Patient: Description of condition (onset time, main symptoms, hospital visited, etc.): August 2011, pain in both knees, difficulty going upstairs, but tolerate the pain can go out to buy food. In Huizhou First People’s Hospital, the film was taken, no medicine was taken no treatment 2 months passed, the pain slightly slowed down, did not continue to aggravate the patient is allergic to many antibiotics, many drugs can not be eaten, many drugs can not be injected X-ray film shows left and right knee joint intermediary, both have 2 pointed protrusions No treatment X-ray report description: bilateral knee joint frontal and lateral film bilateral knee joints composed of bone intact, bilateral tibial intercourse ridge and patella visible osteophytes, bone becomes sharp; joint surface is slightly sclerotic, joint space is not narrowed, soft tissue is not swollen with abnormal density. Diagnosis and recommendations Degenerative degeneration of both knee joints What should be done in this case? Qin Jian, Department of Osteoarthritis, Guangzhou First People’s Hospital: I think you have simple osteoarthritis, which is still in the early stage, and the joint space is not yet narrowed, so you can slow down the development of the disease through conservative treatment. First of all, do not do climbing, squatting, taijiquan, dance and other activities, usually to walk on flat ground, the best exercise is swimming. If you have a lot of weight to try to lose weight. When it hurts in general, you should rest strictly and try not to walk. At the same time, you can take analgesic and anti-inflammatory drugs such as Fotarine and Cilpro to relieve the symptoms. If necessary, sodium hyaluronate can be injected into the joint cavity. This is usually effective in early stage patients, but the pain will still recur after re-activation. It is important to note that patients with a tendency or history of cardiovascular disease and gastrointestinal bleeding should take these drugs with caution. If the joint becomes deformed later and the pain is not relieved by medication, it can be completely solved by knee replacement, which is very effective and is equivalent to getting a new joint, usually without sequelae. For more information, please visit my website