Eat A Mediterranean Diet
Theres no magic eating plan that will alleviate arthritis for good, but a Mediterranean-style diet is considered the gold standard anti-inflammatory diet, says Folashade Alade, MD, a rheumatologist for Piedmont Physicians Group in Georgia. Less inflammation may mean less arthritis pain. A recent review in;Rheumatology International;found that eating a Mediterranean diet emphasizing fruits and vegetables, whole grains, and fish while cutting back on red meat shows promise in reducing pain and physical function of rheumatoid arthritis patients.;
What Is The Treatment For Knee Pain
Treatments for knee pain are as varied as the conditions that can cause the pain.
Medications might be prescribed to treat an underlying medical condition or for pain relief.
If you are taking over-the-counter anti-inflammatory pain medications regularly for your knee pain, you should see your doctor to be evaluated.
Sometimes physical therapy sessions to strengthen the muscles around the knee will make it more stable and help guarantee the best mechanical movements. Working with a physical therapist can help avoid injuries or further worsening of an injury.
Injecting medications directly into your knee might help in certain situations. The two most common injections are corticosteroids and lubricants. Corticosteroid injections can help arthritis and other inflammations of the knee. They usually need to be repeated every few months. Lubricants that are similar to the fluid already in your knee joint can help with movement and pain.
Osteoarthritis Of The Knee
Knee OA is a very common source of pain that can limit your mobility.
Causes of Knee OA
The cause of OA is unknown. These risk factors make it more likely you will develop knee OA:
- Age: OA can occur at any time of life, but it is most common in older adults.
- Sex: Women are more likely to have knee OA than men.
- Obesity: Being overweight;adds stress to your knees. Fat cells also make proteins that can cause inflammation in and around your joints.
- Injuries: Any knee injury, even old ones, can lead to knee OA.
- Repeated stress: Frequent stress on your knee from your job or playing sports can increase risk for OA.
- Genetics: You can inherit a tendency to develop OA.
- Bone deformities: If you have crooked bones or joints, you are at higher risk.
- Some metabolic diseases: Diabetes and hemochromatosis, a condition in which your blood has too much iron, have been linked to OA;
Symptoms of knee OA develop slowly and worsen over time.;
- Pain: Movement causes pain. Sometimes your knee will ache while sitting still.
- Stiffness: Your knees may be stiff first thing in the morning or after sitting for a long time.
- Loss of motion: Over time, you may lose the ability to bend and straighten your knee all the way.
- Creaking and grating : You may hear crackling noises or feel a grating sensation.
- Instability: Your knee may give out or buckle, or feel like it could.
- Locking: The knee may lock or stick.
- Swelling: Your knee may get puffy all around or on one side.;
Your doctor will check for:
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What Are Some Knee Arthritis Alternative Treatments
There are several treatment options for arthritis in the knee.
- Exercises for Knee Arthritis:;Basically, exercises for knee arthritis are intended to reduce pain and improve function of the knee. Doing an exercise for knee arthritis can help increase the range of motion and the flexibility of the knee. There should be activity modification in order to reduce the stress on the knee.
- Drug Treatment:;Drug treatment is used to help relieve pain and reduce inflammation. For this purpose, oral steroids and anti inflammatory medicines are commonly used to treat the condition.
- Therapies:;Physical therapy can help strengthen the muscle in the leg so that affected people will have strong legs. People can work with a physical therapist to get the best result of their therapy.
- Surgical options:;Surgical options can completely solve knee arthritis problem but it is not the best option for all affected people. Basically, a knee surgery is for people with limited arthritis.
Dont: Be Afraid To Use Assistive Devices If You Have Knee Osteoarthritis
Canes and knee braces can play a role in decreasing knee osteoarthritis pain and improving function, Pisetsky says. There can be a period of time when knee pain is disabling but its not the right time for surgery, so thats when assistive devices can make a difference, he explains. An occupational therapist can work with you to choose appropriate assistive devices.
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Make Sure You Get Enough Vitamin C
Vitamin C not only helps produce collagen, a major component of joints, but sweeps the body of destructive free radicals, which are harmful to joints. One of the best-known studies looking into vitamin C and arthritis found that people whose diets routinely included high amounts of vitamin C had significantly less risk of their arthritis progressing. Spread out your intake throughout the day because your body doesnt store vitamin C; rather, it takes what it needs from the bloodstream at any given time and flushes out the rest. This means a megadose in the morning doesnt really do as much good. Sip citrus drinks or eat C-rich fruits and vegetables such as strawberries or melon, broccoli, or sweet peppers.;And be sure to avoid these;foods that might flare your arthritis.
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Keep To A Healthy Weight
Staying at a healthy weight is especially important if youve ever had knee pain. If youre overweight, losing even a few pounds can make a big difference to the strain on your knees.
Wed recommend a healthy, balanced and nutritious diet thats low in fat, sugar and salt but with plenty of fresh fruit and vegetables.
Find out more about eating well with arthritis.
Up Your Calcium Intake
Getting too little calcium raises the risk of osteoporosis, a brittle-bone condition that accelerates if you have RA. Men and women should get;1,000 milligrams;of calcium a day, 1,200 for women over 50 and men over 70. Dairy is the most famous source of calcium, but its also found in such veggies as cauliflower, cabbage, Brussels sprouts, kale, kohlrabi, broccoli, and turnip greens. Here are;11 foods with more calcium than a glass of milk.
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What Causes Arthritis In The Knee
There are two types of arthritis that affect knee; they are rheumatoid and osteoarthritis. Basically, arthritis in the knee can develop because of a combination of several factors such as aging, obesity, heredity, and joint injury. Aging people experience osteoarthritis because this type of arthritis is a degenerative joint disease. When people are getting older, their muscles become weak and the gradual deterioration of cartilage become severe. The older the people are, the higher the chance to develop knee pain or pain behind the knee. People with obesity can be affected by the knee joint because their weight gives more stress to their knee. Joint injury can lead to post traumatic arthritis in which it has the same characteristics as osteoarthritis. Knee arthritis that is caused by joint injury might develop after some years of a knee injury.
