My mother's knees are both bone on bone and during the past six months she is in unbearable pain. How should we proceed?

Have you asked the orthopedic doctor about gel injections in the knee? While not a permanent solutions, these can give pain relief for several months. Hubby has received these gel injections multiple times with relief lasting 4 to 6 months. Make sure you find an othopedic doctor that does this procedure frequently. The knee is numbed up prior to injection of the gel. The patient is told to stay off their feet as much as possible for the first 2-3 days after the injection -- then they can resume normal activities.

Take her to the ortho. Ask for her to get Hyalurnic injections

This is basically the same stuff that is a lub in the knee naturally. I have been getting these injections about every 12 months for this same issue.

I first learned about it from thoroughbred trainers at the race track. Horses that are nearly lame can be brought back to run pain free with these injections. I do not plan to run 5/8 of a mile...so the effectiveness lasts longer for me!

Just took my 84 year old father to the Orthopedist who injected both knees that are bone on bone.
Dad says he is pain free!!

Being diabetic isn't a showstopper for having a surgery. My father had a massive surgery at 83 and he is diabetic and has high blood pressure and high cholesterol.

I would definitely get a second opinion. Does your mother have other issues? Does she have a type of dementia? On blood thinners or other meds? Is her diabetes not controlled and it has caused circulation issues in her legs? There has to be some other reason why they won't do the surgery.

My friends mom just had a knee replacement last week, she is 82. She also has cancer. Only one week after surgery she is saying that she wished she had the surgery sooner because her knee pain is completely gone. It is a life changing surgery.


Angel

My mother has the same problem with her shoulder, but we know people who had the new injections in the knee that have helped. Some brands are Flexogenix and there are some others I can't remember. It puts the fluid around the joints back in and it does require a few visits. Doctor said that Medicare will cover it.

Is your mom taking pain meds? Pain meds may help, but they also come with their own set of issues. I might explore that with a pain specialist.

Also, I'd get a second opinion. Her condition has to be addressed in some way. I'd try to find a doctor who is able to empathize with the pain and provide her some options. You can research them online. I'd heard about COLD treatment and also some kind of substance that is injected into the joint. I have no details, but, it's worth exploring to see if anything can help her pain.

Pain is terrible. I went through terrible pain with two different conditions and I thought I was going to lose it. Please stay her advocate to help with the pain.

Hyaluronic acid injections are a great suggestion! Please stop taking her to the ER for pain. The ER is not where she belongs because you know the source of the pain. Research done by infectious disease physicians and microbiologists indicates: "A visit to the emergency department was associated with more than a threefold increased risk of acute infection among elderly people." (Source: Risk of infection following a visit to the emergency department: a cohort study by Quach et al. Division of Infectious Disease, McGill University.)

Thank you all. I will push for the injections today. She is in a medical program and while it has been wonderful in some areas, I'm feeling a "warehouse", "assembly line" affect in others since she will often see a nurse rather than the doctor. So, goals for today: get the shot and make appointment for a pain specialist. I'll let you know how I make out

Surgery at 83 is not unheard of. Find another dr. Sounds like you are not seeing a orthopedic doc with a lot of geriatric patients.
Even if they answer is "no" the injections that people are talking about are noting short of amazing! My friend in her 70's staved off knee replacements for years by having Synvesc (sp) injected into her knees once or twice a year.
Being diabetic doesn't make you unable to have surgery. It complicates things a little, sure, but it wouldn't be the one thing that makes her not a candidate. (Obesity, yes, since very heavy people struggle more with rehab, but if he weight is relatively OK for her height, that shouldn't be a problem.)
BTW, the ER will only address the immediate problem (pain) and the dr is asleep at the wheel if he/she isn't referring your mother out to an ortho doc!!

Check into if she is a candidate for bilateral corticosteriod injections.