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Knee Pain Tips

How Ayurveda Helps Manage Knee Pain?

How Ayurveda Helps Manage Knee Pain?

Knee pain can be caused due to a variety of reasons as the knees are large joints that are often subjected to heavy loads. The occurrence of knee pain is on the rise, which may be caused due to sports injuries and unilateral load. Osteoarthritis, arthritis, wearing of the patella, inflammation of bone and cartilage are some of the common forms of knee pain. If you had been suffering from knee pain for quite some time, then there is nothing to worry about; Ayurveda has a great solution to alleviate this condition.

The herbal remedies offered by Ayurveda help in improving immunity, providing strength and endurance.

  1. Massage: Massage therapy can relieve the joint pain by soothing inflammation and improving the circulation. Several health studies indicate that the regular massage has the power to alleviate pain along the affected joint. You can pick up any oil such as coconut, mustard, olive, castor or garlic oil and heat it and apply it with a gentle pressure while massaging.
  2. Hot and cold compress: Heat therapy can help in increasing blood flow, decreasing pain and relaxing sore muscles and joints whereas cold therapy aids in reducing inflammation and benumbing the area around the affected knee. But before you apply them, you will have to wrap them separately in towels and not apply directly to the skin. The hot compress can be placed for 3 minutes and then immediately replaced with cold compress for about a minute. The entire process can be repeated for about 20 to 30 minutes. But you shouldn’t be using hot compress if the affected area is hot and irritated. Also, do not opt for cold therapy in case you have circulatory issues.
  3. Fenugreek: Owing to its anti-oxidant and anti-inflammatory properties, fenugreek or Methi is a highly favourable home remedy for knee pain. It is particularly helpful for people suffering from arthritis. So you can swallow a teaspoonful of fine fenugreek seeds’ powder and drink a glass of lukewarm water after that. Follow the process regularly unless you get positive results. You may also soak one teaspoon of fenugreek seeds in warm water overnight and eat them in the morning.

Ayurveda has a solution to all your mental and physical problems, but it is important to note here that the treatment must be administered after evaluating your present health condition and medical history. So speak with an expert today and opt for the home remedy that’s best suited to alleviate your knee pain.

Knee Replacement - Know Procedure Of It!

Knee Replacement - Know Procedure Of It!

Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended worldwide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.

Modern technological advances have made computer-assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through a small incision and it eliminates the chances of human error. Perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.

There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is a partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.

In knee replacement surgery, the worn out surfaces of joints of the knee are replaced with an artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred to as prosthesis. The design of these highly flexible implants replicates knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.

Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.

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Knee Pain - How Ayurveda Can Reduce It?

Knee Pain - How Ayurveda Can Reduce It?

Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain can also be permanently cured with this method indigenous to India. It reduces knee pain caused by various illnesses including arthritis, inflammation of the cartilage and wearing of the patella among others.

Here are some common Ayurvedic remedies, which help reduce knee pain:

1. Alfalfa: Alfalfa is medically known as Medicago Sativa. Alfalfa is excellent for making sure that your joint pain reduces, when taken in liquid form four times a day.

2. Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains. 

3. Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications. 

4. Bishop's weed: The medical name for Bishop's weed is Trachyspermum Ammi. The oil extracted from this herb is usually applied to the knees to reduce the intensity of such knee pains.

5. Celery: The medical name for celery is Apium Graveolens. Celery is not only effective treatment for rheumatoid arthritis and associated pains in the knees, but it is also helpful in treating gout. It is usually agreed upon that this particular treatment is usually long lasting because of its alkaline nature.

6. Dandelion: Dandelion's biological name is Taraxacum Officinale. It is rich in magnesium and is crucial for the correct mineralization of the bones. This mineralization allows the bones to become stronger and also prevents knee pain.

7.  Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten every day has proved to reduce knee pains.

8. Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.

घुटने के दर्द के कारण - Ghutne Mein Dard Ke Karan!

घुटने के दर्द के कारण - Ghutne Mein Dard Ke Karan!

