Is It Time for a Knee Replacement? 7 Signs You Shouldn’t Ignore
Many patients live with joint pain far longer than necessary, hoping it will get better with time. As an orthopaedic surgeon with years of experience treating complex knee conditions, I often meet individuals who say, “I wish I’d come in sooner.”

Here are seven clinical signs I encourage every patient to monitor closely:
- Severeand Persistent Pain
Pain that interferes with sleep, daily activity, or doesn’t improve with rest or medication is a major red flag.
- MobilityRestrictions
If walking short distances, climbing stairs, or getting out of a chair becomes difficult, your joint may have significant structural damage.
- Swellingand Inflammation
Ongoing inflammation that doesn’t respond to conservative treatment could signal joint deterioration or underlying arthritis.
- MorningStiffness That Lingers
Mild stiffness is normal. But if your knee stays stiff for over 30 minutes, it may indicate moderate to advanced osteoarthritis.
- ReducedQuality of Life
When knee pain limits your participation in work, travel, family time, or sleep, surgical options should be considered.
6. Dependencyon Painkillers
Needing medication frequently to manage pain is not sustainable and could lead to complications.
- IneffectiveNon-Surgical Treatments
If physiotherapy, weight loss, bracing, or injections have failed to bring relief, surgery may provide a definitive solution.
Knee replacement is not about age. It’s about quality of life. When joint pain stops you from living fully, it’s time to seek an expert opinion. In my practice, I use a comprehensive approach — including imaging, gait assessment, and conservative options — before recommending surgery.
