My wife had several knuckles replaced in her 40s and 50s and was prepared to do more. She was also looking for a doctor that would do a knee replacement for her at age 56. First doctor told her she was too young so she was looking for another that would do it. We then both went keto/low carb and in less than 6 months all joint pain went away. 2 1/2 years later and there is still no pain. Best thing we ever did.

I was candidate for total knee replacement. Before the surgery my surgeon put me through 6 months of a multimodal program that included all of your recommendations. For the PT, because I live a distance from any PT services, I asked that a PT regimen be created for me to do at home. For 6 months I religiously did PT 5 days per week, 45 minutes per session. At my 6 mo visit, surgeon said I no longer needed surgery. So I had PT augment my PT routine to help me continue to avoid surgery- session is now 1 hour every other day plus about 15 minutes on a stationary recumbent bike which I installed at home. PT is THE mode that saved me from surgery (so far)- the other modes were practically ineffective. Your videos are wonderful!

These guys were down to earth, they offered many good options, very informative. I am an RN and have had knee pain for years but dont want surgery. I love their easy, nonjudgmental manner. I would feel very comfortable asking them any questions I have. So glad I found this video!

37 years with bad knee, several docs, nobody has educated me like that. This is what quality healthcare sounds like. Good job guys, keep it up. Communication and education, that’s the future for healthcare.

Thanks for your honesty, I am a retired orthopedic RN and I have seen all of the things that you have said. I say keep your original parts as long as you can without to much pain and suffering!

70 yrs bone on bone arthritis with bone spurs close to knee replacement several times. I lost 50 lbs. I take water aerobics great exercise. Drink Turmeric golden milk for inflammation. Now walk 3 to 5 miles a day. Have my husband use pastry roller on hamstrings helps so much with flexibility. Very little pain and can do so much now. No need for surgery in my future.

I’m a retired nurse, on my feet for 12+ hours a day. I went thru most everything you talked about until I finally got my knees replaced, what relief!

I found this video very informative and thanks for both your simplicity and great info I needed to hear today. This year my knees reacted to weight gain (25 lbs) and years of tennis etc but determined to apply all your expertise to eliminating as much discomfort as possible. Thank you both again.

Thank you Docs, for those very useful,and helpful informmation, appreciate everything I heard,as I am an Osteoarthritis patient for a number of years,many thanks again.

Sweet souls, rare personalities,humble, so nice to see and hear them.

Thanks guys. Very comprehensive information. I’ve had bone on bone osteoarthritis in both knees for a couple of years. Three things have helped me enormously - (1) Losing weight and thereby taking some pressure off my knees (2) doing regular targeted exercises (3 times a week) to strengthen my thigh muscles (quads) and the muscles below and around my knees - I had a physiotherapist prescribe the five exercises I do to ensure they are effective (3) reducing inflammation which is the cause of so much pain and stiffness - for me this means not eating sugar (or limiting it to ‘special occasions’). Reducing sugar in my diet has made a huge difference to my knee pain levels. Good luck everyone from Jan in Melbourne, Australia.

I’m 4 years late to this but my dad (62 years old, has worked as a truck driver for 17 years and currently still a truck driver) got diagnosed last year so I’m watching as many informational videos! By far, this is the most reliable, informed, and helpful information! Thank you so much

I think it’s great that you keep open minded about alternative therapies . There is so much that we still don’t know about how healing and pain can be manifesting in the body . Great talk guys , good to have sound advice . Thank you .

Awesome information! I had 33cc’s aspirated from my very arthritic knee and a cortisone shot just yesterday. It was the first time I’ve experienced such swelling and pain in my knee. Today, it feels so much better. I’m 63 and spent many years running up stairs, jumping rope and on the stair master as my cardio exercise program. It was great for keeping my weight down, probably good for everything but my knees. Now I’m paying the price. I’ve got to find those modifications for helping get the weight back under control. Also had rotator cuff surgery just 5 months ago, full tear and frozen shoulder which caused me to gain more weight due to lack of activity. Still doing PT for the shoulder and now adding it for the knee. I am so happy to have stumbled across your videos! Thank you so much!

