It sounds like the osteoarthritis (presumably from the misaligned patella?) has advanced. When Laura and I went to the Alpha Klinik for her lumbar ADR, I had them look at my knees as I'd had problems that a half-dozen or so OSS and therapists had refused to deal with over a decade or so. They showed me the misaligned patellas (both knees) and the grade II/III damage being cause by it. My symptoms sounded very much like yours.
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Laura - L5S1 Charitee
C5/6 and 6/7 Prodisc C
Facet problems L4-S1
General joint hypermobility
Jim - C4/5, C5/6, L4/5 disk bulges and facet damage, L4/5 disk tears, currently using regenerative medicine to address
"There are many Annapurnas in the lives of men" Maurice Herzog
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