Degenerative Joint Disease in the knees

70 year old male from Ohio is presenting with advanced osteoarthritis of both knees. Patient’s pain is more pronounced mostly upon walking. Stairs are very difficult, going down is a more of a big task. He has no pain sitting he says: “but I can not sit all the time”. His past medical history is positive for Hypertension, he takes Diltiazam and Vit…