Articles on knee arthritis

8 Ways To Avoid Knee Replacement

Dr. Brijbhushan Mahajan, Orthopedist
Undergoing a knee replacement for knee arthritis can be a very effective quality-of-life decision. Patients are able to get back to recreational activities and a severely reduced painful lifestyle.  Methods of avoiding the replacement with the arthritis.Weight loss – Over 65% of Americans & over 30% of Indians are either overweight or obese. The problem with this is that a lot of stress goes through the joint during ambulation. This excess weight can lead to increased pain and/or increased arthritis. Losing weight allows the patient to decrease joint pain by decreasing stress over joint, and an increased ability to perform activities of daily living, along with other substantial health benefits such as lower blood sugars and lowered blood pressure.Benign neglect – The patient is able to do most of the things that he or she wants to do, the most appropriate answer at that point may be to simply ignore the problem. One additional aspect to consider may be to modify one’s activities. This may include switching from jogging to fast walking, or shifting from skiing to an activity that is less stressful on the joints such as swimming. Physical therapy – Physical  therapy may have significant benefits. Therapy can strengthen up the muscles around the knee joint, which has  beneficial effect of unloading the pressure from the knee joint and dissipating it into the surrounding musculature. This can reduce pain.Acetaminophen and NSAIDS – These medications are predominantly available without prescription and they can be extremely beneficial for alleviating the pain. They have a low risk profile, as long as patients stick to the manufacturers dosing on the box, and don’t combine those medications that can have an additive effect and lead to a bleeding ulcer.Knee injections – Injections into arthritic knee can help substantially relieve the pain. Presently the bulk of these injections consist of cortisone, which is a hefty anti-inflammatory substance, but not one that is going to alter the course of the disease. There are some newer medications consisting of regenerative substances, which contain components such as stem cells, hyaluronic acid, and cytokines. These may in fact alter the course of the arthritis.Bracing  – Off-loading braces take pressure off of the arthritic area of the knee joint and promote pain relief. These braces are typically custom fit after seeing your doctor, and should be worn whenever the patient is up and about when the pain would typically be felt. Narcotic medications – These should not be used on a chronic basis. They should be utilized only for an acute type of situation where patients are having an exacerbation of their arthritis pain. Narcotic medication on a chronic basis has the risk of tolerance, addiction, constipation, etc. So it should be avoided. Utilizing them for exacerbations can however be very effective.Non-narcotic medications – Medications that are non-addictive such as Tramadol can be very effective for knee pain. In addition there are modulating medications such as gabapentin that can help a lot with decreasing the pain that is coming into the arthritic knee joint from the surrounding nerve endings.

Do I Need a Knee Replacement?

