Is Surgery Used To Treat Knee Osteoarthritis
If your doctor wants to treat the osteoarthritis in the knee with surgery, the options are arthroscopy, osteotomy, and arthroplasty.
- Arthroscopy uses a small telescope and other small instruments. The surgery is performed through small incisions. The surgeon uses the arthroscope to see into the joint space. Once there, the surgeon can remove damaged cartilage or loose particles, clean the bone surface, and repair other types of tissue if those damages are discovered. The procedure is often used on younger patients in order to delay more serious surgery.
- An osteotomy is a procedure that aims to make the knee alignment better by changing the shape of the bones. This type of surgery may be recommended if you have damage primarily in one area of the knee. It might also be recommended if you have broken your knee and it has not healed well. An osteotomy is not permanent, and further surgery may be necessary later on.
- Joint replacement surgery, or arthroplasty, is a surgical procedure in which joints are replaced with artificial parts made from metals or plastic. The replacement could involve one side of the knee or the entire knee. Joint replacement surgery is usually reserved for people over age 50 with severe osteoarthritis. The surgery may need to be repeated later if the prosthetic joint wears out after several years. But with today’s modern advancements, most new joints will last over 20 years. The surgery has risks, but the results are generally very good.
How Ra Affects The Knees
In RA, your immune system attacks and damages the joint cell lining and capsular tissue that surrounds the joint. Its the same with RA in your knees:
Over time, the swelling can damage the cartilage and ligaments of the knee joints. These help your knee move and keep bones from grinding on each other.
As they become damaged, cartilage wears away and bones start to push and grind against each other. This results in pain and bone damage.
Damage from RA also raises the risk of breaking or wearing down bones more easily. This makes it difficult or impossible to walk or stand without pain or weakness.
A hallmark symptom of RA is tenderness, pain, or discomfort that gets worse when you stand, walk, or exercise. This is known as a flare-up. It can range from a mild, throbbing pain to an intense, sharp pain.
More common symptoms of RA in your knees include:
- warmth around the joint
Here are a few of the methods your doctor will use to diagnose RA in your knees:
Treating Arthritis Of The Knee
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Your Knee May Lock Or Stick When You Try To Move It
Smooth surfaces glide over each other easily, but when you have arthritis in the knee, there are little potholes in the lining of the cartilage and bone that can cause the joint to catch when you move it, says Dr. Colvin. Plus, as the entire joint becomes more unstable and weaker, it can cause the knee to buckle.
What Are Signs And Symptoms Of Knee Arthritis
A knee joint affected by arthritis may be swollen and painful. The discomfort can be felt anywhere around the knee and evolves gradually over time. Patients often present to the doctors office with years of pain either on the inside or the outside of the knee, or simply global knee pain that has progressed for years.
Other signs and symptoms of osteoarthritis of the knee may include:
- Inflammation in the joint that interferes with bending and straightening the knee
- Discomfort that worsens in the morning, or after resting
- Flare-ups after robust activity
- Locking of the knee as it moves loose fragments of cartilage can cause clicking, snapping, or grinding noises
- A general feeling of weakness or collapsing in the knee
- Many patients observe increased discomfort during damp or rainy weather
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What Type Of Doctor Treats Knee Arthritis
Osteoarthritis of the knee may be treated by a sports medicine physician or an orthopedic surgeon, depending on your particular condition. A physical therapist may be able to treat less severe cases to help reduce pain and increase your mobility. If you knee pain is a result of rheumatoid arthritis, gout or other form of inflammatory arthritis, you should consult a rheumatologist.
When Knee Pain May Mean Arthritis
Learn about the various causes of knee pain, including different kinds of arthritis.
If you are experiencing pain, swelling and stiffness in the knees, you may have one of the following types of arthritis or related conditions.
The most common form of arthritis, osteoarthritis is caused by the breakdown of cartilage that cushions the ends of the bones where they meet to form joints. Without the protective layer, the bones to rub together, causing stiffness, pain and loss of joint movement in the joint. The knee is one of the joints most commonly affected by OA. In knee OA, you may feel a grating sensation when using the joint or a popping or crackling noise.
Rheumatoid arthritis is a chronic inflammatory disease that causes the immune system to mistakenly attacks the joints. The result can be joint damage, pain, swelling, inflammation and loss of function. RA commonly affects joints on both sides of the body. If one knee is affected, the other knee is likely affected as well.
Juvenile arthritis is the term used to describe types of arthritis that affect children age 16 years old or younger. There are several types of juvenile arthritis that cause knee pain and swelling.
