Blew out ACL in "86 playing basketball, also tears to both menisci...no instability...continued activities using Lennox/Hill brace...increasing symptoms over time...now can only swim...antalgic gait...moderate pain which affects sleep...cerified in PRP so somewhat familiar with types of therapies...large joint effusion...told by two orthos that I need a total joint...which I expected...just would like to improve symptoms and mobility...trained in general surgery...practiced trauma and emergency medicine for 35 years...now practice functional and anti-aging medicine...college basdketball, very active in sports my whole life...current situation very frustrating for me..