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Medically reviewed by Derek Wimmer, PA

Quick answer

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 isWear of joint cartilage (osteoarthritis)
Common jointsKnee, hip, shoulder
OptionsHA, PRP, shockwave, planning
GoalReduce 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 unhurried conversation and an in-office ultrasound, so we can see the area clearly. From there, Derek builds a personalized, honest plan — and explains exactly what each option can and cannot do 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.