Had the steroid injections, the first ones gave me relief for about 9 months, the second injections lasted about 3 months--- At 59 they say I should wait for replacement. Each night when I get home my knees are swollen and hot to the touch. My orthopedic Dr. doesn't believe in narcotic therapy but I did talk her out of a script for 30 Vickies. Take a half every night when I get home. Aleve and over the counters doesn't help much anymore, although I still take an Aleve in the morning and one at night and have for the last 2 years. I'm pretty good dealing with pain but it's starting to wear me down. i do have a fear that when it's time for replacement the insurance company will look at my medications and not see much for pain therapy and wonder if my knees hurt at all.