“Bone-on-bone” knee.
Understand your next step.
Hearing those words can leave you with questions. At NeuroSpinal Institute of Broward, start a conversation about your symptoms, what you have already tried, and which next steps fit your needs.
Non-surgical knee care on Weston Road · Serving Weston, Sunrise and Broward County
A knee X-ray
comparison.
Bring your own imaging and questions to your evaluation. Your clinician can discuss what the findings mean for your care.

What does
bone-on-bone mean?
The phrase commonly describes advanced cartilage loss and severe narrowing of the space between the bones in an arthritic knee. Bone surfaces may rub together as their protective cartilage wears away.
Bring the X-rays or report behind that description. Your examination, symptoms, and daily limitations belong in the same discussion.
Understand knee osteoarthritis ↗Tell us what
has changed.
Knee arthritis can cause pain, swelling, and stiffness that interfere with everyday movement. Help us understand what matters most to you.
Walking & stairs
How far do you feel comfortable walking? Which tasks have you started avoiding?
Work & recreation
Tell us about the activities you have changed and the ones you want to keep doing.
What you have tried
Bring details of therapy, medications, braces, injections, and previous surgical advice—including what helped and for how long.
A complete picture
of your knee.
Your visit starts with questions, not a predetermined procedure. Bring your records and the concerns you want to discuss.
- History: symptoms, medical conditions, medications, and response to prior care.
- Examination: movement, tenderness, swelling, and stability.
- Imaging: available X-rays and reports; further testing when clinically appropriate.
- Planning: goals, reasonable options, expected limitations, costs, and reassessment.
What can a care
plan include?
Arthritis has no cure, but treatment may help manage symptoms and function. A plan should acknowledge the extent of joint damage and your response to previous care.
Movement & support
Individualized exercise, activity adjustments, prescribed bracing, or weight management when appropriate may help support function and reduce joint stress.
Symptom management
Medication or injection options may be considered after reviewing your health history, potential side effects, and alternatives.
A surgical consultation
When joint damage is extensive and other care is not helping enough, a knee replacement discussion may be appropriate. Symptoms, disability, and health factors help guide that decision.
Ask questions specific to advanced arthritis.
Ask why a treatment is being considered for your knee, what evidence applies to the severity of your arthritis, and what improvement is realistic. Discuss alternatives, risks, recovery, and the full cost before deciding.
NSI does not promise that a treatment will rebuild lost cartilage or eliminate the need for knee replacement.
Explore NSI treatment options ↗Agree on what
progress means.
Before beginning care, identify the activities you want to improve and when you will review the results with your clinician.
Want to meet the clinicians behind your care? Meet the NSI team ↗
Bring the bigger picture.
Have X-rays or an MRI? Bring the images and written reports, along with your medication list and details of previous therapy, injections, or surgery.
View the first-visit guide ↗Make room for
your questions.
Does “bone-on-bone” mean I need surgery immediately?
The phrase alone does not set the timing. Discuss your symptoms, function, health, and response to other treatment with your clinician.
Can I still discuss non-surgical options?
Yes. An evaluation can help you discuss whether a non-surgical plan is reasonable and when a surgical opinion should be considered.
Will a treatment restore all of my lost cartilage?
We do not promise cartilage restoration. Ask what a proposed treatment is intended to accomplish and how its evidence applies to your knee.
What if a surgeon has already recommended replacement?
Bring that recommendation and your imaging. Keep your surgeon involved while discussing any additional options or changes to your plan.
Do I need an MRI before calling?
No. Contact the team first. Bring available X-rays, MRI images, and reports; your clinician can determine whether more testing is useful.
What should I know about costs?
Ask which services are proposed, what your plan may cover, and what you would pay out of pocket before beginning care.
Patient education sources: AAOS: Arthritis of the Knee · NIAMS: Osteoarthritis care. Educational information does not replace an individual evaluation.
Questions about PRP?
Learn about the procedure, evidence and questions to ask during an evaluation of your condition.
Explore platelet-rich plasma (PRP) ↗Understand BMAC
Learn about the procedure, its limitations and questions to bring to an evaluation.
Explore BMAC ↗Request a Knee Evaluation
Tell us how to reach you and whether you are seeking knee or spine care. Our team will follow up about your appointment request.
Prefer to call? 954-280-2230
Formulario disponible en inglés y español.
Having trouble viewing the form? Open the appointment request form ↗
