Ask About Transcutaneous Electrical Nerve Stimulation
This type of high-frequency electrical stimulation through the skin can help reduce knee osteoarthritis pain, Behrns says. It works by overriding the pain signals in your body with an electric current, according to the Arthritis Foundation. You can buy a TENS unit for your own use or go to a physiotherapist to have it administered in a healthcare facility. Keep in mind, as with all natural remedies for knee pain, not everyone will see improvements in their symptoms.
Do: Warm Up And Cool Down Before And After You Exercise
Dont jump right into your workouts if you have knee osteoarthritis, Wyss says. In general, a warm-up lubricates your joints so you’re less stiff and its easier to move, which lowers the risk of sustaining any injury during your workout. Cooling down helps you reset after exercise. A physical therapist or trainer can instruct you on the appropriate warm-up and cool-down exercises for you, he says.
Recruit An Occupational Therapist
An occupational therapist can suggest ways to minimize stress on your knees as you go about your daily routine, says Jane McCabe, MS, OTR/L, an occupational therapist in Orange County, California.
One strategy that can ease joint strain: Always sit in a chair that has arms that way, you can push off them when you stand up. Your occupational therapist can also recommend assistive devices that make it easier to stand up, like kneelers, according to the Arthritis Foundation.
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Articles On Knee Pain
You can do many things to help knee pain, whether its due to a recent injury or arthritis youve had for years.
Follow these 11 dos and donts to help your feel their best.
Dont rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your and stick with it. If youre not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist.
Do . Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and do, too. For cardio, some good choices include walking, , water , stationary cycling, and elliptical machines. Tai chi may also help ease stiffness and improve balance.
Dont risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. Curb your risk of falling by making sure your home is well lit, using handrails on staircases, and using a sturdy ladder or foot stool if you need to reach something from a high shelf.
Do use RICE. Rest, ice, compression, and elevation is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated.
Dont overlook your . If youre , losing weight reduces the stress on your knee. You dont even need to get to your ideal weight. Smaller changes still make a difference.
American Academy of Orthopaedic Surgeons: Common Knee Injuries.?
Injections Are Another Low
If other strategies dont provide enough relief, injection therapy is an option with low risk.
A corticosteroid injection involves delivering this anti-inflammatory drug directly to the knee. The benefits are typically short lived. But it varies from person to person. I tell my patients the pain relief can last anywhere from a week to a year, says Dr. Day. One cautionary note with corticosteroids is the potential to increase blood sugar, which is a concern for people with uncontrolled diabetes.
For a possibly longer lasting effect, an injection of hyaluronic acid can be tried. Hyaluronic acid is a substance that healthy joints have a lot of and arthritic knees dont, says Dr. Day. It takes longer to start working than a corticosteroid injection, but the effect often lasts six months to a year.
Two other injection therapies are platelet-rich plasma and stem cells, neither of which is covered by insurance. PRP involves drawing some blood, spinning it in a centrifuge, and injecting part of it into the knee. Theres currently more science backing up the effect of PRP than stem cells, says Dr. Day.
If youre not able to get your symptoms under control with a combination of these measures, she says, it could be time to talk to your doctor about surgery.
This article originally appeared in Cleveland Clinic Arthritis Advisor.
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Maintain A Healthy Weight
Being overweight can drive up your inflammation. Where body fat is distributed can contribute, as well. For instance, a large waist circumference is typically associated with excess inflammation.
Researchers recognize that there is a connection between inflammation and obesity, although more needs to be learned. At the very least, talk to your doctor to determine the ideal body mass index for your frame, and work toward that goal.
You don’t need to lose a lot of weight to improve inflammation. Reducing your weight by between 5% and 10% significantly lowers your level of inflammation, according to the Obesity Action Coalition.
Your Health Care Team
To help manage pain you may want to consult a primary care physician, nurse, pharmacist, physical therapist or other health care professional. You may be referred to a rheumatologist a doctor who specializes in treating arthritis.
Gaining control through communication
Even though pain may interfere with work relationships and daily life, few Americans talk to their doctors about it. Did you know:
- Fewer than half of Americans with severe or moderate pain report that they have a “great deal of control” over their pain.
- Fewer than half of people who visit their doctor for pain believe that their doctor completely understands how their pain makes them feel.
One of the best ways to gain control of pain is to talk to a doctor about it. Unlike a broken leg, pain cannot be seen in an x-ray or identified by a medical test. What a patient says may be the only way the doctor will know about the pain. And because people experience and respond to pain differently, how a patient describes pain is the best way for the doctor to understand what the patient is feeling. Only then can the doctor help the patient treat the pain.
Remember the patient and the doctor should share the same goal–reducing the patient’s pain.
