Knee Pain

Treatment Option

Non-pharmacological therapy Pharmacological therapy Interventions

A. Introduction :
Osteoarthritis is commonest cause of knee pain and discussed here. Osteoarthritis is one of the commonest joint problems with 80% of general population of radiologic evidence of osteoarthritis by 65 yrs of age. The disease process starts by age of around 20 yrs and manifest around 40 yrs. More than 40% of sufferers have no radiological evident of osteoarthritis

Pathogenesis :
Exact etiology is not known. By chemical stress on articular cartilage and subchondral bone leads to wear and tear to these structures. Joint inflammation is very minimum compare to other arthritis and seen mostly in advanced disease

Clinical features:
Pain around the joint that increases with weight bearing and movement and improves with rest is the commonest presenting symptom. It may be associated with morning stiffness and swelling of the joints. Clinical signs are tenderness, crepitus, joint effusion, decreased range of movement, valgus/varus deformity etc. X-ray shows decreased joint space, osteophytes formation and osteoporosis of subchondral bone.

Reasons

  • Prolonged sitting at one place
  • Jerky movement / weight lifting
  • History of Fall / Trauma
  • Advancing age
  • Inflammatory Spondylo Arthropathy
  • Symptoms

  • Posture change painful
  • Sitting / driving painful
  • Morning stiffness present
  • Standing from sitting painful
  • Local tenderness present
  • Some times cross leg sitting / sitting painful
  • Investigations

  • X-ray/ special X-rays
  • MRI Spine
  • Blood reports
  • Looking for advice?

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