Alternatives to Knee Replacement Surgery

Alternatives to Knee Replacement Surgery: Exploring Non-Surgical Options for Knee Arthritis

Exploring Alternatives to Knee Replacement Surgery

For people living with knee osteoarthritis, persistent pain and stiffness can gradually begin to affect everyday life. Walking, climbing stairs, exercising or simply getting up from a chair can become increasingly uncomfortable. When symptoms continue despite conservative treatment, knee replacement surgery may eventually be discussed.

However, surgery is not necessarily the first or only option for every patient. Depending on the severity of the condition and individual circumstances, there are several alternatives to knee replacement surgery that may be worth exploring.

Non-surgical knee treatment can include lifestyle changes, physiotherapy, pain management and injectable treatments. One option that is increasingly being considered by suitable patients with knee osteoarthritis is Arthrosamid®, a hydrogel injection designed to provide longer-lasting support within the knee joint.

At Royal Liver Orthopaedics, based within The Royal Liver Building in Liverpool, our specialist doctors assess patients on an individual basis to determine which treatment options may be appropriate. Royal Liver Orthopaedics works alongside Cosmetic Surgery of The Royal Liver Building, a CQC-registered independent healthcare provider, giving patients access to specialist-led treatment within the building.

Why Consider Alternatives to Knee Replacement Surgery?

Knee replacement can be an appropriate treatment for people with severe osteoarthritis where other approaches have not provided sufficient improvement. However, patients may have different reasons for wanting to investigate alternatives first.

Some may wish to explore less invasive treatments, while others may not yet have reached the stage where joint replacement is recommended.

knee replacement alternatives

People may look for alternatives to knee replacement surgery because they:

  • Want to explore non-surgical treatment options
  • Are experiencing symptoms but are not ready for surgery
  • Want to maintain their current lifestyle and mobility
  • Have tried physiotherapy or other conservative approaches
  • Are interested in minimally invasive treatments
  • Want to understand all available options before making a decision

There is no universal treatment pathway for knee arthritis. The appropriate approach depends on the individual, which is why a specialist assessment is an important first step.

What Are the Main Alternatives to Knee Replacement Surgery?

There are several approaches that may be considered before knee replacement, depending on the patient’s symptoms and the stage of their osteoarthritis.

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These can include:

  • Physiotherapy and targeted strengthening
  • Regular, appropriate physical activity
  • Weight management where clinically appropriate
  • Adjusting activities that aggravate symptoms
  • Medication and pain management
  • Injectable treatments
  • Specialist orthopaedic interventions

Knee injections are one option that some patients explore when looking for knee arthritis treatment without surgery.

The type of injection used can vary. Treatments may include corticosteroid injections, hyaluronic acid and other injectable therapies, as well as Arthrosamid.

Our previous guide, Non Surgical Knee Treatment, provides a broader overview of the approaches that may be considered for people looking to manage knee arthritis without immediately proceeding to surgery.

Could Arthrosamid Be an Alternative to Knee Replacement Surgery?

Arthrosamid® is a non-surgical injectable treatment specifically designed for the symptoms associated with knee osteoarthritis.

It contains 2.5% polyacrylamide hydrogel and is designed to remain within the knee joint following injection. The hydrogel interacts with the synovial tissue and provides a cushioning effect within the joint.

This makes Arthrosamid different from some other knee injections that are designed to be absorbed by the body over time.

For suitable patients, Arthrosamid may provide a longer-lasting approach to managing symptoms and may be considered when exploring alternatives to knee replacement surgery.

It is important to understand that Arthrosamid is not intended to replace knee replacement surgery in every case. Some patients will require surgical treatment depending on the severity of their osteoarthritis and the condition of their knee.


The purpose of a specialist consultation is therefore to establish whether Arthrosamid is an appropriate option for you.

How Does Arthrosamid Knee Treatment Work?

rthrosamid is administered as an injection into the knee joint. The procedure is minimally invasive and is carried out using local anaesthetic.

The treatment is designed around the properties of polyacrylamide hydrogel. Once administered into the joint, the hydrogel remains in place rather than being rapidly absorbed.

The aim is to provide a cushioning effect that may help improve comfort and mobility in people with symptomatic knee osteoarthritis.

Before treatment, you will have a consultation with a specialist doctor. This provides an opportunity to discuss your symptoms, medical history and previous treatments, as well as whether Arthrosamid is suitable for your circumstances.

If you are researching knee injections for arthritis, you can also read our guide to Knee Injections for Arthritis for more information.

Who Could Consider Arthrosamid as a Non-Surgical Knee Treatment?

Arthrosamid may be considered for adults experiencing symptoms associated with knee osteoarthritis who want to explore a non-surgical treatment option. It may be discussed with patients who:
  • Have ongoing knee pain or discomfort
  • Experience stiffness or restricted movement
  • Have been diagnosed with knee osteoarthritis
  • Have previously tried conservative treatment
  • Want to explore alternatives before surgery
  • Are looking for a minimally invasive approach
However, suitability cannot be determined from symptoms alone.

