The Best Knee Arthritis Treatments Without Surgery

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 KZbin 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.jeffreypen...
► Disclaimer
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.

[@mayamaker8841]

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!

[@mayamaker8841]

@@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.

[@mayamaker8841]

@@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.

[@JeffreyPengMD]

Wow! Thanks for sharing your experience

[@hadrian3487]

Ankle weights, I did the same though I got the idea from a Chiropractor called Bergman. It did the trick.

[@katherinejoseph7133]

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.

[@Hawkaso]

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.

[@deannkennedy1795]

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.

[@CBT5777]

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.

[@Whistlewalk]

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.

[@mayamaker8841]

Leg exercises to strengthen all the leg muscles to support the knees. Quadriceps, hamstrings, calf, abductors, aductors. Search on KZbin for physiotherapists demonstrating these exercises.

[@gillgoode7470]

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.

[@Maverick8t88]

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.

[@selinjo1505]

What’s Mediterranean diet?

[@veronica0406]

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.

[@mikestock969]

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.

[@rehana4785]

I admire you sharing this knowledge without any selfishness. Much helpful for us. May God bless you. 🙏

[@fieldsrealestate2]

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!

[@joanho6508]

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

[@happycook6737]

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.

[@MrsPattyann12]

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.

[@avasaralanarayanarao8695]

Knee pain related to back bone,hip joint s and thighs.Many people concentrates only on knees.That is not correct.First of all weight lose is the major part to reduce the pain.Next strengthen the muscles of thighs and hamstring.Body balancing on both the legs . I am 68 years old.I reduced my weight upto 12 kgs by controlling intake of sugars and carbs.I am grade 3 oa knee joint patient.Now the pain was reduced maximum.I am using glucosamine and collegen tabs last 6 days.its useful.I am enjoying my walking 😊. Friends be educate more and more than tabs and other things.Its good time many experts are coming to our hand through social media So lets follow them.Thank you.Thanks to the doctor.

[@vinquinn]

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.

[@JeffreyPengMD]

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.

[@joebruhin2098]

If I could use your doc I'd do it...happy for you.

[@NZDefinity]

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 ".

[@vinquinn]

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.

[@lvlv1225]

@@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

[@billagnor5844]

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

[@patphares6258]

Excellent presentation with a lot of explanation on treatments with pros and cons. Very comprehensive overview! Fantastic video.

[@edmundlai8701]

Great information that most doctors don’t tell you.

[@iamanovercomer3253]

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

[@lisbethsalander1723]

how are you doing after 9 months, if I may ask?

[@Friends4ever3373]

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.

[@CraigularjJoeWoodworks]

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

[@Seipupu]

Am 48 years old and today I found out from my doctor that I have arthritis in my knee and ankle. This video has helped me tremendously. Thankyou ❤

[@winhtut9050]

A highly professional doctor, my royal salute. Will keep watching and study carefully. Thanks a lot

[@JeffreyPengMD]

So nice of you!

[@dionfeist5226]

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.

[@JeffreyPengMD]

Best of luck!

[@dionfeist5226]

@@JeffreyPengMD Thank you!

[@johnvosseller507]

@@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🙏🏻

[@tr6151]

@@dionfeist5226hi, do you mean your flares disappeared after going low carb and low sugar diet? Thanks

[@Jonases_20]

​@@dionfeist5226how arenu now hun

[@rondye9398]

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.

[@rwli3118]

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.

[@JeffreyPengMD]

You are so welcome! Thanks for your comment and sharing with others

[@user-mf3qk9zt3r]

I recently went to orthopedic specialist and was told both knees are bone on bone and both need replaced. I dont want surgery. I've been getting cortisone shots but lasting shorter times. I plan to do a gel shot in hopes it will last longer. I'm 73, soon to be 74 in Nov. Any advice you may offer? Thank you. Watching from AZ.

[@rhianevans2911]

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 !!

[@Morg1939]

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

[@magda7224]

Thank you for both immensely useful information and superb English, easily understood by foreigners. Greetings from Europe.❤❤❤❤❤

[@cdperry65]

Glad I watched this video prior to my jell injections tomorrow. Thanks.

[@JeffreyPengMD]

Best of luck!