God bless you two, this world would be a lot better off with care providers like you. It takes a lot of heart to explain with patience and integrity, very factual things that can help so many people, to learn how to better their lives without expensive surgery. Your parents should be very proud to see what a blessing that you chose to become to society. Thank you, and keep up the good work.😊🙏❤️👍

Great video!! I wish all doctor's were as nice and as informative as these two. Truly impressed!

I’m so glad I found this channel, I’m hoping to be a medical assistant one day and this gives me a head start on what I need to know, thanks guys!

I’m just entering this world of knee arthritis. What is helping me is icing my knee after golfing. Also keep moving even if you are sore it keeps the joint lubricanted. All your advice was easy to understand and sensible.

Glad I found you two, Looking forward for a re-assessment and treatment of my left knee. This is awesome.

What a good service your are providing with these videos. I have tried many of the things you mention with some small relief. I ice my knee often. Thanks!

You guys are great at making this information easy to understand... thank you!

I have knee pain, had hyaluronic shots and did very well with them and physical therapy and graduated to a gym membership. I had two years pain free until covid-19 lockdown, and no gym, less physical activity. I had an accident and am back to square one with knee pain. It's very frustrating. Thanks for a great video. Will try a brace and am looking into p/t videos to work my way back up to TRX and squats.

Great discussion and the tips help the doctors. Thank you for sharing the knowledge.

You guys are great! Easy to understand and a little entertaining as well.

Thank you so much for doing this video, I’ve never met drs who are so honest about treatment verses surgery

Great, informative video. I guess I have to wait a little longer. Watching this video helped me to be more patient, worry less, and remember to use alternate exercises to stay active. Thank you.

Great video as always! Helpful information we don’t always get during office appointments. I always learn something new to apply to myself or someone in my family. So glad you are here!

You two are my kind of doctors! Thank you ❤️

Great video. Thanks for the info & sharing ideas to help & calm it down.

I truly appreciate the fact that in spite of your busy schedules you both take the time to help so many people. To my disappointment I had an orthopedic dr tell me I need a hip replacement. I went for another opinion and was told I have "some" arthritis. I am 82 (f) and don't think a Dr should be so frivolous with surgery @ my age.

Great, helpful video. Thank you! Old age catch'n up with me in one knee joint and will have eval soon, but now, after your presentation, I can have more knowledge/understanding going in, and all around! Subscribed.

Thank you doctors for the discussion and advice on knee osteo arthritis. I'm currently getting physiotherapy twice a week, an hour each session. My Pt exposes to a wide range of excercise which are very helpful. I originally sought pt to relieve pain and reduced range of motion in both of my knees as well as lower back spasms. Since I started physiotherapy pain in my left knee and lower have lessened to the point of disappearing completiy. However, the pain in my right knee persists albeit is lessened with weekly therapy sessions. At some point I'll have to see an orthopedist for perscribed antiinflamatory and or injections. There are days that my pain is less and other days where my range of motion is severely limited with intense pain. I apply ice and it helps. I changed my aerobic activity at the gym from high impact to low impact workouts. As for over the counter antiinflamatory meds, I read Ibuprofin take during prolonged perios of time could affecr kidney function.Thank you again for your helpful discussion on this topic and look forward to more videos from you both.

Thank you so much,have to say the keto diet has helped alot,ive cut down on advil,but does flare up sometimes.Thank you for all the great information.

Thanks doctors! Very informative and will try as many modalities as possible. I’m absolutely crippled with this and it came on so suddenly.

