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BigZ said..
I feel your pain. I have had 4 knee surgeries including 2 full ACL reconstructions (first one 4 decades ago). Taking too many risks skiing when young and stupid. The result - no cartilage (nor functioning ligaments) left in both knees.
What works (kind of) for me:
- maintaining very strong leg muscles - quadriceps and hamstrings
- stretching to maintain knee flexibility
- using as small boards as possible. First, balancing on a small board is an amazing - low impact exercise - to strengthen muscles around knees, hips, and core. Second, when on a wave, a small board is much more gentle on knees. Seems contrarian but large bouncing boards can only exaggerate impact on knees. I can feel the difference when using wide boards over 1.2 Guild factor.
Yes - stretches every morning, taken up bike riding to strengthen legs ( good afternoon thing ) and ordered a new more stable bonzer. One good mate has had surgery and he is back surfing - pretty well to. Currently only surf for half an hour and the pain outweighs the pleasure. Good for an hour on the flatwater cruising. Could be a couple of months out of the surf - bummer!