New Treatment Options for Degenerative Knee Arthritis: Insights and Advice

Is there a new treatment for degenerative knee joints? Thank you!

Dear Director Shi,
I came across an analysis report on osteoarthritis of the knee online and would like to ask you some related questions.
My uncle, who lives in San Francisco, is about eighty years old and has suffered from osteoarthritis for many years.
However, for the past two years, he has been following the advice of American doctors by taking collagen supplements and receiving vitamin B6 injections at the affected site.
Now, two years later, he is completely asymptomatic and can move freely.
Is there any medical basis for this?
My father, who is 73 years old, has been taking antihypertensive medication to control his blood pressure for about twenty years.
He also has osteoarthritis of the knee, but after consulting various hospitals in Chiayi, no doctors have suggested he try the same treatment.
Why is that? Is it because this treatment is not considered credible, or is it that such treatment is not yet available in Taiwan?
We understand that surgery can improve his symptoms, but another relative of ours had surgery in the past and has not been able to walk normally since, which has caused my father to fear and reject this option.
Could you please provide us with your insights and recommendations regarding my uncle's approach? We would be extremely grateful!
Sincerely,
Cindy, a concerned daughter living abroad

Cindy, 30~39 year old female. Ask Date: 2005/07/25

Dr. Shi Guozheng reply Orthopedics

Currently, no one has been able to prove the effectiveness of this therapy.
However, some suggest using glucosamine combined with chondroitin orally, and there are physicians who inject hyaluronic acid into the knee joint for patients.
There have been some reports published on these two methods, so it may be worth trying.

Reply Date: 2005/07/25

More Info

Hello Cindy,
Thank you for reaching out with your questions regarding degenerative knee arthritis and the treatment options available. It's understandable that you are concerned about your father's condition and the different approaches to managing arthritis symptoms, especially given your uncle's positive experience in the United States.

Degenerative knee arthritis, also known as osteoarthritis, is a common condition that results from the wear and tear of the cartilage in the knee joint. As the cartilage deteriorates, it can lead to pain, stiffness, and decreased mobility. While there are various treatment options available, the effectiveness of these treatments can vary significantly from person to person.

Regarding your uncle's experience with collagen supplements and vitamin B6 injections, there is some evidence suggesting that collagen supplementation may help improve joint health and reduce symptoms of osteoarthritis. Collagen is a protein that is a major component of cartilage, and some studies have indicated that oral collagen supplements can lead to improvements in joint pain and function. However, the scientific evidence is still evolving, and while some patients report benefits, others may not experience significant changes. As for vitamin B6, it is essential for various bodily functions, but its direct impact on osteoarthritis symptoms is less clear and requires further research.

In terms of why your father has not been advised to pursue similar treatments, it could be due to several factors. Firstly, the medical community often relies on treatments that have a robust body of evidence supporting their efficacy. While collagen supplementation is gaining traction, it may not yet be a standard recommendation in Taiwan or among all healthcare providers. Additionally, each patient's situation is unique, and doctors may prefer to recommend treatments based on their clinical experience, the severity of the arthritis, and the patient's overall health profile.

It's also important to consider that while non-surgical options like supplements and injections can be beneficial for some, they may not be sufficient for everyone, especially in cases of advanced osteoarthritis. Surgical options, such as knee arthroscopy or total knee replacement, are often considered when conservative treatments fail to provide relief. Your father's fear of surgery is understandable, especially if he has heard negative experiences from others. However, it's crucial to discuss these concerns with a qualified orthopedic specialist who can provide personalized advice based on his specific condition and medical history.

In addition to supplements and potential surgical options, there are other non-invasive treatments that may help manage symptoms of knee arthritis. These include physical therapy, which can strengthen the muscles around the knee and improve flexibility, as well as weight management, which can reduce stress on the joints. Non-steroidal anti-inflammatory drugs (NSAIDs) can also be effective in managing pain and inflammation.

Ultimately, the best course of action for your father would be to have an open discussion with his healthcare provider about his symptoms, treatment options, and any concerns he may have regarding surgery. It may also be beneficial for him to seek a second opinion from a specialist who focuses on joint health and arthritis management.

In conclusion, while your uncle's treatment approach may have worked for him, it's essential to recognize that each individual's response to treatment can vary. Encouraging your father to explore all available options, including lifestyle modifications, physical therapy, and possibly consulting with a specialist about surgical options, may lead to better management of his knee arthritis.

Thank you for your thoughtful questions, and I hope this information helps guide you and your family in making informed decisions regarding your father's health.

Best wishes,
Doctor Q&A Teams

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