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The knee is one of the biggest and most complex joints in the body. The knee is joined by the thigh bone (femur) to the shinbone (tibia). The little bones that keep running nearby the tibia (fibula) and the kneecap (patella) are alternate bones that make the knee joint. Ligaments associated with the knee-related leg muscles move the knee joint. Tendons join the knee bones and provide help to the knee:
- The foremost tendon keeps the femur from sliding in reverse on the tibia (or the tibia sliding forward on the femur).
- The back tendon keeps the femur from sliding forward on the tibia (or the tibia from sliding in reverse on the femur).
- The average and horizontal tendons keep the femur from sliding side to side.
Some of the most common knee joint conditions are as follows:
- Chondromalacia patella: Irritation of the ligament underneath the kneecap (patella), bringing about knee pain. This is a typical reason for knee pain in youngsters.
- Knee osteoarthritis: Osteoarthritis is the most widely recognized type of joint inflammation and regularly influences the knees. It is caused by maturing and wear and tear of the ligament. Its indications may include knee pain, swelling and stiffness.
- Meniscal tear: Damage to a meniscus, the ligament that supports the knee, regularly happens when the knee is twisted.
- ACL strain or tear: The ACL is in charge of a substantial part of the knee's flexibility. An ACL tear regularly leads to the knee popping out and may require surgical repair.
- PCL strain or tear: PCL tears can bring about pain, swelling, and knee unsteadiness. These wounds are less normal than ACL tears, and exercise based recovery is generally the best alternative.
- Patellar subluxation: The kneecap slides or separates along the thigh bone during movement, causing pain around the knee cap.
- Patellar tendonitis: Inflammation of the ligament related the kneecap (patella) to the shinbone. This happens mostly in competitors from rehashed bouncing.
Some of the most common and effective knee treatments are as follows:
- RICE treatment: Rest, ice, compression and elevation stand for RICE. The RICE treatment is a great solution for some knee conditions.
- Pain medications: Over-the-counter medicines or pain relievers, for example, acetaminophen (Tylenol), ibuprofen (Motrin), and naproxen (Aleve) can treat most knee joint pains.
- Non-intrusive treatment: An exercise routine can strengthen the muscles surrounding the knee, expanding the knee's strength.
- Cortisone infusion: Injecting steroid into the knee that can diminish pain and swelling.
- Hyaluronan infusion: Injection of a “gooey” material into the knee that may diminish pain from the joint and delay the requirement for a knee surgery.
- Knee surgery: Surgery might be done to amend a number of knee conditions. Surgery can supplant or repair a torn tendon, expel a harmed meniscus, or replace a seriously harmed knee.
- Arthroscopic surgery: An endoscope is embedded into the knee joint. Arthroscopic surgery has a shorter recovery and restoration period than open surgery.
Insomnia is the condition of acute sleeplessness, and it takes a heavy toll on your mood, your energy levels, and your ability to concentrate and work during the day. Some of the most common symptoms of the condition are:
- You find it difficult to fall asleep even if you are tired
- Once you wake up in the middle of the night, you cannot get back to sleep
- You cannot work or concentrate on anything during the day
- You stay mostly fatigued, or irritated throughout the day
- You have to depend on pills or alcohol to fall asleep.
- You wake up very early in the morning, no matter how late you sleep
What could be the causes for insomnia?
Insomnia might last just a few days if it is induced by some temporary cause, like stress at your workplace, or any other personal issue you can be facing. However, when the cause is a long rooted one, insomnia might persist for a long time. There can be a mix of many causes for that to happen:
- Psychological stress or other emotional discomforts - Common psychological problems like anxiety, depression, chronic work stress, grief, and also bipolar disorder can be the causes for insomnia.
- Illness or other medical problems - There can be many medical causes or other illnesses at the root of insomnia like allergies, acute asthma, hyperthyroidism, Parkinson's disease, kidney related diseases and cancer as well.
- Medications - There can be many drugs, which might be prescribed by your doctor, but still be responsible for insomnia. These include antidepressants, corticosteroids like thyroid hormone medicines, few blood pressure medications, certain contraceptives and stimulants for ADHD (Attention Deficit Hyperactivity Disorder).
- Sleep Disorders - Insomnia, though in itself is a sleep disorder, can also be the symptoms for other sleep disorders like sleep apnea, restless leg syndrome, and other disorders related to jet lag or if you are working on a late night shift.
