Joint Replacement

Told that you need Knee replacement Surgery?
Are there any alternatives?

YES! There are other viable alternatives

Suffering from arthritis?
Bone on bone?

Many of our patients come to us with severe arthritis considering joint replacement surgery. If they have a knee problem, they may have very little meniscus or even no meniscus with “bone on bone.”

We are frequently asked for alternatives. Injection based treatments may provide you with a non-surgical alternative.

Are You A Candidate?

Contact one of our patient educators to see if you’re eligible:

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alternatives to
joint replacement surgery

Cortisone injections – these may provide temporary pain relief which could last a few weeks or rarely longer. We now know that cortisone injections (steroid injections) can cause long term harm and speed up long term joint arthritis^1,2
Hyaluronic Acid injections – These injections only provide some short-term pain relief, lasting 3-5 weeks
Medications – Medications can mask the pain, but they are not effective in treating or reversing osteoarthritis
Other Injection Based Therapies – our injection based therapies is a relatively new treatment which may provide long term relief and greater mobility to patients, even those with severe arthritis

Some of Our Patient Testimonials

Do you really know about Joint replacement surgery?

Painful recovery, especially the 1st month requiring powerful opioid medications
Out of work for a few months
Full recovery takes 6-12 months and after that you may still be limited with no running or kneeling
Persistent pain, joint stiffness or joint clicking may result. In fact, about 30% of patients are dissatisfied with the result and 15% report episodes of extreme pain^3,4,5
Joint replacement may only last 10-15 years after which you’ll need a redo which is more complicated and painful

ENJOY LIFE WITHOUT PAIN OR JOINT REPLACEMENT

Find out more about non-surgical solutions

Our injection Therapy Vs Joint Replacement

Our Injection Based Therapy

PAIN

Some pain 1st 3-6 days

Extremely painful 1st 4 weeks

OUT OF WORK

1 week

3 months

RECOVERY

Effect is usually noticeable after 4-6 weeks with recovery continuing for up to a year.

“Full”recovery takes 6-12 months and after that: no running or kneeling (TKR).

Can have near full or full recovery.

Can have good recovery. Can result in persistent pain, stiffness, clicking: After total hip or knee: ~30% of patients dissatisfied with result^,3,4,5 15% report persistent extreme pain.^3,4,5

LASTS

May last 6+ years or longer.

Lasts 10-15 years.

ELIGIBLE FOR FUTURE REG MED PROCEDURE?

Yes

No

ELIGIBLE FOR FUTURE SURGERY?

Yes, can have joint surgery or even joint replacement.

Joint replacement redo surgery is much more complex and painful.

INSURANCE

Not covered.
(Cost could be $8,500)

Covered. (Out of pocket cost could be $5,000 or more)

GUARANTEED RESULT

No

Our Injection Based Therapy Vs Joint Replacement

Our Injection Based Therapy

Joint Replacement

PAIN

Some pain 1st 3-6 days

Extremely painful 1st 4 weeks

OUT OF WORK

1 week

3 months

RECOVERY

Effect is usually noticeable after 4-6 weeks with recovery continuing for up to a year

“Full” takes 6-12 months and after that: no running or kneeling (TKR)

.

Can have near full or full recovery

Can have good recovery Can result in persistent pain, stiffness, clicking: After total hip or knee: ~30% of patients dissatisfied with result^3,4,515% report persistent extreme pain^3,4,5

LASTS

May last 6+ years or longer

Lasts 10-15 years

ELIGIBLE FOR FUTURE REG MED PROCEDURE?

Yes

No

ELIGIBLE FOR FUTURE SURGERY?

Yes, can have joint surgery or even joint replacement

Joint replacement redo surgery is much more complex and painful

INSURANCE

Not covered
(Cost could be $8,500)

Covered (Out of pocket cost could be $5,000 or more)

GUARANTEED RESULT

No

Wylde, Hewlett, Learmonth; Persistent pain after joint replacement: prevalence, sensory qualities, and postoperative determinants. 2011 Mar;152(3):566-72. doi: 10.1016/j.pain.2010.11.023. Epub 2011 Jan 15
Simeone , Vicentini, Bredella, Chang; Are patients more likely to have hip osteoarthritis progression and femoral head collapse after hip steroid/anesthetic injections? A retrospective observational study; Seletal Radiol. 2019 Sep;48(9):1417-1426. doi: 10.1007/s00256-019-03189-x. Epub 2019 Mar 6.
Kompel, Roemer, Murakami, Diaz, Crema, Guermazi; Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? Radiology 2019; 293:656–663
Lam, Chan, Fu, Yan, Chiu; A Review of the Clinical Approach to Persistent Pain Following Total Hip Replacement; Hong Kong Med J, 2016 Dec: 22(6): 600-7
Wylde, Dieppe, Hewlett, Learmonth; Total Knee Replacement: Is it Really an Effective Procedure for All?; Knee, 2007, Dec 14 (6): 417-23

Janet D. Pearl MD, MSc

BOARD CERTIFIED IN R. MEDICINE, PAIN MEDICINE and ANESTHESIOLOGY

Dr. Janet Pearl has been in practice since 1999 and is the Medical Director of the Center for Morton’s Neuroma and the Medical Director of Complete Spine and Pain Care, an interventional and integrated Pain Management program both located in Framingham, Massachusetts.

Dr. Pearl is Board Certified in R. Medicine and has over 20 years experience in doing these procedures.

We’re dedicated to our patients’ healing experience and know that with innovation comes a lot of education. Therefore, our team is here to inform and support you as we walk you down a new path to healing.

