Doctor in R K Poly Clinic And Diagnostic Centre
Treatment of Arthritis
Treatment of Rheumatoid Arthritis
Treatment of Facioscapulohumeral Muscular Dystroph
Treatment of Rheumatic Arthritis
Treatment of Psoriatic Arthritis
Treatment of Polymyalgia Rheumatica and Giant Cell
Treatment of Myotonia Congenita
Treatment of Paget'S Disease of Bone
Treatment of CAPS Syndrome
Treatment of Spheroid Body Myopathy
Treatment of Potassium-aggravated Myotonias
Treatment of Paramyotonia Congenita
Treatment of Scapuloperoneal Myopathy
Treatment of Primary Angiitis
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Mary Jasinta Dungdung
Giving good advice n treatment.....
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.
Runner's knee is a painful condition that is usually encountered by athletes who indulge in varied exercises like running, jumping, walking, biking and more, on a regular or professional basis. The kneecap is a region that gets affected with aches and pain when a person is suffering from Runner's knee. This condition can occur due to a fall or constant bending of the knee, which can lead to misalignment of the knee joints and knee cap. Also, weak muscles and lack of balance during physical activities can add to the risk of contracting this condition.
Here's how you can deal with it.
- Give it Rest: Literally! Suffering from Runner's knee could also mean that your body is trying to ask you to slow down. Wear and tear from excessive levels of physical activity can lead to Runner's knee, and in such cases, the best way to come back to peak physical form is to take some rest so that the knee is free of activity and consequent pain until it is ready to take on exercise again.
- The Only Way is 'Up': When you are suffering from pain in the region behind and around the knee cap due to Runner's knee, the best way to alleviate the pain is to place your knee in an elevated position. Get yourself some comfortable cushions and pile a few of them up before placing your knee on top. This position will give support even as blood circulation increases and inflammation, if any, decreases.
- Anti-inflammation Medication: See your doctor for chronic Runner's knee and find out if you are suffering from inflammation which may require the help of medication. This medication can bring down and gradually eliminate the inflammation or swelling, to give you relief from the pain. Remember to check for side effects before you take these medicines, though.
- Strengthening Exercises: A sure shot way of dealing with chronic pain is to do some muscle strengthening exercises as prescribed by your orthopaedic specialist or a physiotherapist. Doing these exercises will give your muscles the strength to support your knees in a better way while you indulge in athletic activities. Remember to substantiate these exercises with a calcium and protein rich diet as well.
- Cold Compress: In case you have had a fall or suffered an injury which has led to Runner's knee, you can make use of a cold compress or an ice pack to relieve the pain for some time. Ice is a well-known treatment for acute and sudden pain.
Runner's knee is a condition that needs care, rest, and medication if it is persistent. If these methods do not help, you should see a doctor for scans and tests. In case you have a concern or query you can always consult an expert & get answers to your questions!
I am, 30 year female I having pain in my knee when I bend my knee after long time standing, also feel discomfort when I cross one leg on my another leg, I feel pain in front of my knee & also back of the knee. So kindly let me know it is a symptoms of any danger disease or a normal thing & what I need to do to for healthy knee musculus.
I hit my knee in mirror door n it's swollen n painful and I have diabetes too. So what should I take?
L have undergone ACL reconstruction surgery in November 2017. I am doing knee strengthening exercises. Is swimming recommended as a part of rehabilitation?
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!