Dear Debra,
Don't worry about the injections. There are alternative pain relief systems such as the Transcutaneous electrical nerve stimulation or TENS portable machines which give pain relief without drugs. Knee surgery should only ever be a last resort and you may find that Physiotherapy helps you. Also there is something called SAMe which you can get in the States very cheaply which has an anti-inflammatory effect and could be helpful for you. Ask your Physcian for advice.
Good Luck
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