Bone on Bone

Bone on bone is described when you may have a portion of your bone touching in a joint because your cartilage has worn or degenerated. The bone on bone will then lead to extreme bone damage if the cartilage is not corrected.

What most people don’t realize is that bone on bone does not necessarily mean all of the cartilage is completely gone. And when you have cartilage then you have the chance for regenerative medicine because regenerative medicine may regenerate cartilage, tendons, muscles, soft tissues, ligaments and more.

Let’s take a look at why therapy should be your first choice when seeking a bone on bone solution for your joint.

Gel Shots – Hyaluronic Acid Shots For Bone-on-Bone

Gel shots are hyaluronic acid shots (HA) and they are said to mimic the consistency in your joint and improve the sliding and gliding and shock absorption desired in a joint. They do provide temporary relief. The shots are typically administered weekly over a six week period. Fluid gets removed from your knee. and then the HA is injected. The results are temporary and when they wear off you can only get so many of them because of the damaging side effects associated with these shots. Here’s a list of side effects known when getting a gel shot for knee pain:

  • Injection and extraction pain.
  • Bleeding
  • Burning
  • Blistering
  • Sick to your stomach
  • Irritation
  • Muscle aches
  • Rash

Cortisone Shots (Corticosteroid injections)

The benefits and damages associated with cortisone shots are well documented.

They may help reduce inflammation and they may reduce your pain. But the trade of is they will definitely damage the joints further. That’s right. The injection that is supposed to be helping you will without question damage your joints if you get too many cortisone shots. Along with fact that they destroy your joints, here are a few of the other side effects of cortisone shots.

Side effects include:

  • Osteonecrosis (Kills bones close to the injection site)
  • Allergic reactions
  • Diabetic patients may lead to blood sugar level issues
  • Osteoporosis (thinning of the bone)
  • Joint infection
  • Nerve damage
  • Prolonged use and exposure may cause Cushing’s Syndrome which is hypercortisolism

Symptoms of Cushing’s Syndrom include, but are not limited to:

  • Excessive weight gains including rounded facial features.
  • Weak bones
  • Irregular menstrual periods in women
  • Increased bruising.
  • Fertility problems for men.
  • Trouble healing after an injury.
  • Excessive hair growth including facial hair for women.

Let’s look a little deeper at the topic of bone-on-bone conditions.

Bone on Bone Knee Pain

When you’re suffering from pain in your knee, regardless of the cause, you’re likely dealing with instability and decreased mobility that’s affecting your quality of life.

In this article, we’re talking about bone on bone knee pain—what it is, what causes it, and what treatment methods are available to help alleviate the pain and regain control of your life.

What is Bone on Bone Knee Pain?

If you went to see your doctor for pain in your knee and you were told that the pain you’re experiencing is due to bone on bone pressure within the joint, you may be asking what does that mean? How did it happen? And how can I fix it?

Before we can dive into what this type of knee pain is, it’s important to understand how a healthy knee operates.

Inside a healthy knee joint, there is a soft, spongy tissue called cartilage that lies between the bones. This tissue acts as a natural shock absorber. A healthy knee has cartilage on the sides and over the surface of the bones to ensure that the surfaces of the joint can slide over one another without much friction.

When you lose cartilage in your knee, you lose the shock-absorbing capacity that you once had. This means that internal friction is created when you move your knee. This friction can not only cause pain, but also osteoarthritis, a degenerative joint disease.

As your cartilage diminishes, more pressure is placed directly on your ones. Simple activities like walking or climbing stairs can become extremely difficult and painful.

What Causes This Type of Knee Pain?

As we said, bone on bone knee pain is caused by the wearing of your knee’s natural cartilage. But why did your cartilage wear down in the first place? Here are the most common causes of cartilage wear and damage:

  1. Injury: A sudden traumatic event, like a sports injury, can cause a weak spot in your cartilage that can then cause that area to break down faster and easier.
  2. Excess Weight: Those who are overweight or obese have a lot more pressure being applied to their knees and cartilage every day. Over time, the pressure from the excess weight will slowly wear down the cartilage to the point where it has gone.
  3. Poor Alignment

Just like when our car tires are out of alignment and they begin to wear unevenly, the same thing happens to our body. If you have a body alignment problem, it can cause the joints on one side of your body to wear down faster than the other because you’re placing more pressure on one side.

  1. Age

As we age, our bodies naturally experience wear and tear, especially in our joints.

  1. Genes

Unfortunately, just like your parents passed down their eye and nose shape to you, they can also pass down their propensity for weaker cartilage that wears faster than normal.

Bone on Bone Knee Pain Treatment Options

There are several treatment options for those who suffer from bone on bone knee pain, some are more sustainable and effective than others. We’ll go through the treatment options next.


Painkillers are a common treatment method for knee pain. The benefit of this treatment is that they provide immediate relief of your pain. The downside is that they do not solve the problem that’s causing the pain, they simply dull it so that you can continue your activities of daily living. Also, there’s a major epidemic in the US of opioid addiction and abuse, which can begin with a reliance on painkillers for knee pain.

Steroid Injections

Steroid injections, like Cortisone shots, are another common pain relief technique for those suffering from knee pain—but that’s the thing, these injections are only successful at relieving pain, not healing or repairing the damage. Although the success rate for steroid injections is relatively high, the effects only last only for a few months before the pain returns.

Gel Shots

Gel shots are injections of Hyaluronic acid, a thick medication that serves to supplement your own natural hyaluronic acid which helps keep your bones from scraping together against each other. Similar to steroid injections, the results of gel shots are often short-lived, and patients are required to continue having shots periodically to keep pain at bay. Additionally, it can take up to five weeks after the injection for pain relief to kick in.

Knee Replacement Surgery

Knee replacement surgery is an invasive procedure with a high success rate, with around 85-90 of patients experiencing relief from knee pain for up to 10-15 years post-surgery. While the success rate is high, it’s important to understand that it’s major surgery and requires weeks, even months of recovery and rehabilitation before mobility and range of motion are restored.

Regenerative Medicine

Exciting research into regenerative medicine has shown that the highly specialized cells found in the tissue surrounding the umbilical cord can be used to heal and repair damaged tissue and cartilage. Cells can be injected directly into the injured area, where they immediately get to work rebuilding damaged tissues, alleviating pain, and reducing inflammation.

Regenerative Cell Shots For Bone on Bone

The use of PRP and regenerative therapy is being selected by a number of people in hopes that it may help you avoid TKR or THR because there’s no surgery. No drugs. And no extreme side effects like you see listed above. But most of all, because people are getting exciting positive results!

Preliminary studies into the success of regenerative medicine for knee pain sufferers are astounding. Knee pain sufferers are seeing reduced or eliminated knee pain and inflammation. Ongoing studies are looking into whether or not regenerative medicine can actually help regrow lost cartilage, and research is showing promising results already.

Regenerative therapy for bone on bone knee pain might be the most effective, non-surgical treatment method available and as research continues into its effects, we’ll no doubt learn more and see this option method become more mainstream.

Regenerative medicine may regenerate the cartilage that is the cushion and coating that your bones require in order to not have the bone on bone pain.

The risks associated with surgery, including death, would mean that logically you owe it to yourself and your loved ones to discover just how this therapy works for bone on bone pain just may be what you’ve been praying for. Get the facts. Give us a call.