“Can Weight Loss Really Help with Knee Pain? A Guide to Managing Pain Without Surgery”

 Knee pain can be a debilitating issue that affects daily activities, mobility, and overall quality of life. It’s a common problem, especially for those who are overweight or obese. Many people wonder if losing weight can truly make a difference in alleviating knee pain. The answer is a resounding yes. Weight loss is often a highly effective, non-surgical method for managing knee pain, as it reduces the pressure exerted on the joints. In this blog, we’ll explore how weight loss can help with knee pain and other non-surgical options for knee pain treatment, particularly focusing on knee pain treatment in Ireland.

The Link Between Weight and Knee Pain

The knees bear a significant portion of the body’s weight, making them particularly susceptible to stress and strain. Every extra kilogram of body weight can add around 4 kilograms of additional pressure on the knees when walking. This increased pressure can wear down the cartilage that cushions the joints, leading to pain, stiffness, and conditions such as osteoarthritis. For individuals already suffering from knee pain, shedding excess weight can be one of the most effective ways to alleviate the discomfort without resorting to surgery.

How Weight Loss Helps Alleviate Knee Pain

1. Reduces Joint Pressure: Weight loss directly reduces the load on the knee joints, which can slow the progression of joint degeneration. Studies have shown that even a modest weight loss of 5-10% of body weight can result in significant pain relief for people with knee osteoarthritis. This reduction in weight means less pressure on the joints during everyday activities like walking, standing, and climbing stairs.

2. Decreases Inflammation: Fat tissue is not just an inert mass; it’s metabolically active and can release inflammatory substances known as cytokines. These cytokines can contribute to chronic inflammation, which is a key factor in conditions like osteoarthritis. By losing weight, the production of these inflammatory markers decreases, which can help in reducing the overall inflammation in the knee joints.

3. Improves Mobility and Function: As weight decreases, mobility often improves, allowing individuals to engage in regular physical activity without as much discomfort. Improved mobility is crucial for maintaining the strength and flexibility of the muscles around the knee. This can help to stabilise the joint, further reducing the risk of injury and pain. The more one can move comfortably, the easier it is to engage in activities that contribute to weight management.

Non-Surgical Knee Pain Treatments

For those looking for knee pain treatment without surgery, there are several effective options available. These treatments can work alongside weight management to provide relief from pain and improve overall joint health. Here are some of the most popular non-surgical treatments for knee pain:

1. Physiotherapy: Physiotherapy is a cornerstone of non-surgical knee pain management. A physiotherapist can create a personalised exercise program to strengthen the muscles around the knee, improve flexibility, and promote better joint alignment. In Ireland, many clinics offer tailored physiotherapy programs that focus on reducing pain and improving function. Regular physiotherapy sessions can be an excellent complement to a weight loss plan, helping to ensure that the body moves optimally as weight is lost.

2. PRP (Platelet-Rich Plasma) Therapy: PRP therapy involves using the patient’s own blood, which is processed to concentrate the platelets and growth factors, then injected into the knee. This treatment can stimulate healing and reduce inflammation, providing a natural way to manage knee pain. While it may not directly result in weight loss, PRP therapy can make it easier to stay active by reducing pain, thus supporting weight management efforts. For those seeking innovative knee pain treatment in Ireland, PRP therapy is becoming increasingly popular.

3. Hyaluronic Acid Injections: These injections provide lubrication to the knee joint, helping to improve movement and reduce pain. Hyaluronic acid acts as a shock absorber within the joint, which can be particularly beneficial for individuals with osteoarthritis. This treatment can be used alongside weight loss efforts to make daily activities more comfortable, reducing the strain on the joints as body weight decreases.

4. Strengthening Exercises: A targeted exercise program focused on strengthening the muscles around the knee can help to support weight loss while providing pain relief. Strengthening the quadriceps, hamstrings, and calf muscles can improve knee stability and reduce the risk of injury. Working with a physiotherapist or a certified trainer to develop a low-impact exercise routine is advisable, particularly for those who are new to exercise.

5. Anti-inflammatory Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) can provide temporary relief from knee pain by reducing inflammation. While they are not a long-term solution, they can be useful during the initial stages of a weight loss program when physical activity might cause discomfort. Always consult a healthcare provider before using these medications to ensure they are appropriate for your situation.

