To answer your question, your doctor needs to determine what type of arthritis you have in your knees. If this is due to the most common form of arthritis, osteoarthritis, then treatment options include acetaminophen, NSAIDs, topical therapies, intra-articular injections, and physical therapy. If this is due to an inflammatory arthritis (such as rheumatoid arthritis or psoriatic arthritis) then treatment options include immunosuppressive agents such as methotrexate or biologics. Ultimately, if there is severe destruction, pain, and disability from either type of arthritis, knee replacement surgery can be an option.
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