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Hi, I suffer from a knee pain especially after playing football and In winters. Also I can't sit while keeping my legs bend for a long time because that also produces restlessness to my knees. I have to keep my legs straight to avoid the pain. What could be the problem?
I am 34 yrs old and I have swelling in my legs hands even on face and I have pain also in knees wrist kindly suggest me what I do last year my ra factor is increase.
There are over 200 types of arthritis that are known to medical science. While some are easy to manage, some can be deadly if proper care is not taken on time. The common factor of any arthritis, however, is the physical pain in the joints and muscles.
How Does Physiotherapy Help?
It is known that some forms of exercise go a long way in managing the symptoms of arthritis. Physiotherapy focuses on the right form of exercise that helps in relieving pain. Furthermore, they help to improve the movement of the joint, the walking posture and muscle strengthening. Based on the condition and severity of the pain, a physiotherapist might recommend free hand exercise or workout sessions in a swimming pool.
What is the Role of a Physiotherapist?
Apart from helping in managing pain, a physiotherapist’s job includes the following:
To improve the flexibility, balance and coordination of the body in order to achieve the maximum physical function.
Recommend appropriate exercise to fix improper posture that may be causing the pain.
Assist in using devices such as canes and walkers.
Recommend various other treatment options such as thermal therapy, shoe inserts, braces and splints in order to relieve the pain.
Recommend changes in the environment such as using of cushion, ergonomic chairs etc.
A physiotherapist recommends various exercises in order to relieve the pain. They start with graded exercises. These start slowly and quantify in an incremental manner. Graded exercises help to strengthen the bone and increase the fitness of an arthritis patient. It also helps the body secrete a hormone known as endorphins which help to manage the pain.
Strengthening and Stretching:
Stretching and strengthening are basic starters that a physiotherapist recommends. After assessing the strength of the muscle, a physiotherapist advises on the techniques and of various stretching and strengthening exercises. Stretching helps to relax the muscle and free up any cramps in the body. Strengthening, on the other hand, helps the bone to become more flexible and reduces the pain.
Avoiding Arthritis Pain:
It is important to be active. Keeping the muscles strong and moving the muscles is a key to get relief from the pain.
Maintain a healthy diet in order to ensure the right BMI for your body. Being overweight or obese can exert added pressure on the bone resulting in arthritis pain.
Maintain good body posture, especially walking and sitting posture. Good posture helps in ensuring normal breathing and proper digestion.
Regularly practice the exercises recommended by the physiotherapist.
- Using of cooling packs and thermal treatment on the joints often helps to relieve the pain.
Knee joint surgery is a long and arduous procedure in most causes. However, outpatient procedures sometimes take less than an hour and require minimal recovery time. It is commonly conducted in cases of:
- Progressive arthritisa
- Injury, dislocation or fracture
- To fix deformities
If one is aware of these informative tips post-surgery, recovery can be a less painful and easier process :
- Clean linen sheets to prevent infection to the wound
- In case of pain, ice packs over the bandage can be used. However, one should be cautious as extended use of ice can result in cold burns
- Installation of preventive fall equipment is necessary to ensure that the patient does not sustain further injuries post-surgery.
- Knee surgery recovery can be very time consuming in which case, the patient may experience high levels of anxiety, and depression. A close friend should be available in times of emotional need to reduce negative feelings.
- Crutches and other supportive objects should perpetually be in close proximity to the patient as it can be very difficult for patients to reach their close destination without the help of these necessities when in need.
- In case of intensive pain attacks, the patient should be taught relaxation techniques such as breathing in and out or breathing intensively in settled intervals
- The patient should be put on a strict diet consisting of fruits, vegetables, carbohydrates and healthy fat to allow faster recovery
- The patient should also get 8-10 hours of sleep daily to allow the system to recover on its own
- The patient should not put pressure on their body during the recovery time, especially the injured area
It is a prerequisite for the families and loved ones of the patients to show emotional support as feelings of isolation can cause further pain to the patient. Along with that, the patient should keep a positive attitude during the course of their bed-rest time. If one keeps these tips noted, recovery can be a less arduous condition. Consult an Expert & get answers to your questions!