Weight Loss Tips for Reducing Knee Pain

If you’re looking to lose weight to manage knee pain, here are some practical tips:

• Start with Low-Impact Exercises: Activities like swimming, cycling, and walking on flat surfaces are great options for those with knee pain. They provide cardiovascular benefits without putting excessive strain on the knees.

• Focus on Diet: A balanced diet that is rich in whole foods, lean proteins, and healthy fats can make weight loss more manageable. Reducing sugar and processed foods can also help to reduce inflammation in the body.

• Seek Professional Guidance: A dietitian or nutritionist can help create a meal plan that supports weight loss while ensuring you get the nutrients needed for joint health. Consulting a physiotherapist can also provide you with a safe and effective exercise routine.

• Set Realistic Goals: Aim for a gradual weight loss of 0.5 to 1 kilogram per week. This steady approach is more sustainable and reduces the risk of regaining weight.

Conclusion: A Path to Pain-Free Living

Losing weight can have a profound impact on reducing knee pain and improving overall joint health. By decreasing the pressure on the knees and lowering inflammation, weight loss can serve as a powerful tool for those seeking knee pain treatment without surgery. Combining weight loss with other non-surgical treatments, such as physiotherapy, PRP therapy, and hyaluronic acid injections, offers a holistic approach to managing knee pain.

For individuals in Ireland looking for effective options, many clinics specialise in both weight management and innovative knee pain treatment. Consulting with healthcare professionals can help create a personalised plan that addresses your specific needs. Ultimately, achieving a healthier weight and exploring non-surgical treatment options can open the door to a more active, pain-free life.

With the right approach, managing knee pain treatment without surgery is not only possible but can lead to significant improvements in quality of life. Taking steps towards a healthier weight is a positive stride in the journey to a stronger, pain-free future.

The Benefits of Hyaluronic Acid Injections for Knee Pain: What to Expect

 Knee pain is a common issue, especially as we age or engage in activities that put stress on our joints. Many people seek effective solutions to manage their discomfort and improve their mobility without resorting to surgery. Among the available options, hyaluronic acid (HA) injections have become a popular choice for those looking for non-surgical knee pain treatment. If you're considering this option and wondering what to expect, this blog will walk you through the benefits, procedure, and potential outcomes of hyaluronic acid injections.

Understanding Knee Pain and Its Causes

Knee pain can be caused by a variety of conditions, including osteoarthritis, rheumatoid arthritis, injury, or overuse. Osteoarthritis is particularly common and is characterised by the wearing away of the cartilage that cushions the knee joint, leading to pain, stiffness, and reduced mobility. This is where hyaluronic acid injections can play a significant role in providing relief.

Hyaluronic acid is a naturally occurring substance in the body that helps to lubricate and cushion the joints. In the context of knee pain treatment, especially in cases of osteoarthritis, the natural levels of hyaluronic acid in the joint fluid can diminish over time, resulting in increased friction and pain during movement. HA injections aim to restore this lubrication, reducing symptoms and improving function.

The Procedure: What to Expect from Hyaluronic Acid Injections

If you’re considering knee pain treatment in Ireland or searching for knee pain treatment near me, understanding the injection procedure is essential. The process is generally straightforward and minimally invasive:

1. Initial Consultation: A consultation with a healthcare professional is the first step. They will evaluate the severity of your knee condition, discuss your medical history, and determine if you are a suitable candidate for hyaluronic acid injections.

2. Injection Process: During the procedure, a small amount of hyaluronic acid is injected directly into the knee joint using a fine needle. The injection may be guided by ultrasound to ensure precise placement in the joint space. The process usually takes around 15-30 minutes, and patients can often resume their regular activities shortly after.

3. Series of Injections: Some treatment plans involve a series of 1-5 injections over a few weeks, depending on the specific product used and the severity of the symptoms. Your healthcare provider will outline the best plan for your needs.

Benefits of Hyaluronic Acid Injections for Knee Pain

Hyaluronic acid injections offer a range of benefits for individuals suffering from knee pain, particularly those with mild to moderate osteoarthritis. Here’s a closer look at the advantages:

1. Pain Relief and Improved Mobility

One of the primary benefits of hyaluronic acid injections is their ability to reduce pain and improve joint function. By restoring lubrication within the knee joint, these injections help to minimise friction between the bones, allowing for smoother movement and less discomfort during activities like walking, climbing stairs, or exercising. For many, this can be a significant improvement in their daily quality of life.

