Hi detc,

Sorry for what you're going through. Both of my knees were bone on bone until I had them replaced in 2022. Now they feel great.

I had a few cortisone injections and can't say they worked very well. There are gel injections, PRP injections, and I think an injection derived from stem cells. I truly think that if used long-term, these are band aids in place of a TKR. I also understand some people are worried about the surgery (there are always risks, however unlikely) but would like the pain to go away or subside.

So I have two, non-shot ideas for you:

1) Voltaren gel. This is an OTC product that contains the NSAID diclofenac, a real treatment for pain as opposed to a menthol rub. I have used this on my shoulder and it works well, and I think it is. well suited for the hip. You can also check with your Dr, about getting an Rx for diclofenac. I use it for shoulder pain.

2) On Amazon there is an ice pack under the band name "Hurt Skirt" (sp?). I've used many frozen gels, but these are designed to easily wrap around the entire knee, and they last quite a while. These provide instant relief.

I also use Professional Bio-Freeze on my shoulder. This is imo the best menthol product to ease joint and muscle pain. There are many of these products, and I have found Bio-Freeze to be the best. You can buy it as a gel, spray, or roll on. The menthol smell fades quickly.

These are all temporary answers. But I find all three to be at least as effective as cortisone shots. Finally, I don't think the gel, PRP or stem cell shots are covered by insurance.

I hope these suggestions are useful. Is TKR an option for you?

Joe