Same thing with me. I had my left hip replaced in 2018, and though I tried my best to ignore it, I finally got my left knee replaced last November. I am six months out from the surgery and doing great so if you're not going to Italy until November you should be good to go. That is, if you can get into surgery quickly. Not the case here. If not, I highly recommend cortisone shots. They got me through a lot before the surgery. I tried the acid stuff and it didn't work for me. Also check your shoes, they make a big difference!