
Can You Prevent Arthritis & Joint Replacement? with Jocelyn Wittstein, MD
What happens to a joint decades before someone needs a replacement—and can we change that trajectory? Duke orthopedic sports medicine surgeon Dr. Jocelyn Wittstein joins Dr. Matthew Sloan to discuss ACL injuries, post-traumatic arthritis, menopause, osteoporosis, cartilage health, and strategies for maintaining healthy bones and joints throughout life. They discuss why ACL reconstruction does not eliminate the risk of arthritis, the importance of the meniscus, whether running causes arthritis, how menopause affects cartilage and joint inflammation, when women should consider bone-density testing, and how resistance training, nutrition, and activity modification may help preserve musculoskeletal health. They also explore treatment options for mild to moderate arthritis, including anti-inflammatory medications, PRP, viscosupplementation, supplements, and how patients can decide which activities are still worth doing when a joint becomes symptomatic. A fascinating conversation about what happens long before joint replacement—and the rapidly evolving science of preventing or slowing the path toward it.