[@feminineone9610]

Just was told that my arthritis has progressed to moderate.. thanks for the thorough information 🌺🙏🏽

[@edeboor]

Such a well explained video. So comprehensive, very useful for people who r confused about how to deal with knee osteoarthritis.

[@JeffreyPengMD]

Glad it was helpful! Thanks for commenting!

[@patrickdial5810]

Thank you Dr Peng with greetings and appreciation from Guyana. You were clear,simple and effective.

[@DavesShop]

wow the most informative video I have seen on this subject thank you

[@sujatadas5148]

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

[@philipsamways562]

A great video. Im nearly 80,, have bad arthritis in one knee for about 10 years. im a ballroom dancer, i still compete and teach dancing. I have to manage my knee carefully. I absolutely agree with everything said on this video and it corresponds to my experience. I had partial meniscectomy but i wish i hadnt. It didnt help and i think it worsened things. I use nsaids for a short period before competitions ( about every 2 months) and theyre very effective. Ive had a couple cortisone injections over the years. They were very effective. But im acutely aware that short term pain relief will allow more extreme stress on the knee which long- term, is bad news. Quality ballroom dancing is brilliant exercise and is largely impact free. Quality dancing, note. Luckily ive always loved exercise and my weight is low for my height ( BMI 22) and i eat a varied wholefood vegetarian diet for the last 50 years. Dont believe comments here about eating meat, though fish( which i dont eat) is good. Keep active, regular quality careful exercise, live smart and look after your body. Its the only one you'll ever have.

[@MultiWater123]

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.😊

[@JeffreyPengMD]

Good luck! Thanks for commenting

[@TechieGhost]

Did the PRP injection helped?

[@hadrian3487]

The only thing you forgot is to promote fish oil, glucosamine sulphate, and msm sulfur. They fixed my knees immensely, and the primary cause of knee arthritis is not the knee itself, it is the pelvis which is out, causing a leg to be longer than the other. Hence, I go to a chiropractor every 6 weeks to get an adjustment to bring the pelvis in alignment. i.e. same analogy with a car tyre if it's not in alignment, it will wear out quicker.

[@JeffreyPengMD]

How timely, I will be making a video on that in the near future!

[@WestCoastUSA546]

Adjustments? What adjustments? Did you have a dislocation? Of course not. So, all those "adjustments" are just the way to make money for useless chiros, who cause much more harm than any help whatsoever. Moreover, their patients leave with PAIN they didn't have when they came in.. Chiropractic- the biggest SCAM of the century. What's the worst, chiros PARALIZE gullible ppl with their nonsense " adjustments".. Just saying..

[@tommooe4524]

Visco injections have worked very well in my case for a number of years, however the best results came when i lost some weight.

[@michaelwolfe8888]

What about Meloxicam? I have Stage 3 arthritis in my right knee that hadn't been bothering me or interfering with my activities. Then my meniscus tore a few months ago and the arthritis "blew up" on me. It became breathtakingly painful to bend my knee past about 150 degrees. Putting on sock and shoe was agony. Steroid injection didn't help. Acetaminophen and NSAIDs were no help. Suffered for months. Tried Meloxicam - - and the relief within three days was astonishing. Not pain free now, or fully recovered, but still ... an incredible improvement. Now I can work more at implementing helpful exercises, such as tailgate swinging and glute strengthening. BTW - thank you for your channel's content. Much appreciated!

[@erinl4111]

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.

[@jhwatchlist6927]

I had knee arthroscopy after the orthopedic surgeon recommended a knee replacement. That was about 9 years ago. My knee is goodl

[@JeffreyPengMD]

Awesome!

[@rickmarshall-hk5ys]

Great information !..PRP seems to be the long term remedy..thanks for the content and advice!

[@MuhammadArshad-gj8qk]

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.

[@JeffreyPengMD]

Good luck! Thanks for commenting

[@pinkiepinkster8395]

Hahaha Allah does nothing. Religion is fake.

[@vickil6325]

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.

[@johna3607]

Visco knee shots really work. I've had numerous surgeries on both knees. Took my pain away for about 6 months.

