result at the subsequent checkup one week after the treatment completely pain free 100 normal function due to the success of the therapy no further treatments were planned subsequent checkups were without pathological findings diagnosis clinically and radiologically medial knee osteoarthritis ri degree iv and retropatellar for many years externally it was advised to try transposition osteotomy or a knee replacement ri patient however desired trying a conservative therapy in the past injections of hyaluronic acid and cortisone triamcinolone were without clinical success therapy a 10 times anakinra treatment 100 mg per session with parallel administration of 10 mg triamcinolone total treatment dose 50 mg twice weekly was carried out result at the end of the therapy 65 pain reduction after 3 months diagnosis clinical and radiological mrt inner meniscus injury ri knee iii with clear function deterioration and pain medial right knee surgery was recommended patient would like non surgical alternative therapy a one time injection of 10 mg triamcinolone and 1 mg anakinra was administered result one month after injection 80 pain improvement patient does not want surgery any more but another injection as this was very helpful at the checkup 6 months after the therapy still no surgery desired patient pain free diagnosis clinically and radiologically low facet arthrosis for many years additional finding diverticulum in patient treatment with cortisone injections into the low facets without.