# What can this guide do for you? *Non-surgical joint treatment Chandler | About This Guide* > Non-surgical joint treatment Chandler: know what this guide can explain, where its health facts come from, and why an exam still matters. This page explains how to use the guide without asking it to replace a joint exam. The guide can help you notice symptoms, prepare questions, and understand common choices. It can’t examine the joint or tell you which care fits your health. It also can’t decide whether any treatment is worth your time or money. Use it to get ready for a visit. ## Where does the health information come from? Each page lists the sources used for its health facts, but those sources can’t tell what is causing your own soreness. A doctor must compare those facts with your exam, health, and daily troubles. The limits matter. Exercise can build strength without ending every ache, and medicine may help while still carrying risks. Surgery may improve daily life for the right person, but recovery takes work and problems can happen. One answer won’t fit every sore joint. Know the limits before spending time or money. ## Why does the clinic relationship matter? The site points to a Chandler clinic, so the footer states that business relationship and gives you a fact to keep in mind while reading the treatment offer. You can still ask direct questions about cost, risks, likely benefit, and other choices. Don’t pay until the answers make sense to you. A webpage can’t check swelling, strength, blood flow, or nerve trouble, and it can’t handle an emergency either. Fever with a red, swollen joint needs prompt medical help. The same is true for a severe injury, new weakness, or trouble controlling your bladder or bowels. Your safety matters more than an appointment. ## Sources 1. OARSI 2019 designates arthritis education plus structured land-based exercise (with or without dietary weight management) as CORE treatments for knee OA, and education plus structured land-based exercise as core for hip and polyarticular OA. Topical NSAIDs are strongly recommended for knee OA (Level 1A). Intra-articular corticosteroids and hyaluronic acid are Level 1B/2 for knee OA depending on comorbidity and are NOT recommended for hip or polyarticular OA. Oral NSAIDs are not recommended for people with cardiovascular comorbidity or frailty, and oral and transdermal opioids are strongly not recommended (Level 5). Bannuru RR, Osani MC, Vaysbrot EE, et al. — [OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis.](https://pubmed.ncbi.nlm.nih.gov/31278997/). *Osteoarthritis and Cartilage*, 2019. DOI: 10.1016/j.joca.2019.06.011. 2. In the only randomised controlled trial to compare total knee replacement directly with non-surgical treatment in patients already eligible for surgery (n=100), the replacement group improved more at 12 months than the non-surgical group (KOOS4 32.5 vs 16.0; adjusted mean difference 15.8, 95% CI 10.0 to 21.5) but had four times the serious adverse events (24 vs 6, P=0.005). Only 13 of 50 patients (26%) assigned to non-surgical treatment alone had undergone knee replacement by 12 months. Skou ST, Roos EM, Laursen MB, et al. — [A Randomized, Controlled Trial of Total Knee Replacement.](https://pubmed.ncbi.nlm.nih.gov/26488691/). *New England Journal of Medicine*, 2015. DOI: 10.1056/NEJMoa1505467. 3. The RESTORE trial randomised 288 community-based participants aged 50+ with symptomatic medial knee OA (Kellgren-Lawrence grade 2 or 3) to three weekly intra-articular injections of leukocyte-poor PRP or saline placebo, with participants, injectors and assessors all blinded. 93% completed the 12-month follow-up. PRP did not produce a clinically meaningful improvement in knee pain over placebo, and did not slow medial tibial cartilage volume loss on MRI. Bennell KL, Paterson KL, Metcalf BR, et al. — [Effect of Intra-articular Platelet-Rich Plasma vs Placebo Injection on Pain and Medial Tibial Cartilage Volume in Patients With Knee Osteoarthritis: The RESTORE Randomized Clinical Trial.](https://pubmed.ncbi.nlm.nih.gov/34812863/). *JAMA*, 2021. DOI: 10.1001/jama.2021.19415. 4. FDA states directly that regenerative medicine therapies - including stem cells, stromal vascular fraction, umbilical cord blood, amniotic fluid, Wharton's jelly, ortho-biologics and exosomes - have NOT been approved for the treatment of any orthopedic condition, naming osteoarthritis, tendonitis, disc disease, tennis elbow, back pain, hip pain, knee pain, neck pain and shoulder pain. FDA further states that being charged for these products, or being offered them outside an FDA-overseen clinical trial, means a patient is likely being deceived and offered a product illegally, and that a product's presence on clinicaltrials.gov or a firm's FDA registration does not mean the product is legally marketed. Reported harms include blindness, tumor formation, neurological events and life-threatening bacterial infections. US Food and Drug Administration, Center for Biologics Evaluation and Research — [Important Patient and Consumer Information About Regenerative Medicine Therapies](https://www.fda.gov/vaccines-blood-biologics/consumers-biologics/important-patient-and-consumer-information-about-regenerative-medicine-therapies). *FDA.gov*, 2021. ## What if the soreness doesn’t settle? QC Kinetix offers consultations with medical providers, the trained health workers who review your history and examine the sore joint. After the exam, the office may discuss regenerative treatments, meaning preparations made from a person’s blood, fat, or marrow, or from donated tissue, that are placed in the joint. Ask what the treatment involves, what it costs, and what may happen if it doesn’t help. You’ll have time to weigh the answers. Book a free consultation: --- Help for the joint that keeps bothering you. Why joints get sore, what may help, and when to have one checked in Chandler. Clear help with sore joints, home care and treatment questions in Chandler. This website is operated by the owners of the QC Kinetix Phoenix-area clinics; its Chandler referral is therefore first-party, while the clinical statements remain paired with sources that readers can inspect for themselves. © 2026 Chandler Joint Practice. General joint-care education only; an examining clinician should guide decisions about your diagnosis, exercise plan or procedure.