Dr. Kwame Ennin, an orthopedic surgeon specializing in joint replacement surgery and participating physician in the referral program of Texas Health Spine and Orthopedic Center, in Plano TX, spoke at a continuing medical education event about Economics and Joint Care. According to Dr. Ennin, there are several pre-surgical treatment options underutilized when it comes to total hip replacement, total knee replacement and partial knee replacement. They are:


Canes can help to reduce the load across a joint by up to 50%.

Weight loss

Obesity increases the risk of osteoarthritis which can lead to joint replacement.

Exercise and Physical Therapy

Stronger more limber patients typically have fewer symptoms. One must use caution when exercising though because it can make knee inflammation worse.


NSAIDS can be very useful. Nonselective NSAIDS like Mobic, Naproxyn, Lodine, Diclofenac are typically more efficacious.

Corticosteriod Injections

These provide potent short lasting relief. The first injection is typically the most potent and long lasting.

Hyaluronic Acid Injections

These injections work well in some patients to provide long lasting relief. Typically they are most effective when patients don’t yet have end stage Osteoarthritis . Be aware that many patients will reports no improvement. They are expensive and can cause allergic reactions.

Dr. Ennin offers partial knee replacement, total knee replacement and anterior total hip replacement.  If you or someone you know is suffering from knee or hip pain, give us a call at 888-608-4762 to schedule an appointment.


Disclaimer: Physicians who are members of the referral program practice independently and are not employees or agents of Texas Health Spine and Orthopedic Center