My wife aged 42 years ,ht 5'1" and 78 kg wt. She is suffering from knee pain from last 4 years and it is gradually increased when she walk more, use stairs, stand long time and while work on seating position. What should we do?

Dr. Wajid MohammedPhysiotherapist2022yrs exp

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Hi lybrate-user, seems your wife is not taking proper care if not from past 4 years and the condition worsening sorry but knee is the most crucial joint in body which needs mkre attention after lower back. Do not worry here I will suggest you for exercises whicb not only reduces pain but also provides strength. Knee strengthening exercises do not affect the knee joint directly, but they strengthen the muscles surrounding it. Strong muscles in the legs can help provide support for the knees. This support may alleviate pressure and strain on these joints, which can relieve pain and help a person be more active. 1. Leg lift. Lie down on the floor with the back flat. Use a�yoga�mat, folded blanket, or exercise mat for comfort on a hard floor. Keep the left leg straight and bend the right leg slightly at the knee, bringing the foot closer to the body. Pull the abdominal muscles inward by imagining the belly button pulling down toward the floor. Doing this should bring the lower back down against the floor and help provide extra support during the exercise. Place a hand beneath the lower back to make sure that there is no space between the small of the back and the floor. If there is space for the hand, gently push the lower back down on top of the hand. Slowly lift the left leg without bending the knee. Keep the toes pointed toward the ceiling and stop when the leg is about 12 inches off the floor. It should not be higher than the bent knee on the right leg. Slowly lower the leg back down to the floor. Do not put it down too quickly or let it drop. Repeat two more times with the same leg. Switch side and repeat. 2. Hamstring stretch. Stand straight with the knees only 1?2 inches apart. Hold on to a stable chair, the countertop, or another object for balance. Slowly bend one knee behind the body, lifting the heel off the floor while keeping the thighs aligned. Continue to lift the heel in a smooth motion until the knee bend reaches a 90-degree angle. Keep the straight leg slightly bent to avoid locking it. Hold the bent leg up for 5 seconds and then slowly lower it to the floor. Switch sides and repeat the same. 3. Hamstring curls. This exercise is a variation of the standing hamstring curl. A person can try this version if they have access to a weight bench that is purpose-built for this exercise. It may be more challenging than the standing hamstring curl, depending on how much weight a person uses. Lie face down on the bench with the knees close together. Grip the handles for stability. Tuck the feet under the weight. The weight should sit just above the heels. Slowly bend both knees, using the force of the legs to raise the weight up. Continue to lift the weight in a smooth motion until the knees bend at a 90-degree angle. Hold the weight up for 5 seconds and then slowly lower it back down. Do it for 10-15 times. 4. Step exercises. Use a large, sturdy stool or exercise platform no taller than 6 inches. Step up onto the stool with the right foot and allow the left foot to follow behind. The left foot should not be on the stool but should hang behind it. Keep the�body weight�on the right foot and hold for up to 5 seconds. Slowly lower the left foot down and then follow it with the right foot. Switch legs, stepping up with the left foot first. Repeat the same. 5. Wall squats. Stand with the head, shoulders, back, and hips flat against a wall. Step both feet out about 24 inches away from the wall, while keeping the back and shoulders against it. Keep the feet no more than hip width apart. Slide the back down the wall slowly until the body is just above a normal sitting position. Hold for 5 seconds and then slide back up. Repeat the same. With the exercises given also take x-ray of the knee joint and follow back with reports. Ultrasound therapy for a week will be helpfull in quick relief from pain. Thank you.  

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