Dr. Mohan Puttaswamy, Orthopedist
Many patients have this question regarding their knee arthritis and ask us during their consultation. What is the right time to undergo a joint replacement surgery? The answer to this is determined by a couple of factors- age of the patient, severity of symptoms and most important how this has affected the quality of life.Each of the points mentioned have a bearing on the outcome of surgery. Total knee replacement is an excellent and cost effective way in managing knee arthritis. The satisfaction rates after knee replacement is around 80% and age at surgery has a bearing on the outcome. Generally, knee replacement in younger patients has been found to be less satisfying and has more complications. Even if though there is no cut-off age, generally knee replacement should be opted after the age of 55-60 years. In younger patients if all the options have been exhausted,then one can opt for a knee replacement. Some patients will have severe arthritis on the X-rays but clinically they are able to do their ADL (Activities of Daily Living) without much hindrance. When such a situation arises it is always the patient’s symptoms that dictate the timing of replacement and can be postponed till pain becomes severe. The pain in the knee should be continuous and not well controlled, pain should be limiting simple normal activities like stair climbing, walking or using the toilet. I am diabetic, is it OK to have a knee replacement?          The other factor to be considered during a joint replacement is the general health of the patient. If a patient has multiple medical problems-then those problems should be well controlled before undertaking a joint replacement surgery. Common medical problems like Diabetes, Hypertension, Thyroid problems, Anaemia all have a bearing on the ultimate outcome of a knee replacement. Many of our patients are obese and that can have serious repercussion regarding outcome after a replacement surgery. Weight reduction is generally difficult because patients are unable to exercise before knee replacement but when an individual’s BMI is more than 35 then the complications after a replacement increases. So, it is advisable to consult a dietician and reduce weight by dieting before going forward with a knee replacement.What pain medications are safe to treat mild arthritis?Medications like Paracetamol and Tramadol have a higher safety profile than Diclofenac or other NSAID’s (traditional pain killers). The problem with long term pain medication intake is the higher chance of kidney failure and stomach ulcer formation.  The duration of treatment necessary makes it important to take safer medications and opt for surgical treatment if pain management is not adequate.What injections are safe and effective in knee arthritis?Basically, there are 3 types of injections that are currently available in the treatment of OA knee. They are corticosteroids, Visco supplements and Platelet Rich Plasma (PRP). Corticosteroids are cheap and give good pain relief the problem with steroid injections is that they worsen the degeneration.  Visco supplements are expensive and need to be repeated and cost is a significant factor to consider when opting for Visco supplements. Visco supplements basically work by increasing the joint lubrication. Lastly, PRP is an exciting new option which is less expensive than visco supplements in some centers and is more effective than the visco supplements according to some studies. PRP reduces the inflammation in the knee joint and is patients own blood product injected into the knee joint. Please talk in detail with your surgeon regarding which is the best injection option for your knee arthritis.

Build Strong Bones and Eliminate Knee Inflammation

Dr. Vishwas Virmani, Physiotherapist
There’s no doubt that remaining active is crucial for building and strengthening your bones. But if any part of your body is in pain – especially weight-bearing joints such as your knees – it’s pretty hard to keep moving.That’s why today we’re going to discuss the importance of avoiding knee problems, and easy ways to prevent and relieve knee pain, including a simple exercise you can do at home.Not All Exercise is the SameIf you’re a “Saver,” you know that not just any exercise will do when it comes to increasing bone density and strength. As I explained in the Save Our Bones Program, to really build bone, you need to engage in weight-bearing exercise that utilizes the effects of gravity on bones and muscles.When your knees hurt, though, doing such exercises is certainly difficult, if not impossible. Even getting in and out of a car or climbing a short flight of stairs becomes a painfully challenging task.The Importance of Healthy Knees for Your Bone HealthAll of your joints and bones are important, of course. But knees have a particular role in bone health because they are so central to weight-bearing exercise.Your thigh muscles are pivotal in maintaining the integrity of your knee joints. Walking, for example, is an excellent overall bone-strengthening activity, but it doesn’t target the specific muscle groups that stabilize the knee.A study from the University of Iowa showed a 50% decrease in knee pain in women who had the strongest thigh muscles in the study. Other muscle groups play a role in maintaining the knee joints as well.General Care of the KneesKnee pain does not have to be an inevitable part of ageing. I want to talk about some general tips for keeping your knees healthy, and then we’ll move on to a special knee-strengthening exercise that you can do right in your home.Keeping your hip and bottom muscles (the “glutes”) strong helps keep the pelvis at the proper angle. Strong bottom muscles align the hips and thigh bones (femurs), which in turn keeps the knee joints in proper alignment.Stretching is also important, because it keeps muscles limber and flexible. Muscles that are rigid can pull joints out of alignment, but supple muscles hold your skeleton in proper form and help absorb shocks.In our modern world, excessive sitting has become quite a health hazard. With regard to the knees, sitting weakens the outer hip and leg muscles while tightening up the inner thighs and groin muscles, creating imbalance. The knee, of course, is one of the main joints that suffer when this happens. Stretching the inner thighs and groin muscles helps even out the imbalance, especially when combined with strengthening the outer hip and leg muscles.Strengthening your core muscles also improves your knees’ integrity. It may seem odd that abdominal muscles would affect your knees, but they do. You see, when your abs are weak, your pelvis tends to tilt forward, creating a “sway back.” Strong abs “tuck” your tummy in and pull the bottom of your pelvis forward. Once again, it’s all about alignment; you can’t have healthy knee joints if the rest of your body knocks them off-balance.And now, I want to share with you an easy exercise to prevent knee aches and pains:The Knee CurlStand and hold onto the back of a chair.Lift your right leg straight out behind you, without pointing your toes.Bring your heel toward your buttocks as far as you can by bending your knee. Don’t move your hips, and keep the leg you’re standing onSlightly bent. Hold for one second, then lower to the floor.Repeat the movement 10 to 15 times.Switch legs and do 10 to 15 curls with the left leg. Then perform another 10 to 15 curls with your right leg. Finish by doing 10 to 15 curls with your left leg.
I chose this exercise not only because it is geared toward the knees, but also because it is typical of the moves you’ll find in the Densercise™ eBook System. You see, Densercise™ is designed with knee pain prevention in mind. You’ll find exercises that strengthen the thighs, core muscles, and knees without hard impact, such as:Step UpSide LungeChair DipsWall SquatsHeel LiftChair Knee LiftMountain Pose to Chair Pose and many more!You can do all these exercises right in your home – no special equipment necessary!

