Published on April 22, 2025

closeup of woman with hand on her shoulder

6 Solutions for Joint Pain that Don’t Involve Surgery

Everyday living depends on your ability to move about your workplace and home. Without joint flexibility, strength and endurance, engaging in your favorite activities can become painful and fall to the wayside.

Soreness in the hips, knees or any other joint is often the result of an injury or overuse. Some people who experience hip pain or knee inflammation might be good for joint replacement surgery.

Before turning to a partial/total knee replacement or a total hip replacement, consider trying nonsurgical options to treat pain and inflammation.

“Many patients are satisfied with consistent, well-implemented nonsurgical treatment because it can help manage your orthopedic condition and your symptoms,” said Mark Hagy, MD, orthopedic surgeon with Avera Orthopedics.

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Avera Orthopedics clinics are across the region and specialists travel to many more communities every month.

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Common Treatments for Joint Pain

Listed below are common nonsurgical treatment options. For best results, your provider may recommend using a combination of approaches.

  1. Physical therapy – Physical therapy is the primary choice if you’re experiencing joint weakness or instability. A physical therapist will create a therapy plan to strengthen the muscles around the joint involved, improve flexibility and restore function. These outcomes have been scientifically proven to be effective.
  2. Cortisone shots – Just one shot of corticosteroid into the knee, hip or shoulder joint can offer relief for a period of time from pain and inflammation.
  3. Viscosupplementation injections – Hyaluronic acid is a gel-like fluid that allows the joint to glide, providing cushioning and lubrication in order to reduce pain. This is only approved by the FDA to inject into the knee.
  4. Pain medications – Oral pain medications reduce inflammation, which is the most common source of orthopedic pain. Your primary care provider may suggest over-the-counter products, such as aspirin or ibuprofen (NSAIDS).
  5. Bracing and assistive devices – Wearing a brace or using a walker or cane reduces the risk of losing your balance and falling. It also provides a way to offload the affected joint. There are local Avera Home Medical Equipment stores with trained employees who can help you find the right device for you.
  6. Regenerative medicine – Regenerative medicine (also called orthobiologics) is a treatment in which stem cells are injected into the joint to spur the growth of healthy cartilage and stimulate healing in injuries. It’s not covered by every health insurance, so you or your doctor should check with your insurance.

Relief varies from person to person, depending on the severity of the pain. It also depends on the prognosis of the condition throughout treatment, and the lifestyle of the patient.

Avera primary care providers and orthopedic specialists are dedicated to each patient’s case. “It’s a team effort, with the patient at the helm,” Hagy said. “We’ll set you on a treatment course that doesn’t include surgery so we can see how your joint performs and progresses over time.”

When Nonsurgical Options Don’t Work

Sometimes the pain doesn’t go away. In that case, joint replacement surgery might be your next option. Your orthopedic specialist can discuss the best options for your goals. To learn more about the preparation and recovery process, download our guide on planning for a joint replacement.