Knee osteoarthritis treatment

Osteoarthritis of the knee is one of the most common types of arthritis. Even though it can show up in young people, the chance of developing knee osteoarthritis rises after age 45. According to the Arthritis Foundation, more than 27 million people in the U.S. have osteoarthritis, with the knee being one of the most commonly affected areas.
As people age, they often find that they are no longer able to do the things that they used to do when they were younger. Years of running, exercise, or general wear-and-tear ends with people experiencing chronic aches and pains in their joints. One of the most common reasons that people experience these aches and pains is that they have developed arthritis.

There are many different types of arthritis, but osteoarthritis (OA) is by far the most common. The Arthritis Foundation estimates that over 27 million people in the United States alone are affected by osteoarthritis. You are not alone in dealing with this condition. We here at the NY Dynamic Neuromuscular Rehabilitation understand that dealing with this condition is difficult, and we are here to help you to better understand your body.

OA is often known as wear-and-tear arthritis because it is characterized by the cartilage breaking down. Since the cartilage is what acts as a cushion at the ends of bones to allow easy movements, the bones begin to rub together as the cartilage wears away. The breakdown in cartilage causes stiffness and pain that prevents people from performing the activities that they used to enjoy.

OA can be broke down further into two categories: primary and secondary. People are more likely to develop primary OA as they age, but not everyone that gets old will develop OA. Secondary OA generally develops earlier in life and usually occurs years after a specific cause. This cause could be injury, obesity, inactivity, genetics, or other diseases.

The joints that are most commonly affected by OA are in your hands, neck, lower back, knees and hips. There is no cure for OA, so it is important to learn how to manage the disease and not let it control your life. However, there are people who are more at risk for developing OA in the knee than others:

  • The chance of developing OA increases significantly after the age of 45.
  • Since weight increases the pressure on all joints in the body, the knees are especially stressed when weight is added. For every pound that you gain, you add 3 to 4 pounds of extra weight on the knees.
  • Scientists believe that people who have family with OA are predisposed to developing the condition.
  • Women over the age of 65 are more likely to develop OA in the knees than men.
  • Athletes who engage in activities that put a lot of stress on the knees like soccer or long-distance running are more likely to develop OA in the knees.

Symptoms of people who develop OA vary, but there can be swelling and creaking in the joints in question. Sometimes the joints will stiffen up after sitting for long periods of time, and some people may be completely debilitated by the condition. However, it is not uncommon for people to go years between experiencing the symptoms of OA.

There are many different options available to people to relieve the symptoms of knee osteoarthritis. Knee osteoarthritis treatment does not have to be complicated. At our clinic, we will walk you through these different options to find what might be the best fit for you.

Although it may seem that exercising with the pain caused by OA will be impossible, there are actually many knee osteoarthritis exercises along with injections for knee osteoarthritis available.
Aerobic, strength-training and stretching exercises can all be helpful once you talk with your doctor about what your knees are able to handle. Working out in water is usually a safe bet for people with OA since swim workouts are low-impact.

There are different types of injections for knee osteoarthritis, but hyaluronan injections for knee osteoarthritis are one of the more popular options. There are a few different types of hyaluronan injections:

  • 1% Sodium hyaluronate (Euflexxa)
  • Sodium hyaluronate (Hyalgan)
  • High-molecular-weight hyaluronan (Orthovisc)
  • Sodium hyaluronate (Supartz)
  • Hylan G-F20 (Synvisc)
  • 1% Sodium hyaluronate (Nuflexxa)

These injections are meant to reduce the pain in the areas affected by the OA, which allows the patient to be more mobile and active. They essentially act as a lubricant for your bones to move against each other smoothly since the cartilage is either worn away or no longer there. However, hyaluronan injections are only approved for people with mild to moderate knee arthritis.

Something a little more immediate and accessible that people can do to ease the pain from their knee pain osteoarthritis is to go out and purchase a knee brace for osteoarthritis. Knee braces help to realign the knee, which takes pressure off of damaged areas. This relieves pain and increases the function of the knees. Braces are a more noninvasive way to treat the OA and are a much cheaper option than surgery.

Our NY clinic offers OA treatment in combination with excellent analysis to improve the range and control of movement for people with OA so that they are able to return to doing the activities that make them who they are. We work with patients to help them set realistic goals throughout the therapy so that they can see and feel their progress. For example, if getting back outside to be able to hike on trails is your goal, then we will work toward making that a possibility for you.

At our clinic, we are able to provide you with the guidance that you need to help you determine what the best course of action is for the health of your knees. We know that living with this condition makes life a lot harder, so our goal is to make dealing with the condition much more simple. We offer treatment that is far superior to others in the New York area, and we will make sure that your therapy is a smooth process to allow faster personalized and more successful results.

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.


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)


Complete tear of rectus femoris
with large hematoma (blood)


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

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