the last one they had to use a laser with fiber optics to blow it away. Too bad you guys can't do that with a pulse laser to jack hammer the spur away, or can you?

[@JeffreyPengMD]

PRP helps change the biochemistry of an arthritic knee, it does not dissolve bone spurs (nor is dissolving the bone spurs necessary). PRP is just as effective as an arthroscopic surgery for "clean out" without the risks of surgery. PRP also has been shown to slow down arthritis. See here: kzbin.info/www/bejne/fHLWn4SqfrCBbMk kzbin.info/www/bejne/lWirhpJjjqmZh7s

[@johnbrennan9778]

@@JeffreyPengMD Dr Peng - Thanks so much for your patience with my questions. You are the best! Between watching your videos and reading your responses to my questions, I am even more excited to find your twin brother or sister here in the northeast. I thought I had found one and called to make an appointment and was told that the Dr who specialized in PRP had left the practice and that that practice would not be doing it since she left. Now I need to find out where she went! All the best to you and your family and friends

[@zt5333]

@@johnbrennan9778 I know that hss in nyc does prp.

[@osteoarthritisWarrior]

Hello, if the AP and Lat views of the knee xray are taken in laid position and not standing, will the diagnosis of cartilage loss(joint space)be still accurate?

[@johnbrennan9778]

@@osteoarthritisWarrior That's an excellent question! I have recently bought some leg weights. I plan to put one on my bad leg at the ankle and stand on a board, no larger than a 2x4, with the other. I plan to use my red light therapy wrap around my bad knee and slowly raise up with my good leg and stretch out the length of the bad. Presumably, that gap opening and closing will "pump" nutrients and fresh blood into the cavity. This, with the red light therapy might help heal that knee! I'm curious about Dr Peng's opinion is of this.

[@Abhishekkumar-tl8xq]

stage 4 osteoarthritis is treatable by PRP with exercise and weight management,if yes please tell me and guide me how to take steps in caring 😥

[@gamesthatmatter9374]

not 4 . but 3 . on 4 u are bone on bone

[@apaulatauiliili7025]

Very helpful thanks

[@ogonnaugbobuaku9225]

How and where do I start Doc I am New here.been diagnosed with osteoarthritis. am preparing for surgery what do you advise Doc

[@JeffreyPengMD]

Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!

[@PralhadDeo]

Hello Doctor Sir, Do you do a online consultation

[@JeffreyPengMD]

Yes, but only for those who live in California

[@PralhadDeo]

@@JeffreyPengMD ok. Thanks a lot. I stay in Mumbai, India

[@PralhadDeo]

@@JeffreyPengMD I am stage 4 arthritis and wanted your advice on PRP treatment please

[@Trust788]

I havs atage 4 knee osteoarthiritis medial compartment but he acid knee injections help. So theres no help for stage 4?

[@gamesthatmatter9374]

no

[@Bourougne]

I'm 41 and both my knees are bone on bone (grade 3 & 4)

[@gamesthatmatter9374]

u are fucked

[@sicorajones7533]

Me too I'm 44 was diagnosed yesterday stage 4 in left knee stage 3 in right the Dr suggested knee replacement surgery if I stiill continue to have pain.

[@whitewolf6730]

Ugh. I have bone on bone on both knees. But my right knee does not hurt very much, but the left one, boy howdy! Hurts.

[@elysia1081]

We not bone on bone last time I had a xray anyway but my right knee is killing me 😭😭 I’m praying for us

[@pitchkapizda8355]

Time for knee replacement

[@ritabrahmbhatt9633]

Can I share my Xray of my knee ..Pl inform me on which stage of knee problem I m facing

[@hotcookiesnana]

Same here. Did a tkr yesterday

[@RightonSistaGirl]

Exactly same ugh i lost 30 lbs need to lose more. Approved for therapy to help.

[@khushayarshah5595]

Hello Dr. Peng, does the patient feel pain or early morning stiffness in their knee in stage zero osteoarthritis? After X-ray of my right knee which shows normal spacing between joints, I was told I am having osteoarthritis. I am 35-years old and I teach at university.

[@kiranneelangol3596]

Can one cure stage 4/5 Osteoarthritis with stem cell bone marrow transplant?

[@gamesthatmatter9374]

no

[@Bigwillproductions]

Hey! I had a partial meniscectomy in 2011 and I am having pain from the incision site. The port for the scope everytime I move I can feel it stretches what can I do about it ?

[@darian5428]

prp

[@JeffreyPengMD]

If it's a nerve issue, dextrose prolotherapy might help. Really depends on the situation. Best to discuss with your health care provider.

[@jennilduke6166]

Good day

[@yuchitan2474]

Can a person has very narrow space but no Osteophytes ?

[@gamesthatmatter9374]

no

[@MadhuRanaG-ti5pm]

can i rcvr back my cartilage back

[@RitaBrahmbhatt-s7q]

Nice information. ..I have starting arthritis....dr told me by taking xray....can u pl suggest what precaution should I take..

[@gamesthatmatter9374]

stop eating sugar and bread

[@chuksreezy6864]

I have a grade 2, please how should I prevent my cartilage from destroying, I’m still very young 26 years 😢

[@JeffreyPengMD]

Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!

[@osteoarthritisWarrior]

Hello, if the AP and Lat views of the knee xray are taken in laid position and not standing, will the diagnosis of cartilage loss(joint space)be still accurate?

[@gamesthatmatter9374]

stop eating sugar any form of gluten (bread) and adopt a carnivore based diet. u will slow the progress greatly - also dont smoke and drink

[@رغدالدوسري-ه4ك]

الله يسعدك

[@Trust788]

I work this is just a big inconvenient for me to have to be out for surgery I have goals I'm trying to meet life is all ready hard enough going out for knee replacenemt surgery is such a huge set back. Surgery doesn't always help either

[@mtease9247]

What I don’t understand is doctors “bone on bone “ dx … very relative imo. If you can still bend your knees and walk doesn’t mean you need TKA. Yes, and stem cell treatments/ procedures should be first line in healing ! I swear I’m not having a prosthesis unless it’s the last resort ! I get it that orthopods are needed. But I also believe the medical care system should really be a healthcare system! Been 9 yrs now since my own stem cells regenerated my so called “bone on bone knee”, but yet not much in the way of autogulous mesenchymal stem cells being a more mainstream alternative to TJR. I guess the system as a whole , insurance too , simply doesn’t make enough money.

[@JeffreyPengMD]

I agree, total knee arthroplasty should be seen as a last resort

[@apaulatauiliili7025]

I got both knees now its causing me to not walk with pain all day and everyday how can i wake up with pain😢pain pills dont work they gave me my second injection and now i walk crucket not normal

[@dingdongbasa6904]

How to cure arthritis?

[@gamesthatmatter9374]

death

[@bydoutei]

my x-ray condition actually worse than this video level 2 x-ray, my inner knee is much smaller than outer part, radiologist say it's level 2 and i'm still in my mid 30's 😅 my knee "age" is at least 60

[@darian5428]

Does everyone lose cartilage as they age?

[@JeffreyPengMD]

Yes to a certain extent. A lot of it is also your genetics

[@MadhuRanaG-ti5pm]

m just 32 and i m at 4 grade

[@carlabinns8812]

🥰

[@niculinamares442]

😮😮😥👍🏻♥️

[@najibkhashroodi8762]

I have my mother X-ray of knee . Some one is here to help me.

[@samkitty5894]

They shoot horses with bad legs...

[@JeffreyPengMD]

Good thing people aren't horses!

[@renelockard]

🤔 let’s see , advil Or big giant shots ..