Suggest Treatment For Knee Stiffness Due To Cartilage Loss
NSAIDS + Injections / Surgery described below
Hi I am Dr Gopal Goel Orthopedic Surgeon.
Cartilage loss in the knees means that you have osteoarthritis in the knee joints.
The treatment would depend on the severity of symptoms - since you have pain in getting up from sitting / lying position . You also have synovial effusion ( fluid in the joint) in one knee.
The options are .( I normally prescribe from the following)
1. Medicines - NSAID + Collagen peptides.
2. Physical and physiotherapy- Hot fomentation , Quadriceps exercises( Exercises to strengthen the thigh muscle - by physiotherapist). Knee support is useful during acute swelling.
3. Local Injections- Viscosupplementation , PRP , Stem Cells. I have never prescribed Steroids for knee Osteoarthritis.
4 Surgery- Joint replacement , Corrective osteotomy depending on your state of disease.
I hope this description helps you. Please feel free to ask any other question.
I would suggest you to try Aleva . Rest I am not aware of what all medicines are available OTC at your place.
I Have been using PRP injections with good result. If you know some facility for stem cell therapy then I presume it may be better.
Exercises are the only way to prevent repeated swelling if there is no other pathology in the knee joint.