बुजुर्गों के लिए घुटनों में दर्द होना एक सामान्य समस्या है. लेकिन ऐसा नहीं है कि ये समस्या केवल बुजुर्गों में ही है, बल्कि आज ये लगभग सभी उम्र के लोगों में दिखाई पड़ती है. कई बार घुटनों में दर्द इंजरी के कारण भी हो सकती है, जैसे लिगामेंट का टूटना या कार्टिलेज का फटना इत्यादि. इनके अलावा घुटनों में दर्द गठिया, गाउट और संक्रमण आदि जैसे कारणों से भी हो सकता है. घुटनों में हल्के दर्द के ज्यादातर प्रकार सेल्फ केयर और अन्य सामान्य उपायों से ठीक हो जाते हैं. कुछ फिजीकल थेरेपी और घुटने के ब्रेसिज़ भी घुटनों के दर्द से राहत देने में मदद कर सकते हैं. हालांकि, कुछ मामलों में घुटनों के दर्द को ठीक करने के लिए सर्जरी की भी जरूरत पड़ सकती है. आइए इस लेख के माध्यम से हम घुटनों में होने वाल दर्द के विभिन्न कारणों पर एक नजर डालें.

घुटनों में दर्द के कारण-

घुटनों में होने वाले दर्द आमतौर पर दो प्रकार के होते हैं. क्रॉनिक (दीर्घकालिक) दर्द से अस्थायी दर्द (थोड़े समय का दर्द) अलग होता है. अधिकांश लोगों में अस्थायी दर्द इंजरी या किसी एक्सीडेंट के कारण होता है. घुटनों के क्रॉनिक दर्द बहुत ही कम स्थितियों में बिना उपचार के ठीक हो पाते हैं. ये हमेशा एक ही कारण से नहीं होते, अक्सर ये कई कारणों से होता है. कई प्रकार की शारीरिक समस्यायें या रोग घुटनों में होने वाले दर्द का कारण बन सकते हैं, जिनमें निम्न शामिल हो सकते हैं:

1. गठिया (rheumatoid arthritis) – यह एक दीर्घकालिक सूजन संबंधी ऑटो इम्यून डिसऑर्डर होता है, जो दर्दनाक सूजन का कारण बन सकता है और अंत में हड्डियों में विकृति और क्षय (घिसना, अपरदन) का कारण बन सकता है.

2. डिस्लोकेशन (dislocation) – हड्डियों के जोड़ उखड़ने या जगह से हिल जाने को डिस्लोकेशन कहा जाता है, घुटने की उपरी हड्डी (टॉपी) का डिस्लोकेशन अक्सर ट्रामा के कारण ही होता है.

3. मेनिस्कस टियर (meniscus tear) – घुटने के कार्टिलेज में एक या उससे ज्यादा टूट-फूट होना
4. लिगामेंट का टूटना (torn ligament) – लिगामेंट एक रेशेदार और लचीला ऊतक होता है, जो दो हड्डियों को आपस में जोड़ने में मदद करता है. घुटने में स्थित चार लिगामेंट में से एक का भी टूटना घुटने के दर्द का कारण बन सकता है. क्षतिग्रस्त लिगामेंट में ज्यादातर एंटेरियर क्रूसिएट लिगामेंट (ACL) के मामले पाए जाते हैं.
5. ऑस्टियोआर्थराइटिस (osteoarthritis) – इसमें जोड़ों के बिगड़ने और उनकी बद्तर स्थिति होने के कारण दर्द, सूजन और अन्य समस्याएं होने लगती हैं.
6. टेंडिनाइटिस (tendinitis) – इसमें घुटने के अगले हिस्सें में दर्द होता है, जो सीढ़ियां चढ़नें और चलते समय और अधिक बद्तर हो जाता है.
7. बर्साइटिस (bursitis) – यह घुटने का बार-बार सामान्य से अधिक इस्तेमाल करना, या चोट आदि लगने से होता है.
8. गाउट (gout) – यह गठिया का एक रूप होता है, जो यूरिक एसिड बनने की वजह से होता है.
9. बेकर्स सिस्ट (Baker’s cyst) – इसमें घुटने के पीछे सिनोवियल द्रव (जोड़ों में चिकनाई लाने वाला द्रव) का निर्माण होने लगता है.
10. हड्डियों के ट्यूमर (bone tumors) – ऑस्टियोसार्कोमा कैंसर, दूसरा सबसे प्रचलित हड्डियों का कैंसर होता है, यह सबसे ज्यादा घुटनों में ही होता है.

