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Before we address treatment options, however, it is important to understand a few basics about knee pain: the most common form of knee pain is due to an underlying condition called osteoarthritis (OA), also known as degenerative joint disease. In a normal, healthy knee joint, there is a smooth, outer surface lining covering the surface of the bones in the knee joint (called the cartilage and synovial membrane) that protects, lubricates, and cushions the bones of the knee joint to allow smooth joint movements as you bend and straighten your knee

Moreover, concentrations of circulating endotoxin and the number of bacteria in the intestinal lymph nodes and the lymphatic circulation also correlate with disease severity [80]
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Many feel nothing yet, and thats normal

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