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Knee Pain

Knees are the most common joints affected by ageing process. It is one of the main contributors to limitation in performing daily activities along with shoulder pain. Knee pain due to trauma can occur at any age, but degenerative changes cause pain in most patients past middle age. Common presentations with knee pain to our clinic comprise of Knee Arthritis, meniscal Injuries, ligament Injuries and tears and Bursae around the knees causing pain.

Signs and Symptoms Of Knee Pain

The signs and symptoms of knee problems depend upon the cause of pain and the mode of onset of injury/ pathological process. Trauma and infectious diseases cause pain along with redness and swelling around the joints. The knees maybe warm to touch in infectious involvements.

Degenerative processes like osteoarthritis begin with pain around the knees and difficulty in walking, initially on climbing stairs and later on level ground. Ignored, these may progress and cause stiffness followed by deformities in the knee joints and limping while walking.

Causes

Clinical conditions affecting the knees are broadly classified into following types-

  • Injury- Injury to knees can occur because of trauma, accidents, unaccustomed physical activity like strenuous training without warm up or proper guidance. It can affect the ligaments, tendons or bones around the knees and cause pain. Some injuries may result in fractures in bones around the knee.
  • Mechanical problems- Inflamed Bursae around the knees, loose bodies in knee joints, bone or cartilage fragments, dislocation of knee cap or illiotibial band syndrome.
  • Arthritis- One the most common reasons for Knee Pain in the elderly and overweight individuals. Most commonly it is Osteoarthritis, but it may be Rheumatoid arthritis or Gouty arthritis.

Risk factors

The common risk factors are-

  • Increasing Age
  • Lack of physical activity and sedentary life style
  • Obesity
  • Lack of muscle strength
  • Players of sports like football, basketball and athletes are prone to knee injuries.

Treatment

A detailed history and mode of onset helps in clinching the diagnosis and deciding the course of treatment. Bedside clinical examination and ultrasound examination of the knee joints further aid in establishing the diagnosis. Some patients may require MRI evaluation of knees. Partial Tears in ligaments and menisci can be managed non-surgically with regenerative therapy. Additionally, Knee Arthritis in early stages and in patients with high risk, who are not candidates for surgery can be managed on Day Care Basis with Regenerative Therapy comprising of PRP Injections, GFC injections or Prolotherapy. Patients who are not candidates for any of these can get adequate and lasting pain relief with Nerve Blocks and Radiofrequency Neurolysis. Post these procedures, Physical and rehabilitative therapy goes a long way in restoring functional independence for these patients. We help our patients lead “A Pain Free Life”.

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