
Medically reviewed by Derek Wimmer, PA
Osteoarthritis — the gradual wearing of joint cartilage — commonly affects the knees, hips, and shoulders. Wimmer manages it non-surgically with options like hyaluronic acid, PRP, focused shockwave, and proactive maintenance planning to reduce pain and protect function.
| What it is | Wear of joint cartilage (osteoarthritis) |
|---|---|
| Common joints | Knee, hip, shoulder |
| Options | HA, PRP, Focused Shockwave, planning |
| Goal | Reduce pain, delay surgery |
Common causes & symptoms
- Joint pain, stiffness, and swelling
- 'Bone-on-bone' discomfort and reduced range of motion
- Pain with activity that eases with rest
- Most common in knees, hips, and shoulders
When to seek care
If arthritis is limiting your activity, lingering for more than a couple of weeks, waking you at night, or causing swelling or instability, it's worth a proper evaluation. Early, accurate assessment often opens up more — and less invasive — options.
How we evaluate it
Your visit begins with an in-office evaluation, with imaging — ultrasound or fluoroscopy — when it's needed, so we can see the area clearly. Occasionally we'll arrange additional imaging elsewhere. From there, Derek builds a personalized, honest plan — and walks you through the options for your situation.
Non-surgical options we may consider
- Hyaluronic acid — to cushion and lubricate arthritic joints
- PRP and regenerative options — to support joint tissue
- Focused shockwave — for associated tendon pain
- Maintenance planning — to protect joints and stay active
Keeping you active
For golfers, pickleball and tennis players, boaters, and active retirees, the goal isn't just less pain — it's getting back to the life you love and staying there. That's the heart of how we plan your care.
Frequently asked questions
Osteoarthritis can't be reversed, but its symptoms can often be managed effectively. Non-surgical care aims to reduce pain, support function, and help you stay active.
Not necessarily. Non-surgical care may help delay or reduce the need for surgery for selected patients, though every case is individual.
It depends on the joint and severity. After evaluation, we recommend the option — or combination — most appropriate for you.
