What you always wanted to know about knee pain


Are all knee pain arthritis?

In older people, knee pain is usually osteoarthritis, but in young people, especially women, it is mostly chondromalacia, which means softening of the cartilage but not peeling. Other causes can be ligament / meniscus tears, mainly due to injury.

Celebrities with arthritis

Some are clearly inherited, but most are not. Usually arthritis of the spine (ankylosing spondylitis) and gouty arthritis are hereditary, but osteoarthritis and rheumatoid arthritis have little tendency to be inherited. Gout also typically skips a generation, so a grandson may be affected but not the son.

Are physically active people more prone to knee pain?

Certain professions predispose to arthritis, particularly osteoarthritis. Footballers develop arthritis of the knees and ankles as a result of repeated injuries to these parts received while playing. There is no evidence that a person who is physically active but not at risk of injury is more likely to develop arthritis than a person who does not exercise.

Does the weather affect my knee pain?

Living in a cold, humid climate can make you feel your arthritis more than living in a hot, dry climate. Changes in the weather, such as an increase in humidity and a drop in barometric pressure, can also temporarily worsen the joints. The weather does not otherwise have an effect on arthritis and it will not make it worse over the long term.

Why does medical treatment only help some people?

This is usually because among those who get better are those who have different types of arthritis, some of which get better without treatment. Additionally, some types of chronic arthritis can vary in severity from time to time and appear to be cured. During pregnancy and jaundice, arthritis can improve on its own for months.

What is ESR?

ESR stands for erythrocyte sedimentation rate. It measures the amount of inflammation in the body when arthritis is present. High ESR means a high amount of inflammation. The ESR is useful as a guide for the doctor to check for arthritis activity and monitor progress.

Should I take steroid injections?

Steroids should generally be avoided except in cases of rheumatoid flare-ups. The most common type – Osteoarthritis does not need steroids at all.

How do you deal with pain?

“Don’t let arthritis beat you, take control” But how? Treating severe pain due to arthritis requires a combination of strategies. We have to understand that the reason for the pain is survival / security. Pain protects us from danger. Arthritis medications are only part of the overall plan to help reduce pain, improve joint function, and improve activities of daily living.

How to actively fight against arthritis?

Get up every morning and make an effort to be your best; it will help you feel better.

Make a list of daily activities and do them, even if it’s just one or two things. Activity dispels the blues better than anything else.

Be good to yourself. Allow yourself to be tired and not feel guilty about the things that “should” be done. On the other hand, do things that make you happy. It starts to develop and you start to feel better about yourself.

Think about things that make you happy. Look for something beautiful in life, even if it’s just a sunset or a bowl of flowers. Read. Listen to music. Distraction decreases pain.

Learn to accept your limits. Accept the fact that you can’t do all you once could and that you are going to be a different type of parent, spouse, friend than you once were.

Rest. Fatigue erodes your ability to cope and fuels depression.

Avoid stress. Maintain an appropriate diet.

Regular exercise

Arthritis could be the perfect excuse for not exercising. But research shows just the opposite. Cartilage – which covers and protects the ends of bones – depends on the movement of the joints to absorb nutrients and remove waste. The movement actually gives it nutrition.

Exercises reduce joint pain and stiffness, strengthen muscle flexibility and endurance. It helps you sleep better, controls weight, decreases depression, and gives you more self-esteem. It also prevents osteoporosis and heart disease.

Remember – Start slowly with stretching exercises. Then move on to strength training and endurance exercises like cycling. An exercise program might include walking around the block, taking a yoga class, or playing golf. Age is not a factor either; in fact, the older you are, the more you need to exercise and stay active.

What to ask your doctor?

What do I need this medicine for?

What could happen if I don’t take it?

When will it start to take effect?

What are the side effects?

What side effects require a visit to the doctor?

Will I need surgery?

How long before I get back to normal?

Why joint replacement surgery?

If your arthritis is at a stage where it requires surgery for your relief, or if side effects from pain relievers are predicted, then you should have full or partial joint replacement. As a first step, we recommend that you continue with a conservative treatment strategy on a trial basis. Most people come to the hospital at such a stage, especially with osteoarthritis, that doing a lesser procedure like a knee replacement can only provide relief for a very short time. Total knee replacement surgery is the procedure of choice.

To avoid surprises and gain confidence, learn about the surgeon’s practice, facility, training and experience. Talk to other operated patients about the same surgeon. Learn about the expected benefits and potential risks, especially in the long term. Learn what you need to do before and after surgery to maximize these benefits and reduce the risks.

The most important advantage of surgery is the absence of pain. Then the movement greatly improved. People who have lived with an excruciatingly painful joint for years suddenly find themselves able to sleep without medication, exercise and return to “normal” lives.

With technological advancements in medical science, total hip and knee replacements are now routine.

With new robotic technology and high quality implants, most people are standing and walking on a new hip or knee within hours of surgery.

Thousands of patients with knee, hip and shoulder implants talk about the cutting edge technology, skills and care we have provided in our center.

May the “Non-walkers” march again!



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The opinions expressed above are those of the author.



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