2. Non-Surgical Alternative

Hyaluronic acid injections are an appealing non-surgical knee pain treatment option. Unlike surgery, which requires significant recovery time and carries potential risks, HA injections offer a minimally invasive way to manage knee pain. For those seeking knee pain treatment in Ireland or elsewhere, this makes it a convenient option that allows patients to avoid the downtime associated with surgical procedures.

3. Long-Lasting Effects

While the effects of HA injections are not permanent, many patients experience relief for several months after the initial series of injections. The results typically last between 6 to 12 months, making it a viable option for individuals looking for sustained pain management without the need for frequent treatments. This can be particularly beneficial for those who are not yet ready for joint replacement surgery but need significant relief from their symptoms.

4. Reduced Dependence on Pain Medication

Chronic knee pain often leads to a reliance on over-the-counter pain relievers or prescription medications to manage symptoms. While effective, these medications can come with side effects and risks when used long-term. Hyaluronic acid injections can help reduce the need for these medications by offering an alternative way to manage pain. This can be especially advantageous for those with sensitivities to medications or those looking to reduce their intake of non-steroidal anti-inflammatory drugs (NSAIDs).

5. Minimal Side Effects

Hyaluronic acid injections are generally well-tolerated with few side effects. Some patients may experience temporary discomfort or swelling at the injection site, but these symptoms usually resolve quickly. The risk of serious complications is low, making it a safe option for most patients. However, it’s important to discuss any concerns with your healthcare provider before starting treatment.

Is Hyaluronic Acid Right for You?

If you are considering knee pain treatment near me and exploring hyaluronic acid injections, it’s essential to determine whether this option aligns with your specific needs and condition. HA injections are particularly effective for individuals with mild to moderate osteoarthritis, where the joint is still intact but symptoms are causing discomfort.

It may not be as effective for those with advanced osteoarthritis where the cartilage is significantly worn down. In such cases, other treatment options like PRP (Platelet-Rich Plasma) therapy, stem cell therapy, or even surgery might be considered. A detailed evaluation by a specialist will help identify the most suitable treatment path for your knee pain.

What to Expect After the Injection

After receiving hyaluronic acid injections, you may experience some temporary soreness or swelling in the knee joint. Applying ice packs to the area can help alleviate this. It is generally advisable to avoid strenuous activities for a day or two post-injection to allow the joint to settle.

Most patients begin to notice improvements in pain and mobility within a few weeks of starting treatment. The full benefits of the injections may take a month or more to become apparent, as the hyaluronic acid gradually enhances lubrication within the joint.

Cost and Availability in Ireland

For those seeking knee pain treatment in Ireland, the availability of hyaluronic acid injections is widespread, with many clinics offering this option. The cost can vary depending on the clinic and the number of injections required. It’s worth discussing your insurance coverage with the clinic, as some providers may cover part of the cost of HA injections as part of a broader arthritis treatment plan.

Conclusion: A Promising Option for Knee Pain Relief

Hyaluronic acid injections can be an effective way to manage knee pain, offering benefits such as improved mobility, reduced pain, and a non-surgical solution for those struggling with osteoarthritis. If you’re looking for knee pain treatment near me or seeking a knee pain treatment in Ireland, these injections might be the right option for you, providing a path to better movement and quality of life.

Before making a decision, consult with a healthcare professional to ensure that hyaluronic acid injections align with your condition and goals. With the right guidance, you can find relief from knee pain and get back to doing the activities you love.

Why Physiotherapy Is Key in Managing Knee Osteoarthritis

 Knee osteoarthritis (OA) is a common condition that can significantly impact a person's quality of life. As the protective cartilage in the knee joint wears down over time, sufferers often experience pain, stiffness, and reduced mobility. Although surgery can sometimes be necessary, many individuals seek non-surgical options first. Among these, physiotherapy has proven to be highly effective for knee pain treatment without surgery. This article will explore how physiotherapy helps strengthen the knee, manage pain, and improve overall function, offering a valuable alternative to more invasive procedures.

