ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Treatment of Knee Osteoarthritis

Updated on April 12, 2013

Osteoarthritis - the most common form of arthritis. Generally develops slowly and does not cause a serious loss of performance, particularly with appropriate guidelines for the management of the disease. Osteoarthritis is the result of mechanical failure of the normal joint structures, changing the articular capsule and cartilage damage. Osteoarthritis commonly affects the joints of the hands, but most commonly affects the large joints of the hip, spine, and knee.

The first symptom that requires them to consult a doctor is a pain in the joint. Patients often say that pain is "persistent", and clearly located. Pain intensity may vary depending on disease progression - from a pronounced progress, which limits the mobility of the joint, moderate progress, occur only in certain movements. The joint pain tends to rise and fall with loads after rest. According to the progression of osteoarthritis, pain begins to occur with minimal activity.


This pain is diffuse in nature and first appears periodically, but after exercise and time will be constant, and in advanced cases can even wake the patient at night. Later, the pain becomes the main factor limiting knee motion.

Knee osteoarthritis, whose treatment if not taken in time, can have serious consequences, as it is a slowly progressive disease. Even if this condition does not have significant external signs and symptoms, it can still cause great discomfort for the person to limit their motor activity, and lead to disability. The base of the disease is the degenerative process in joint cartilage, bone surfaces varying the joint. In the advanced stage there is significant deformation of the joint.


The causes of osteoarthritis

For many years it was thought that osteoarthritis is the result of natural wear and tear of the joint during the life of man. But researchers now recognize that there are several factors that lead to its development:

- Age - age of cartilage becomes less elastic and loses its resistance to stress;

- Obesity - being overweight for a long period of time speeds up the process;

- Injury (trauma) set. Contributes to the development of arthritis, an example is the development of arthritis of the knee in miners, football players etc...

- Family (genetic) predisposition to osteoarthritis - certain forms of osteoarthritis is inherited in families. Some people have an inherent predisposition to disease, a defect of one of the genes responsible for cartilage formation, leading to cartilage a defect, which in turn leads to joint damage, but the gene is not the principal reason for the development of osteoarthritis.


Diagnosis

Specific laboratory tests for the diagnosis of osteoarthritis do not exist, but you can do tests to rule out other forms of arthritis. Osteoarthritis, unlike other types of arthritis, no inflammatory changes in the clinical analysis of blood and no rheumatoid factor, no increased levels of uric acid in blood serum, which is characteristic for the drop . Your doctor will ask you to describe any physical stress or damage, which may have led to his pain. Overall review will be conducted with great care, especially to avoid damaging the joints. Radiographic examination may help in diagnosis, but does not give predictions for the future development of symptoms.

Of additional research methods can help thermography (thermal imaging) and ultrasound. Examination of the joints is a method to detect inflammation in the joints and surrounding tissues, which cannot be seen on radiographs.

Different treatments for osteoarthritis of the knee:

The treatment does not affect the changes that have occurred in the joints however, the treatment can delay disease progression and symptom control. Negligence and apathy is the worst enemy in the fight against osteoarthritis.

The essence of the treatment is to improve the functional activity, relieve pain, and reduce symptoms of the disease. Recommendations for rehabilitation can prevent the progression of arthritis...

Treatments include:

- A rate of activity alternating with periods of rest and load.

- Special exercises that allow you to form a muscular corset around the joint, maintain normal mobility and proper blood circulation in the limbs, and strengthen the cartilage itself;

- Weight reduction;

- Physical Therapy;

- Pain control or anti-inflammatory drugs or steroid injections into the joint to reduce inflammation and production of lubricant.

For the treatment of arthritis of the knee are subject to different types of drugs. The most important of the many anti-inflammatory drugs: ibuprofens, aspirin, and acetaminophen the focus effect is the reduction of inflammation of the joint. Pain relievers such as Tylenol, are sold freely in pharmacies, and have a strong analgesic effect.

Experience shows that the best results can be achieved with an early visit to a doctor, preferably a specialist (rheumatologist). Anti-inflammatory drugs have a host of unwanted side effects, so the doctor will choose the most suitable.

Oral nutritional supplements - glucosamine sulfate and chondroitin, these substances help to reduce the pain of osteoarthritis. These substances reduce inflammation, and contribute to increased motor function of the joint. Also, when there is a very severe pain and swelling can be used intraarticular corticosteroid injections. The annual rate of treatment should not exceed four injections into a joint. Hyaluronic acid is also injected into the joint; this acid is added to synovial fluid.


Hyaluronate injection

There are several types of hyaluronate injections - viscosity enhancer, used in the treatment of osteoarthritis of the knee, restoration of optimum thickness of synovial fluid. The injections were made directly into the joint cavity.

.

How do the injections?

Hyaluronate is a natural component of synovial fluid. It acts as a lubricant in joints or moisturizing substance necessary for normal functioning of the joint. Currently, this medicine is used to treat knee arthritis mild to moderate.


Different Surgical treatments for osteoarthritis of the knee:

- Arthroscopy - a small operation with the use of fiber optic technology allows the surgeon to see inside the joint, followed by a cleaning of the components and renews damaged tissues and damaged cartilage;

- Osteotomy - The surgeon cuts the femur or the tibia in order to give the correct position of the bones in the knee joint.

- Partial or total arthroplasty - a special operation for changing the damaged articular cartilage or the knee joint with plastic or metal equivalent;

- The transplantation of cartilage - a method of treatment that is applied to the knee joint with cartilage loss subsequently limited arthritis or injury.

Of course, in order to achieve a successful result, initially you need to remove the cause behind the development of the disease. For example, a balanced diet and limit the loads.


Comments

    0 of 8192 characters used
    Post Comment

    • ChitrangadaSharan profile image

      Chitrangada Sharan 

      5 years ago from New Delhi, India

      Very useful information shared in this hub, about treatment of knee osteoarthritis.

      Voted up and Thanks!

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)