Osteoarthritis Sufferers can Avoid Surgery by Caring for Their Knees


Osteoarthritis is the most common type of arthritis. It occurs when the cartilage at the end of bones wears thin. The areas of the body most vulnerable to this kind of arthritis are:

  • hips
  • hands
  • spine
  • knees

How osteoarthritis affects the knees:

The knees are often afflicted by osteoarthritis. As the cartilage dissolves the bones begin together causing pain, mobility problems and sometimes even deformity.

The knees, of course, are used for walking and thereby crucial in daily living.

How to avoid knee surgery:

Keeping the knees healthy is, of course, extremely important. At times osteoarthritis requires surgery because of the level of knee pain and lack of mobility. However, surgery should be the last resort in dealing with the effects of this condition. There are many ways to avoid or at least delay knee surgery.

  • Lose weight- When it comes to lose the extra pounds.
  • Physical Activity- Exercise burns calories and helps control weight, but beyond that, for the knees, it assists in lubricating the tissues and strengthens the muscles thereby protecting the cartilage. Additionally, if surgery does become a necessity, physical activity tends to shorten recovery time.

It should be noted that the type of exercise recommended for arthritis sufferers should be that which is easy on the joints. Walking, swimming or an elliptical machine are ideal for cardio and aerobic exercises. Yoga and Pilates can also help to strengthen and lubricate the joints.

How to relieve knee pain:

  • Braces- Both prescribed and over-the-counter knee braces offer support and comfort to the knee joints, reducing pain and improving mobility.
  • NSAIDs- Anti-inflammatory medications such as Ibuprofen are particularly useful in reducing moderate pain.
  • Corticosteroid injections- Corticosteroid injections offer almost immediate relief of pain when injected into the afflicted area.
  • Prescriptions- Your docto reduce pain and inflammation.
  • Holistic- The relief from over-the-counter and prescribed medications and corticosteroid injections, unfortunately, come with the possibility of adverse side-effects. Non-steroidal anti-inflammato control pain.

Acupuncture – Acupuncture is the practice of inserting a series of needles to reduce pain and inflammation.

Supplements – There are many herbs, vitamins, and minerals found to protect joints are calcium, Vitamin D, Glucosamine sulfate and Omega 3s.

Hyaluronic injections – As we age the body’s supply of hyaluronic acid thins. Hyaluronic acid injections help to the joints.

Meditation and relaxation – Of course making sure you are getting plenty of sleep, relaxation, and focusing the mind on healing is also an important component of pain management.

When dealing with physical concerns and pain management, it is important to follow general health practices including nutrition, exercise, and proper sleep and stress relief. Cigarette smoking can exacerbate most any ailment and is bad for overall health. Drinking alcohol in excess, more than two drinks a day is also detrimental in fighting arthritis.
The methods of fighting arthritis and particularly knee pain is an individual choice and depends on the progression and severity. It is imperative that along with a sensible lifestyle and pain management plan that those with osteoarthritis seek the guidance of a doctor or healthcare professional.


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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