I have been having arthritis related problems with my knees for the past year and have done everything I can to forestall any kind of surgery. I, too, found that exercise (especially in the water) and massage are most helpful. Neither the cortisone nor the gel injections did a thing for me. What has finally given me relief and the ability to walk better (far from perfect) is Celebrex. Without so much pain, I can address the issues of posture and gait which have a huge affect on our knees.

Good luck,
Sheryl