When Should I Consider a Knee Replacement?

Understanding Knee Arthritis and Pain

Knee arthritis is one of the most common reasons patients come to see me. It often causes pain, stiffness, and swelling that gradually worsen over time. While medications, injections, bracing, and physical therapy can provide relief, there may come a point where these treatments are no longer effective. When knee pain begins to interfere with your ability to walk, sleep, or enjoy daily activities, it may be time to discuss knee replacement surgery.

Signs That Non-Surgical Options Are No Longer Enough

I usually recommend trying non-surgical treatments first, but if these options fail to provide lasting relief, surgery becomes a reasonable consideration. Patients often tell me that their knee pain limits their ability to walk more than a block, climb stairs, or stand for long periods. Another key sign is when pain persists even at rest or disrupts your sleep at night. These symptoms indicate that arthritis is significantly affecting quality of life and may be best addressed with a joint replacement. Impact on

Daily Activities and Lifestyle

One of the most important factors in deciding on knee replacement is how much arthritis affects your daily life. If knee pain keeps you from doing the things you love—such as gardening, playing with grandchildren, golfing, hiking, or simply walking comfortably—it's worth having a conversation about surgery. The goal of knee replacement is not just to relieve pain, but also to restore independence and allow you to return to the activities that bring you joy.

Timing Matters: Not Too Early, Not Too Late

Some patients worry about waiting too long, while others fear having surgery too soon. The truth is, the best timing varies from person to person. I tell my patients that knee replacement should be considered when arthritis pain significantly limits quality of life despite trying non-surgical treatments. Waiting too long may cause stiffness, muscle weakness, or worsening deformity, which can make recovery more difficult. On the other hand, surgery is not recommended for mild arthritis that still responds to conservative treatments.

Conclusion: A Personal Decision, Guided by Your Surgeon

Deciding when to have a knee replacement is a personal decision based on symptoms, lifestyle goals, and overall health. My role as your surgeon is to guide you through the options, review your x-rays, and help you make the choice that's best for you. If you find yourself planning your life around knee pain, it may be time to consider surgery. With modern techniques and implants, knee replacement can provide lasting relief and restore function, helping you get back to the life you want to live.

To book a knee replacement consultation with Dr. Alton, schedule your appointment here.