Hi Koleke, and thank you for your concern.

Unfortunately I picked up the osteoarthritis gene from my Mom. On top of that, I ran about 25 marathons. My running career ended in 2003 when I had the entire medial meniscus removed from one knee. 19 years later, I had both knees replaced, with really great success. I exercise on a spin bike now, taking three or four classes a week.

Osteoarthritis can and likely will affect all of my joints - knees, hips, shoulder, hands and feet. Oh and the spine. I've had laminotonies, not fusion (yet) to widen my spinal canal from arthritic spurs.

I always make a point of seeking good care whenever I can. FWIW, if I don't already have a surgeon, I look for Drs in their late 30s to late 40s, with a good med school and residency pedigree. These people are still pretty young and ambitious, they are current on the latest surgical techniques, and they've probably done thousands of procedures. This really works. And I consider a first visit an interview where I can assess the Dr, as best as I can. And at that point, I'm mostly looking for someone who 1) gives me the time I need, 2) answers my questions, 3) offer other options before surgery (if possible) and 3) stands behind their work. I read all their patient evaluations. So far, so good.

As far as day to day pain or discomfort - usually Aleve or Tylenol will help. I won't use opiates, except right after surgery and if I really need them. That's just a personal choice.

In the meantime, cortisone shots have worked pretty well. I don't have side effects, at least none I remember.

Thanks again! Joe