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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

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As we discussed in the CY 2026 PFS proposed rule (90 FR xxx), our approach in applying an efficiency adjustment is to take into account changes in medical practice and to better reflect resources involved, and it is designed to be conservative in nature, as we are concerned about making too many changes at once to the current methodology