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.
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.
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.
Leg exercises to strengthen all the leg muscles to support the knees. Quadriceps, hamstrings, calf, abductors, aductors. Search on TH-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.
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.
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.
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.
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.
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
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.
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.
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.
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
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.
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
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 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 @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🙏🏻
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
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 !!
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.
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
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.😊
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! 😊👍🏽😊👍🏽😊
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.
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.
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.
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.
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.
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?
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!
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!
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 🌷👌
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.
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..
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
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.
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.
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.
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?
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 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 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!
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.
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. 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
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.
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.
Oh how I wish I had seen your video before having arthroscopic surgery on both knees in May 2022. I was never told it can actually make your knee worse. I couldn’t exercise at all anymore because of the flare ups I was getting, this was supposed to help. Haven’t been offered a reason of what has gone wrong. Physio for 8 months has not helped. I still can’t to anything, I’m in pain and my knee is still stiff. It feels like a big rock instead of a knee and it has a feeling of constantly being strangled. Worse decision I made when being offered this, didn’t have much choice though. Knee replacement was off the table because I’m only 53 (got to wait till 60) Life is depressing now, and I don’t hold out any hope with a future replacement, something will probably only go wrong there as well. 😢 Thanks for the info though. ❤️Jodie 🇦🇺
@@JeffreyPengMD thank you, but for now Im resigned 😑 to putting up with it. I’ve done far to much physical therapy with no help for the right knee. Something must have gone wrong. Not in a rush to go back to a specialist, probably make me worse.
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.
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.
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.
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.
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 😩
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?
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 TH-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.
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.
I admire you sharing this knowledge without any selfishness. Much helpful for us. May God bless you. 🙏
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.
Great information that most doctors don’t tell you.
Excellent presentation with a lot of explanation on treatments with pros and cons. Very comprehensive overview! Fantastic video.
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.
A highly professional doctor, my royal salute.
Will keep watching and study carefully.
Thanks a lot
So nice of you!
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
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.
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.
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
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
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.
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 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
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 ❤
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!
Just was told that my arthritis has progressed to moderate.. thanks for the thorough information 🌺🙏🏽
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
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
Thank you Dr Peng with greetings and appreciation from Guyana. You were clear,simple and effective.
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 !!
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.
I had knee arthroscopy after the orthopedic surgeon recommended a knee replacement. That was about 9 years ago. My knee is goodl
Awesome!
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
Thank you & God bless you!!!
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?
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! 😊👍🏽😊👍🏽😊
God bless you Dr Peng for all your invaluable sharing and teaching. from Singapore
Visco knee shots really work. I've had numerous surgeries on both knees. Took my pain away for about 6 months.
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.
I agree, I've seen great results with them!
@@chuckredd9131
what’s msm?
Great information !..PRP seems to be the long term remedy..thanks for the content and advice!
Thank you Dr.peng for the great information on arthritis treatment.
Really very worthy information 👌
Glad it was helpful! Thanks for commenting
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.
Very comprehensive informative and excellent thank you sir
Great video...Doc, you informed us , educated us, without giving any panicky solutions .....the knee jerk variety !! BRAVO !!!
Thanks for commenting!
THANK YOU DOCTOR. THIS IS VERY EDUCATIVE
You're welcome
As a retired health care provider, I found this video very interesting. You have a new subscriber!
Wow, thanks!
Thank you for both immensely useful information and superb English, easily understood by foreigners. Greetings from Europe.❤❤❤❤❤
So informative
Glad I found the channel
Thanks for your kind words! Glad it was helpful
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
New subscriber here in London United Kingdom🇬🇧
Thanks for commenting!
Your videos are very helpful! Concise and evidence based.
It is so informative in a simple way that a layman can understand.
Thanks for your comment, glad you found it useful!
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.
Excellent video. Thanks for sharing
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?
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!
Visco injections have worked very well in my case for a number of years, however the best results came when i lost some weight.
Good information DR
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!
Very useful topic. Thank you doctor Peng. More blessings to you.🙏
You're welcome!
Started a new medicine madefrom Avocado, been on it a week, no side effects, praying itwill do as the studies showed.
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 🌷👌
Thanks for commenting, good luck!
Why cp phone hour no off
Very informative and helpful 👍
My response to prp is outstanding
That's great to hear! Thanks for sharing your experience
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.
How timely, I will be making a video on that in the near future!
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..
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
Where you can go for it i got the same knee pain
Wow, that's great! Thanks for sharing
Excellent and informative video. I'll rewatch it a few times.
Very useful information, thank you
Thank you for taking time out of your busy schedule to share this information. Do you recommend ice or heat for osteoarthritis flares?
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.
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!
Tq so much Dr Peng for your great sharing . I am watching fr Malaysia .
You're welcome!
what great information and so well put together. Thank you
Thanks for your kind words!
Very informative! Excellent!👍💪
Glad you liked it!
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
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?
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?
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 👍
what ever works for you - i am sure the inner doctor can always lead you to recovery !
@@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.
What about Capsaicin? I've used with beneficial effects and the burning from the chili peppers isn't intolerable.
@@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!
Thank you for posting this helpful video!
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.
Thank u for comprehensive information and guid❤🎉
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. 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
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.
Excellent advice
What about Decompression Therapy?
THANK YOU. Very helpful.
Glad it was helpful!
Thank you for the video very helpful
Your video is very informative! Thank you. 😊
Glad it was helpful!
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.
Wonderful information. Thank you. I use PRP and have found it to be highly effective.
Glad it was helpful! THanks for commenting
Which stage osteoarthritis do u have?
This Video is so Helpful. In my case it's my Wrists that Hurts when my Hands are so Busy,Sometimes I can not Grip Hard ,.Thank you,
Thanks for commenting
Oh how I wish I had seen your video before having arthroscopic surgery on both knees in May 2022.
I was never told it can actually make your knee worse. I couldn’t exercise at all anymore because of the flare ups I was getting, this was supposed to help. Haven’t been offered a reason of what has gone wrong. Physio for 8 months has not helped. I still can’t to anything, I’m in pain and my knee is still stiff. It feels like a big rock instead of a knee and it has a feeling of constantly being strangled.
Worse decision I made when being offered this, didn’t have much choice though. Knee replacement was off the table because I’m only 53 (got to wait till 60) Life is depressing now, and I don’t hold out any hope with a future replacement, something will probably only go wrong there as well. 😢
Thanks for the info though. ❤️Jodie 🇦🇺
Please discuss with your health care providers on how to get you feeling better! Surgery is NOT always the answer.
@@JeffreyPengMD thank you, but for now Im resigned 😑 to putting up with it.
I’ve done far to much physical therapy with no help for the right knee. Something must have gone wrong. Not in a rush to go back to a specialist, probably make me worse.
😭
Thanks Doc for the lovely information much appreciated. Blessings
Thanks for commenting!
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.
Merci beaucoup
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.
That was great! Thank you for informing us of our choices
Glad you liked it! Thanks for commenting
Dr, what do you think about rebounding for exercise? Thank you!
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.
Thank you Dr. Peng!
You're most welcome!
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!
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.
As discussed in the video, there are many options besides a knee replacement!
Excellent. Thank you!
You're very welcome!
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
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 😩
Keep doing everything else you can do to keep the knee as healthy as possible!
Very helpful information. Thanks Doc !!!
Glad it was helpful!