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Other Pain Management Techniques
Splints
If a joint is very swollen and painful, your doctor or therapist may suggest you use a splint to rest the joint . This helps reduce swelling and pain. Your doctor may recommend that you wear the splint during certain activities all day or only at night. This depends on how severe the swelling or pain is.
Sleep
Getting a good night’s sleep restores your energy so you can better cope with the pain. It also rests your joints to reduce the pain and swelling. Only you know how much sleep your body needs, so get into the habit of listening to your body. If you feel tired and ache after lunch every day, for example, take a brief nap. This can help restore your energy and spirits.
If you have trouble sleeping at night, try relaxing quietly in the afternoon rather than taking a nap. Here are some other tips to help you sleep better:
- take a warm bath before going to bed
- listen to soothing music or a relaxation tape
- spend some quiet time by yourself before you go to bed
- read
Do not take sleeping pills unless your doctor recommends them.
Massage and topical lotions
Massage increases blood flow and brings warmth to the sore area. You can massage your own muscles or you can ask your doctor to recommend a professional who is trained to give massages. If you have arthritis in your shoulders, elbows, wrists or fingers, you may not be able to give yourself a massage.
Tips for safe massage:
Resources
How Much Can I Walk With Knee Arthritis
Consistency and moderation are important when it comes to walking with arthritis in the knee. To begin with, patients are encouraged to do about 1015 minutes of light walking per day and eventually work their way up to 30 minutes per day. You can do one 30-minute walk or several shorter walks throughout the day. Follow these tips to ensure safety and comfort when walking with arthritis:
- Warm up: Lightly stretching and warming up the muscles is always a good idea before exercising. This helps prevent injury and is particularly beneficial for patients whose knees are stiff due to arthritis.
- Choose appropriate terrain: Make sure you choose an even walking surface, such as a track or mall, to avoid possible accidents or undue strain on the joints. While some doctors believe a very moderate incline is helpful for the knees, flat surfaces are just fine.
- Dont overdo it: Begin by walking short intervals at a moderate, comfortable pace. In the coming weeks, your body and joints will likely feel better and stronger, allowing you to increase the distance of your walks.
- Walk when your knees feel the best: While walking may help arthritis pain in the long term, it is important to try and walk when your joints are feeling their best. For example, if you wake up with stiff, painful knees, it may be best to wait until later in the day to begin your walk. Additionally, walking right after taking anti-inflammatory medications can help minimize any possible discomfort.
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Is Walking Good For Arthritis In The Knee
If you are experiencing the painful, frustrating symptoms of arthritis in your knees and other joints, you are probably thinking that increasing your activity level is the last thing youd want to do. However, you may be surprised to learn that regular walking, stretching, and other movements can actually help relieve your arthritis pain and improve your overall mobility. Experienced orthopedic provider Dr. Christopher Williams and the knowledgeable team at Interventional Orthopedics of Atlanta are dedicated to providing the most personalized level of care to help patients rid themselves of debilitating arthritis pain and regain control of their lives. Find out more about your options for minimizing knee pain related to arthritis, including how increased physical activity may actually benefit you.
Dont Sit For Long Periods
Especially if youre dealing with back pain, staying too sedentary could be contributing to the pain, says Dr. Torralba. We get a lot of patients who are doing desk jobs, and theyre constantly sitting, she says. They tend to forget that over time, sitting is bad for your back. She recommends getting up at least once an hour to do a bit of stretching by your desk.
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What Are The Treatments For Arthritic Knee Pain
After determining that your knee pain is, in fact, caused by arthritis, Dr. Williams and the caring staff at Interventional Orthopedics of Atlanta will recommend an appropriate treatment plan to help you as quickly and reliably as possible. Some of the most widely known and used treatments for arthritis and arthritic knee pain include:
- NSAIDs
- Weight loss
- Physical therapy
In addition to these methods, Dr. Williams is proud to offer the breakthrough Regenexx family of nonsurgical treatments, which are designed to use a patients own stem cells to treat common and degenerative conditions without the need for going under the knife. While there are certainly some cases in which surgery may be unavoidable, Regenexx treatment has proven to be highly beneficial for chronic pain relief caused by a large number of conditions.
Tips To Ease Joint Pain
Arthritis joint pain and symptoms can make simple activities difficult. This head-to-toe guide can help.
Arthritis pain in even one joint can take a toll on your entire body. For example, a painful neck can prevent you from turning your head properly, placing stress on your shoulders. A painful knee may cause you to walk in a way that affects your hips, back and feet. And holding a joint still to protect it can make moving it more difficult and in some cases almost impossible over time.
If joint pain is caused by an inflammatory disease such as rheumatoid arthritis or juvenile idiopathic arthritis, systemic treatment is needed to stop inflammation that can lead to joint damage or destruction. For flares of pain, persistent pain or pain due to other causes, there are many things you can do on your own or ask your doctor or physical therapist about to get relief.
