Knee degenerative disease, also known as knee osteoarthritis, is a degenerative pathology-based disorder, mostly in the elderly, more women than men, according to relevant information, a conservative estimate of the current population of more than 35 million people suffering from the disease, its symptoms are mostly manifested as knee redness, swelling and pain, up and down stairs pain, sitting up and standing knee pain discomfort. If left untreated, it can lead to joint deformity and disability. In the knee area also often suffer from joint diseases such as knee synovitis, ligament damage, meniscus damage, knee free bodies, goose foot bursitis, and internal/external knee valgus. It can be said that this is a common, troublesome disease that covers a wide range of complications and serious consequences. What is the progression of this disease? At the beginning, the patient will feel mild discomfort such as knee pain, weakness, and popping. If the daily use habits and labor intensity are not corrected, the pain will increase and the function will be limited. Even lying in bed, the pain is so severe that the patient can’t sleep at night, and no medication is effective. I have to admit that it is very poor for patients whose condition has developed to this point. At present, the middle-aged and elderly people in China are the generation or two from the 60s to the 30s. For them, when they were young, they experienced the changes of the times, political situation and environment, and suffered a lot of hardships. The bad is very bad! Therefore, this is also an important background reason why the knee osteoarthritis population is so large and the medical needs are so strong today! Clinically, we often encounter many patients with knee osteoarthritis who come to our clinics for treatment. The common feature is that they have pain in their legs, but they have not taken the disease seriously for a long time. They do not know the cause, they do not understand the disease, they do not know the treatment options, they are very afraid of surgery, and they ask for the simpler and less expensive treatment, and they are very afraid of causing problems for their children! Here comes a question that must be addressed: to what extent do you have degenerative knee disease. So, an experienced doctor will ask you a few short and specific questions about your daily use of the knee, then do a formal physical examination, and finally, take a radiograph, an axial patellar radiograph, and a front and side standing weight-bearing radiograph of the knee. If necessary, an MRI will be added. The initial examination can often indicate to what extent you have reached. In terms of the pathology of degenerative knee disease, you can find soft tissue degeneration, contracture, fibrosis, and poor elasticity; bone edema, osteoporosis, degeneration, and even microfractures can be found; cartilage dehydration, degeneration, detachment, and peeling off into free bodies, and even defects can be seen on the film! Of course, bad ones can also be accompanied by rupture of the meniscus, secondary damage and rupture of ligaments, deformation and dislocation of the knee joint, etc. So, different degrees of degenerative disease require different degrees of treatment options. In super-early mild cases, symptoms can be improved and lesion development slowed down through changes in lifestyle, work style, intensity, hot compresses, and functional exercises; in early patients, a little medication with physical therapy is needed to improve the condition; for further development, the dose, frequency, and type of medication should be increased, and physical therapy should be adhered to for a longer period of time; at this time, sodium vitrate can be injected to lubricate the joint; in the middle stage, it can be on top of this Consider doing a knee arthroscopic maintenance cleaning surgery to clean out the knee joint hyperplasia, congestion of the synovial membrane; remove a lot of inflammatory factors; late, the knee joint is obviously deformed, the loss of the lower extremities of normal weight-bearing walking force line, patients appear resting pain, night pain and other symptoms that obviously affect the quality of life, and then injections and medication, is a waste of money, this time, you need to consider TKA (artificial knee joint replacement). Don’t be afraid, after the surgery, you can walk normally as well, flex and extend your joints, restore your lower limb function, reduce other complications and, crucially, no more knee pain. However, it is normal and understandable that many middle-aged and elderly people are considering issues beyond medical treatment, in addition to the risks and pain of treatment. In a social sense, each person is an important part of each family, surgery, medication, all have to spend money, family members also hard, will increase the burden on the family, or even cause family conflicts; in an economic sense, health insurance can only reimburse part of the outpatient emergency treatment is not reported, the family children will not be filial? In a humanistic sense, many people have a tough side to their character, they tend to emphasize the process of life, do not care about the results, the knee can be painful, as long as they can tolerate, try not to go to the hospital, so as not to show weakness, this we must also respect. You should know that the principle of treatment is to try to improve your quality of life, reduce your pain and slow down the progress of the disease. This disease, conventional treatment can not be cut off, because it is a degenerative disease, the law of nature. If you can reverse the natural law, you will become a god. Here, I must remind my dear patients, do not believe the lies of charlatans who can cure the disease, or the falsehoods of health care products that can cure it, and do not believe in the brainwashing of cults! Thank you very much for your patience to read so much, tired, right? In fact, there is a trick, see you so hard, I’ll tell you! Knowing it, you can go to the hospital less, take less medication, get less injections, and you don’t even have to have surgery. This trick, is maintenance. I often take the trouble to tell every one of my patients, whether in the outpatient clinic or the ward. Maintenance, more than any other treatment, is something you need to take seriously, no matter what stage of osteoarthritis you have in your knee. Since we can’t return to our old age, we can only try to slow down the progress of the disease, and how to do that is to maintain it! Knee degeneration, the vast majority because of acquired overuse or improperly caused, of course, there are some patients with poor quality of congenital bone and cartilage, do not withstand the use. The knee joint has its own biological structure and mechanics, and its main role is to carry weight and walk. When you are young, the knee joint has good structural elasticity, good impact resistance and friction ability, so it naturally recovers well. How can it not become a disease in the long run? What? Drugs? Drugs only relieve your symptoms and relieve your pain, as for the damaged bones and joints, the water is difficult to recover, you need to mend the sheep also! It is often said that we need to care for the elderly, indeed, this is a group of people who give a lot for us, in addition to respect them, understand them, sometimes, we also need to remind them: love their knee joint, from now on!