Arthritis does not always require surgery. Many patients experience pain, stiffness, and functional limitations that affect daily life but are not yet ready for joint replacement. Or, they want to explore every appropriate option before considering surgery.
In my practice at the Hospital for Special Surgery, I offer a comprehensive range of non-surgical treatments to help manage hip and knee arthritis symptoms, preserve joint health, and support an active lifestyle. These treatments are designed to reduce pain, improve mobility, and help patients bridge the gap between early arthritis care and joint replacement when (or if) it becomes necessary.
Comprehensive options to manage arthritis symptoms, preserve joint health, and delay or avoid surgery when appropriate.
Who Are These Treatments For?
Non-surgical arthritis treatments may be appropriate for:
- Patients with hip or knee arthritis
- Patients whose symptoms are affecting quality of life but who are not ready for joint
replacement - Patients who feel frustrated being referred elsewhere for injections or conservative care
- Patients seeking symptom relief without accelerating joint damage
- Patients looking for a more complete, long-term arthritis management strategy
Many patients feel “stuck in the middle.” or in a “gray zone”. Their symptoms or their imaging is not severe enough for surgery, but not well-managed with basic treatments. My goal is to provide continuity of care and a full toolkit of options under one roof.
Non-Surgical Treatment Options
Cortisone (Steroid) Injections
What it is
A corticosteroid injection that reduces inflammation inside the joint.
How it works
Steroids are effective at calming inflammation and relieving pain, particularly during arthritis flares. They work by calming inflammation inside the joint, reducing swelling and irritation so the joint moves more comfortably—even though it doesn’t reverse arthritis itself. They quiet the irritated lining of the joint (the synovial membrane), so it produces less fluid and joint swelling. They turn down inflammatory chemicals in the joint. They make pain nerves less sensitive and “reactive.”
How it’s given
A single injection, typically limited to no more than once every three months.
Benefits
- Often covered by insurance
- Can provide rapid and sustained symptom relief
Considerations
- Relief is often temporary
- Repeated use over time may contribute to cartilage damage
- Best used selectively as part of a broader treatment plan
