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When to replace?

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I have about 6 osteophytes in my left knee, I have chrondomalacia-very

severe due to an accident about 33 years ago. My orthopod told me the

only treatment available is replacement when the pain is unbearable.

But this is the deal: I can bear with pretty incredible pain, I walk

my dog on uneven ground even now 2-3 miles a day on uneven ground.

BUT, now this knee just buckles without any warning involuntarily. My

PT and orthopod in the past told me this is a protective reflex.

Furthermore, the PT has told me that more PT will only aggravate it

and that even if I don't perceive the pain as that bad, my body does.

She recommended I go back in for evaluation before I fall and hurt

myself. So, when is time?

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