What Causes Osteoarthritis Knee Pain

What Causes Osteoarthritis Knee Pain Blog  Knee Osteoarthritis

Knee pain can be caused by osteoarthritis in the knee joints. It’s among the most common types of arthritis in the knees, and the odds of developing the condition rise quite a bit after someone turns 45. The Arthritis Foundation has found that around 27 million United States citizens or visitors are affected by this type of arthritis – also most commonly affecting the knees of this population. Various things can cause knee osteoarthritis – years of running and exercise, and general wear-and-tear of living make the top of the list.

While there are many different types of arthritis, osteoarthritis (or OA) is the most common type, as mentioned earlier. No one has to go through this kind of knee pain alone.

While osteoarthritis is the technical term for this condition, it can also be referred to as the wear-and-tear arthritis. This is due to the breaking down of the cartilage between the bones that make of the knee joint. The cartilage offers cushioning between the bones, and over time, the cartilage begins to grind and break down. This breakdown causes the joints to go stiff and causes pain.

There are two kinds of OA: primary and secondary. Primary is the kind that develops with age; however, not everyone will develop primary OA with age. Secondary OA is more often developed early in life. It occurs years after obesity, inactivity, genetics, injury, or even other diseases have made themselves known in life.

Often, osteoarthritis affects the hands, lower back, hips, knees, and even the neck. While there is no permanent knee pain relief when dealing with OA, learning to deal with the pain is crucial. Despite this, people with some conditions are more likely to develop the condition. They include:

  • – those with extra add (every pound adds three to four pounds of pressure to your knees),
  • – people who play soccer or long-distance running (extra stress to the knees),
  • – women over 65 in age are more likely to develop OA than men,
  • – those with relatives who have OA, and
  • – chances increase after age 45.

The symptoms vary from person to person. However, most people experience some sort of swelling or cracking in the joints. The joint that is being affected might be completely stiff if not used for a long period of time. Some are left completely debilitated by their OA. Commonly, the person may go years between OA episodes.

Do not be discouraged! There are ways to experience knee pain relief, though they will not be permanent. These treatments aren’t usually difficult or complicated, and can include injections or exercises (from aerobic to stretching, and usually in water since it’s easier for those suffering OA). Water workouts are often the easiest for patients with OA because it’s less stress on the knees. However, patients should make sure they talk to their doctors before pursuing the injections or work outs to be sure that it will be safe for them.

Injections are often popular. The hyaluronan injections are the most common, and can include:

  • – Sodium hyaluronate (AKA Hyalgan),
  • – Hylan G-F20 (AKA Synvisc),
  • – 1% Sodium hyaluronate (AKA Euflexxa),
  • – High-molecular-weight hyaluronan (AKA Orthovisc), and
  • – 1% Sodium hyaluronate (AKA Nuflexxa).

The injections are meant to help joints affected by OA move easier. They allow the person to enjoy activity and being mobile again. The injection is pretty much a lubricant to allow the bones to move across each other easily – especially if the cartilage is completely gone. However, only patients with mild or moderate OA are given injections.

For more immediate relief, a knee brace can be purchased. While it helps to realign the knee, it can also increase the function in the knees while relieving pain. They are often much cheaper than surgery and less invasive than the injections listed above. The braces also allow people to enjoy mobility again after having to deal with the symptoms of knee osteoarthritis.

Come visit us today at the New York Dynamic Neuromuscular Rehabilitation for a consultation to see what therapy may be best for your own situation.

130 West 42 Street Suite 1055, New York NY 10036
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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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