Solutions vary and may include splints, therapeutic exercises or more informal daily modifications at home and beyond. Here are a few suggestions to help ease joint pain head-to-toe:
Neck Pain
Neck pain can make it difficult to look up or turn your head sideways. If you avoid twisting your neck by moving your shoulders or entire body, the surrounding muscles may hurt as much as the joints themselves.
Jaw Pain
The mandible joint can be a frequent source of discomfort, making it painful to bite into a thick sandwich or an apple. Jaw pain is common on the side of the face or just in front of the ear.
Elbow Pain
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Emotional And Social Effects On Arthritis Pain
Your fears about pain, previous experiences with pain and your attitude about your condition can affect how you react to pain and how much pain you feel. Your cultural and religious background and the way people around you react to pain may also affect how you react to pain.
In addition, the emotional ups and downs of arthritis may affect your pain. If you feel depressed and stressed, your pain may seem worse. You may get caught in a cycle of pain, depression and stress that makes everything seem harder to handle.
Dont: Ignore New Or Worsening Knee Osteoarthritis Symptoms
Knee osteoarthritis is a chronic condition, which means that pain is always possible, Pisetsky says. However, if pain grows more severe and occurs at rest instead of after periods of activity, or if it awakens you from sleep, it could mean that your knee osteoarthritis is progressing, he says. Other symptoms such as swelling, a locked knee, or one that just gives way are concerning, too. Let your doctor know about new or worsening symptoms, as an adjustment to your treatment plan may be necessary.
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Physical Effects On Arthritis Pain
The sensitivity of your nervous system and the severity of your arthritis determine how your body reacts chemically to pain. These factors also determine whether your nerves will send or block a pain signal.
There are many ways to help control pain. Some pain control methods focus on emotional and social factors. Other methods focus on physical factors. Using a combination of methods is often the best way to control your pain.
How Knee Pain Can Affect You
Knee pain is more common as you get older, due to years of wear and tear, if you are overweight , or if you play sports. Because your knees are vital to movement, knee pain can stop you from playing sports and make it difficult to carry out simple activities, such as walking and climbing stairs.
*Knee : Images, Function, Ligaments, Muscles. 2016. Knee : Images, Function, Ligaments, Muscles. Available at: http://www.webmd.com/pain-management/knee-pain/picture-of-the-knee. . ** GSK Global Pain Index Research 2014 full report p. 47
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Why Is Knee Pain Worse At Night
In most people, its usually a combination of two factors:
- As you rest, youre lying still for many hours at a time. This could make your knee joint stiff.
- Your brain has an enhanced perception of your body because your senses arent distracted by the things of daily life.
This could make your brain more attentive to how youre bodys feeling, increasing the perception of pain.
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Other Ways To Relieve Joint Pain
There are also many simple measures that can help relieve arthritis pain and stiffness:
Heat and cold. Take a warm bath, apply cold compresses, or wrap some frozen vegetables in a towel and hold them to your painful joints. Heat, cold, or alternating the two can be very effective at relieving pain.
Massage. Gently rubbing the joints can increase blood flow to the affected area and ease sore spots. Because arthritic joints can be sensitive, see a massage therapist who specializes in treating people with arthritis.
Glucosamine and chondroitin. Although these nutritional supplements have been “fairly debunked as a potential disease-modifying therapy,” Dr. Aliprantis says, they may improve arthritis pain in some people. However, he points out, “if these supplements are not helping your pain, you should not continue to spend your money on them.”
And don’t forget about exerciseit’s one of the most effective ways to treat OA. Exercise can reduce pain, improve flexibility, strengthen the muscles that support the joints, and help you lose some of the weight that’s straining your joints. “I think it’s pretty clear that exercise is important for maintaining joint health and decreasing pain in patients who have OA,” Dr. Aliprantis says. Swimming and riding a stationary exercise bicycle are good exercises for people with OA, because they don’t put undue stress on already painful joints.
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Knee Exercise: Slow March
Strengthens stabilizing muscles of your foot, knee, and hip
- Stand next to a wall or door frame for support.
- Balance on right foot hold on to wall or door frame to stay steady, if needed.
- Keep your knee straight over your ankle, with a slight bend.
- Slowly lift your left foot until your knee is level with your hip, or as close to that position as you can get without pain.
- Slowly lower it back to the floor then repeat with the other foot .
- Repeat the sequence as many times as you can, while holding the correct position.
Tip: Pay attention to any loss of stability, advises Shroyer. For example, if your right foot is on the floor and your right knee wants to bow in when you lift your left, dont raise your left foot so high. Focus your attention on keeping your right foot stable, making sure both the ball and heel of the foot have equal and balanced pressure on the floor.
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