Thank you DRs....I’m 68 and have both knees affected, lucky me. I’m just not ready for surgery. I have a severely low tolerance for pain. I’m on a pill now to reduce swelling and it has worked. I swim and ride a stationary bike, weekly. My difficulty among many is stiffness and constant discomfort. My kids tell me get the knee replaced! They want me to ski and be young again. Thanks again. Debra

You both are my favorite youtube doctors, been a subscriber of a while now, I've learned so much! Here's to a healthy New 2022 year to you both and I just know you'll be hitting 1 million subs soon!!! 😀

I love your knowledge, your honesty and the fact that you are Canadian! Look forward to continued watching of your informative videos. Maybe you could do one on arthritis in the thumb!

Wow! I had planned to ask my primary care for an orthopedic consult referral, but you've both thoroughly answered many of the questions I'd pose. I'll still see an orthopedist, of course, feeling a little more educated on the subject of arthritic knee treatment options than i would have otherwise. Thanks a bunch! (By the way, i'd give anything to get back to jumping rope and biking at 67 years old. Returning to roller skating, however, is now a distant dream. In the meantime, i try to make myself walk a couple miles every other day.)

My 2 favorite doctors! Hello! Thanks for this reminder. I need to lose 25 lbs.!!! I got out of my knee exercise habit, started quilting classes and believe it or not, that did me in! Using muscles that were stagnant! My knees and lower back were so bad in 2 days of classes, I had to take Aleve and Tylenol. So, I’m back to my stretches, gradual, and my compression sleeves. Thanks again for your knowledge and help. ❤

So much good information and so down to earth. Really appreciate it. Thank you. I went back and took some notes after realizing I didn't remember all the details. I wanted it to stick cause I want to use some of this info to help out an elderly friend who is suffering.

Very down to earth and very helpful.

Excellent overview, very compendious. Thank you. I've gone down most of the paths the doctors discuss, and their comments ring objective and consistent with my experiences. I'm 67 and am attempting to lose a substantial amount of weight this year in a final attempt to avoid total replacement surgery. If it does not provide sufficient relief for me to forego surgery, at least it should make recovery quicker and more complete.

First, I want to say that I think you guys are great.....love that you are doing these informative presentations that bring alot of basic but helpful and important information to people who are completely non-medically oriented; and you both present this information in a totally non-threatening way....and finally, you are both amusing, cute, and actually funny ❤️. I have been a nurse my entire working life... from medicine, the O.R, to rehabilitation, and hospice. The manner in which you do your talks is not only educational but in a non-threatening way which helps the average person alot ! I have had a knee replacement and do attribute it to somewhat having been on my feet consistently for years and the hospital floors are basically just tile on top of cement!! Doesn't sound too comfy! What I would like to suggest is that you do an update on nonsurgical treatments that have advanced over the last 6 to 7 years....especially regarding the role of inflammation in contributing to the need for TKR 's, and the use of stem cells. (though I just noticed that you did a talk on stem cells....I have not watched all of your videos, my loss !) I do like your multi-modality approach. And I 'll just add that I have been getting hylauronic acid injections into my right knee for almost 6 YEARS !!! I have been getting 4 injections instead of 3 twice yearly and it's just the last 6mos. that they have not provided really any of the pain relief that I had enjoyed from those injections. I'm due for my next set of injections in a few weeks and I am thinking of trying a cortisone shot 1 to 2 weeks before this series of weekly injections. I was told it will decrease the inflammation and help the hyaluronic to have a better effect. I have been told for the last 6yrs that I 'm "bone on bone" and need a R knee replacement. You can tell how my L knee replacement went by how much I am trying to postpone (forever ?) another replacement. Though I have a different orthopedist now and will be at a different hospital as well. I wish you guys were here in the states rather than up in Canada 🇨🇦. Keep up the great work ;)

I would love to have either of these doctors treating my knee problem. Really enjoy listening to them.