[@chuckredd9131]

I had the H.A. shot (1). The Dr. (foreign, Drs. assistant) told me he was going to give me the shot, sometimes called the "Chicken Shot" since it is made from a roosters comb. I told him I couldn't take it. He sked why, I told him I was a vegetarian. He laughed, said it was the first time he heard that. Anyway like johna3607 said it took my pain away for 6 months and still felt good. The Dr. wanted to go ahead with knee replacement I said not until can't stand the pain. In the mean time I was taking "MSM" as suggested by a U-Tuber. 4 years later NO pain, No knee replacement.

[@JeffreyPengMD]

I agree, I've seen great results with them!

[@murtazapatel1270]

@@chuckredd9131 what’s msm?

[@hhspore]

God bless you Dr Peng for all your invaluable sharing and teaching. from Singapore

[@killerelf23]

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?

[@jou3507]

Thank you & God bless you!!!

[@leopoldmaurer7653]

i can recommend it because i got every 4 months 5 injection of viscosupplement into one of my arthritic knee. this is the seventh year without any problems and i still can walk around in the forest without an pain

[@bettielubbe1825]

Where you can go for it i got the same knee pain

[@JeffreyPengMD]

Wow, that's great! Thanks for sharing

[@syedaqamarnasirnasir4849]

Very comprehensive informative and excellent thank you sir

[@jmahoney9561]

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! 😊👍🏽😊👍🏽😊

[@sapelesteve]

As a retired health care provider, I found this video very interesting. You have a new subscriber!

[@JeffreyPengMD]

Wow, thanks!

[@blackswan6963]

Great video...Doc, you informed us , educated us, without giving any panicky solutions .....the knee jerk variety !! BRAVO !!!

[@JeffreyPengMD]

Thanks for commenting!

[@zareenadeane3238]

Very useful information, thank you

[@Surya71961]

Thank you Dr.peng for the great information on arthritis treatment. Really very worthy information 👌

[@JeffreyPengMD]

Glad it was helpful! Thanks for commenting

[@bettywhitelouie1868]

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.

[@JeffreyPengMD]

Good luck!!

[@bettywhitelouie1868]

@@JeffreyPengMD thank you, if you like I'll keep informed. GOD BLESS

[@munirahaider2037]

Very nice video dr I am 68 years old and suffering from oestoarthis plus oestoporesis my left knee is so bad I got 1 cortisone short i want gel short but my insurance is not covering I am so upset but your video gave me courage thank you so very much 🌷👌

[@JeffreyPengMD]

Thanks for commenting, good luck!

[@carmelabuenacosa3821]

Why cp phone hour no off

[@AarronS]

Excellent video. Thanks for sharing

[@14wheels75]

What about Decompression Therapy?

[@aidagarcia2818]

New subscriber here in London United Kingdom🇬🇧

[@JeffreyPengMD]

Thanks for commenting!

[@mariachinyerendubuisi209]

THANK YOU DOCTOR. THIS IS VERY EDUCATIVE

[@JeffreyPengMD]

You're welcome

[@Jo0716]

Very useful topic. Thank you doctor Peng. More blessings to you.🙏

[@JeffreyPengMD]

You're welcome!

[@chrismahfouz7709]

Dr, what do you think about rebounding for exercise? Thank you!

[@kingsleychima841]

Just got to know your channel last week. I am currently going through PRP therapy. I am an athlete that had pains in my left shoulder. I went to the clinic and was giving diclofenac injection for two days. I was also given diclofenac tablet to be taken for 5 days. The injection was given on the 4th and 5th of March 2022. On the 9th of March 2022 I flew on a 55 minutes flight and on landing, I couldn't stand up from my seat. I have lost all my muscles and could not move my limbs. I lost 16kg of my body weight in 48 hours. My FBC dropped so low. My ESR went so very high. To cut it short, I had pains all over my body. I started PRP on the 24th of June. Done second session on 8th of July. Doctor advised that my shoulders and knee joints were highly affected in the tendons. This is the reason for the PRP. I have noticed an improvement as the sore like pains have stopped. We still have about 3 more sessions to go. I believe I was given overdose of diclofenac which destroyed my muscles and sent all my nerves to sleep. What do you think?

[@JeffreyPengMD]

Wow! You’ve been through a lot. Unfortunately I cannot give medical advice over the internet. Please follow up with your health care providers. Best of luck!

