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Once physical therapy and or injections are no longer managing your pain, it then may be time to consider joint replacement. This is a conversation you will want to have with your surgeon. It is ultimately up to you, but together with your surgeon, you can decide the best option for you.. Rep. Ruth Samuelson, R Mecklenburg, rejected criticism that the bill is disrespectful to women. “It’s about recognizing the fact that we are intelligent. “Self service has become commonplace…