इसके अतिरिक्त कुछ अन्य कारक भी हैं जो घुटनों के क्रॉनिक दर्द को और बद्तर बना देते हैं, जिनमें शामिल हैं –
1. घुटने के स्ट्रक्चर पर चोट लगना, सूजन और ब्लीडिंग का कारण बन सकती है और अगर इसका सही समय पर इलाज ना किया जाए तो समय के साथ-साथ यह दीर्घकालिक दर्द जैसी समस्याएं भी पैदा कर सकती है.
2. घुटनों में मरोड़ या खिंचाव
3. घुटनों पर ज्यादा भार पड़ना
4. इन्फेक्शन होना
5. गलत पोस्चर और गलत ढंग से शारीरिक गतिविधियां करना
6. किसी शारीरिक गतिविधि को करने से पहले और बाद में, वॉर्म-अप और कूलिंग डाउन ना करना
7. मसल्स को गलत तरीके से स्ट्रेच करना.

घुटनों के दर्द के लक्षण
कारण के अनुसार, घुटने के दर्द की जगह और गंभीरता अलग-अलग हो सकती है. कुछ लक्षण और संकेत जो कभी-कभी घुटनों के दर्द के दौरान दिखाई देते हैं,
1. सूजन और जकड़न
2. प्रभावित त्वचा लाल होना और छूने पर गर्म महसूस होना
3. कमजोरी और अस्थिरता
4. घुटने से आवाज आना (पैर या घुटने को हिलाते समय)
5. घुटने को पूरी तरह से सीधा करने में असमर्थता

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Knee Joint Pain - Effective Ways To Control It!

Knee Joint Pain - Effective Ways To Control It!

An elementary knowledge of biology tells you how important joints are for the overall functionality of a human body. If not for biology experience teaches us the inevitable importance of joints. The link between a tooth and the jawbone is also a joint. Without joints the human body would have been in bits and pieces.

Having known that, you should also try to remember or understand how disabling joint pains can be. They hardly let you move a limb and can also cripple you for life. Knee joint pain can hinder a person's free movement. Knees bear the entire load of your body; they support your frame. Knee joint pain should therefore be a cause for alarm.

Going by the following ways can relieve you of knee joint pain:

  1. Maintain a healthy weight: Carrying extra pounds can exert additional pressure on your joints and contribute to knee pain. If you're overweight, losing as little as 5 percent of your body weight can help relieve the stress on your knees. Talk to your doctor about developing a healthy eating plan and exercise program to help you lose weight sensibly.
  2. Find a low-impact exercise you enjoy: Talk to your doctor before beginning an exercise program. Good choices for people with knee pain include walking and swimming. Be sure to warm up before and cool down after exercising. Avoid hilly terrain and high-impact activities like running and jumping, as these can worsen knee pain.
  3. Give physical therapy a try: Physical and occupational therapy often are helpful for people with knee pain. A physical therapist can help design an exercise program that fits your individual ability level and teach you proper techniques to spare your joints. Occupational therapy can teach you how to reduce strain on your knees in your daily activities.
  4. Get enough rest and relaxation: Sure, physical activity is important, but rest and relaxation can go a long way to promote good health - and reduce pain. Achieve a healthy balance in your life by learning stress-relief techniques like deep breathing and meditation.
  5. Make sure you're getting enough sleep: No question-arthritis pain can interfere with a good night's sleep. However, proper sleep is necessary for overall health, so if you are having trouble sleeping, talk to your doctor. Proper pain management can help break the cycle to help you slumber soundly.
  6. Use Ice and/or Heat: For many people with arthritis pain, ice can help relieve pain and swelling and heat can help ease stiffness. Ask your doctor about how to safely use an ice pack and/or a warm towel or heating pad. A hot shower in the morning or warm bath before bed at night also may be helpful.
  7. Apply a topical pain reliever: A number of over-the-counter and prescription creams, gels, sprays and patches are available to help relieve arthritis pain. These pain relievers contain ingredients like capsaicin, salicylates, menthol, or a combination of medicines. Ask your doctor if one of these products might be right for you.
  8. Consider Injections: Persistent arthritis pain may respond to treatment with injections. Available options include corticosteroids, which can be used up to 2 or 3 times a year to relieve severe pain, and hyaluronic acid, which can help replenish lubricating substances in the knee. Talk to your doctor about the benefits and risks of injectable treatments for knee pain.
  9. Talk to Your Doctor about SurgeryIf you have severe osteoarthritissymptoms that interfere with daily life and do not respond to conservative treatment, surgery may be necessary.

Knee pain - Some Common Ayurvedic Remedies For It!

Knee pain - Some Common Ayurvedic Remedies For It!

Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain can also be permanently cured with this method indigenous to India. It reduces knee pain caused by various illnesses including arthritis, inflammation of the cartilage and wearing of the patella among others.

Here are some common Ayurvedic remedies, which help reduce knee pain:

1. Alfalfa: Alfalfa is medically known as Medicago Sativa. Alfalfa is excellent for making sure that your joint pain reduces, when taken in liquid form four times a day.

2. Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains. 

3. Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications. 

4. Bishop's weed: The medical name for Bishop's weed is Trachyspermum Ammi. The oil extracted from this herb is usually applied to the knees to reduce the intensity of such knee pains.

5. Celery: The medical name for celery is Apium Graveolens. Celery is not only an effective treatment for rheumatoid arthritis and associated pains in the knees, but it is also helpful in treating gout. It is usually agreed upon that this particular treatment is usually long lasting because of its alkaline nature.

6. Dandelion: Dandelion's biological name is Taraxacum Officinale. It is rich in magnesium and is crucial for the correct mineralization of the bones. This mineralization allows the bones to become stronger and also prevents knee pain.

7.  Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.

8. Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.

Apart from these remedies, procedures like janu basti help in treating knee pain.

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Knee Pain - 8 Ayurvedic Ways To Treat It!

Knee Pain - 8 Ayurvedic Ways To Treat It!

Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain can also be permanently cured with this method indigenous to India. It reduces knee pain caused by various illnesses including arthritis, inflammation of the cartilage and wearing of the patella among others.

Here are some common Ayurvedic remedies, which help reduce knee pain:

  1. Alfalfa: Alfalfa is medically known as Medicago Sativa. Alfalfa is excellent for making sure that your joint pain reduces, when taken in liquid form four times a day.
  2. Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains. 
  3. Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the painusually disappears after a few regular applications. 
  4. Bishop's weed: The medical name for Bishop's weed is Trachyspermum Ammi. The oil extracted from this herb is usually applied to the knees to reduce the intensity of such knee pains.
  5. Celery: The medical name for celery is Apium Graveolens. Celery is not only an effective treatment for rheumatoid arthritis and associated pains in the knees, but it is also helpful in treating gout. It is usually agreed upon that this particular treatment is usually long lasting because of its alkaline nature.
  6. Dandelion: Dandelion's biological name is Taraxacum Officinale. It is rich in magnesium and is crucial for the correct mineralization of the bones. This mineralization allows the bones to become stronger and also prevents knee pain.
  7. Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.
  8. Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.
6321 people found this helpful

Knee Preserving Surgeries (High Tibial Osteotomy, Cartilage Repair) - All About Them!

Knee Preserving Surgeries (High Tibial Osteotomy, Cartilage Repair) - All About Them!

Surgery for joint preservation is used to repair damaged articular cartilage because of osteoarthritis and malalignment. High Tibial Osteotomy is a medical or surgical method to realign the knee joint. This surgery especially helps people with knee arthritis to avoid knee replacement surgery, either partial or total, by maintaining injured joint tissues.

People suffering from degenerative arthritis or osteoarthritis encounter a high crushing of the articular cartilage and menisci that can result in their tearing. Unbalanced forces lead to unwarranted pressure on the knee resulting in mal-alignment.  

High Tibial Osteotomy as an Alternative to Knee Replacement:

High Tibial Osteotomy is usually performed on younger people suffering from mal-alignment or arthritis. The plastic and metal parts used in the total knee transplant surgery have a life expectancy of 15-20 years that might result in another knee transplant surgery for a younger patient. That is why high Tibial Osteotomy is referred to the younger patients until knee replacement becomes unavoidable.

Through High Tibial Osteotomy, the knee is re-aligned to take the pressure off the injured side of the knee. One will have to go through some medical tests before the surgery to know the actual condition of the injury. If the mal-alignment of the knee is not treated, it can make difficult for the patients to perform their daily tasks even walking.

Who Are Eligible for High Tibial Osteotomy?

HTO or High Tibial Osteotomy of the knee is more appropriate for young, active people. Patients who do not feel pain under their knee cap and only on a single part of the knee are permitted for knee osteotomy. They should be able to bend and straighten their knees completely. One should consult their doctor before confirming the type of surgery they will be going for as not everyone is suitable for High Tibial Osteotomy depending upon the severity and overall health of the patient.

Types of Osteotomy Surgeries:

  1. Closed Osteotomy Surgery: The most commonly osteotomy procedure used is a closed wedge osteotomy where the wedge bone is replaced through guide wires. The bones are then closed to fill the gap with the removal of the wedge.