[@leslieadler9081]

So informative Glad I found the channel

[@JeffreyPengMD]

Thanks for your kind words! Glad it was helpful

[@zhenminliu]

Excellent and informative video. I'll rewatch it a few times.

[@peacenow4456]

Injections had only two -- made knees worse after 6 wks relief went away, so no more... and yes scope meniscus repair in 2004, made me worse from the get go.

[@Avocadomushroom]

I have lost 22lbs, I eat healthy now, and I only walk 30mins a day. Just had my torn meniscus removed! Wish I would’ve found your channel before I did that 🥺 my other knee is already bone on bone 😩

[@JeffreyPengMD]

Keep doing everything else you can do to keep the knee as healthy as possible!

[@hani60pk]

It is so informative in a simple way that a layman can understand.

[@JeffreyPengMD]

Thanks for your comment, glad you found it useful!

[@farcinue]

Your videos are very helpful! Concise and evidence based.

[@annie9472]

Just dropping a line to commend you for freely sharing this invaluable information. I often scroll down comments on KZbin 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..😂😂

[@JeffreyPengMD]

Thanks for commenting!

[@JohnMontgomery-co8rg]

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.

[@Whistlewalk]

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.

[@stephaniec.2520]

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.

[@aligraf-tk9kt]

Thank you for taking time out of your busy schedule to share this information. Do you recommend ice or heat for osteoarthritis flares?

[@mumtazahmed8099]

Thank u for comprehensive information and guid❤🎉

[@davidstrong8524]

That was great! Thank you for informing us of our choices

[@JeffreyPengMD]

Glad you liked it! Thanks for commenting

[@AshaBashibirira]

Merci beaucoup

[@deniseyounger6004]

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

[@mazlindawangabdullah3464]

Tq so much Dr Peng for your great sharing . I am watching fr Malaysia .

[@JeffreyPengMD]

You're welcome!

[@christinelynch9916]

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.

[@JeffreyPengMD]

Please discuss with your health care provider, good luck!

[@annamariemeyer8872]

Thanks Doc for the lovely information much appreciated. Blessings

[@JeffreyPengMD]

Thanks for commenting!

[@jhors7777]

Thank you for posting this helpful video!

[@infinitegods9699]

Thanks for the pain treatment information. Are there no advances on fixing partial cartilage damage? Thanks again.

[@Minnross1]

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.

[@humaabid2810]

Good information DR

[@MitraZandian]

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.

[@JeffreyPengMD]

You're welcome!

[@lillian9221]

Started a new medicine madefrom Avocado, been on it a week, no side effects, praying itwill do as the studies showed.

[@Jo0716]

Very informative! Excellent!👍💪

[@JeffreyPengMD]

Glad you liked it!

[@Adogslife54]

Great video, Doc! I am a 70 y.o. Female with osteoarthritis. I could be a poster child for physical therapy as I feel it worked so great on me. I don’t need any oral pain meds but I do use the topical gel. It’s been a year since therapy and I’m getting around with no real issues. My CMC joint, however… that’s another story! That pain is on a whole different level! Yikes! I looked through your list of videos and didn’t see one covering thumb arthritis. Any plans for this in the near future?

[@JeffreyPengMD]

Wow that's great! CMC is difficult to treat. Studies suggest PRP injections can work for CMC joint arthritis. I'll add that to my growing list 👍

[@ronnieboucherthecrystalcraftsm]

what ever works for you - i am sure the inner doctor can always lead you to recovery !

[@Tindo62]

​@@JeffreyPengMD what I have discovered to worsen the thumb athritis especially with us ladies, is the way we take off our tight, tights. We pull them down using our left thumb. The tights cut thru the thumb. Lets try pulling down our tights by putting all hands inside our tights to pull the tight down as oppised to using our thumbs. Hope I have explained it well. Everyrimw my thumb is painfull, I discovered I will have been using it to pull down my tight tights and jeans. The moment I start using my hands it will stop pains within 2-3 days.

[@kwixotic]

What about Capsaicin? I've used with beneficial effects and the burning from the chili peppers isn't intolerable.

[@Adogslife54]

@@kwixotic I have tried that and it does help my knee. But, the thumb pain is beyond the reach of any thing I have tried. The only thing that helps the thumb (somewhat) is the brace. Thanks for the tip!

