So, since I am not going to get new knees, thanks to fat-phobic asshats, I am having to take pain medications more often and find topical ointments that can at least ease the pain.
It can be especially bad at night. When I am off them for any length of time my knees lock up and walking can be difficult at the start.
I have been doing occupational therapy for my damaged left thumb ligament (I will post my Medium article later) and have been alternating using my canes at night to get out of bed and trekking poles for the daytime.
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