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Non-surgical advanced knee pain treatments can be effective for managing symptoms and improving function. Here are some common and effective options:
1. Medications:
- NSAIDs: Nonsteroidal anti-inflammatory drugs (e.g., ibuprofen, naproxen) to reduce pain and inflammation.
- Acetaminophen: For pain relief if NSAIDs are not suitable.
- Topical Analgesics: Creams or gels (e.g., diclofenac gel) applied directly to the skin over the knee.
2. Physical Therapy:
- Strengthening Exercises: Focus on building muscles around the knee to provide better support.
- Stretching Exercises: To improve flexibility and reduce stiffness.
- Balance and Proprioception Training: To enhance coordination and stability.
3. Lifestyle Modifications:
- Weight Management: Reducing body weight can decrease stress on the knee joint.
- Activity Modification: Avoid activities that exacerbate pain, and opt for low-impact exercises like swimming or cycling.
4. Orthotics and Supports:
- Knee Braces: To provide stability and support to the knee.
- Insoles or Custom Orthotics: To correct alignment issues and reduce stress on the knee.
5. Injections:
- Corticosteroid Injections: To reduce inflammation and pain in the short term.
- Hyaluronic Acid Injections: To lubricate the knee joint and reduce pain.
6. Alternative Therapies:
- Acupuncture: May help with pain management for some individuals.
- Chiropractic Care: Focuses on spinal alignment and may help with knee pain related to musculoskeletal imbalances.
7. Heat and Cold Therapy:
- Cold Packs: To reduce swelling and numb pain.
- Heat Therapy: To relax muscles and ease stiffness.
8. Assistive Devices:
- Walking Aids: Such as canes or walkers to reduce pressure on the knee.
9. Lifestyle and Dietary Changes:
- Anti-inflammatory Diet: Incorporating foods with anti-inflammatory properties (e.g., fatty fish, nuts, and leafy greens) can help manage inflammation.
Consulting with a healthcare provider, such as a rheumatologist or orthopedic specialist, is important to determine the best non-surgical treatment plan based on the specific cause and severity of knee pain.