I'm 67 yes. Diabetic, hypertensive, post cabg I fell pain in legs while sleeping in a c room. Taking regular medicines. Bp, sugar under control.
I have pain in my right knee, month ago my blood was checked. It was a vitamin d deficiency. What should I do.
I am 29 year old, one month before I slipped and my both legs got spread in opposite direction. Bcoz of that m feeling a lots of hip pain when is sit. I can walk, but I cant sit.
My mother in law has knee pain for 5 years. Her age is 45 years. She has taken pain relief medicine since then. Now pain has increased & she can not walk properly. There is no lubricant in knee joint. Tell me medicine to make lubricant & tell me proper treatment.
What is osteoarthritis of knee?
Osteoarthritis of the knee (knee oa) is a progressive disease causing inflammation and degeneration of the knee joint that worsens over time. It affects the entire joint, including bone, cartilage, ligament, and muscle. Its progression is influenced by age, body mass index (bmi), bone structure, genetics, strength, and activity level. Knee oa also may develop as a secondary condition following a traumatic knee injury. Depending on the stage of the disease and whether there are associated injuries or conditions, knee oa can be managed with physical therapy. More severe or advanced cases may require surgery.
Symptoms of knee oa may include:
- Worsening pain during or following activity, particularly with walking, climbing, or descending stairs, or moving from a sitting to standing position
- Pain or stiffness after sitting with the knee bent or straight for a prolonged period of time
- A feeling of popping, cracking, or grinding when moving the knee
- Swelling following activity
- Tenderness to touch along the knee joint
Physiotherapy for oa knee:
Here are 5 exercises to help you take control of your knee oa. These exercises are recommendations. Before doing them, get your physio's approval. Never push through pain with these exercises you may be doing your joints more harm than good. Soreness is normal when starting an exercise program, but if it doesn't go away, call your doctor.
1. Knee oa exercise #1: standing quadriceps stretch
- Stretching your quadriceps can ease tension in the knee joints.
- Stand with feet hip-distance apart.
- Bend your right knee and hold the top of your right foot with your right hand.
- Bring your right heel as close as possible to your glutes. You can use a wall for balance.
- Hold for 30 seconds, and repeat on the left leg.
- Do 3 times once a day.
Knee oa exercise #2: standing calf stretch
- This gentle calf stretch increases flexibility in your leg muscles and knee joints.
- Bring your right foot a few feet in front of your left foot. Bend your right leg, making sure your knee doesn't go past your toes.
- Keeping your left leg straight, press your left heel toward the ground to stretch the calf of your back leg.
- Hold for 30 seconds. Repeat on opposite leg.
- Do 3 times daily.
Knee oa exercise #3:
- Seated leg raise
- The seated leg raise exercise helps strengthen muscles around your knees.
- Sit on a chair with both legs bent at 90.
- Slowly raise your right leg so that it's parallel to the floor, keeping your left foot on the ground.
- Hold for 30 seconds, then slowly bring the right foot back to the floor, and repeat on left leg.
- Do 10 times twice a day.
Knee oa exercise #4:
- Step-ups strengthen your legs, making it easier for you to do everyday things like climb stairs. You'll need an exercise step, or use a bottom stair in your house.
- Stand in front of the stair with feet hip-width apart.
- Step onto the stair with your right foot, then with your left foot.
- Step down in reverse: your left foot reaches the ground first, then the right foot.
- Go at your own pace for about 30 seconds at a time. For balance, use a railing.
- Do 10 times twice a day.
Knee oa exercise #5:
- Static quadriceps contraction
- With your knee relatively straight, slowly tighten the muscle at the front of your thigh (quadriceps) by pushing your knee down into a small rolled up towel.
- Put your fingers on your quadriceps to feel the muscle tighten during the contraction.
- Hold for 5 seconds and repeat 10 times as firmly as possible without increasing your symptoms.
What if I need surgery?