In addition to these causes, some daily lifestyle habits might act as triggers to insomnia, which include:
- Consumption of large amounts of caffeine on a regular basis
- Developing irregular sleep schedules
- Taking your smartphone to bed and ending up spending a lot of time with it in the night
- Eating late in the evening
I have been exercising since 2 weeks now. Each time I do the walk plus run. The bone between the feet n knee pains. From the front side only. Where I can touch n feel it.
Sir I am a cricketer, when I run very long or have a sprint I use to feel pain between knee and ankle. Can you suggest why this so, is this common or should I consult a doctor.
- In 11 yrs, physiotherapy carrier, I have seen no. Of osteoarthritis bilateral knee patient. Coming with severe pain, walking disability. We physiotherapist advice about knee mobilisation, quadriceps strengthen muscle exercise, also modalities like swd, ift, etc, but after few days, patient become upset, due to not good response.
- In mean time, patient want to go knee replacement by orthopaedic, after knee replacement patient is getting same pain, disability.
- Here, one thing I want to share you, if you r following natural knee exercise since knee starting pain, no need to go for knee replacement or more physiotherapy session, because osteoarthritis is not develop in few weeks, so if first stage of osteoarthritis if, you r consulting any physiotherapist, he/ she will teach how to do related exercise, about daily activities life. Sure you will save you knee.
- Finally I want tell u, replacement of knee is not a good option, have listen about former pm vajapayi ji knee replacement done Dr. Ranawat in bridge candy hospital two times, but not cured, in 2004 due to knee issue, he left active polities. His knee replacement was one of worst in medical history. So pls think, and save you knee in early stage.
Hello ,I got RA report positive. My treatment is going on. But from last two days. Am not able to bear pain. Its paining like anything. After taking pain killers also. Am not getting relax. Why this much pain. Can say me please.
Knee replacement surgery- which is also known as knee arthroplasty, helps to relieve the pain in the knee thereby restoring the knee function. During this procedure, a surgeon cuts the damaged cartilage and bone from the kneecap, thighbone, and shinbone and replaces the same with an artificial joint comprising of high-grade plastics, alloys, and polymers. A patient/surgeon has the liberty to choose the type of knee joint he/she prefers based on factors such as weight, age, overall health etc.
Signs that might indicate a knee replacement surgery -
- The pain in the knee keeps coming back all the time.
- The knee aches after a brisk walk or during an ongoing exercise session.
- The mobility of a person has gradually decreased over time as compared to last few years.
- A supporting cane or medication isn’t delivering the desired support or pain relief.
- The knee tends to stiffen when a person sits for a long time. Example- witting through a movie or sitting in the car for too long proves to be a major hurdle.
- The pain proves to be a major problem that intervenes with sleep.
- The knee motion significantly decreases once a person tries to bend the knee.
- Climbing stairs turns out to be a major hurdle.
- Getting out of bathtubs becomes a major challenge.
- The knee becomes and stays stiff or at least half an hour after getting up from bed in the morning. If the stiffness lasts for more than 60 minutes, it is a sign of inflammatory disease.
How is a knee replacement surgery performed?
- Knee replacement surgery requires overnight stay in the hospital.
- It involves a general or spinal anesthesia.
- Once the skin over the surgical site is cleansed with an antiseptic, the doctor makes an incision and takes out the damaged surface of the knee joint.
- The knee joint is then resurfaced with a prosthesis made up of plastic and metal.
A cemented prosthesis is most commonly used during these days. The prosthesis contains 3 components:
- Tibial component
- Femoral component
- Patellar component
What are the advantages of knee replacement surgery?
- The biggest advantage of this surgery is the freedom from constant and throbbing pain.
- The fact that surgery can increase the mobility also proves to be a blessing for the general condition of the patient.
- Knee replacement also helps a patient to get rid of supporting device such as a cane, wheelchair, pain medications etc.
- The feeling of stiffness also goes away after the surgery.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Knee pain after sitting on loo and prolonged crossed leg sittings. I play volleyball and pai n started a few weeks ago only.
What are the symptoms of osteoarthritis in relation to the different affected areas?
An osteoarthritis is a form of arthritis which means unexpected inflammation of the joints/muscles, which is usually very painful. This form of arthritis is not curable, and the only thing that you can do is to take measures to reduce the painful effects of the condition. The symptoms of the medical condition often occur gradually and are chronic and long lasting in nature. Some of the body parts that get affected easily are:
- Hips- pain is felt in the groin area or buttocks at the hip joint.
