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what about a patients age i mean obviously if youre if you have terrible knees and youre 42 years old youre going to have to deal if you live a nice long life with maybe having to have it down again i mean is age factor into this is something that we look at which obviously no matter what age you are if youre 92 years old and you can do an injection and feel great for the year we tell them do the injection and do great for the air if youre 25 years old and youve done everything youve done injections youve done anti-inflammatories you know you have severe arthritis weve replaced hips in these in teenagers that have traumas and rheumatoid arthritis that they just cant walk and do normal everyday stuff without a replacement so the age is still something you try to postpone it no matter what age you are but if youre having severe pain you cant do things you want to do and you youre not doing well with conservative treatments thats when we would consider surgery no matter wha