Thank you Doc's for the useful information. Very interesting talk to educate everyone how about to exercise to loose excess weight from our body which is best to help our knees. Godbless you both.🙏❤😊

Interesting talk, hope this works for some people. Others like my mom have tried every single alternative possible, nerve ablation, synvisc injection, PT, weight loss, you name it. At some point it became counter productive to avoid surgery. There is such a thing as “exhausted every last resource”, hope people can realize when they’ve reached that point and elect the surgery

Thank you for presenting this Talking With Docs, you are doing a great public service.

Thank you so much. I found ou5 about arthritis in m6 knee recently and have already followed your steps. But great to hear doctors reinforce this knowledge and not push surgery.

Thank you so much Doctors!

This information is invaluable, many thanks and am glad that someone actually 'talks' about this and helps knee sufferers get better educated about this.

No way to thank these two doctors enough. Have been to so many doctors here who explain nothing! I leave with more questions:( Tremendously helpful you two cute guys!

Love the stylish hats. Appreciate the good advice.

Thank you so much for this info. I really appreciate it!

Thank you Doctors, I learned a lot about what I can do for my knee arthritis. ⭐️⭐️⭐️

EXCELLENT!!!!!!! These surgeons appear so knowledgeable and kind when suggesting pain relief!!!!

Hi Docs I will be having a TKR in the next few months. Some of the things you haven’ t mentioned but have helped me greatly are 1) hiking poles for walking as suggested by my physiotherapist as lifts approximately 30% of your body weight, next the GLAD program ( physic exercises which tailored to the person& I did last year and continue to do, I also bought myself a Cubii which is an small elliptical machine with minimal pain but helps with you keep your knee rotating. Doing physio exercises every day is necessary.Maybe these may be helpful to those reading this information. Thanks Enjoy your videos.

very informative...w/plenty of options besides surgery. Thank you! I'm trying to deal with weight loss first!

Glad to hear you mention activity mod. Activity modification fits into occupational therapy, including joint protection. We look at work condition or altering work where necessary and activities of daily living too. Do you refer to OT.

Had initial PT from a “general” PT from my primary care doctor. It initially helped, but then it all relapsed. I then went to an orthopedic surgeon. He said the initial PT was no longer the acceptable type of therapy. I then redid therapy with the PTs at their office and had great results. Don’t know if they are still around, but Bauerfeind knee braces really helped me. And Hyalgan injections. Again not sure they are still out there. I needed two series but they really helped. I cannot take NSAIDs or aspirin due to the heart meds I am on. My ortho surgeon did a great job developing a plan of care to take that into account. It’s been 10 yrs (and a 40 lb weight loss) and no surgery yet.

Very informative and helpful to me in dealing with my knee pain. Good work.

Thank you for your presentation and important points to try

Love both of your humor. So easy to listen to. Thanks!

I had a meniscus repair a few months ago and take Mobic daily. I also have significant arthritis in the knee, which will need a partial replacement in the future. Mobic is also for arthritis in my shoulder, knee, and foot post a bad break. I find the sleeve works well for my knee when I feel it is necessary. I have have knee injections that help tremendously! But the sleeve is very helpful when I am walking a lot or in unfamiliar areas for psychological support as well as physical support. The knee injection hurts at the time but once it is done it is done.

I appreciate your responses to many who leave questions. Thank you for that follow through. We all learn form each other and benefit from more insights. Thank you so much! May you have happy, long and healthy lives!

I am a 58 yr old female, about 5’8 averaging about 130 lbs, eat lots of fruits and veggies. I had to completely stop running about 6 months ago because I’m so concerned about the pain in my knees and I’m sure running is just making my knees worse. I lift weights most days but only between 24 and 30 lbs. I’ve also cut back on wearing heels which is probably the absolute worst part of it for me. I’ve modified the weights to be more floor exercises than standing exercises. I’m not the type to go to the doctor so videos like this are a treasure for me. Thank you.

Thank you for your comments about the benefits of PT and the importance of a home exercise program. The comment about "driving by" PT made me laugh out loud.

