X-ray Stages of Knee Arthritis

The video will go over x-ray stages for knee arthritis. Doctors often use x-rays to assess the severity of arthritis using the Kellgren and Lawrence system for classification of osteoarthritis. This is also called the KL grading system for osteoarthritis. It’s graded on a scale from 0 to 4 with 0 being no signs of osteoarthritis and 4 being bone on bone arthritis.

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► ABOUT ME

Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a YouTube channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.

Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.

Dr. Peng’s sports medicine clinic is located in Campbell, California.

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[juancamilopelaezortiz]

Kellgren and Lawrence classification.

0: A normal Knee
1: Small osteophytes
2: Osteophytes + first signs of narrow space
3: Deformation at the end of the bones, narrowing of the joint space and sclerosis
4: Severe steoarthritis

Thank you so much!

[scrabbleking]

I have grade 3 on medial femoral condyle rather extensive area (arthroscopic imagines show even isolated bone exposed so grade 4!!!) could barely walk a year ago, having trouble sleeping because of pain at 57 years old. Followed Dr. Peng's videos and got hyaluronic acid injection also started oral hyaluronic acid (liposomal form!) at the same time, also take ASU (avocado soybean unsaponifiable) supplement, after a few weeks was able to return to tennis. Then a few months later after watching Dr Peng's PRP videos, got 3ml of PRP (with Xerthra kit, 15ml blood draw), takes time to fully take effect but was playing higher level SINGLES tennis again SIX days a week, 2 hours each session and pain free, some mild discomfort/stiffness after sitting long time or sleeping. ANYWAY yet another great video explaining reading the xrays....as a layperson/google search doctor I had no idea how to read my xrays....NOW I know what to look for!!!! SO SO SO GRATEFUL I didn't get sucked into the old school treatment of cortisone shots!!!! For anyone on a budget I would suggest trying oral hyaluronic acid (liposomal form!!!!), only costs about $20/month, I turned a couple of friends onto it and they say they notice a difference with that alone.

[spqecnv]

Nice information. ..I have starting arthritis....dr told me by taking xray....can u pl suggest what precaution should I take..

[fingers]

I'm one of the 17%. mine started in my mid 20s due to over exercise. I always knew I was special lol

[khushayarshah]

Hello Dr. Peng, does the patient feel pain or early morning stiffness in their knee in stage zero osteoarthritis? After X-ray of my right knee which shows normal spacing between joints, I was told I am having osteoarthritis. I am 35-years old and I teach at university.

[ybd]

Thank you, Dr. Peng for an excellent educational and informative video. Much appreciated.

[lauraboudreaux]

I'm stage 4 and tried everything byt the tkr. I'm not thrilled about orthopedic recommending surgery.

[khushayarshah]

It just happened to me last month when my mother-in-law was hospitalized and I had to take of her at the hospital for few days. I think during these days I strained my knee and then without knowing what happened, I started a very mild pain and some stiffness in the early morning. Now I am stressed and do not know what has exactly happened to my knee.

[Bourougne]

I'm 41 and both my knees are bone on bone (grade 3 & 4)

[whitewolf]

Ugh. I have bone on bone on both knees. But my right knee does not hurt very much, but the left one, boy howdy! Hurts.

[Abhishekkumar-tlxq]

stage 4 osteoarthritis is treatable by PRP with exercise and weight management, if yes please tell me and guide me how to take steps in caring 😥

[kiranneelangol]

Can one cure stage 4/5 Osteoarthritis with stem cell bone marrow transplant?

[arielle]

I havs atage 4 knee osteoarthiritis medial compartment but he acid knee injections help. So theres no help for stage 4?

how do you accurately grade patellafemoral arthritis?

[arielle]

I work this is just a big inconvenient for me to have to be out for surgery I have goals I'm trying to meet life is all ready hard enough going out for knee replacenemt surgery is such a huge set back. Surgery doesn't always help either

[bunoangami]

Excellent n helpful video . Can u also show some excercise for chest n headache pain also

[sapelesteve]

Excellent video Doc & it's apparent that DJD is progressive and not good long term. Have you had any luck with PRP injections & at what KL grade would they not be effective? Or does it just depend on patient response? Thanks.

[yuchitan]

Can a person has very narrow space but no Osteophytes ?

[apaulatauiliili]

I got both knees now its causing me to not walk with pain all day and everyday how can i wake up with pain😢pain pills dont work they gave me my second injection and now i walk crucket not normal

[johnbrennan]

I am now struggling with what to do about my knees. My xrays for 5+ years have noted the Osteophytes and mild to moderate narrowing of the space. What role might each of the two play in the pain? I want to use PRP, but if the spurs are causing 50% of the pain, the prp is not going to dissolve them (i assume). I have had kidney stones and the last one they had to use a laser with fiber optics to blow it away. Too bad you guys can't do that with a pulse laser to jack hammer the spur away, or can you?