Non-Surgical Alternatives to Knee Replacement: What Are Your Options?

If you’ve been told you might need a knee replacement—but you’re not quite ready for surgery—you’re not alone. Many people living with knee osteoarthritis are looking for ways to reduce pain and stay active without undergoing joint replacement.

The good news? There are multiple non-surgical alternatives to knee replacement, and some are more effective than ever—including an advanced outpatient procedure called Genicular Artery Embolization (GAE).

Let’s break down your options.

physical therapy for arthritic knee pain

1. Physical Therapy and Exercise

One of the first steps for managing knee pain is movement. A physical therapist can create a program that strengthens muscles around your knee, improving support and reducing strain.

✅ Low cost
✅ Non-invasive
⚠️ Works best in early stages of arthritis

2. Medications and Supplements

Common treatments include:

  • NSAIDs (like ibuprofen or naproxen) for inflammation and pain

  • Topical creams that target surface-level joint pain

  • Joint supplements (like glucosamine or turmeric) with mixed evidence

These may offer temporary relief but don’t reverse damage.

3. Injections

Injections can reduce inflammation or add cushioning to the knee:

  • Corticosteroid injections – Quick relief but not long-lasting

  • Hyaluronic acid (viscosupplementation) – Adds lubrication

  • PRP (platelet-rich plasma) – Uses your blood to stimulate healing

⚠️ These options typically wear off after a few months and may need to be repeated.

4. Genicular Artery Embolization (GAE): A New Option Worth Considering

For patients not ready for knee replacement and looking for long-term pain relief, GAE is one of the most promising solutions.

GAE is a minimally invasive procedure performed by an interventional specialist. It works by reducing blood flow to the inflamed lining of the knee, which helps relieve pain caused by osteoarthritis.

Why GAE Stands Out:

  • No surgery or hospital stay

  • Outpatient procedure

  • Fast recovery—back to activity in days

  • Long-lasting relief (12+ months for many patients)

  • Keeps your natural joint intact

Learn more about how Genicular Artery Embolization works.

5. Weight Loss and Lifestyle Changes

Carrying excess weight puts more pressure on your knees—every pound lost can make a noticeable difference in pain levels. Combine this with low-impact activities like swimming, cycling, or walking to help improve function.

6. Bracing and Assistive Devices

Knee braces or orthotic shoe inserts can help offload pressure from painful areas of your knee joint. These tools don’t fix the underlying arthritis but can improve day-to-day function.

The Bottom Line

You have more choices than knee surgery. From therapy and injections to cutting-edge treatments like GAE, there are many ways to manage knee pain and preserve your quality of life.

Not sure which path is right for you? Our team at Preferred Vascular Group can help you explore your options and decide if GAE is a fit.

Schedule a consultation today and learn more about the best non-surgical alternatives to knee replacement in Cleveland or Atlanta.