Shoulder surgery, knee surgery, and other joint surgery can often be avoided. Even supposedly simple knee arthroscopic surgery leads in a decade to worse pain and arthritis pain than if you had done nothing. And joint replacements carry larger risks than you might be told. You might not know the names of the alternatives: PRP therapy, prolotherapy, tenotomy, fasciotomy. Each of these methods is a joint surgery alternative, and a joint replacement alternative. They work by stimulating new, additional rounds of tissue growth in damaged, degenerated tissues such as the rotator cuff, ankle or wrist ligaments, elbow or hip tendons, knee meniscus or cartilage, or finger joints. Some of these procedures can also be applied to low back pain and neck pain.