Osteoarthritis

Two most common causes for knee pain are:

OA Knee (Osteoarthritis)
Chondromalacia Patella

OSTEOARTHRITIS OF KNEE JOINT :


Osteoarthritis (OA) is the most common form of knee arthritis. OA is usually a slowly progressive degenerative disease in which the joint cartilage gradually wears away. It most often affects middle-aged and older people.

SYMPTOMS :

  • Generally, the pain associated with arthritis develops gradually,
  • The joint may become stiff and swollen, making it difficult to bend or straighten the knee.
  • Pain and swelling are worse in the morning or after a period of inactivity. Pain may also increase after activities such as walking, stair climbing, or kneeling.
  • The pain may often cause a feeling of weakness in the knee, resulting in a “locking” or “buckling.”
  • Many people report that changes in the weather also affect the degree of pain from arthritis.

 

CAUSES :

  • Mechanical stress
  • Overweight
  • Loss of strength in muscles
  • Mechanical injury
  • Overstress joints
  • Diabetes
  • Old age

 

TREATMENT :

  • Physical therapy modalities to relieve pain and inflammation
  • quadriceps strengthening
  • hamstring stretching
  • Alignment correction through manual therapy
  • Taping technique
  • Laser therapy for instant pain relief

CHONDROMALACIA PATELLA :


Chondromalacia patella is the softening and breakdown of the tissue (cartilage) that lines the underside of the kneecap (patella).

It is a common cause of anterior knee pain.

Problems begin when the kneecap does not move properly and rubs against the lower part of the thigh bone. This may occur because:

  • The kneecap is in an abnormal position (also called poor alignment of the patellofemoral joint)
  • There is tightness or weakness of the muscles on the front and back of your thigh
  • You are doing too much activity that places extra stress on the kneecap (such as running, jumping or twisting, skiing, or playing soccer)
  • You have flat feet
  • A grating or grinding sensation when the knee is flexed (moved so that the ankle is brought closer to the back of the thigh)
  • Knee pain in the front of the knee that occurs when you get up after sitting for a long period of time
  • Knee pain that worsens when you use stairs or get out of a chair
  • Knee tenderness

GOALS OF PHYSIOTHERAPY :

  • Improves pain through advanced modalities
  • Reduces inflammation
  • Reduces spasm
  • Reduces tightness
  • Increases strength resisted band exercises
  • Alignment correction through manual therapy
  • Taping technique
  • Laser therapy for instant pain relief

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