- Fingers- bony growths at the edge of joints can cause fingers to become swollen, tender and red. There may be a pain at the base of the thumb.
- Knees- a 'grating' or 'scraping' sensation occurs when moving the knee.
- Feet- pain and tenderness are felt in the large joint at the base of the big toe. There may be swelling in ankles or toes.
Some of the most common symptoms which are more common to all body parts are as follows:
- Chronic pain - The arthritis related pain is very intense and chronic in nature, and it has an ever increasing trend if proper care is not taken. This pain can appear in any body joint of a person and it can cause visible inflammation or swelling in and around the muscles of that particular joint.
- Body stiffness - Another characteristic feature of this medical disorder is that there is stiffness in the normal movement of the joints and muscles. This symptom also results in a lack of flexibility of the concerned person.
- Inflammation and tenderness - Osteoarthritis is such a condition which is observable by the naked eye, as it shows signs like inflammation and tenderness. Inflammation can be noticed if a joint has a considerable amount of swelling.
What is arthritis of the knee?
The knee acts as hinge joint and allows flexion (bending) and extension (straightening). The knee is formed by the tibiofemoral joints, where end of the femur (thigh bone) glides over the top of the tibia (shin bone) and the patellofemoral joint where the kneecap glides over the end part of the femur. The gliding surfaces of the knee are covered with articular cartilage which helps the joint to glide smoothly. Over time the articular cartilage can become damaged or 'worn away' and this is known as osteoarthritis.
What is medial compartment arthritis?
Most people with knee arthritis have predominantly pain in the inner aspect of the knee, which is due to medial compartment arthritis. Patients who are born with varus knees (bow legs) are more likely to get medial compartment osteoarthritis. This is because the weight of their body mainly passes through the medial compartment of the knee rather than spreading the load evenly between the whole gliding surface of the knee.
How do you diagnose medial compartment arthritis?
ClinicaFeatures, examination findings and standing X-rays of the knee joint and the patello-femoral joint are needed to diagnose medial compartment arthritis. The X-ray will often show narrowing of the joint space in the medial compartment of the knee which suggest that a patient has medial compartment osteoarthritis. Long Leg standing X-ray of the whole of both of both legs from the hip joints to the ankle joints ( Fig 2), allows us to carefully examine the overall alignment of your legs. They help to calculate the weight bearing axis of your leg and find out where most of the force is passing through your knee joint. MRI would be done too, to assess degree of cartilage damage. It is imperative to know status of other structures in the knee like meniscus and ligaments.
Some patients are advised for a type of knee brace known as a medial offloading brace to trial. To a certain extent this mimics the result of osteotomy surgery by pushing the leg into a more normal alignment and taking the pressure of the damaged medial compartment. This is usually only a temporary solution whilst waiting for surgery. Patients who are overweight often find their knee pain is significantly improved when they lose weight. Simple analgesia such as paracetamol together with etodolac can help with pain and sleep disturbance form the pain.
Who requires surgery?
People suffering from growing cartilage lesions resulting in pain and activity restriction with proved mechanical axis deviation as the cause, would benefit from surgery. Age and extent of cartilage wear determine the nature of surgery. Younger individuals with smaller lesions are good candidates for a joint preservation surgery in the form of a High Tibial Osteotomy. With advancing age and extent of disease, Arthroplasty would be a
more beneficial option.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I had undergone ACL reconstruction surgery and today (21.11.2017) is the 10th day. Presently I face the following problems. (1) Swelling &pain in the knee (mild) and swelling in the foot (mild). (2) Knuckle occurs (with a popping sound and pain) when rising up from the bed (bending the knee from a fully stretched position. The knee is also very stiff when rising up. (3) Whether knee exercises can be done in the swelled position? Kindly suggest the possible solutions.
Are you suffering from body pains? It could be Fibromyalgia!!
Symptoms may be triggered after a surgery, physical trauma, infection, or stress. Women are much more vulnerable to this disease than men. Many people affected with fibromyalgia may have suffered from headaches, backaches, depression, anxiety, tension, temporomandibular joint disorders and irritable bowel syndrome.