Use An Exercise Band To Strengthen Your Ankles
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What Procedures And Tests Diagnose Knee Pain
A health care professional will begin by asking questions related to the person’s general health and then specifically to the nature of the knee pain .
Next, an examination of the knee will be performed. This will include bending the knee through the full range of motion, checking for stability of the ligaments, and evaluating for any tenderness and swelling. It is often helpful to compare the results of the examination of the painful knee with the other knee. Frequently, this is all that is required to make a diagnosis and start treatment. In several research studies, it has been found that an experienced examiner is as reliable as X-ray examination.
Sometimes the doctor might want to do further studies such as the following tests.
Plain X-ray can establish fractures and degenerative changes of the knee.
MRI is used to evaluate the soft tissues of the knee for ligament tears or cartilage and muscle injuries.
If gout, arthritis, or other medical conditions are suspected, a health care professional might order blood tests.
Removal of joint fluid
Knee Exercise: Quadricep Stretch
Stretches the front of your thigh
- Stand behind a sturdy chair or next to a wall and hold on for balance.
- Bend one knee and bring your heel up toward your buttock.
- Grasp your ankle with your hand and gently pull your heel closer to your body.
- Hold the stretch for 30 to 60 seconds.
- Repeat with the opposite leg; then repeat the sequence one or two more times.
Tip:;Dont arch or twist your back while stretching.;
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Cdcs Efforts To Reduce Arthritis Pain
CDC supports programs for people with arthritis so they can work and do other daily activities, have less pain, manage their own care, and prevent or delay disability.
CDC research related to pain includes:
- Studies examining how adults with arthritis prefer to manage their pain.
- Analyses of the effectiveness of community-based programs in reducing pain and improving quality of life.
The combined efforts and partnerships of CDCs funded programs have made proven arthritis-appropriate self-management education workshops and physical activity intervention programs available to more than 180,000 adults in 48 states, the District of Columbia, and one territoryAmerican Samoa. ;Learn more about the reach of CDC-funded Programs.
Dont: Engage In Repetitive High
Joint-pounding exercises such as running and tennis can tax your already damaged knees, Dr. Pisetsky says. Its a vicious cycle because this type of exercise causes more pain. You stop using your muscle because it hurts, you lose strength, and then your alignment isnt good either, he says. This can also result in needing joint replacement surgery. Listen to your body, he says. If it is painful, dont do it.
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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.;
Supplements For Those With Mild Pain
The evidence for glucosamine and chondroitin is mixed, but they are safe. So it might be worth trying. However, people with a shellfish allergy may not be able to tolerate them. Any effect wont kick in right away. Dr. Day recommends trying it for six to eight weeks. If you notice improvement, great; if not, then stop it, she says.
Turmeric has anti-inflammatory properties, and there is some evidence for its usefulness for painful knee arthritis. You can add turmeric to your food or take it as a supplement. It can thin blood, so people who take a blood thinning medication should not use turmeric.
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Sometimes Knee Surgery Is Your Best Option
If none of these non-surgical treatments work, your pain is still significant and you cannot function the way youd like, it may be time to consider knee replacement surgery, one of the most successful surgeries today. The procedure involves removing the damaged cartilage and underlying bone and replacing it with smooth metal and plastic. Pain relief is almost immediate and dramatic.
Comprehensive Treatment For Arthritis
Arthritis is all about the bodys joints an area where our team has particular expertise. People choose to see Auroras experts for arthritis care because we offer:
- Leading-edge treatments: We offer tried-and-true treatments and treatments that arent available everywhere. Our surgeons were among the first in Wisconsin to offer direct anterior hip replacement, bilateral knee replacement and stemless shoulder replacement. We provide meniscus transplant and precise, robot-assisted surgery. Learn more about the Aurora difference.
- Expert doctors: With dozens of orthopedic surgeons at Aurora, youll be able to see a doctor who specializes in your condition. Many of our providers have extra training in specific areas such as hand surgery or sports medicine.
- Pain management specialists: We understand how pain management can help keep you going before or after surgery or while doing physical therapy. We offer extensive pain management help, from non-narcotic medications and counseling to integrative care like chiropractic or acupuncture. Read more about orthopedic pain we treat.
- Convenient, integrated care: From joint pain relief and physical therapy to joint replacement and recovery, our entire team works together to provide a seamless care experience. We take care of the details like sharing your test results with all your providers so you can focus on getting better.
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Remember That No Is A Perfectly Acceptable Answer
Frustrating as it is, other people wont always understand what its like living with arthritis. Learn your bodys limits, and dont force yourself to go past them no matter how much pressure youre getting from loved ones . Theres nothing wrong with saying, Sorry I cant go or Its time for me to go home, because Ive run out of spoons, points out CreakyJoints follower Jon Aumann. Here are more;tips for handling social plans without the guilt.
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.
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Adding Or Removing Some Bone Around A Joint
If you have osteoarthritis in your knees but you’re not suitable for knee replacement surgery, you may be able to have an operation called an osteotomy. This involves your surgeon adding or removing a small section of bone either above or below your knee joint.
This helps realign your knee so your weight is no longer focused on the damaged part of your knee. An osteotomy can relieve symptoms of osteoarthritis, although you may still need knee replacement surgery eventually.
If you have osteoarthritis in your knees and your doctor has recommended an osteotomy, you can watch a video about how an osteotomy works, including the risks and benefits of having this type of surgery, on The Health and Care Video Library.