  2. Open Osteotomy Surgery: In this type of osteotomy surgery, the bone wedge is opened to add a bone graft to block up the space with the removal of the wedge.

Advantages:

  1. An effective osteotomy postpones the need for knee replacement surgery.

  2. No physical restrictions have been posted for the surgery.

Disadvantages:

  1. Unpredictable pain post surgery

  2. Longer healing time than partial or total knee replacement surgery

  3. Difficulty in bearing weight on the operated knee

Post-Operative Care:

  1. Physical joint exercises

  2. Protective weight bearing exercises

  3. Use of crutches or walkers as assistive devices

  4. Radiography to correct maintenance of bone  

  5. Pain medications

Take Away:

High Tibial Osteotomy Surgery is performed to avoid Total or Partial Knee Replacement Surgery. This type of surgery is mostly performed on young patients. For most sufferers, this alternative has proven to be working to relieve pain. However, it is always advisable to consult a doctor before opting for this surgery.

Knee Replacement - Things You Should Know About It!

Knee Replacement - Things You Should Know About It!

Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.

Why do you need knee replacement?

Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.

If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.

Some of the common reasons why you may opt for this particular surgery are:

  1. Gout, where, small crystals are formed inside the joint.
  2. Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
  3. Hemophilia, wherein, the blood ceases to clot normally.
  4. Injuries to the knee.
  5. Disorders that cause unusual bone growth (bone dysplasias).
  6. Death of bone in the knee joint following blood supply problems (avascular necrosis).
  7. Knee deformity with pain and loss of cartilage.
  8. Unusual growth of bones in the knee joint.

Knee replacement surgery is classified into:

  1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
  2. Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.

The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to It takes 3 weeks to start performing activities of home. It may take three months to recover completely from a knee replacement surgery.

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Rebuilding And Regenerating Damaged Knees - The Future Has Arrived!

Rebuilding And Regenerating Damaged Knees - The Future Has Arrived!

We are now routinely seeing regenerative technologies emerge in a wide variety of medical and surgical specialties. Orthopedic surgery, the treatment and prevention of muscle, bone and joint ailments, is certainly on the regeneration cutting edge.

The knee is one of the largest joints in the human body. When healthy, it performs remarkably. When damaged, the cushion (cartilage) can have focal “potholes,” areas of damage called chondral defects, or it can have areas of wear and thinning of the cushion, which is arthritis

Damaged cushions (cartilage) not only cause inflammation in the joint but can grind on each other and because of a lack of shock absorption result in significant pressure and pain in the adjacent bones. Back then, the dictum was that once damaged, joint surfaces can never heal, and over time will continue to deteriorate leading to further damage and ultimately arthritis. Even today we know that joint cushions have a very limited healing capacity, as they have no blood supply and no nerve endings. So basically, once a joint cushion is damaged, you were doomed.

We can now refill “potholes” (and thus fix chondral defects). Someday we will be able to “repave the road” restoring larger areas of more diffuse joint cushion damage, and that means potentially curing arthritis. Dr. Vasanth Raj, pioneered knee cushion regenerative techniques with his microfracture procedure in which small microfracture puncture-type holes are carefully placed in the bony base area of chondral defects in the knee. This forms a blood clot. The clot has specialized cells and growth factors which, if the proper post-operative program is followed, can over time regenerate a new joint cushion! 

And cell therapies have even gone beyond surgery to daycare-based injections only. Many researchers and physicians, instead of performing surgery, are injecting stem cells and growth factors, including PRP (Platelet-Rich Plasma) into the knee. These injection based cell therapies are a hotbed area of research. The cell therapies are now also being used in conjunction with regenerative surgeries to enhance, and possibly accelerate the healing process.

Regeneration technologies could make knee replacement a thing of the past. We foresee the day, in the not so distant future, when we either inject specialized cells, or apply a mixture of cells and growth factors, almost like Spackle, to injured joint surfaces in the areas of early arthritis, and not only halt future damage, but also make knee arthritis a thing of the past. But until then, it behooves us to take care of our knees and preserve what we have, with a focus on prevention. Keep your weight down, and your legs and core strength. If you are having knee problems get things checked out sooner rather than later. And if there are issues like arthritis, be willing to modify your activities and fitness programs to protect your knees. You must, however, find ways to remain active and fit, as being sedentary is not an option.

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