Most of these patients have undergone multiple consultation with various doctors and undergone many tests but no diagnosis could be made. These patients are often ignored by doctors and family members as always 'complaining of pain'
Symptoms of Fibromyalgia:
- Extensive Pain- Pain related to fibromyalgia is often depicted as a dull pain that lasts for at least three months. Pain can involve any body part like back, neck, chest, arms, legs. Patients have pain in multiple areas of body and painful areas change over time.
- Fatigue- Patients afflicted with this disorder feel tired even after sleep. Such people are reported to sleep for longer hours than normal people but their sleep often gets disrupted due to sleep apnoea and restless leg syndrome.
- Cognitive Difficulties- These patients find it difficult to concentrate at work and also suffer from memory deficits in daily activities.
- Other Symptoms: These patients may also have symptoms like burning urination, urgency of urination, numbness,loss of appetite, tingling sensation,diarrhea, constipation, tinnitus, depression etc.
Diagnosis of Fibromyalgia:
There are no specific test to diagnose fibromyalgia. Diagnosis is made by a doctor specialized in Pain Medicine using clinical methods based on symptoms and examination. Blood tests like Haemogram, Thyroid function test, RA Factor, ESR are done to rule out other diseases which can cause similar symptoms.
Treatment of Fibromyalgia:
- First step in treating these patients is to accept their problem and discuss with patient and family members regarding the presence of such disease entity.
- Lifestyle changes like active involvement in cardiovascular exercises,swimming, yoga, meditation are important to control symptoms.
- Conventional painkillers do not work in these patients. They requires special medications prescribed by a Pain Specialist for control of symptoms.
- Counselling of patient is beneficial for associated depression.
Fibromyalgia is a medical condition that is known to affect the soft tissues and muscles of the body. As a result, there is a muscular pain and fatigue experienced throughout the body, often interfering with daily activities of the affected individual. Though the condition can affect both men and women, females are more prone to Fibromyalgia than their male counterparts.
The pain (can be acute or chronic) associated with fibromyalgia is often an outcome of a condition whereby the receptors in the brain that perceive the pain signal undergoes modification, becoming oversensitive to the pain stimuli.
The body has 18 tender points spread throughout the body. These tender points are highly sensitive and can be quite painful when pressed. Research suggests that individuals with fibromyalgia experience pain in at least 11 of these pressure points when pressed (often used in the diagnosis of fibromyalgia).
Causes of Fibromyalgia
While it may be difficult to decipher the exact trigger that results in Fibromyalgia, the condition may be an outcome of
- Physical or emotional trauma, stress, anxiety, and depression
- Genetic predisposition. The incidence of fibromyalgia is higher in individuals with a family history of the condition
- Indulging in too much of a sedentary lifestyle (lack of physical activities and exercise) can play a pivotal role in triggering fibromyalgia
- Certain health conditions and infections such as Arthritis can also give to fibromyalgia
While muscular and joint weakness and pain are synonymous to fibromyalgia, a person may also complain of
- Sleeping disorders
- There is a weakness, headache (often associated with a migraine), and fatigue (in spite of having a sound sleep and proper rest)
- A person may experience Fibro Fog (a condition resulting from fibromyalgia whereby a person finds it difficult to memorize or concentrate on anything)
- There may be morning stiffness along with numbness or a tingling sensation in the legs, hands, feet
- Some women with fibromyalgia may experience menstrual cramps which are often painful
- One may also suffer from IBS (Irritable Bowel Syndrome), Temporomandibular joint disorders
Treating Fibromyalgia with Ayurveda
According to Ayurveda, Fibromyalgia is an outcome of the vitiation of all the three doshas - Vata, Kapha, Pitta. This affects the digestion process (it weakens or slows down) with the buildup of toxins or Ama in the body. Thus, for an effective treatment, the balance between the three doshas should be restored along with the elimination of the toxins out of the body (detoxification).
- The treatment often involves a concoction of herbal and Ayurvedic oil massages and oil baths, lifestyle changes, dietary modifications, meditation and yogas or pranayamas
- Avoid non-vegetarian (can have lean meat though), spicy and greasy foods. Instead, supplement the diet with fresh fruits, vegetables, healthy or good fats (poly or monounsaturated fats), whole grains
- Drink at least 6-8 glasses of water daily
- Follow a healthy sleep routine. Mediation and Yoga will act as a catalyst, enhancing the overall treatment
- Drinking alcohol or smoking tobacco or drug abuse should be avoided
- A Warm Ayurvedic oil application with gentle pressure is very effective in this if done on regular basis
- Stay happy and stress-free