Patient’s who are often diagnosed with a form of osteoarthritis or OA whether it be to their hip or knee, often assume that surgical intervention to replace the involved joint is the solution. Albeit a solution it is not the only option. It is no to surprise if a patient who has OA to a joint does not qualify due to level of severity of their OA, contextual factors in ones personal life (employment status or impending retirement) or insurance related issues. How OA affects no