Understanding Knee Osteoarthritis

Knee osteoarthritis is a degenerative condition that affects the cartilage lining the ends of bones in the knee joint. As the cartilage wears away, the bones begin to rub against each other, causing pain, swelling, and a reduction in joint mobility. Common symptoms include morning stiffness, discomfort after sitting for long periods, and pain during activities like walking or climbing stairs. Osteoarthritis is more prevalent in older adults, but it can also affect younger individuals due to factors like injury, obesity, or a history of repetitive strain.

Given that knee OA can be progressive, early intervention with non-surgical approaches, like physiotherapy, can make a significant difference in managing the symptoms and slowing down the condition's progression.

The Role of Physiotherapy in Managing Knee Osteoarthritis

Physiotherapy is a tailored approach that focuses on strengthening the muscles surrounding the knee joint, improving flexibility, and reducing pain. A physiotherapist assesses the individual's condition and creates a customised plan aimed at addressing specific symptoms and limitations. Here are some of the key ways physiotherapy aids in managing knee osteoarthritis:

1. Strengthening the Knee Muscles

One of the main goals of physiotherapy for knee osteoarthritis is to strengthen the muscles around the knee joint. Stronger muscles provide better support to the joint, reducing the load placed directly on the bones and cartilage. This is particularly important in alleviating pressure on the knee, which can help reduce pain and inflammation.

• Quadriceps and Hamstrings: Strengthening the quadriceps and hamstrings is crucial because these muscles help stabilise the knee. Exercises like leg raises, mini-squats, and resistance band workouts can be effective in building muscle strength without putting undue stress on the joint.
• Hip and Core Muscles: It is not only the muscles around the knee that matter; hip and core muscles also play a role in stabilising the leg. Physiotherapists often incorporate exercises targeting these areas to ensure that the whole lower body is working to support the knee properly.

2. Improving Joint Flexibility

Stiffness is a common symptom of knee osteoarthritis, and it can limit an individual's ability to perform daily activities. Physiotherapy includes exercises and stretches that aim to increase the range of motion in the knee joint, allowing for smoother movement and less pain during activities.

• Range-of-Motion Exercises: Gentle stretching exercises help maintain or improve the knee’s flexibility. Movements like heel slides, where one slides the heel back towards the buttocks while lying down, can be very effective.
• Manual Therapy: Physiotherapists may use hands-on techniques such as joint mobilisation to gently move the knee joint and improve its flexibility. This approach can help alleviate stiffness and make it easier for patients to participate in their daily routines.

3. Reducing Pain Through Targeted Interventions

Pain management is a significant aspect of treating knee osteoarthritis, and physiotherapy offers several methods for reducing pain without the need for medication or surgery.

• Therapeutic Modalities: Physiotherapists may use heat, cold, ultrasound, or electrical stimulation to manage pain and reduce swelling. These therapies help alleviate discomfort and make it easier for patients to engage in strengthening exercises.
• Gait Training: For many people with knee OA, the way they walk can worsen their condition. A physiotherapist can provide gait training to help correct improper walking patterns, reducing stress on the knee joint and easing pain during movement.

4. Customised Exercise Plans

One of the greatest advantages of physiotherapy is the development of customised exercise plans that cater to the individual’s specific needs. Unlike general exercise routines, physiotherapy is tailored to the severity of the osteoarthritis and the patient’s overall health.

• Low-Impact Exercises: A physiotherapist can recommend low-impact exercises such as swimming, cycling, or walking, which can improve cardiovascular fitness without putting excess strain on the knee. These exercises help maintain overall joint function while minimising pain.
• Progressive Exercise Regimens: As the patient’s strength and flexibility improve, the physiotherapist will adapt the exercise plan to continue challenging the muscles without overexerting the joint. This progressive approach ensures ongoing improvement and helps prevent setbacks.

The Benefits of Physiotherapy Over Surgery

Many individuals seek knee pain treatment without surgery due to the risks and recovery time associated with surgical procedures. Physiotherapy provides a conservative treatment option that can delay or even eliminate the need for surgery. Here are some of the key benefits:

• Non-Invasive: Unlike surgery, physiotherapy does not require hospital stays or incisions. It is a non-invasive method that allows patients to address their knee pain while continuing with their daily lives.
• Cost-Effective: Physiotherapy is often more cost-effective than surgery, especially when considering the costs associated with post-surgical care and rehabilitation. This makes it an appealing option for those looking for effective yet affordable treatment.
• Improved Long-Term Outcomes: Engaging in physiotherapy can improve long-term outcomes by teaching patients how to manage their condition through exercises, proper movement techniques, and lifestyle changes. This can lead to a higher quality of life and reduce the need for more aggressive treatments in the future.