In some cases of knee oa, the meniscus (shock absorber of the knee) may be involved. In the past, surgery to repair or remove parts or all of this cartilage was common. Current research, however, has shown in a group of patients who were deemed surgical candidates, 60-70% of those who participated in a physical therapy program, instead of surgery, did not go on to have surgery. Further, after 1 year those outcomes were unchanged. This study suggests that physical therapy may be an effective alternative for those patients who would like to avoid surgery.
I am a 35 yrs old and I am suffering from knee pain for last 4 months. What should I do? Please help me.
I am having pain in both my knees for the last 3 yrs, once consulted a doctor he said lactic acid is getting coagulated what should I do. Is there any exercise to counter it.
My mother has a sharp pain in her veins of leg from knee to foot fingers for last one year. We examine her sugar, thyroid, etc. All reports are normal. Now she is not able to stand also. Can you suggest any thing? Please!
Since last 5 days I have started feeling pain in my hips and the joints and lower thighs and in knee, sometimes I feel severe pain in right leg lower thigh I never felt like this before and I don't understand what happening to me In February 2017 I met with an accident and I was hit on my head that caused blood clots however that problem was resolved, is this accident can be related to this problem.
The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.
What can cause knee pain:
Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.
Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.
- Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
- Rheumatoid Arthritis, an inflammatory chronic disorder
- Septic Arthritis, causing pain, swelling and redness.
- Gout caused due to the development of uric acid crystals in the joints
How to deal with it:
- Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
- Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
- Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.
The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.
ACL injury and other ligament injuries can be caused by:
- Twisting your knee with the foot planted
- Getting hit on the knee
- Extending the knee too far
- Jumping and landing on a flexed knee
- Stopping suddenly when running
- Suddenly shifting weight from one leg to the other
These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.
- Rest the knee.
- Ice your knee to reduce pain and swelling.
- Compress your knee.
- Elevate your knee on a pillow when you're sitting or lying down.
- Wear a knee brace to stabilise the knee
- Practise stretching and strengthening exercises if they are recommended.
For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.
A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.
A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.
Treatment may include:
- Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows.
- Physical therapy.
- Surgery to repair the meniscus.
- Surgery to remove part of the meniscus. If you wish to discuss about any specific problem, you can consult a Physiotherapist.
The most common form of arthritis is osteoarthritis and unlike rheumatoid arthritis, the cause of osteoarthritis is not due to any inflammation such as the immune system attacking the joints. Rather, the cause of osteoarthritis can be attributed to the wear and tear of the protective cartilage on your bones over time. The most common parts of your body which may get affected by osteoarthritis are the knees, hands, and spine. Even though osteoarthritis cannot be cured, it is worth noting that the symptoms can be well managed.
Here is everything you need to know about osteoarthritis:
- Intense pain in your joint: This is the most common symptom indicating that you may have osteoarthritis.
- Tenderness in your joint: If after applying a little pressure, your joint feels tender, then it can be considered a sign of osteoarthritis.
- Stiffness in your joint and loss of flexibility: If you feel stiff after a period of inactivity such as waking up in the morning, it's likely you have osteoarthritis. This may also mean that you may not be able to make movements you were previously able to due to the stiffness in your joint.
- Bone spurs: You may also feel extraneous bits of bone from around the affected joint.
The most common cause of osteoarthritis is old age. As you grow older, the cartilage that cushions your bones begins to deteriorate. Without this cartilage to cushion your bones, different bones might rub against one another, thus causing the pain you feel.
As mentioned earlier, it is not possible to cure osteoarthritis, but the pain can only be managed. Here are the best ways to manage pain from arthritis.
- Medications: Depending on how severe your pain is and whether it is chronic or acute, you may be given drugs such as ibuprofen or acetaminophen.
- Physical therapy: An exercise routine can be worked out between you and your physical therapist so that your pain reduces and you are able to regain the range of movements you had before you were affected by osteoarthritis.
- Surgery: There are a number of surgeries which can be done to reduce your pain; ranging from a simple lubrication surgery by using hyaluronic acid all the way to a complete joint replacement.