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Knee Pain Treatment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Joint And Muscle Problems
Treatment of Nerve And Muscle Disorders
Acl Reconstruction Procedure
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Ankle Pain Treatment
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Treatment Of Herniated Disc
Knee Injury Treatment
Treatment of Spine Injuries
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Cartilage is a fine, rubbery elastic tissue that acts as cushion between the bones in the joint spaces. It is a connective tissue and enables the joints to move freely and smoothly. It acts as a shock absorber and reduces the friction between the joints. This cartilage could either be damaged as a result of injury or degeneration as part of normal ageing process. Either of this causes friction during joint movement, causing painful, stiff movements and in some cases, even swelling of the joint spaces.
There is also a covering around the joints known as synovium. When there is a cartilage damage, this synovium is irritated, leading to increased secretion of synovial fluid, which can cause swelling in joints. There is also reduction in the range of motion of the affected joint.
Most commonly affected joints include knees, hips, shoulders, elbows and ankles. Other than degeneration that happens with ageing, cartilage damage is mainly caused by injury or trauma including fall/impact, joint dislocation, infection, ligament tear, meniscus tear, and inflammation (gout, arthritis, etc.)
Read on to know some of the most common causes for cartilage damage and ways to manage it.
Age and trauma are the main reasons for cartilage damage.
Direct blow: A heavy blow directly to any joint leads to damage (accident, sports injury, etc.).
Ageing: With constant wear and tear, joints that are under constant stress are prone for damage.
Obesity: This is also a common cause leading to chronic inflammation and breakdown of the joints.
Limited mobility: For whatever reasons (including sedentary lifestyle), lack of movement can cause cartilage damage.
The presenting symptoms of a person with any affected joint would be pain, discomfort and stiffness with movement. In addition to history and physical examination, MRI and arthroscopy can be used to confirm the diagnosis.
Start with a conservative approach and gradually switch to more advanced treatments. Conservative approach includes a combination of pain killers, steroid injections, and exercise (at a clinic or at home). If these do not work, the following surgical options are available:
Debridement: The affected cartilage is smoothened and the loose edges are removed to prevent rubbing and irritation. It is done using a shaver.
Mosaicplasty: In areas of localized damage, healthy cartilage from an unaffected area is placed.
Autologous Chondrocyte Implantation: Cartilage that is grown in a lab for one to three months are placed into the knee or affected joint to allow for healthy tissue growth.
I want dislocation specialist doctor My left shoulder recurrent dislocation so at present I'm doing physiotherapy exercise actually operation should be done but operation causes I miss some moments permanently of my left hand so how can I proceed? Please give reply..
50 year old female, getting severe pain when sitting and standing from sitting. There is discomfort at the out let of anus and often getting pain at the feet joints and lower back.
Couple of years back I slipped in the bath room, had pain in the knee joint. Some physio said I had ligament tear, but when I showed to 2 ortho, they said No by testing my knee. But I keep having pain especially during winter or running. What do you recommend?
Hi doctor, I am 27 yr old working woman. I got injury in my little finger of my right hand during work in lab on 12 of august. I got 5 stitches & minor fracture in my finger. Doctor give me medicine like painkiller paracetamol & one Augmentin & one dose of domperidone for 1 week. After 1 week my stitches was open by doctor. They give me one ointment. My problem is that today I seen that one of that stitch left in my finger. & in last night I suffer from sever pain in my finger. So, what should I do, please advice me.
Hands and feet are cold and tingelling. Feel slight heaviness in left chest, not able to sleep properly due to hands numbness specially. Internal organs give mild temporary pains, have fatty liver, weakness, previously faced erectile dysfunction now solved. Feel heaviness in left chest as well Is it due to poor blood circulation or calostrole? Or anything else.
Arthritis is an autoimmune disorder wherein, the immune system of the body attacks healthy tissues within the various joints of the body. This causes inflammation of the joints, leading to multiple problems in them. One common issue with all the problems is pain. Thus, managing pain with rheumatoid arthritis is one of the most important facets of the treatment. More than the deformities or other problems, it is the pain that limits your capabilities. Some techniques for the management of pain are mentioned below.
- Pain medication: This is the obvious and first choice to avail if you need to reduce pain. There are many types and levels of pain medications which can range anywhere from being mild to very strong. However, this isn’t an option that should be considered lightly as you may have a tendency to develop a dependency which can border on addiction. Also, many of them harm the hepatic and renal system of the body if used beyond a certain period. Thus it is advisable to use this prudently.
- Weight management: In many cases, the pain is exacerbated by obesity. It has been noticed that obese or overweight people tend to suffer more from arthritis pain as the added weight tends to add pressure on the joints. Thus, one of the best ways to reduce a significant amount of pain would be to reduce weight through dieting and limited exercises that don’t strain the joints. However, it is easier said than done as a person in pain cannot usually exercise! So, the best strategy is to visit a pain specialist / interventional pain physician and get your pain controlled. Thereafter, start the exercises and reduce the weight effectively.
- Medication for inflammation: Inflammation of the joints is the primary symptom of this disorder. Inflammation is also what causes the pain within the joints. Thus, treating the inflammation with relevant medication has also been known to reduce pain. This is usually the first option to go to for relieving arthritis pain. The catch point here is also the side effect profile of these drugs.
- Changes in Diet: A few type of foods, especially certain fish found in colder waters are a rich source of omega-3 fatty acids, which are very good at reducing inflammation within the joints. There are also certain food items which may be bad for your arthritis pain as they may aggravate inflammation and it is better to avoid such items altogether. Some examples of such items would be sugar, alcohol, white flour, processed meats, gluten rich foods among others.
- Massages: Whether it is a self-massage or from a therapist, it is a great way to encourage circulation which can help reduce inflammation and work as a pain reliever. A therapist would also know certain specific techniques to relieve arthritis pain. However, most of the times, improper massage shall do more harm than good.
- Interventional Pain Procedures: These may often be the most cost effective and usually the only option to reduce pain. These include joint injections, neurotomies, radio frequency therapy, laser therapy, ozone therapy, platelet rich plasma or anti-inflammatory injections.
- Other therapies: Some other therapies include heat and cold compress, acupuncture, wearing supportive wears and braces among others to encourage circulation and reduce pain. Transcutaneous electrical nerve stimulation also helps to relieve pain by stimulating the affected nerves in the joints with the help of a low voltage electric current. If you wish to discuss about any specific problem, you can consult a pain management specialist.