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Book Clinic Appointment with Dr. Bharat Sarvaiya
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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I am Dr Akhilesh Rathi I am a joint replacement, orthoscopic and orthopedic surgeon practicing in Dwarka.
Today I will be talking about the knee pain in elderly, knee pain in elderly is very common issue and you must have seen people around you elderly people having a lot of knee issues. So the first and foremost issue, we get manage is simply by some lifestyle modification, exercises, some weight control all these things help a lot in making knee pain better. So quadriceps exercise are the key to any kind of knee pain, plus there are some sessions which we can take at with the physiotherapist which help in making the knee pain better, also a lot of supplements are available like glucosamine and many other are available which your doctor can prescribe you so that it can improve the cartilage damage and also prevent further damage. Apart from that you can also take about some injections which are available which are the hydraulic acid and other viscosupplements which are available for improving the knee pain and the cartilage quality. So most of the patients almost believe me 90 to 95% of the pateints can be managed with this simple measures. In those patient in home despite all the measures have mentioned patient is still having pain, he is still having difficulty walking, he is still having difficulty in doing his routine course we should think about other options. Usually if the age is around 66, 55, 60 we can think about knee replacement surgery and if the patient is of younger age we can think about other osteotomy surgeries like the white osteotomy. So knee replacement is a good option in these patients in home other measures like the conservative measures I have already discussed are not working. So the timing of knee replacement is very important considering the fact that we only change the joint and not the muscle. So if you are not walking for a significant period of time maybe a year or two because of the knee pain your muscles will go down and despite the knee replacement your surgery may not be a successful. So usually my indications for knee replacement, includes if you are walking distance going down you are not able to walk for 20 to 30 minutes and the stretch, your knees are bending and your xray is showing significant osteoarthritis grade 3 or grade 4 osteoarthritis, you should think about knee replacement. So to conclude I will like to say that knee problem have solution and most of the time you can manage it with simple measures like your weight control, exercises and lifestyle modification like avoiding squatting, sitting cross legs, avoiding for long standing and avoiding stairs. Also kindly note and never said not to walk, so even in severe pain maybe a day or two you can avoid walking but otherwise walking is good for your knees so don't cut it out and a timely done knee replacement can save you from lot of medical issues apart from saving your new problems.
Thank you so much.
By birth I had problem with my left leg. It was twisted. I got operated within 6 months of birth. But as I grew old, my right leg is much healthier and stronger then left leg. Look wise my right leg is fatter then my left leg. Over time I have also problem of varicose in my right leg. Please suggest me ways so that both legs look symmetrical & proportional.
I am suffering from back pain from last 3 days. I am 23 years old now. I didn't consult with any doctor yet. What should I do now?
I am suffering from rheumatoid arthritis from last 4 years I am also getting treatment for it. But I have too much pain in my legs hands shoulders and joints. Could you please suggest me some best treatment.
I have back problem from last 10 days, I had taken few medicine but it is not effective. Please suggest me some medication and exercise. Thanks in advance.
Having problem in my back. Always greeting pain. please some. This a in started from 3 months ago. Please suggest me as soon as possible.
I am at the age of 62 suffering from knee pain, left hand pulling pain, etc daily I am using 1/2 tablet mobizox for pains how far it is safe pain killer tabs.
Knee pain is characterized by a feeling of pain in the knee joint caused by injury or overuse. The knee joint consists of small bone structures, the kneecap, supporting ligaments and cartilage of the knee. This joint bears the full weight of the body, which makes it very vulnerable to injury.
Causes of knee pain
Knee pain is usually caused by injuries to the knee such as exposure to a direct force on the knee, abnormal twisting of the knee or falling on your knees. Some causes of knee pain are -
- Knee strains and sprains - Overworking the knee joints can damage the tissues of the knee joint resulting in knee sprains and strains
- Osteoarthritis - it is condition where the protective cartilage around the kneecap is damaged, resulting in knee pain
- Bursitis - Excessive movement of the knee or kneeling down for extended periods can irritate the bursa (a fluid sac below the skin above the knee joint) that causes swelling and pain, thereby giving rise to this condition
- Gout - This condition is characterized by the accumulation of uric acid in crystal form around the knee joint, causing inflammation and pain
- Tendon disorders - Tendons connect the muscles to the bones, and overworking the knee can cause the tendons around the knee to become sore and painful
- Kneecap dislocation - Injuries may cause the kneecap to shift out of its position, this causes swelling and pain in the knee joint
Symptoms of knee pain
Severe knee pain can restrict movements such as walking or standing. The symptoms vary according to the extent of the damage suffered by the knee. Most common symptoms of knee pain are problems in climbing stairs, inability to extend the knees, limping and swelling of the knee joint. In some cases, knee pain may also cause fever.
There are advanced and scientific treatments available now for severe knee pains. They include intra-articular injection of ozone, PRP, steroid, local anesthetic medication in isolation or in combination. These are cost-effective and easily accepted by patients.
Physiotherapy helps in restoration of movements of knee in a pain-free manner. Pain management specialist deals with knee comprehensively.