Hello pbch123. Your wife appears to have osteoarthritis
in her knees from your description of her knee issues. She has several options:
1. Continue current treatment regimens.
2. Physical therapy
would strengthen the muscles and ligaments around her knees and might give her some slight relief of pain.
3. Steroid injections will help her with the pain and movement of her knee.
4. Hyaluronic acid
injections will help her rebuild her cartilage in her knee.
is laproscopy of her knees which will directly address the arthritis in her knees but is only temporary.
6. Knee replacement
which should be the last resort for any patient. Replacement knees are never as good as the original and she is not going to perform some activities such as kneeling.
7. Some studies suggest glucosamine/chondroitin may help with the pain of osteoarthritis which may also be an option for your wife.
Due to her other medical problems, any surgical procedures would have to be approved by her other physicians.
Be well, Dr. Kimberly