Thursday, May 13th, 2010

What Should You Do for Knee Pain

kneesKnees are an interesting joint. Unlike hip joint which is hidden behind the reservoir of fat and muscle, knees are exposed to investigation, which goes against them too. Any kind of knee pain usually results from extra weight, overuse, poor form during physical activity, not warming up or cooling down enough before an intensive regimen of physical activity and osteoarthritis, a condition in which knee cartilage wears down.
Many causes of knee pain, especially those resulting from overuse or physical activity respond well to self care.

What should you do

Traditionally RICE strategy has been used to hush protesting knees.
• R– Rest and avoid activities that aggravate the pain.
• I– Apply ice. First, apply it every hour for up to 15 minutes. After the first day, apply it at least 4 times per day.
• C– Gently compress the knee by wearing an elastic bandage
• E—Elevate knees to drain the fluid.
Other than this, you should take acetaminophen or ibuprofen for any kind of pain or swelling. You can also try sleeping with a pillow underneath your knees.

The above mentioned plan works well as first line of treatment for knees in pain. However, there may be times when your knees will not respond to this regime. This is true for patients of osteoarthritis for whom onset of winter results in an increase in knee pain. Dr Sunil Marwah, Gurgaon based senior orthopaedic surgeon says, “Osteoarthritis is the most common form of arthritis in which the knee cartilage protecting the ends of the bones gradually deteriorates. Thereafter, the joint fluid — called synovial fluid — loses its shock-absorbing qualities. Bones may then begin to rub against each other, causing pain, stiffness and loss of movement in the joint.” “However, you need not despair as depending on your condition there are several ways to beat osteoarthritis,” reassures he.

How can you relieve the knee pain
Viscosupplementation– One way for pain relief without the systemic complications is via viscosupplementation. It’s a local solution to a local problem. The process involves removing the diseased joint fluid and replacing it with a biological substance that mimics natural joint fluid. This supplements the elasticity and viscosity in the diseased knee joint, reducing pain and improving mobility. “Commonly administered as a three- or five-injection regimen with recent advances Viscosupplementation is now available as a one-shot option for patients in the early or mild stage of osteoarthritis,” informs Dr Marwah.
What should you do to relieve knee pain


o Consult a physiotherapist and choose the right exercises to reduce the risk of osteoarthritis
o Apply ice on your knees for 15 minutes after activity or exercise if you tend to develop soreness
o Stay warm with a knee wrap
o Avoid sugary, processed foods to minimize inflammation
o Undertake Viscosupplementation in place of painkillers to minimize side effects
What you should not do if you have knee pain
o Avoid running, jumping and high impact aerobics
o Trim down movement in case of severe pain
o Stop prescribing your own medicines
o Reduce painkiller intake
o Consult a doctor

Your knees will stay healthy if you exercise. When you exercise your knees, synovial tissue in the joint produces synovial fluid, which lubricates the knees and nourishes cartilage. Walking in the chest deep water is good as it takes the load off your joints, and for the same reasons is swimming. Biking is a good exercise for knees without putting weight on them.

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Category: Pain Forum
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