7 Basic Queries About Total Knee Replacement

Dr Dewangan Ssunil Kumar
 Total Knee Replacement: The knee comprises the joint between the femur and the tibia but also the joint between the patella and the front of the femur. Either or all of these parts of the knee may be affected by arthritis to various degrees. The procedure of joint replacement includes removing the affected joint surfaces and replacing them with metal components with a high-density polyethylene-bearing surface between the metal components What is Total Knee Replacement? A total knee replacement involves replacing the damaged bone and cartilage of the knee joint, which provides articulating surfaces.The total procedure takes approximately an hour to hour and a half to perform and recovery time varies between patients which ranges from 2-3 weeks to 2-3 months. Correct rehabilitation following surgery significantly improves outcomes.In the total knee replacement procedure, each prosthesis is made up of four parts. The tibial component has two elements and replaces the top of the shin bone (tibia). This prosthesis is made up of a metal tray attached directly to the bone and a plastic spacer that provides the bearing surface. The femoral component replaces the bottom of the thigh bone (femur). This component also replaces the groove where the patella (kneecap) sits. The patellar component replaces the surface of the kneecap, which rubs against the femur. The kneecap protects the joint, and the resurfaced patellar button slides smoothly on the front of the joint. This may or may not be replaced depending on the condition of the patient.Advantages of Total Knee ReplacementThe most important advantage is that this operation produces very effective and long lasting relief from joint pain. It also gives a joint which functions normally. The recovery period from the operation is very short and the patient is able to walk from the second or the third day after the operation. Walking support that is needed can often be discarded by around 2-3 weeks or a month's time. The patient regains a normal lifestyle and mobility with significant improvement in quality of life.Frequently Asked Questions about Knee Replacement SurgeryWho is the candidate for a total Knee replacement? What are the risks of Total Knee Replacement? Should I have a total knee replacement? Who develops a more severe or an earlier arthritis? When can I return home? What measures should be taken after the surgery/operation (post operative instruction)? What activities should I avoid after knee replacement?Q 1 who is a candidate for a total replacement?Total knee replacements are usually performed on people suffering from severe arthritic conditions. Most patients who have artificial knees are over age 55, but the procedure can be performed in younger people if joint is already damaged. So criteria for surgery based on age is non dependent. The circumstances vary somewhat, but generally you would be considered for a total knee replacement if:You have daily pain which affects your ADL (Activities of Daily Living).Your pain is severe enough to restrict not only work and recreation but also the ordinary activities of daily living.You have significant stiffness of your knee.You have significant instability (constant giving way) of your knee.You have significant deformity (knock-knees or bowlegs).Q 2 what are the risks of total knee replacement?Total knee replacement is a major operation. The most common complications are not directly related to the knee and usually do not affect the result of the operations. These complications include urinary tract infection, blood clots in a leg, or blood clots in a lung. Complications affecting the knee are less common, but in these cases the operation may not be as successful. These complications include:some residual knee painloosening of the prosthesisstiffnessinfection in the knee jointA few complications such as infection, loosening of prosthesis, and stiffness may require reoperation. Infected artificial knees sometimes have to be removed. This would leave a stiff leg about one to three inches shorter than normal. However, your leg would usually be reasonably comfortable, and you would be able to walk with the aid of a cane or crutches, and a shoe lift. After a