An individual must be diagnosed by a doctor. After a physical examination and full detailing of symptoms, the physician may also recommend X-rays to confirm presence of the disease. X-rays to confirm presence of the disease. X-rays are very helpful in the diagnosis and may be the only special test required in the majority of cases. In some cases of early osteoarthritis, the X-rays may not show changes typical of osteoarthritis. If the diagnosis is still unclear, arthroscopy may be necessary to actually look inside the knee and see if the joint surfaces are beginning to develop change from wear and tear. Arthroscopy is a surgical procedure where a small fibre-optic television camera is inserted into the knee joint through a very small incision, about 5mm. The surgeon can then move the camera around inside the joint while watching the pictures on a TV screen. The structures inside the joint can be examined with small surgical instruments to see if there is any damage.
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