The client is a 65-year-old married female with a history of pain in the right knee for twenty years. The surgeon repaired the meniscus, removed bits of floating cartilage, and cleared as much of the arthritic debris as possible. A series of hyaluronic injections began, and that helped with pain for roughly four years. At the time of the first surgery, her surgeon informed her that a knee replacement was imminent. Two years ago, the client began needing cortisone injections,