course of antibiotics the surgery can often be repeated to give a normal knee.Q 3 Should I have a total knee replacement?Total knee replacement is an elective operation. The decision to have the operation is not made by the doctor, it is made by you the (Patient). All your questions should be answered before you decide to have the operation. If you have any questions, please feel free to write to us.Q 4 who develops a more severe or an earlier arthritis?One who has family history (this having a strong hereditary influence), who has history of injury in the joint (e.g. a fracture or a ligament/meniscal injury in the knee), who has deformity of knees and the one who is overweight. Medicines are not the treatment for this form of arthritis. Weight reduction, regular exercises, and local heat therapy help in early stages. Physiotherapy is the mainstay of the treatment. Painkillers should be used only occasionally as they adversely affect our kidneys, cause intestinal ulcers and bleeding. Another form of Arthritis is inflammatory arthritis (Rheumatoid or its variants). This does need medical treatment (DMARD's), which changes the course of the disease and prevents further damage to joints. Surgical treatment is needed when structural joint changes have taken place. Before and after the surgery, the patient should remain under care of a Physician/Rheumatologist. Post Traumatic Arthritis can follow a serious knee injury. A knee fracture or severe tears of the knee's ligaments may damage the articular cartilage over time, causing knee pain and limiting knee function.Q 5 When can I return home?You will be discharged when you can get out of bed on your own and walk with a walker or crutches, walk up and down three steps, bend your knee 90 degrees, and straighten your knee.Q 6 What measures should be taken after the surgery/operation (Post operative instruction)The success of your surgery also will depend on how well you follow your orthopaedic surgeon's instructions at home during the first few weeks after surgery. Wound Care you will have stitches or staples running along your wound or a suture beneath your skin on the front of your knee. The stitches or staples will be removed several weeks after surgery. A suture beneath your skin will not require removal. Avoid soaking the wound in water until the wound has thoroughly sealed and dried. A bandage may be placed over the wound to prevent irritation from clothing or support stockings. Diet some loss of appetite is common for few days after surgery. A balanced diet, often with an iron supplement, is important to promote proper tissue healing and restore muscle strength. Activity Exercise is a critical component of home care, particularly during the first few weeks after surgery. You should be able to resume most normal activities of daily living within three to six weeks following surgery. Some Pain with activity and at night is common for several weeks after surgery. Your activity program should include:A graduated walking program to slowly increase your mobility, initially in your home and later outside.Resuming other normal household activities, such as sitting and standing and walking up and down stairs.Specific exercises several times a day to restore movement and strengthen your knee. You probably will be able to perform the exercises without help, but you may have a physical therapist help you at home or in a therapy center the first few weeks after surgery.Driving usually begins when your knee bends sufficiently so you can enter and sit comfortably in your car and when your muscle control provides adequate reaction time for braking and acceleration. Most individuals resume driving about two to four weeks after surgery.Q 7 What activities should I Avoid after Knee Replacement?Even though you may increase your activity level after a knee replacement, you should avoid high-demand or high-impact activities. You should definitely avoid running or jogging, contact sports, jumping sports, and high impact aerobics. You should also try to avoid vigorous walking or hiking, skiing, tennis, repetitive lifting exceeding 50 pounds, and repetitive aerobic stair climbing. The safest aerobic exercise is biking (stationary or traditional) because it places very little stress on the knee joint.