Reactive arthritis is a chronic form of arthritis that often occurs following an infection of the genital, urinary or gastrointestinal system. Large joints are often affected, especially the shoulders, hips and knees.
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Can Imaging Exams Detect Arthritis
Imaging exams can help your healthcare provider get a clear picture of your bones, joints and soft tissues. An X-ray, MRI or ultrasound can reveal:
- Bone fractures or dislocations that may be causing you joint pain.
- Cartilage breakdown around your joints.
- Muscle, ligament or tendon injuries near your joints.
- Soft tissue inflammation.
How Does Arthritis Affect The Knees
The knee is commonly affected by arthritis, particularly osteoarthritis . You may notice pain and stiffness in your knee, particularly when you first get out of bed in the morning, after sitting for a long period, climbing stairs, walking, kneeling or even when youre just sitting still. Your knee might look swollen, or feel like it might give way or buckle.
There are many things that can help you manage arthritis of the knee. The first steps are regular exercise, weight loss and using medicines wisely.
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How To Treat Arthritis In The Knees
This article was medically reviewed by Troy A. Miles, MD. Dr. Miles is an Orthopedic Surgeon specializing in Adult Joint Reconstruction in California. He received his MD from the Albert Einstein College of Medicine in 2010, followed by a residency at the Oregon Health & Science University and fellowship at the University of California, Davis. He is a Diplomat of the American Board of Orthopaedic Surgery and is a member of the American Association of Hip and Knee Surgeons, American Orthopaedic Association, American Association of Orthopaedic Surgery, and the North Pacific Orthopaedic Society.There are 13 references cited in this article, which can be found at the bottom of the page. This article has been viewed 58,611 times.
Research suggests that treatment may slow down arthritis and relieve your symptoms, though there’s no cure for it.XTrustworthy SourceNational Health Service Public healthcare system of the UKGo to source Arthritis occurs when your joint becomes inflamed, causing pain, stiffness, and swelling. Osteoarthritis happens when the cartilage in your joint wears away, while rheumatoid arthritis is an autoimmune condition where your body attacks your joints. Experts say arthritis in the knee is very common because it’s a weight-bearing joint, but you can get arthritis in any joint.XResearch source Although arthritis may interfere with your life, you may be able to manage your condition.
Risk Factors For Knee Arthritis
- Age. Osteoarthritis is a degenerative, wear and tear condition. The older you are, the more likely you are to have worn-down knee joint cartilage.
- Heredity. Slight joint defects or double-jointedness and genetic defects may contribute to osteoarthritis in the knee.
- Excess weight. Being overweight or obese puts additional stress on the knees over time.
- Injury. Severe injury or repeated injury to the knee can lead to osteoarthritis years later.
- Overuse. Jobs and sports that require physically repetitive motions that place stress on the knee can increase risk for developing osteoarthritis.
- Gender. Postmenopausal women are more likely to have osteoarthritis than men.
- Autoimmune triggers. While the cause of rheumatoid arthritis remains unknown, triggers of autoimmune diseases are still an area of active investigation.
- Developmental abnormalities. Deformities such as knock knee and bowleg place higher than normal stress on certain parts of the knee joint and can wear away cartilage in those areas.
- Other health conditions. People with diabetes, high cholesterol, hemochromatosis and vitamin D deficiency are more likely to have osteoarthritis.
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What Osteoarthritis Pain Feels Like
Pain is pain, right? It just plain hurts. But for your doctor to figure out whether your joint pain stems from osteoarthritis, which develops as cartilage wears away, youll need to be specific about when the pain occurs, how bad it is, and the ways it’s affecting you.
Here are some common signs and symptoms of osteoarthritis that may help you identify and better describe your pain to your doctor:
- Pain that aches deep into the joint
- Pain that feels better with rest
- Pain that isn’t noticeable in the morning but gets worse throughout the day
- Pain that radiates into your buttocks, thighs, or groin
- Joint pain that affects your posture and gait and may cause limping
- Pain that occurs after using the joint
- Swelling in the joint
- Not being able to move the joint as much as usual
- Feeling a sensation of bones grating or catching on something when moving the joint
- Pain during certain activities, like standing from a seated position or using stairs
- Pain that interferes with work, daily activities, and exercise
- Joint stiffness first thing in the morning that improves with time
- Stiffness after resting the joint
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Ligament Injury Of The Knee
Trauma can cause injury to the ligaments on the inner portion of the knee , the outer portion of the knee , or within the knee . Injuries to these areas are noticed as immediate pain, but are sometimes difficult to localize. Usually, a collateral ligament injury is felt on the inner or outer portions of the knee. A collateral ligament injury is often associated with local tenderness over the area of the ligament involved. A cruciate ligament injury is felt deep within the knee. It is sometimes noticed with a “popping” sensation with the initial trauma. A ligament injury to the knee is usually painful at rest and may be swollen and warm. The pain is usually worsened by bending the knee, putting weight on the knee, or walking. The severity of the injury can vary from mild to severe . Patients can have more than one area injured in a single traumatic event.
