Conversation: The conversation between human and AI assistant.
[|Human|] I have had an xray taken and have bone on bone in my knee. The Dr. gave me some kind of a shot with a long needle the first time and it lasted over 3 years. Now it hurts again and he gave me another short 2 e rmonths ago and it still hurts. I was reading about hyaluronan, does it work? I really dont want knee replacement
[|AI|]  Hithere should be fresh x-ray and MRI to know extent of knee joint disease. Euflexxa shots once a month for 5 months are also helpful, your doctor may decide when to use it depending on cartilage damage. There are glucosamine tablets, and NSAIDs pain medicines which can be tried along with physical therapy, hot fomentation, mild knee exercises etc. But first careful evaluation radiologically must be undertaken, whether conservative treatment will suffice or some surgery indicated. For tolerable symptoms and movable joint, conservative treatment as above with medications is enough Best wishes