Treatment Options For Joint Pains From Arthritis

Dr. G K Sudhakar Reddy, Orthopedist
Life style changesIf one is overweight, try to lose weight by doing more physical activity and eating a healthier diet. Regular exercise keeps you active and mobile and builds up muscle, thereby strengthening the joints and can improve symptoms. Pain Killers Painkillers help with pain and stiffness but they don’t affect the arthritis itself and won’t repair the damage to your joint. Creams and gels can be applied directly onto painful joints . They are well tolerated because very little is absorbed into your bloodstream. Nutritional Supplements Glucosamine and chondroitin are nutritional supplements. Studies in animals have found that glucosamine can both delay the breakdown of and repair damaged cartilage. However there is insufficient evidence to support the use of glucosamine in humans and one can expect only a mild-to-moderate reduction in painJoint injectionsIf pain from osteoarthritis is severe joint steroid injections are injected into the joints that can reduces swelling and pain. The injections can start working within a day or so and may improve pain for several weeks or months. Hyaluronic acid injections, which help to lubricate your knee joint, are sometimes given but recent evidence that it works isn’t convincing.Surgery May be recommended if you have severe pain and/or mobility problems.ArthroscopyIf one has frequent painful locking/stiffening episodes especially in the knee joint,an operation to wash out loose fragments of bone and other tissue as joint can be performed by a minimally invasive key hole procedure called Arthroscopy. Joint replacement surgeryJoint replacement therapy is most commonly carried out to replace hip and knee joints. It involves involves replacing a damaged, worn or diseased joint withan artificial joint made of special plastics and metal.For most people, a replacement knee will last for at least 15 to 20 years, especially if the new knee is cared for properly and not put under too much strain.There are two main types of surgery, depending on the severity of arthritis:• total knee / hip replacement – both sides of your knee / hip joint are replaced• partial (half) knee replacement (PKR) – only one side of your knee joints replaced in a smaller operation where more of the undamaged knee is preserved with a shorter hospital stay and recovery period.Other surgical options for arthritisArthrodesis or Joint fusionIf hip or knee replacement is not suitable, especially in young people who do heavy manual work, one can consider an operation known as an arthrodesis, which fuses your joint in a permanent position. This means that your joint will be stronger and much less painful, although you will no longer be able to move it.OsteotomyIn young, active people in whom a knee joint replacement would fail due to excessive use one can consider an operation called an osteotomy. This involves adding or removing a small section of bone either above or below your knee joint.  This helps realign your knee so your weight is no longer focused on the damaged part of your knee. An osteotomy can relieve your symptoms of osteoarthritis, although you may still need knee replacement surgery eventually as you grow old.

Running May Prevent Knee Arthritis

Ms. Swati Kapoor, Dietitian/Nutritionist
Arthritis is a joint disorder that involves inflammation of the joint. The major issue faced by arthritis patient is joint pain, especially in the knees. This pain happens majorly because of inflammation around the joints and because of damage caused due to daily wear and tear of the joint.Many people feel that running puts extra pressure on your knees which can cause arthritis, because of the additional wear and tear of the knee cartilage. They stop running, walking or doing exercises, thinking it will affect their knees adversely. However, according to some recent studies, it has been proved that running does not cause knee arthritis.According to a study done by researchers at the Queen’s University in Kingston, Ontario - as long as your knees are healthy to start with, running does not increase the risk of developing arthritis, even if someone middle aged and above runs regularly. There are two factors which affect your knees while running or walking - the amount of force you put on your knees and the number of times you put down your feet on the ground. While walking you put on your feet on the ground, more than you do while running. However, the force on your knees increases while running as compared to walking because of the intensity of the step. As a result, the effect on your knees over a distance remains the same for walking and running.Here are some recommendations to prevent knee arthritis:-Manage Your Weight: It has been estimated that the force of 3 to 6 times a person's body weight is exerted on the knee while running/walking. Therefore, being overweight can increase the pressure on your knees. To protect your knees from arthritis it is important to manage your weight.-Be Active: Involve yourself in some kind of physical activity. Being active is a key to having a healthier and lighter body. You can include a daily workout for a minimum of 30 minutes in a day.-Focus on Your Body Posture: It has been found that wrong body posture for prolonged period of time also affects your joints. If you feel pain in your knees while walking or doing any regular work then don’t ignore it. Try to protect your knees from damage by maintaining a proper posture.-Avoid Extra Stress: Regular unwanted stress on your knees can damage them in the long run. Unwanted stress includes too many uninterrupted repetitions of an activity or motion, unnatural or awkward motions, overexertion, incorrect posture, and muscle fatigue. Try to avoid extra stress on your knees to prevent arthritis.

