By Dr. Joshua L. Carter, Board-Certified Orthopedic Surgeon
Knee pain is something many people experience as they get older, especially those who lead active lives or have a history of arthritis or injury. But how do you know when it’s more than just a bad day or a minor flare-up, and when it might be time to consider knee replacement surgery?
As a fellowship-trained orthopedic surgeon specializing in joint replacement, I see patients every day who struggle to pinpoint the moment their discomfort turned into something more serious. Here are some key signs and diagnostic indicators that might suggest you’re a candidate for knee replacement surgery.
Persistent Pain That Interferes with Daily Life
If knee pain has become a constant companion—especially when walking, climbing stairs, or even sitting or lying down—it’s a strong indicator that the joint has sustained significant damage. When conservative treatments (like rest, physical therapy, anti-inflammatory medications, or injections) no longer provide relief, it may be time to look into surgical options.
Limited Range of Motion or Stiffness
Do you find it difficult to fully bend or straighten your knee? Loss of flexibility and increasing stiffness can signal advanced arthritis or joint degeneration. This restricted movement not only affects your quality of life but can also lead to further joint damage if left unaddressed.
Swelling That Doesn’t Go Away
Occasional swelling can be normal, especially after physical activity. However, persistent or chronic swelling—especially when paired with warmth and tenderness—may be a sign of ongoing inflammation and joint breakdown, often seen in advanced osteoarthritis or rheumatoid arthritis.
A Noticeable Change in Alignment
Many patients describe a feeling that their knee is “giving out,” locking up, or even looking slightly bowed or knock-kneed. These physical changes are often due to wear and tear inside the joint that alters its structure. As the knee becomes more unstable or deformed, replacement may be necessary to restore balance and strength.
X-Ray or Imaging Results Confirm Severe Joint Damage
During a consultation, we’ll often order X-rays or MRIs to get a clear picture of what’s going on inside your knee. If imaging shows bone-on-bone contact, significant cartilage loss, or joint space narrowing, these findings support the need for joint replacement, especially if paired with the symptoms above.
You’re Cutting Back on Activities You Love
Whether it’s gardening, walking the dog, golfing, or keeping up with grandkids—if pain is limiting your ability to participate in the things that bring you joy, it’s time to talk. Knee replacement can be life-changing, helping patients return to the lifestyle they value most.
What to Expect from a Knee Replacement Evaluation
At MCJR, we take a patient-centered approach to evaluating knee pain. We’ll start with a physical exam, review your history and imaging, and discuss all your treatment options—from non-surgical care to minimally invasive joint replacement. If surgery is recommended, we’ll walk you through the process, recovery expectations, and long-term outcomes.
If your knee pain is persistent, worsening, or limiting your mobility, you don’t have to suffer in silence. Modern knee replacement surgery is safer, more effective, and more personalized than ever before.
Please schedule a consultation so we can evaluate your condition and help you take the next step toward relief.