The American Academy of Orthopaedic Surgeons recommends talking with your doctor and asking for a referal to an orthopaedic (bone) surgeon for evaluation.  This is a doctor specially trained to treat problems with the bones and joints.  The surgeon will help you decide if you are a candidate for the knee replacement, and will take your medical history, perform a physical examination, and X-ray your knee, according to the American Association of Hip and Knee Surgeons.  Not everyone is a candidate for this type of surgery, which is why talking with your doctor is so very important.

Though knee replacement surgery is quite common, there are some reasons your doctor may say the surgery is not for you.  According to the NIHSeniorHealth and the American Academy of Orthopaedic Surgeons, your doctor may recommend you not have the surgery if:

• You have an infection in your knee (currently or previously)
• You have advanced arthritis, with pain, that your doctor suggests you try other forms of treatment, like physical therapy, injections, medications or bracing, before having surgery
• You are overweight and the doctor believes this places you at too high a risk for complications after surgery
• You have heart or lung disease that may complicate anesthesia or place you at risk for other complications
• You have other conditions that could make it too much of a risk to have the surgery (e.g., unhealthy skin condition where the incision would be made,  severe blood circulation disease, and others)

According to the American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons, here are some of the most common alternative treatment options doctors may suggest, before recommending surgery to replace your knee:

• Exercises and/or physical therapy to strengthen the muscles around the knee, which also help to improve knee flexibility
• Medicines to relieve your pain
• If needed, weight loss to reduce the load the knee is carrying
• Walking aids, like canes, braces or walkers to help stabilize the knee and reduce stress on your knee
• Shoe inserts to help with better aligning your knee
• Injections to manage pain and reduce inflammation in and around your knee