When to Consider Physiotherapy for Knee Osteoarthritis

Physiotherapy is suitable for individuals at various stages of knee osteoarthritis. Those with early-stage OA may find that physiotherapy alone is sufficient to manage symptoms, while those with more advanced OA can use it as part of a broader management plan. Signs that physiotherapy could be beneficial include:

• Persistent knee pain that limits daily activities
• Reduced range of motion or stiffness in the knee
• Swelling or inflammation that affects mobility
• A desire to avoid or delay knee surgery

Physiotherapists work closely with patients to set realistic goals and track progress, adjusting treatment plans as necessary. This personalised care ensures that each patient receives the support they need to manage their condition effectively.

Combining Physiotherapy with Other Non-Surgical Treatments

In addition to physiotherapy, other non-surgical treatments can be used to manage knee osteoarthritis. These include:

• Medication: Pain relievers and anti-inflammatory medications can provide short-term relief. Physiotherapy can be combined with these medications to improve mobility.
• Weight Management: Excess weight puts additional pressure on the knee joint. A physiotherapist can provide guidance on exercises that aid in weight loss, further reducing stress on the knees.
• Assistive Devices: Using braces or orthotic inserts can provide additional support to the knee joint, especially during physical activity. Physiotherapists can advise on the best options for individual needs.

Conclusion

Physiotherapy is a key component in managing knee osteoarthritis, offering an effective means of strengthening the knee, improving flexibility, and reducing pain. By focusing on non-invasive techniques, physiotherapy empowers patients to take control of their condition without resorting to surgery. Through tailored exercise plans, pain relief strategies, and lifestyle guidance, physiotherapy allows individuals to continue living active lives while managing the symptoms of knee osteoarthritis. For those seeking knee pain treatment without surgery, physiotherapy is a vital option that can help improve both short-term and long-term outcomes.

Top 5 Non-Surgical Knee Pain Treatments to Consider Before Surgery

 Knee pain is a common issue that affects people of all ages, particularly those with knee osteoarthritis, sports injuries, or overuse conditions. While surgery is sometimes necessary, many patients prefer to explore non-surgical alternatives first. Non-surgical treatments can be effective in reducing pain, improving mobility, and delaying or even avoiding the need for surgery. For those seeking knee pain treatment in Ireland, there are several options available that can provide relief. In this post, we’ll explore the top five non-surgical treatments for knee pain and their benefits.

1. Physiotherapy: The Foundation of Non-Surgical Knee Pain Management

Physiotherapy is often considered the first line of defence against knee pain. It involves a tailored exercise programme designed to strengthen the muscles around the knee, improve flexibility, and enhance joint function. This approach can significantly reduce the strain on the knee joint, leading to pain relief and better overall movement.

Key Benefits of Physiotherapy for Knee Pain:

• Strengthening Muscles: Strong muscles, particularly the quadriceps and hamstrings, provide better support to the knee joint, reducing pressure and alleviating pain.
• Improving Range of Motion: Stretching exercises improve the flexibility of the knee joint, helping patients regain lost mobility.
• Pain Reduction: Physiotherapists can teach patients exercises that target pain reduction and provide guidance on maintaining proper posture and movement patterns.

Why Consider Physiotherapy?
For those looking for non-surgical treatment for knee pain, physiotherapy offers a natural and effective way to manage symptoms. It can be done in a clinic or at home with professional guidance, making it accessible to many people in Ireland. It is particularly beneficial for those with mild to moderate knee osteoarthritis and sports-related injuries.

2. Platelet-Rich Plasma (PRP) Therapy: A Regenerative Approach

Platelet-Rich Plasma (PRP) therapy is a cutting-edge treatment that harnesses the body’s natural healing processes. It involves drawing a small amount of the patient’s blood, processing it to concentrate the platelets, and injecting the PRP into the affected knee area. The platelets release growth factors that help repair damaged tissues and reduce inflammation.

