Hi ~ Does anyone else have cholandramalchia (sp?) - arthritis of the kneecap? I have Grade IV and I understand there are no treatments for it. My doctor says that an arthroscopic cleaning of debris would be of no use. I have been getting Suparz injections every six months which seem to help a bit and sometimes I get an anesthetic injection directly into my knees. I have constant burning in the knees and use Lidoderm patches and take Lyrica but sometimes the burning is so bad that only ice will help. I am very active and can't seem to take the time to stop and ice them. Just wondering if anyone out there has any experiences to share. Also, I only see a Pain Management Specialist for all of my many arthritis issues - what would a Rheaumatologist do for me that is different? My PM specialist makes referrals when necessary to PT and surgeons, etc. and otherwise seems to have a comprehensive handle on my care.