I really appreciate what your saying. I've been to a couple doctors that suggested pt but nothing else. I had to research myself. I was made to feel bad because I couldn't perform my job fully and several other things. This is enlightening without judgment. Thank you!

This was really informative, thank You!

I'm got Arthritis in my knees very young, 35, I'm 40 yes walking is very good, I walk every Morning 45-1 hour, I have a bike tht I do ride it helped my pain so much, when it's raining outside I hve an excercise bike tht I ride 2 X a day, When I wake up I'm pain Free.......

Thanks doc. I’m ready to implement all of these immediately.

Thank y'all 🤗 very helpful !!

BRAVO DOCS!! Exactly the advice I was looking for before visiting an Osteo doc tomorrow!! Consider me subscribed!! 🙂👍🏼

Yes, being overweight IS a big part of the problem. There's less pressure on your knees & feet when you're not overweight. Also, I think the shoes you wear are important. You need shoes with good cushioning & support. Walking also one of the best exercises.

This may be asking too much but you guys seem so straightforward in the video and open to questions below. My fathers wife had a total knee replacement several years ago but has had a terrible time with it almost ever since. I happened to be visiting my dad last week when she came home from a trip to see family. She had been on a 4-5 hr flight (I think) and then a couple hour shuttle ride from the airport and her knee was just killing her. I was so surprised when she lifted her pant leg to see just how swollen the knee was, I have no doubt she was in tremendous pain. I was figuring it was from being restricted and bent for all that time and that may very well be but she told me the next morning that the doctor (or surgeon) said her problems were probably due to being allergic to one of the metals in her replacement knee. This is all 3rd hand but apparently her replacement knee is made up of multiple metals one being nickle I think she said and the likely culprit but it will cost her $800 I think it is to have a test to see if she is indeed allergic to one of the metals, a test she has to pay for out of pocket and if it's positive there isn't anything they can do about it anyway. Does she have all of this right? Why wouldn't they have tested her for allergies to any of the metals used in this knee prior to putting it in her body, especially if as she was told it isn't uncommon for people to have allergies to this knee/metal? She swears no one said anything about this possibility prior to surgery and the whole thing seems ludicrous to me and walking the line of malpractice, certainly unethical. How can there not be a treatment or help for this and how can either her medicare, supplement or the surgeon and manufacturer not be responsible for testing her to see if this is indeed the issue so they can proceed from there? I mean if it isn't the issue something is wrong and if it is seems like something could be done... She has a lot of life left and right now a lot of what seems unnecessary suffering to me. Do you have any other suggestion for things she could do/try to alleviate some of her pain and suffering? I'm guessing most of the things you describe here don't apply to a replacement knee but maybe that's wrong do any of the things mentioned here (video and discussion) apply to metal replacement parts too? Sorry for the length, guess I needed to vent too, I'm just so dumbfounded by all of this after seeing her knee with my own eyes after a day of travel (not even a lot of walking).

Great information i was looking it up for my mother which had injections that last around 60-90 days but are wearing off and is now suffering... thank you for your experience with these ways to manage pain..L.A Rob

Interesting mention about modifying your activity if it causes pain or discomfort. I am a runner, mid 50's, with right knee pain that developed almost overnight six months ago. My x-ray was normal except for some "very mild" age related osteoarthritis behind my kneecap. The physician suggested an MRI because he suspects a mild degenerative meniscus tear, but when he immediately began talking about surgery without a conservative approach first I told him to go smoke his front lawn in a nice way. But he did say that I can continue running based on my x-ray. No stress fractures or advanced arthritis. Still hurts though :)) Muscle tone, range of motion, squats, etc all normal. But the pain manifests when I'm static and doing nothing.

