Osteoarthritis of the hip and knee is not 'wear and tear' but a process of change in the joint in which cartilage becomes thinner. We relieve complaints with manual therapy, hyaluronic acid injections (Dordrecht, on Thursday also Rotterdam), PRP injections (Dordrecht) and targeted exercise therapy — often with excellent results.
Osteoarthritis (joint wear and tear) is one of the most common causes of chronic hip and knee pain — especially over the age of 50. A prosthesis is not always the solution; we can often delay or even prevent it for years.
Non-surgical options
Hyaluronic acid is the first choice for mild to moderate osteoarthritis. It lubricates the joint and slows down the wear process. One to three injections per year are usually sufficient.
Prolotherapy stimulates the recovery of ligaments and joint capsules. It is less effective in advanced osteoarthritis, but in mild to moderate cases it is an excellent option.
Arthrosamid is a newer option for knee osteoarthritis: a polyacrylamide hydrogel that stays in the joint for years. We closely monitor developments and offer this to selected patients.
Your recovery journey
Each process is tailor-made, but this is what a typical course looks like — from first intake to pain-free. You are not committed to anything and you always know where you stand.
Functional analysis
Assessment of range of motion, gait and pain level. X-rays are often already available. Treatment plan drawn up with an estimate of hyaluronic acid (Dordrecht, on Thursday also Rotterdam) or PRP (Dordrecht).
Pain relief
Manual mobilization, gentle chiropractic. With sufficient severity: 1-3 hyaluronic acid injections (Dordrecht, on Thursday also Rotterdam). Avoidance of pain triggers.
Muscle building & losing weight
Strength training quadriceps + glutes — proves best results for osteoarthritis. Nutritional advice if weight is a factor. PRP boost possible.
Lifelong management
Occasionally treatment can help with osteoarthritis, for example hyaluronic acid. When you come back, you decide; you are not committed to anything.
Frequently asked questions
Does losing weight help?
Yes — Losing 1 kg of weight means 4 kg less stress on the knee with each step.
Can I continue running with osteoarthritis?
Often yes, provided good footwear and a gradual build-up. Swimming and cycling are alternatives.
When a new hip/knee?
In case of severe limitations after conservative treatment of 6-12 months — discuss with orthopedist.
Do glucosamine and chondroitin help?
Mixed evidence — it works for some, not for others. Safe to try for 3 months.
Does PRP or hyaluronic acid stop osteoarthritis?
No, but it relieves complaints and can postpone surgery for 1-3 years.
