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.

knee-pain

Are You A Candidate?

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

alternatives to
joint replacement surgery

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 pain3,4,5
  • 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

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

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

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 result3,4,5 15% report persistent extreme pain3,4,5

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

No

  1. 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
  2. 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.
  3. 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
  4. 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
  5. 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.