Patient Testimonials

(508) 534-8840

Get Help now

Testimonials

Told that you need Knee replacement Surgery? Are there any alternatives?

Suffering from arthritis?Bone on bone?

Are You A Candidate?

alternatives to joint replacement surgery

Some of Our Patient Testimonials

Bob had both of his knees treated 3 months ago. He is now pain free

Noel was a world class power lifter and had treatment on his knee for a meniscus tear

Linda had hip treatment for severe hip pain and limited hip mobility

Julie had bilateral knee treatments and is now pain free

Fred had treatment for his painful knee

Mary is now one month after treatment for her hip

Dimitri had severe hip arthritis before getting treatment

Ben’s second testimonial after his knee procedure

Jackques’ shoulder treatment for a worn out shoulder

Elyse had knee treatment for bone on bone knee pain

Mike had a treatment for a torn meniscus and knee cartilage

Ben had terrible knee pain and had difficulty walking. Find out how he is now.

Matte: 2 months after treatment for hip pain

Kevin suffered from hip and couldn’t walk properly. Now he is pain free.

Tim had a procedure after failed ACL and meniscus surgery

Marva is 52 years old had a procedure on one knee and joint replacement on the other

Adi is 83 years old and had bilat knee procedures

This is Roberta’s second testimonial, now 2 months after procedures on both knees.

Dale M. is 73 years old and had a hip procedure

Terry’s testimonial after a procedure for severe knee arthritis

Mike’s testimonial after a procedure for a torn meniscus

Roberta’s Testimonial after bilateral knee procedures

Bill Suffered from a Meniscus tear and was about to have surgery. Now after our treatment he is 90% better.

Steve Was Going To Have Bilateral Knee Surgery. After Our Procedure He Wouldn't Consider it

Al Experienced Bilateral Knee Pain Relief Within A Month After Our Procedure

Now Playing Golf Again! Our Procedures healed Mark’s knees and shoulder

Mary found joy again after Our Procedures to both hips

Jim was unable to move without pain. Now Jim’s knee is 85% better

Steve could barely get out of a chair. Now he’s back working with little knee pain.

Al Experienced Bilateral Knee Pain Relief Within A Month After Our Procedure

Now Playing Golf Again! Our Procedures healed Mark’s knees and shoulder

Mary found joy again after Our Procedure to both hips

Jim was unable to move without pain. Now Jim’s knee is 85% better

Steve could barely get out of a chair. Now he’s back working with little knee pain.

Gale considered knee replacement surgery. Now 6 months after Our Procedure she has little knee pain

David ran 40-50 miles/wk till his meniscus problem. Now he couldn’t be happier.

Mike Completed Hiking The Appalachian Trail After Treatment For His Knee

Willie’s 1st testimonial after 3 weeks: Wille had a knee maxstem procedure and now has no knee pain

Willie 2nd testimonial 4 months after knee treatment. Now he's doing things he couldn't do most of his adult life.

Bob had treatment on both knees. Now, after a year, he feels “as good as he’s ever felt.”

Irene’s knee is much stronger now due to Our Procedure

Steve’s 1st video 1 month out. He could hardly walk 100 yards without pain and now can walk quite far

Steve’s 2 video: 4 months after bilateral knee procedures he is walking with almost no pain

Steve’s 3rd video: 1 yr out - Steve is back to his normal activity due to our knee procedure

Tanya was told she needed a hip replacement. 4 months after our procedure she is in no pain

Len had tremendous pain in his knee and could not walk much. He now walks 1.5 miles every day.

Steve's 1st video after 2 months: Steve had Our Procedure for severe knee arthritis.

Steve’s 2nd video 4 months after our knee procedure treatment. Now playing tennis 2/wk

Susan suffered with bilateral severe knee arthritis Now 4 months after knee her procedure she has no knee pain

Catherine has Avascular Necrosis of the Hip. 1 month after our procedure her life is dramatically improved.

Sarah has Avascular Necrosis of her hip. Now she sleeps through the night and her pain is 2-3/10

2 months’ after knee Treatment, Steve’s knee pain has gone away.

1 months after knee Treatment, Richard is now pain free with improved knee mobility

2 months after knee Treatment, Peter’s knee pain has gone from 9/10 to 1/10

Do you really know about Joint replacement surgery?

ENJOY LIFE WITHOUT PAIN OR JOINT REPLACEMENT

Find out more about non-surgical solutions

Our injection Therapy Vs Joint Replacement

Our Injection Based Therapy

Joint Replacement

PAIN

Some pain 1st 3-6 days

Extremely painful 1st 4 weeks

OUT OF WORK

1 week

3 months

RECOVERY

Effect is usually noticeable after 4-6 weeks with recovery continuing for up to a year.

“Full”recovery takes 6-12 months and after that: no running or kneeling (TKR).

Can have near full or full recovery.

Can have good recovery. Can result in persistent pain, stiffness, clicking: After total hip or knee: ~30% of patients dissatisfied with result,3,4,5 15% report persistent extreme pain.3,4,5

Told that you need Knee replacement Surgery?
Are there any alternatives?

Suffering from arthritis?
Bone on bone?

alternatives to
joint replacement surgery

Can have good recovery. Can result in persistent pain, stiffness, clicking: After total hip or knee: ~30% of patients dissatisfied with result^,3,4,5 15% report persistent extreme pain.^3,4,5

Not covered.
(Cost could be $8,500)

Can have good recovery Can result in persistent pain, stiffness, clicking: After total hip or knee: ~30% of patients dissatisfied with result^3,4,515% report persistent extreme pain^3,4,5

Not covered
(Cost could be $8,500)

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