Just take Boron and fix the root problem! Our food no longer has the trace minerals it used to have and almost everyone is Boron deficient. Boron helps rebuild bones and cartilage. Took me about a week to start feeling better. After a couple months the arthritis is mostly gone. The medical/drug community has been suppressing this for decades. Watch some of the videos on Boron for Arthritis. It works! Arthritis should not be the huge problem it is today. This information needs to get out.

Hi...in addition to your great advice, could you recommend a home microcurrent device to stimulate blood flow, muscle tone, and provide pain relief? I had osteoarthritis (due to acl tear/recurrent injuries in my right knee) for 14 years before TKR 6 years ago. I've been diagnosed with OA in left knee and am trying to delay surgery as long as possible. I'm at a healthy BMI, I exercise, and follow a low carb, anti-inflammatory diet. Many thanks!

Thank you doctors! You’re both honest..!

Hi..I have text you two before..this is now week 3 from my total knee replacement and I wanted to let you know..all is going good..I'm right on schedule..have a great therapist too..Thank you for your videos. Take keep and keep up your good work..

I can attest to weight loss - I am just starting a serious program but already 14 pounds off has made a big difference in my knee pain

Very informative. Used most of the suggestions and they work.

Very informative video. I have used the sleeve on my knee, and it did help some with stabilization and pain, but I could only wear it for limited amount of time because it was so tight. I used ace bandages too, that helped. Six-year-old video. Wow, didn't know you'd been doing this so long. Glad I finally found your channel.

By listening to your video I have decided to put off my tkr against my orthopedic surgeon. I discussed it with my primary and do walking 30 mins a day and change of food intake I'm down 15#s not bone on bone and feeling much better! The weight loss has been a tremendous help ! I do take methelpredizone as needed a which has decreased to about every 6 months. Ty so much for the time you take to explain all this!!!

Very informative docs! Trying to avoid replacement. Bone, on bone, torn meniscus, ACL changes and bone spurs. Any advice other than suggested? Pain mostly on outside and down to my foot. Many thanks!

Very interesting and informative. I had a total knee thirteen years ago. The patient's commitment to the rehab is extremely important to achieve the desired outcome. .

From Republic of Ireland fililipino. Good topic. Very helpful. This doctor's are working for there patients not for money. I'm glad they mentioned the placebo effect. To God be the Glory both of you

You guys are absolutely loveable. Thanks for the great content, tips and overall invaluable video.

Wow! Super great video. I'm excited to try curing myself first! Found out I have bone on bone, meniscus tear with bone spurs and sever arthritis. I was going to do meniscus repair until I found out how much I would have to pay! So just the other day, I tried an alternative treatment, prolotherapy. Might work we'll see, with all your other recommendations. This video gives me hope. Thank you!

I have tried a lot of the methods, topical, and weight loss is the best. I have had many arguments with my body, mostly end in me tell my knees that this is my body shut up legs were are doing squats today. :-) so I believe in just keep moving. A body in motion stays in motion.

Thank you for the Very Candid discussion on Knee Arthritis and the various possible treatments. 👍 Keep up the Strong 💪 Effort.

Great summary...validated what I am doing presently for early osteoarthritis at age 61...will be looking for input on a torn medial meniscus (full) with no pain or buckling. Do not want surgery.

Interesting talk

Thank you so so much for all the great advice. May I ask where you practice at ? Would love to get n opinion on my knee. Been in horrible pain past few days and can barely walk. I am in San Diego, California. Thanks so much

Excellent thankyou from perth australia

GOD Bless you Drs. that aim to help people with medical ailments. You people are the unsung hero's on this planet and without you doing what your doing this world would be a much worse place. I thank You with all my heart and keep up the good work.

love you docs, good job! toolate to change jobs. W=hat topical creams can one apply for pain? Thanks Dr Olga AUTHOR.

Thank you gents, learned more from this, than 10-visits to the orthopedics!

Love those two doctors, very helpful and honest , where they practice? Ca

Thank you guys ..my knee surgery now schedule for the 29 of this month..following your suggestion all the way..