What Helps Bone On Bone Knee Pain Without Surgery

Stage 4 Osteoarthritis

Bone-on-bone knee pain is a common symptom of osteoarthritis, a condition that affects millions of people worldwide. It can cause significant discomfort and affect daily activities such as walking, climbing stairs, and getting up from a chair. Understanding the precise location of knee pain is crucial in diagnosing and managing osteoarthritis effectively. This is where a knee pain location chart becomes invaluable, providing a visual guide to pinpoint the exact areas of discomfort within the knee joint.

While surgery may seem like the only option for relief, there are non-surgical methods available that can help manage the pain and improve your quality of life. This article will explore some of these methods and how they can help alleviate bone-on-bone knee pain.

Understanding Bone on Bone Knee Pain

Before we delve into the non-surgical treatments, let’s first understand bone-on-bone knee pain and how it occurs. Osteoarthritis is a degenerative joint disease that occurs when the cartilage that cushions the joints gradually wears away. As a result, the bones rub against each other, leading to pain, swelling, and stiffness.

One of the most common areas affected by osteoarthritis is the knee joint. When the cartilage in the knee joint deteriorates to the point where the bones are directly touching each other, it is referred to as bone on bone knee pain. This can cause severe discomfort and limit mobility.

It’s important to note that bone-on-bone knee pain is a progressive condition, meaning it worsens over time. Early intervention and non-surgical treatments can help manage the symptoms and slow down the progression of the disease.

As bone-on-bone knee pain progresses, individuals may experience a range of symptoms beyond just discomfort. These can include a grinding sensation in the knee joint, swelling that persists even with rest, and a decreased range of motion. The pain associated with bone-on-bone knee pain can be sharp and stabbing, making it challenging to perform daily activities.

Furthermore, individuals with bone-on-bone knee pain may also notice changes in the alignment of their knee joints, leading to issues with balance and stability. This can increase the risk of falls and further complications. It’s essential for individuals experiencing these symptoms to seek medical attention to explore treatment options and prevent further joint damage.

Bone on Bone Arthritis Signs

Recognizing the signs of bone-on-bone arthritis can help you seek treatment and alleviate your knee pain. Some common signs include:

  • Chronic knee pain that persists even at rest
  • Inflammation and swelling around the knee joint
  • Stiffness and limited range of motion
  • Cracking or popping sounds when moving the knee

If you are experiencing any of these symptoms, it is important to consult with a healthcare professional for an accurate diagnosis and treatment plan.

Bone-on-bone arthritis, also known as advanced osteoarthritis, occurs when the protective cartilage that cushions the ends of your bones wears down over time. This can lead to bone rubbing against bone, causing pain and discomfort. In addition to the signs mentioned above, individuals with bone-on-bone arthritis may also experience weakness in the knee joint, making it difficult to bear weight or perform daily activities.

Furthermore, untreated bone-on-bone arthritis can result in the development of bone spurs, which are bony projections that form along the edges of bones. These spurs can further exacerbate pain and limit mobility. It is crucial to address the symptoms of bone-on-bone arthritis promptly to prevent further joint damage and improve quality of life.


Viscosupplementation is a non-surgical procedure that involves injecting a gel-like substance called hyaluronic acid into the knee joint. Hyaluronic acid acts as a lubricant and shock absorber, helping to reduce pain and improve joint mobility. This treatment is often recommended for those with mild to moderate osteoarthritis.

The procedure is quick and relatively painless; most patients experience relief within a few weeks. Viscosupplementation can provide long-lasting results and may even delay the need for surgery in some cases.

Related video: Watch as Hall of Fame Golfer, Lee Trevino, gets his knees injected.

Genicular Artery Embolization (GAE)

Genicular Artery Embolization, or GAE, is a minimally invasive procedure that targets the nerves responsible for transmitting pain signals from the knee joint to the brain. During the procedure, small particles are injected into the blood vessels supplying the knee joint, blocking the nerves and reducing pain.

GAE has shown promising results in relieving knee pain, particularly in patients with bone-on-bone arthritis. It is a safe and effective alternative to surgery, with minimal recovery time and few side effects.

Platelet-Rich Plasma (PRP)

Platelet-rich plasma therapy, or PRP, is a regenerative treatment that uses the patient’s own blood to promote healing. During the procedure, a small amount of blood is drawn and spun in a centrifuge to separate the platelets from the rest of the blood components. The concentrated platelets, which contain growth factors and proteins, are then injected into the knee joint.

PRP has shown promising results in both pain relief and cartilage regeneration. It can stimulate tissue repair and reduce inflammation, helping to improve joint function and alleviate bone-on-bone knee pain.

Fluoroscopy – Live Motion Imaging of the Knee

Fluoroscopy is a diagnostic imaging technique that enables real-time visualization of the knee joint. It uses a continuous X-ray beam to capture moving images, allowing the healthcare provider to assess the joint’s structure and function.

This imaging technique is particularly useful for diagnosing bone-on-bone arthritis and guiding treatments such as injections. It ensures precise needle placement and maximizes the effectiveness of the non-surgical treatments discussed in this article.

Chronic Care Management

Managing bone-on-bone knee pain requires a comprehensive approach that involves lifestyle modifications, physical therapy, and ongoing monitoring. Chronic care management programs can provide the necessary support and guidance to help you effectively manage your knee pain on a long-term basis.

A chronic care management program typically includes regular check-ins with a healthcare professional, personalized treatment plans, and access to educational resources. These programs can help you stay on track with your treatment, make necessary adjustments, and guide pain management techniques.


While managing bone-on-bone knee pain can be challenging, non-surgical treatments can provide effective relief and improve your quality of life. From viscosupplementation to genicular artery embolization, platelet-rich plasma therapy, and fluoroscopy-guided treatments, there are options available that can help alleviate your knee pain without the need for surgery.

Remember, early intervention is key. If you are experiencing chronic knee pain or suspect bone-on-bone arthritis, consult with a healthcare professional to explore the most appropriate treatment options for your specific condition. You can find relief and regain control over your knee health with the right approach.

If you’re struggling with bone-on-bone knee pain and seeking non-surgical solutions, the Arthritis Knee Pain Center is here to help. With over 50,000+ patients who have experienced relief from arthritis knee pain, our advanced treatment options are designed to increase mobility, reduce pain, delay surgery, and decrease the need for pain medications.

Our specially trained physicians utilize advanced digital imaging to precisely administer FDA-approved viscosupplementation gel injections, offering you a path to improved knee health without surgery, opioids, or downtime. Don’t let knee pain control your life. Schedule Your Free Screening today and take the first step towards reclaiming your mobility and comfort.

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