[@renuralhan4640]

Thank u doctor for the information. I would like to know whether PRP treatment will help in case of meniscus tear?

[@rossanderson4832]

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?

[@leslienakagawa8747]

Your video is very informative! Thank you. 😊

[@JeffreyPengMD]

Glad it was helpful!

[@mohammedsalem450]

Thank you very much, Dr. I realise this might be a long shot, but I’m willing to give it a try. I’ve been dealing with knee pain for many years, and despite seeing doctors and physiotherapists, the cause has remained undiagnosed. This eventually led to a diagnosis of medial knee osteoarthritis, but the underlying cause was still unclear until just a few days ago. After watching a video on bow legs, I closely examined my legs in the mirror and noticed that they are bowed, with a gap of approximately 4 cm between my knees when standing. My question is: Has anyone successfully corrected their bow legs without surgery? If so, could you please share how you did it? Alternatively, if you’ve come across any videos on this topic, I would greatly appreciate it, as all my attempts to live pain-free would be in vain without addressing the root cause of my knee medial arthritis.

[@irmakhaled8698]

Thank you for the video very helpful

[@chandrikavasinti6751]

My right leg has bend due to arthritis. I've tried gel injection but it didn't work out for me. My inflammation has never reduced. Now doctor has recommended me to go for a knee replacement surgery. I'm still looking for a way out.

[@JeffreyPengMD]

As discussed in the video, there are many options besides a knee replacement!

[@jeanclarke9106]

THANK YOU. Very helpful.

[@JeffreyPengMD]

Glad it was helpful!

[@endthedrugwartoday]

Awesome! Thanks Jeffrey Peng MD!!

[@JeffreyPengMD]

You're welcome! Thanks for your comment

[@brendanmckiernan6643]

what great information and so well put together. Thank you

[@JeffreyPengMD]

Thanks for your kind words!

[@diannefitzmaurice9813]

The one thing missing from here is how significant magnesium and vit D are for managing the pain . Docs never give this info and had to find it and find out its impact myself. But it is the key thing to manage the pain and make exercise possible also maintaining enough weight to walk . When I had increased D and taking mag with it I barely had pain , but was out of mag and had decreased D and not noticed the impact until knee was screaming . Had to take celebrex to get through it . Happened to get the mag again and almost immediately it improved - -so could go without the nsaid. So then did the correlation and increased D again ! I have tested it out a few times now and have concluded that the higher D like 8000 or 9000 IU daily with the magnesium is the key . I wish docs would include the significant nutritional info. For yrs complained to my doc about muscle tension that totally disappeared once I started with a mag supplement . Of course big pharma won't like it but it is THE biggest factor in reducing pain to do the exercise that keeps up mobility . Oh yes and keeping knee warm so circulation is maximized really helps as well. Best is an angora knee warmer but wool works well too !

[@JeffreyPengMD]

Will make a video on Mg and Vit D in the future. Thanks for commenting

[@diannefitzmaurice9813]

@@JeffreyPengMD Thanks- I will watch for it . Don't forget to comment on the circulation issue and keeping the knee warm - not warmth from inflammation -but the impact that natural fibers have - especially those with thermal properties like angora. They have been used for eons in EU but have not been given much credence here. They are at least available in NA now. But they are incredibly effective especially for neck (whiplash ) and wrist issues (like carpel tunnel) - (and @ 100%cangora) work faster than tylenol to the same effect. The problem for knees is they are hard to keep on the knee so usually require a custom fit .

[@debrandw246]

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

[@JeffreyPengMD]

You're welcome! Glad you found it helpful

[@penangiteInAU]

Thanks DrPeng😊Im at the beginning of my research journey, so that I can be more informed in supporting my elderly aunt.

[@JeffreyPengMD]

Best of luck to you and your aunt!

[@codjh9]

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.

[@JeffreyPengMD]

Awesome! Thanks for commenting

[@mindytran761]

Very helpful information. Thanks Doc !!!

[@JeffreyPengMD]

Glad it was helpful!

[@ML-iz9cc]

Great information. Thank you.

[@rajkumariloidangsanadevi2733]

Thanks I am 62 year old I am osteoarthritis since four years back

[@JeffreyPengMD]

Thanks for commenting!