Treatment of Arthritic Knee Pain

Dr. Samarjit S. Bansal, Orthopedist
Knee pain can be due to many reasons. The most common cause in elderly patient is arthritis (specifically osteoarthritis). It is very disabling and can be cause of severe agony and misery in elderly population. Patient will have difficulty in getting up from bed or chair, difficulty in sitting and squatting and climbing stairs . Few patients may hear crackling sound on bending the knees. Treatment depends upon the stage of the disease. Stage is decided by the x-rays predominantly and clinical examination.Various treatment methods are:EXERCISES:   Exercises help strengthen your muscles and improve/maintain the range of motion of the joint. It is very effective in the early stage of arthritis. There are specific exercises for muscle groups around the knees. These exercises decrease pain also. This can delay/prevent the need of surgery and also reduces the quantity of pain killers required. Proper exercises reduces the risk of injury. In case surgery is required, exercises before and after surgery helps in early recovery.MEDICINES: There are various medicines available for treatment of knee pain. These are important part of treatment of knee pain. NSAID's are commonly used in acute conditions . But these should be avoided for long term use as they have side effects also. There are few analgesics which are relatively safe and can be taken for longer period under the guidance of doctor. Treatment specific medicines are available for Gout , Rheumatoid arthritis. Steroids also sometimes used to decrease acute pain.OTHER MEDICINES: Glucosamine and chondroitin have shown to be effective in moderate to severe arthritis. But study results are mixed for these supplements. Newer products like rosehip extracts with collagen are also showing good results.KNEE INJECTIONS:  When oral medicines are not giving relief than knee injections can be taken before going for surgery. There are three types which can be injected into joint.HYALURONIC ACID: A thick fluid, similar to the fluid that naturally lubricates joints, hyaluronic acid can be injected into your knee to improve mobility and ease pain. Although study results have been mixed about the effectiveness of this treatment, relief from one or a series of shots may last as long as six months. These are given weekly for period of 3-5 weeks depending upon the product.CORTICOSTEROIDS:  Injections of a corticosteroid drug into your knee joint may help reduce the symptoms of an arthritis flare and provide pain relief that lasts a few months. While the injections bring targeted relief to the joint and lack many of the side effects of oral corticosteroid medications, they are not without risks.PLATELET RICH PLASMA (PRP): PRP contains a concentration of many different growth factors that appear to reduce inflammation and promote healing. These types of injections tend to work better in younger people and in people with mild arthritis.SURGERY: Surgery is the last option when all other treatments have failed and knee pain is very terrible and affecting the patient in activities of daily living.TOTAL KNEE REPLACEMENT:The most common knee surgery is total knee replacement, a procedure in which the damaged knee joint is removed and replaced with prosthesis of metal, high grade polymers and plastics. Healthy patients are made to walk the next day after surgery. Few patients take slightly longer time. ARTHROSCOPY: Depending on your injury, your doctor may be able to examine and repair your joint damage using a fiber-optic camera and long, narrow tools inserted through just a few small incisions around your knee. Arthroscopy may be used to remove loose bodies from your knee joint, remove or repair damaged cartilage (especially if it is causing your knee to lock), and reconstruct torn ligaments.OSTEOTOMY: If the damage to your knee is mostly limited to one section, your doctor may recommend a surgery called osteotomy. In an osteotomy, the surgeon reshapes the bones and repositions them to take the weight off of the damaged part of the knee. In doing so it can help relieve pain and improve function, particularly for someone who is not ready to have a total knee replacement.NOTE: This article for information purpose. Kindly consult your doctor for appropriate treatment.

