Dr Deveney discussed nonoperative treatment, while Dr Tietjen explained total knee replacement.

New medications, cortisone injections, and knee lubricants help to reduce inflammation and pain, and supplements like glucosamine and chondrointin are also thought to be effective.

Physical therapy, while not a cure, can help patients relieve pain and swelling, and maintain motion. “They can usually feel and function better,” said Dr Deveney. “All of these are ways to treat symptoms; but all have limitations.”

Knee replacement, however, is the most effective way to relieve pain. “It’s the gold standard,” adds Dr Tietjen. Patients know it is time to consider surgery when the arthritis is impacting their daily lives. “When they have more bad days than good, its usually time,” he said.

The surgery has come a long way in the last few years, and the less invasive techniques allow patients to recover faster. In addition to a smaller skin incision and scar, there is minimal disruption of tissue, less bleeding, fewer complications, and faster mobilization.

Through its comprehensive Passport program, Danbury Hospital educates patients on what their joint replacement will be like — from beginning to final recovery. They know how long they will likely be hospitalized, and what their physical therapy and recovery time will be like.

“Total knee replacement is highly effective,” said Dr Tietjen.

Physical therapy and occupational therapy are also very effective after surgery to get patients mobile and independent, according to Dana Roidl, a physical therapist at Danbury Hospital. Therapy will begin the day after surgery, according to Roidl, and includes range of motion, muscle strengthening and endurance.

Aquatic therapy is also good in a therapeutic pool, as warm water relaxes joints and allows them to move more frequently.

The Danbury Hospital case managers also will make sure that when patients return home, a physical therapist visits them to see how they are doing. Outpatient physical therapy is often recommended.

For more information on joint replacement, check the Danbury Hospital website, www.danburyhospital.org. For a physician referral, call 797-7322.