Knee Arthritis

Knee Arthritis

Knee arthritis is one of the most common causes of knee pain and typically affects patients as they get older.

There are three basic types of arthritis that may affect the knee joint:

  • Osteoarthritis – the most common form of arthritis, and one that most often affects middle-age and older individuals.
  • Rheumatoid Arthritis – an inflammatory type of arthritis that can destroy the joint cartilage, and usually affects both knees.
  • Post-traumatic Arthritis – can develop after a knee injury such as a fracture, ligament injury or meniscus tear.

Drs. Goradia or Budny will review non-surgical treatment options for knee arthritis with you and only recommend a partial or total knee replacement if absolutely needed.

Knee Arthritis Symptoms

The most common symptoms of knee arthritis include:

  • Pain with activitiesKnee Arthritis Symptoms
  • Limited range of motion
  • Stiffness of the knee joint
  • Swelling in the knee
  • Tenderness around the knee
  • A feeling that the knee may give out
  • Deformity of the knee

Knee Arthritis Diagnosis

Knee Arthritis can be diagnosed through

  • A careful medical history of knee symptoms and activity limitations
  • A physical examination is conducted to assess knee motion, stability, strength and overall leg alignment
  • X-rays are performed to determine the extent of damage and deformity of the knee

Normal knee x-rays have a dark “space” between the bones. This area contains cartilage and meniscus. When the cartilage and meniscus wear down, the “space” decreases which means arthritis.

Xray of knee osteoarthritis

Non-Surgical Treatment for Arthritis Sufferers

Non-invasive Treatments

  • Diet and exercise will help reduce patients’ BMI or Body Mass Index.
  • Physical therapy may improve flexibility and strength.
  • Medications such as non-steroidal anti-inflammatories can reduce arthritis pain.
  • Glucosamine, an over-the-counter supplement, can provide pain relief for some patients with arthritis.


  • Cortisone injections usually begin working within 24 hours but may only last 3-4 months. The injections can be repeated 4 times per year.
  • Visco-supplementation (hyaluronic acid)- sometimes called “gel” injections are intended to provide 6 or more months of knee pain relief for patients that are not responding to cortisone injections.
  • Platelet rich plasma (PRP) injections contain natural growth factors from patients’ blood.
  • Stem cell injections can be obtained from a patients’ bone marrow.
  • Lipogems® regenerative injections include a variety of growth factors and regenerative cells.

Surgical Treatment Options

“In some cases non-surgical treatments such as Stem Cells and Lipogems can delay a knee replacement for years.” Dr. Goradia

Sandra Milum, 79

Dr. Vic Goradia

“Total left knee replacement – Dr. Goradia and his staff are very helpful and always responded if I had questions. A pleasant experience.

No more knee pain. And I’m back as a hospital volunteer twice weekly!”

See more Patient Success stories here.

Why G2 Orthopedics and Sports Medicine?

We are a small, specialized orthopedic practice in Richmond, VA that provides Advanced Orthopedic Treatment Options, Excellent Results, Personalized Care and Convenient Appointments.

Dr. Vic Goradia is fellowship trained in sports medicine, minimally invasive surgery and knee & shoulder reconstructive surgery. He began practicing in Richmond in 2001 and has extensive experience.

Dr. Jake Budny is fellowship training in joint replacement surgery with a special interest in minimally invasive direct anterior hip replacement, knee replacement and complex, revision joint replacement.