What knee conditions causes pain?
Osteoarthritis, bursitis, tendinitis, ligaments injuries, meniscal tear, iliotibial band syndrome, patellofemoral pain syndrome.
What is osteoarthritis?
It is a ageing condition in which patient experiences chronic pain due to degeneration of cartilage(cushion between the two bones) present between the two bones. It is one of the leading cause of knee pain in elderly although it may present in young adults due to trauma. Due to loss of cartilage, friction between the two bones causes pain.
It develops usually after the age of 45 and progress from grade 1 to grade 4. Usually patients presents with chronic pain, swelling, limited mobility, unable to squat.
What are the treatment modalities for osteoarthritis of knee joint?
Treatment depends on the grade of osteoarthritis and patients symptoms. Total knee replacement surgery is usually not done for patients with grade 1 and 2 osteoarthritis. Such patients when present with pain are treated with pain killers and other needle interventions.
Regenerative therapy in form of platelet rich plasma therapy and stem cell therapy are two new techniques for regeneration of degenerated cartilage. It takes 3- 4 months for the new cartilage to develop .
Patients with later grades of OA ideal candidates for surgery but if patients doesn’t want surgery or surgeries have to avoided in them then Radiofrequency ablation of genicular nerves is a choice of treatment.
What is bursitis , symptoms and treatments?
Bursa is a fluid filled sac present in knee joint. Inflammation of bursa is called bursitis. There are multiple bursa present in knee joint. These bursa acts like a cushion between the bones, muscles, tendons. Bursitis will cause redness of the knee joint, pain, swelling, tenderness. Usually occurs due to infection, overweight, prolonged kneeling, sports injuries, osteoarthritis.Treatments available are pain killers, anti-inflammatory drug injection into the bursa, surgery.
How is menesical tear treated non surgically?
Menisci tear can be healed by injecting platelet rich plasma containing growth factors. Pain can also be decreased by using local anesthesia and anti inflammatory drugs into the menescii.
What are the precautions to be taken after these procedures?
Patients should be determined for extensive exercise post interventions