Hello,

For pre physio, or short term symptomatic relief I would highly recommend cryotherapy.

In particular a rub on gel that does not contain ibuprofen as an active ingredient.

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I would have to say that the above product works wonders in that case. Ibuprofen is known to inhibit soft tissue repair mechanism, so it is very important to also consider timing of therapy in relation to medical treatment.

Vane, JR. Inhibition of prostaglandin synthesis as a mechanism of action for aspirin-like drugs. Nat New Biol 231: 232-235, 1971.

In terms of the pain, I think you're probably best set up to examine her knee alignment. Are there any significant postural problems? Genu Varum, Valgus? Hyperextenion at the knee? Muscle wasting? Patella Mal-tracking? Or are they microscopic changes related to degeneration?

It's very difficult to say post surgery.

Hope some of this will help