How Old Are Your Knees?

Dr. Vishwas Virmani, Physiotherapist
The knee is the largest joint in the human body, and it requires a lot of care, especially as it plays an essential role in walking and other daily activities. Problems associated with the knees including chronic knee pain and osteoarthritis are usually associated with the elderly. However, in recent times it has become an issue that affects a younger age group as well. Some of the common causes of knee pain in the young are: Chondromalacia patellaeA softening of the cartilage under the knee cap that causes deep knee pain and stiffness especially after prolonged sitting and climbing stairs. Chondromalacia patellae Bursitis around the knee jointIt is caused by inflammation of various bursae around the knee joint. It can be related to posture and overuse.Early osteoarthritis is a common cause of knee pain. Osteoarthritis is a disease that causes the degeneration of the knee cartilage. It is common in the elderly, but the following causes have seen its prevalence among young people rise. Causes-of-knee-pain If you experience constant knee pain for more than 3 weeks, you must visit an orthopaedic doctor, and also take an X-ray or an MRI to enable prompt diagnosis. Medication and physiotherapy usually help. Muscle strengthening of the quadriceps and the hamstrings is advised to reduce stress on the joints and prevent overuse or injury. However, in some cases surgery may be required. In most cases a laparoscopic surgery is advisable and the procedure is usually completed within less than a day. Prevention of Knee Pain Knee pain is a difficult chronic condition to have; however, most causes of knee pain are treatable if diagnosed early on. If you experience knee pain for more than three weeks, get it checked, and ensure that you maintain a healthy lifestyle to prevent further aggravation of the condition.

Knee Arthritis and How to Avoid It

Dr. Sitaraman Sundaresan, Physiotherapist
Early knee arthritis is a common issue today. People in the prime of their life start experiencing knee pain. There are 3 different types of arthritis that can afflict the knees and age is no an indicator.  We keep hearing of knee surgeries, it does not need to be the first option. One can try alternative treatments which are less invasive on discussion with the doctor to ease the knee pain. If a person has endured or knows someone who has experienced knee replacement surgery, they know that it is not a pleasant thing to go through.We discuss below how knee replacement surgery can be delayed or even totally avoided by some knowledge and awareness. Normally when one starts experiencing knee pain, they tend to take it a little easy with that leg or they apply some pain relief gel and try to forget that the pain exits.Lifestyle changes: Simple lifestyle changes need to be adopted. Avoiding junk food and switching to a balanced diet which provide the much needed key nutrients and living an active life can make a huge difference. Wearing the right kind of footwear can also ease the pain and prevent further damage.Weight Loss and Exercise: Losing weight might help lose the pain. Being just a little overweight can add tremendous pressure on the knee with each step. There is research which shows that loosing even 5 to 6 Kgs of weight could lead to great improvements in the quality of ones’ life. Aerobic, Swimming or Yoga can help one in weight loss, strengthening of muscles and also reduce the pain. Working with a Physical Therapist: It is advisable to seek help from a physiotherapist as soon as the problem shows up. Sometimes a proper course of rehabilitation and rest might provide the much needed relief and avoid further deterioration. Our 360 degree knee rehab program targets all the points in the knee and the areas that surround it to drastically improve overall joint health. The sole purpose of this rehabilitation program is to help one recover from the ailment without the need for surgery. In cases where the patient is elderly and has exhausted all other options of conservative management, the replacement process is justified or even recommended. However even in such cases the 360 degree knee rehab program can help easing the post-operative pain and help in the recovery. The sheer number of knee replacement surgeries in India has grown exponentially and it is a worrying trend. Before you opt in for a replacement surgery consider getting healed with physiotherapy to return to a normal pain free life.