I am 68. The best clinical advice I want to pass on is to do the joint surgeries while you’re still physically strong, do not follow the old advice to wait until you can’t tolerate the joint pain. I am so fortunate to have a great team from a physical trainer, my physical therapist, my various physicians, my psychiatrist etc. living near medical schools & teaching hospitals helps. my orthopedic surgeons are my best friends, and pain management physicians are on speed-dial. The last four years with a personal trainer has helped me to be stronger and more physically adept then I was at 30. Even though I didn’t break bones in my constant casual falls over the years, at this age I needed to stop falling. Now, those lovely, super flexible joints have significant osteoarthritis. the medial meniscus in both knees were removed when I was 20, with the predictable deterioration overtime. my left knee replacement last August has gone very well, and I’m actually looking forward to the right knee replacement next month. have you heard of reverse shoulder replacements? I have and I have two scheduled down the road. so about 18 months of joint replacement surgeries ahead of me. However, from other perspectives, life is better than ever. But I will keep on top of the steroid injections for the arthritis in my thumbs….