Is It Time for a Hip or Knee Replacement? Signs You Should Talk to an Orthopedic Surgeon

For many people, hip and knee pain starts gradually. At first, it’s just an occasional ache after a busy day. Over time, it becomes harder to ignore. You may stop taking walks, avoid stairs, or think twice about playing with your grandchildren because of the discomfort.

While many people assume they should wait until the pain becomes unbearable before exploring joint replacement, orthopedic experts say that’s often not the best approach. Knowing when to consult with an orthopedic surgeon can help you better understand your options and get back to enjoying life with less pain.

Persistent Joint Pain Isn’t Something You Have to Accept

It’s normal to experience occasional soreness after physical activity. However, pain that continues for months or worsens over time may be a sign of arthritis or significant joint damage.

Common signs it may be time to schedule an orthopedic evaluation include:

• Pain that doesn’t improve with rest or medication
• Difficulty walking, climbing stairs, or getting up from a chair
• Joint stiffness that limits movement
• Swelling that regularly returns
• Pain that interferes with sleep
• Reduced participation in activities you enjoy

“One of the biggest misconceptions we see is that people think they have to wait until they can’t walk anymore before seeking help,” says Dr. Matt Nelsen, an orthopedic surgeon at Perham Health. “If pain is affecting your quality of life, it’s worth having a conversation about your options. Many patients are surprised to learn there are solutions available that can help them get back to the activities they enjoy.”

When Everyday Tasks Become Difficult with Joint Pain

Many patients don’t realize how much they’ve adapted their lives around joint pain. Maybe you’ve started parking closer to building entrances, avoiding stairs, or limiting family outings because you know your hip or knee will hurt afterward.

These changes often happen slowly, making them easy to overlook.

If simple activities such as grocery shopping, housework, gardening, or attending social events have become challenging, it may be time to consult with an orthopedic specialist.

Joint replacement surgery is not just about pain relief. It’s about improving mobility, restoring function, and helping people maintain their independence.

Conservative Treatments Are No Longer Providing Relief

Before recommending surgery, orthopedic providers typically explore non-surgical treatments such as:

• Physical therapy
• Anti-inflammatory medications
• Weight management
• Activity modifications
• Joint injections
• Bracing or assistive devices

Dr. Kyle Muckenhirn with patient

For many patients, these treatments provide relief and help delay surgery. However, there may come a point when conservative options are no longer effective.

“If a patient has tried non-surgical treatments and continues to struggle with pain, stiffness, and limited mobility, it may be time to discuss whether joint replacement is appropriate,” says Perham Health orthopedic surgeon Dr. Kyle Muckenhirn. “The goal is always to find the treatment that best aligns with the patient’s needs and goals.”

It’s important to remember that scheduling a consultation does not mean committing to surgery. It simply gives you the opportunity to learn more about your condition and available treatment options.

Arthritis Is Impacting Your Quality of Life

Osteoarthritis is one of the leading reasons patients undergo hip and knee replacement surgery. As cartilage wears down over time, joints lose their natural cushioning. This can lead to pain, inflammation, stiffness, and reduced mobility.

Many people live with arthritis symptoms for years before seeking care. In some cases, they don’t realize how much of their lifestyle has changed because of their pain.

A surgeon can help determine whether your symptoms can be managed with non-surgical treatment or if joint replacement should be considered.

Advanced Technology Is Changing Joint Replacement

If joint replacement becomes part of your treatment plan, today’s technology is helping surgeons deliver a more personalized approach to care.

Our orthopedic team offers ROSA® robotic-assisted knee replacement technology, an advanced system that helps surgeons plan and perform knee replacement procedures with exceptional precision.

Dr. Matt Nelson

ROSA collects detailed information about each patient’s anatomy and provides real-time data during surgery. This information helps surgeons make adjustments based on the unique structure and movement of the patient’s knee.

“Every patient’s anatomy is different,” says Dr. Nelsen. “ROSA technology helps us personalize the procedure for each individual and provides valuable real-time information throughout surgery.”

Importantly, the surgeon remains in complete control during the procedure. The robotic technology does not perform the surgery. Instead, it serves as an advanced tool that supports the surgeon’s expertise and decision-making.

Dr. Muckenhirn adds, “Technology like ROSA allows us to combine advanced surgical planning with our clinical experience. It’s another way we’re working to provide high-quality orthopedic care close to home.”

The First Step Is a Conversation with an Orthopedic Surgeon

You don’t need to wait until the pain becomes unbearable to speak with an orthopedic surgeon. In many cases, an early evaluation can help identify treatment options that improve comfort and mobility before symptoms become more severe.

The decision to explore joint replacement isn’t about reaching a certain age or pain level. It’s about understanding your options and finding the right path forward for your health and lifestyle.

Whether treatment involves physical therapy, injections, lifestyle modifications, or joint replacement surgery, Dr. Matt Nelsen and Dr. Kyle Muckenhirn are committed to helping patients find solutions that support long-term mobility, independence, and quality of life.

The goal isn’t just less pain. It’s helping you get back to the people, places, and activities that matter most.