Key Benefits of PRP Therapy:

• Promotes Tissue Repair: PRP therapy stimulates the healing of tendons, ligaments, and cartilage, making it ideal for degenerative conditions like osteoarthritis.
• Reduces Inflammation: By targeting inflammation, PRP therapy can alleviate pain and improve joint function over time.
• Minimally Invasive: Unlike surgery, PRP injections are minimally invasive and can be completed in a clinic without the need for general anaesthesia.

Why Consider PRP Therapy?
PRP therapy is becoming a popular knee pain treatment in Ireland due to its regenerative potential and minimal recovery time. It is an excellent choice for patients who wish to explore natural healing methods before opting for surgical intervention.

3. Hyaluronic Acid Injections: Lubricating the Joint

Hyaluronic acid injections, also known as viscosupplementation, are another effective non-surgical treatment for knee pain. This treatment involves injecting a gel-like substance directly into the knee joint to improve lubrication and reduce friction between the bones. Hyaluronic acid is naturally found in the joint fluid, and supplementing it can help improve the knee’s shock-absorbing properties.

Key Benefits of Hyaluronic Acid Injections:

• Enhanced Joint Mobility: The injections can help improve joint function by reducing the friction between cartilage surfaces.
• Pain Relief: Patients often experience significant pain relief, allowing them to engage in daily activities more comfortably.
• Suitable for Mild to Moderate OA: This treatment is particularly effective for patients with mild to moderate knee osteoarthritis who are not ready for surgery.

Why Consider Hyaluronic Acid Injections?
For those looking for a knee pain treatment in Ireland that provides a temporary yet effective solution, hyaluronic acid injections can be a viable option. The procedure is quick, and the effects can last for several months, making it a practical choice for many patients.

4. Lifestyle Changes: The Role of Weight Management and Activity Modification

Lifestyle changes are essential when managing chronic knee pain, especially for those with osteoarthritis. These changes can help reduce stress on the knee joint, slow the progression of the condition, and improve overall quality of life. Key aspects of lifestyle modification include weight management and activity modification.

Key Lifestyle Changes for Knee Pain:

• Weight Management: Losing excess weight can have a profound impact on knee health, as it reduces the load on the knee joint with each step. Even a small amount of weight loss can lead to significant improvements in pain levels.
• Activity Modification: Avoiding high-impact activities, such as running or jumping, and opting for low-impact exercises like swimming or cycling can help manage knee pain without putting too much strain on the joint.
• Supportive Footwear: Wearing appropriate footwear can help with shock absorption and alignment, reducing the stress on the knee joint during daily activities.

Why Consider Lifestyle Changes?
Lifestyle changes are an accessible and cost-effective non-surgical treatment for knee pain. They are particularly beneficial for individuals who wish to take a proactive approach to managing their condition without medical interventions.

5. Acupuncture: A Complementary Therapy for Pain Relief

Acupuncture, a traditional Chinese medicine practice, is increasingly being used as a complementary knee pain treatment in Ireland. It involves inserting thin needles into specific points on the body to stimulate the release of natural painkillers and improve blood flow to the affected area. This can help reduce pain and inflammation in the knee.

Key Benefits of Acupuncture for Knee Pain:

• Natural Pain Relief: Acupuncture can provide pain relief without the need for medication, making it a suitable option for those seeking a natural approach.
• Improves Circulation: By enhancing blood flow to the knee, acupuncture can support the healing process.
• Relaxation and Stress Reduction: The treatment can also help patients relax, which may be beneficial for those dealing with chronic pain.

Why Consider Acupuncture?
Acupuncture can be a valuable addition to a broader treatment plan for managing knee pain. It is especially useful for patients who prefer holistic methods or want to complement other non-surgical treatments like physiotherapy or PRP therapy.

Conclusion: Finding the Right Non-Surgical Treatment for Knee Pain

When it comes to non-surgical treatment for knee pain, patients have a range of effective options to explore. Physiotherapy, PRP therapy, hyaluronic acid injections, lifestyle changes, and acupuncture all offer unique benefits that can help alleviate pain and improve joint function without the need for surgery. For those seeking knee pain treatment in Ireland, it is important to consult with a specialist who can recommend the most appropriate treatment based on individual needs and the severity of the condition.

Non-surgical treatments can provide relief, allowing patients to maintain an active lifestyle and enjoy a better quality of life. By exploring these options, patients can take control of their knee pain and delay or avoid the need for surgical intervention.