Your knee aches when you stand up. It stiffens after sitting for too long. Stairs have become something you negotiate rather than walk. If this sounds familiar, you're likely dealing with knee arthritis — and you're not alone. BONE DRs Orthopedic Care in San Marcos, TX treats knee arthritis at every stage, from early cartilage wear to bone-on-bone, with both non-surgical and surgical options tailored to where you actually are in the process. Patients throughout San Marcos, Kyle, Wimberley, and Hays County trust our comprehensive approach to arthritis care.
How Serious Is Your Knee Arthritis — And Do You Need Surgery?
Early-Stage Arthritis: Conservative Management Works
Knee arthritis is a spectrum, and where you fall on it determines what treatment makes sense. Most patients do not need surgery at first diagnosis. In fact, the majority of knee arthritis patients we see in San Marcos are managed non-surgically — often for years — before replacement is ever discussed. Early-stage arthritis (mild cartilage thinning, occasional stiffness): Activity modification, anti-inflammatory medication, and targeted physical therapy are usually enough. This is the stage where lifestyle changes — weight management, low-impact exercise, and strengthening — make the biggest long-term difference for San Marcos-area residents.
Moderate Arthritis: Injections Enter the Picture
Moderate arthritis (noticeable cartilage loss, more frequent pain): This is where injections enter the picture. Cortisone injections provide short-term inflammation relief. Viscosupplementation (gel injections like Synvisc or Euflexxa) lubricates the joint and can provide 6–12 months of relief. Some patients respond well to PRP therapy at this stage as an alternative to traditional injections.
Advanced Arthritis: When Replacement Makes Sense
Advanced arthritis (bone-on-bone, daily pain, significant functional decline): When non-surgical options stop working and your quality of life is suffering, knee replacement is the most reliable solution. Our board-certified surgeon performs minimally invasive knee replacement with a track record of getting San Marcos patients back on their feet quickly. The point is: nobody's going to push you into surgery before you're ready. But we also won't keep recommending injections when the joint is past the point where they'll help.
Pain Relief — The Whole Point of Treatment
How Different Treatments Target Arthritis Pain
Knee arthritis treatment is fundamentally about pain relief — that's why you're here. Every option in our toolkit targets pain differently: Anti-inflammatories reduce pain caused by joint inflammation. Cortisone injections knock down acute flares. Viscosupplementation cushions the joint to reduce grinding pain. Physical therapy strengthens the muscles around the knee, reducing load on the damaged cartilage. Knee replacement eliminates the arthritic joint entirely and replaces it with an implant that doesn't have nerve endings in the way bone does.
Customized Pain Management for San Marcos Patients
Your treatment plan will likely involve a combination of these over time. The goal is always the same: keep you moving with the least amount of pain and the least invasive approach that actually works. Our San Marcos specialists work with Kyle, Wimberley, and Hays County patients to find the right pain management strategy for your life.
Treatment and Recovery Timeline at Each Stage
Early Care: Non-Surgical Management
Non-surgical management: No downtime. Physical therapy sessions 1–2 times per week for 6–8 weeks. Injection appointments take about 15 minutes with minimal to no recovery needed. Our San Marcos clinic can coordinate your entire care plan in one practice.
Intermediate Care: Injection Series
Viscosupplementation series: 3 weekly injections (or 1 single-dose injection depending on the product). Mild soreness for 24–48 hours after each shot. Full benefit develops over 2–4 weeks. The AAOS reports that knee arthritis affects nearly 14 million Americans, so you're not alone in this journey. San Marcos patients benefit from our experience managing arthritis across all stages.
Advanced Care: Knee Replacement
Knee replacement: Walking the same day, driving at 3–4 weeks, low-impact activities at 6–8 weeks, full recovery at 3–6 months. See our dedicated Knee Replacement San Marcos page for full recovery details. Our San Marcos surgeons are experienced with all implant types and can discuss which approach is best for you.