Ligament injuries are initially treated with ice packs and immobilization, with rest and elevation. At first, it is generally recommended to avoid bearing weight on the injured joint and crutches may be required for walking. Some patients are placed in splints or braces to immobilize the joint to decrease pain and promote healing. Arthroscopic or open surgery may be necessary to repair severe injuries.
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The Pain Gets Worse Over Time
Unlike immediate knee soreness you might get if you injure the joint, arthritis pain typically comes on gradually, says Dr. Colvin. At first, you might only feel it first thing in the morning, or after you get up from sitting at your desk for a few hours. Over time, the ache may become more frequent. You might notice it when youre climbing stairs or if you kneel for too long. Some people even find the pain wakes them up at night, according to the Arthritis Foundation.
What Are The Causes Of Knee Arthritis
Age and wear and tear over time are the two highest causes of knee arthritis. As people age, the ability of the cartilage to heal diminishes.
Other causes of knee arthritis include:
- Weight increased weight puts additional pressure on the knee joint
- Family genetics inherited irregularities in the shape and size of the knee bones as well as genetic mutations can increase a persons chances of developing knee arthritis
- Gender women over 55, have an increased likelihood of developing the disease than men
- Repetitive stress injuries on the job individuals whose work requires frequent kneeling, squatting, or heavy lifting are more prone to knee arthritis
- Athletic wear and tear long-term athletes who play soccer, tennis, or running may experience a higher probability of knee arthritis
- Other illnesses patients with rheumatoid arthritis and specific metabolic disorders including excess iron and growth hormone
Knee osteoarthritis is often accompanied by other illnesses that diminish ones quality of life including:
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How Can I Find Relief From My Knee Pain In Atlanta Ga
If you are interested in getting to the root of your knee pain, finding relief, and enjoying your life to the fullest again, the first step is to be evaluated by a qualified, experienced, and skilled professional. Call Interventional Orthopedics of Atlanta to schedule your one-on-one consultation with Dr. Christopher Williams today, and discover how the solution for living a more comfortable life may be closer than your think!
What Causes Osteoarthritis
For most people, joint damage can occur when otherwise healthy joints are exposed to heavy workloads over a long period of time. This leads to joint injuries due to repeated overuse. Frequently performing a particular task or sport or carrying around excess body weight can lead to osteoarthritis. Eventually the joint cartilage, the cushion at the ends of the bones, wears away. As a result, the bones rub together, causing a grating sensation.
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Osteoarthritis Of The Hand
Osteoarthritis often affects three main areas of your hand:
- the base of your thumb
- the joints closest to your fingertips
- the middle joints of your fingers
Your fingers may become stiff, painful and swollen and you may develop bumps on your finger joints. Over time, the pain may decrease and eventually disappear altogether, although the bumps and swelling can remain.
Your fingers may bend sideways slightly at your affected joints or you may develop painful cysts on the backs of your fingers.
In some cases, you may also develop a bump at the base of your thumb where it joins your wrist. This can be painful and you may find it difficult to perform some manual tasks, such as writing, opening jars or turning keys.
Page last reviewed: 19 August 2019 Next review due: 19 August 2022
How To Tell If You Have Arthritis In Your Knee
Millions of Americans suffer from chronic or acute knee pain each year, and it can be difficult to get appropriate treatment and much-needed relief without knowing the actual cause of the pain. Since many conditions can have symptoms that mimic one another, it is important to seek the advice of a professional when seeking a diagnosis, treatment, or therapy for your knee pain. Dr. Christopher Williams and the knowledgeable team at Interventional Orthopedics of Atlanta are highly experienced in assessing a vast array of bone, joint, and muscle symptoms and are dedicated to helping patients determine the cause of their pain and realize quick, effective, and long-lasting relief.
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Limited Range Of Motion
Knee arthritis sometimes limits a persons range of motion so greatly that they need a cane or a walker to help them get around.
OA has such a significant effect on the bone and cartilage in the knee that it takes great effort to move your knee joints smoothly. Just walking or standing up can become difficult.
The pain and swelling associated with RA can also greatly affect someones ability to stand and walk.