Your specialist doctor will consider your individual circumstances before recommending treatment. This may include the nature of your symptoms, the impact on your everyday activities, previous treatments and your overall treatment objectives.

Not every patient will be suitable for Arthrosamid, and other treatment options may be more appropriate in some cases.

Arthrosamid Knee Injection Liverpool at Royal Liver Orthopaedics

For patients searching for Arthrosamid Liverpool treatment, Royal Liver Orthopaedics provides specialist assessment and treatment within The Royal Liver Building.

Royal Liver Orthopaedics is our dedicated orthopaedic centre, where specialist doctors provide assessment and treatment for a range of musculoskeletal conditions, including knee osteoarthritis.

Cosmetic Surgery of The Royal Liver Building is a CQC-registered independent healthcare provider within the building, and patients accessing treatment through Royal Liver Orthopaedics benefit from a specialist clinical environment.

Arthrosamid knee injections are carried out following a private consultation and suitability assessment. Your doctor will explain the treatment, discuss potential benefits and limitations, and answer any questions you may have before you decide whether to proceed.

For more information about the treatment, visit our dedicated Arthrosamid Knee Injection treatment page.

How Long Does Arthrosamid Treatment Last?

One of the key differences between Arthrosamid and some other knee injections is that the hydrogel is designed to remain within the joint.

This means that Arthrosamid is designed as a longer-lasting treatment rather than a temporary injection that is quickly absorbed.
However, the length and extent of symptom improvement can differ between patients.

Factors including the severity of osteoarthritis, individual response to treatment and general health can all influence the experience of treatment.

If you are comparing different knee injections, our guide How Long Do Knee Injections Last? looks in more detail at the expected duration of different injectable treatments.

Does Arthrosamid Mean I Won’t Need a Knee Replacement?

It is important to have realistic expectations when considering alternatives to knee replacement surgery.

Arthrosamid may help some suitable patients manage symptoms and could potentially delay the need for more invasive treatment. However, it cannot guarantee that a patient will never require knee replacement surgery.

The progression of osteoarthritis varies from person to person. Where a knee has advanced structural damage or symptoms are significantly affecting quality of life, surgical treatment may ultimately be considered more appropriate.

A specialist assessment can help you understand where you currently sit within your treatment pathway and what options may be available.

Frequently Asked Questions

Arthrosamid is a non-surgical treatment that may be suitable for some patients with knee osteoarthritis. It may help manage symptoms and potentially delay surgery in some cases, but it is not a replacement for knee surgery where joint replacement is clinically required.
There is no single best alternative for everyone. Treatment depends on the severity of osteoarthritis, symptoms, mobility, previous treatment and individual circumstances. Options can include physiotherapy, lifestyle changes, pain management and injectable treatments such as Arthrosamid.
Suitability depends on the individual patient and the condition of their knee. A specialist consultation is required before treatment can be recommended.
No. Arthrosamid is a minimally invasive injection treatment administered into the knee joint under local anaesthetic.
Arthrosamid is available through Royal Liver Orthopaedics within The Royal Liver Building in Liverpool. Treatment is provided following a consultation and suitability assessment with a specialist doctor.

Explore Alternatives to Knee Replacement Surgery in Liverpool

If knee arthritis is affecting your mobility or quality of life, you do not necessarily have to make decisions about surgery without first understanding your other options.

Our specialist team at Royal Liver Orthopaedics can assess your circumstances and discuss appropriate non-surgical knee treatment options, including whether Arthrosamid may be suitable.

Find out more about Arthrosamid Knee Injection and the treatment available at Royal Liver Orthopaedics.

Book Your Private Orthopaedic Consultation

Royal Liver Orthopaedics provides private orthopaedic consultations within The Royal Liver Building in Liverpool.

If you are experiencing symptoms of knee osteoarthritis and want to investigate alternatives to knee replacement surgery, a consultation provides an opportunity to discuss your symptoms, previous treatment and available options with a specialist doctor.

Where appropriate, your doctor can explain whether Arthrosamid or another approach may be suitable for your individual circumstances.

Contact the team at Royal Liver Orthopaedics to arrange your private consultation.

Learn More About Arthrosamid

Arthrosamid® is a specialist hydrogel treatment designed for the management of symptoms associated with knee osteoarthritis.
For further information about Arthrosamid technology and the treatment itself, visit the official Arthrosamid website.

Related Reading

If you are researching knee arthritis treatment, knee injections or alternatives to surgery, you may also find these guides useful:

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Cosmetic Surgery At The Royal Liver Building Ltd is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. Cosmetic Surgery At The Royal Liver Building Ltd is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated.

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