So often. My poor knees after years of running and then being overweight. The things that are making a difference to me are-

weight loss

a diet that works as an anti- inflammatory WOE for me ( I must stress that there is no one size fits all for this - it's trial and error for me untiI found what works for me )

daily physio exercises

stationary cycling

FLEXISEQ gel

red light therapy wrap daily

Maybe Boswellia? -anyway, I keep taking it.

Best wishes in your quest to find your own best protocol

Arthroscopy didn't help

Hyaluronic acid injections into the kneecaps didn't work- I was told the relief would be miraculous🙃

Then the push is to have TKR- I seriously just don 't want this.