If You Have A Lot Of Swelling Hyaluronic Acid Is Really Not Going To Help
You have a lot of swelling and pressure in your knee because you have too much water on the knee or in reality too much synovial fluid. That is a simple explanation. Many people find relief when this fluid is drained. So will people find relief if more fluid is added? It seems counterproductive for knee pain relief. This is why there is a debate over the long-term effectiveness of hyaluronic acid injections for knee osteoarthritis. We are only going to present one study here, please see our article: Research and reviews of Hyaluronic injections for Knee Osteoarthritis for more on this topic.
Getting back to the question above does injecting hyaluronic acid, putting more synovial type fluid in your knee, work when you already have an overabundance of this fluid? For some, the answer is yes it helps. For others, it does not help.
A January 2021 study in the medical journal Rheumatology explains it. What the researchers in this study set out to do was to determine whether ultrasound-detected synovitis affects the therapeutic efficacy of hyaluronic acid injection for treating knee osteoarthritis.
- The 137 patients in this study received hyaluronic acid injection two times at 2-week intervals.
- Initially, all the patients were helped. However, the patients who had ultrasound detected suprapatellar effusion had greatly reduced benefits from the injections.
How To Treat A Swollen Knee At Home
In many cases, a mild to moderately swollen knee may be treated at home. Home care typically involves Rest, Ice, Compression, and Elevation and medication. Read the descriptions of these treatments below to help maximize their benefit and avoid mistakes.
The 4-step R.I.C.E. Formula
1.Rest will give the joint time to repair and recover. Take a break from sports and other activities for 24 hours or longer. The joint should not necessarily be immobile people with knee swelling should try to gently flex and straighten the knee several times a day to maintain range of motion.
2.Icing is an easy, effective treatment for excess knee swelling. Cold therapy can ease symptoms by:
- Causing nearby blood vessels to constrict, decreasing blood flow and inflammation
- Slowing down the production of joint fluid in the knee
- Distracting the brain from pain signals to the brain
Apply a cold compress to the knee for no longer than 20 minutes at a time. This can be done several times a day.
Ice should not be applied directly to the skin. Prevent skin damage by placing a towel or another material in between the icepack and skin. Cold therapy may not be appropriate for people who have Raynauds Syndrome or nerve damage.
3.Compression involves wrapping the affected joint in an elastic bandage . Compression may help limit or reduce swelling.
Keep in mind that a compression bandage will not support the knee or protect it from further injury.
How The Location And Type Of Tear Affect Healing
Where a meniscus tear occurs is one of the most important things that affects healing. Tears at the outer edge tend to heal well because there is a good blood supply. The inner area lacks a good blood supply and therefore does not heal well.
The type of tear often determines whether a tear can be repaired. Longitudinal tears are often repairable. Radial tears may be repairable depending on where they are located. Oblique tears and another type called horizontal tears are generally not repairable.
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Conventional Treatments For Knee Pain
Ron Torrance II, D.O, a Sports Medicine Trained Physician at the New ReGeneration Orthopedics of Florida, says he commonly sees knee pain-related conditions among his younger patients who are generally fit especially runners, female athletes and anyone who uses their legs in other repetitive ways
Dr. Torrance feels that an often overlooked aspect of treating knee pain is the need for different interventions depending on someones current fitness level. For example, a young woman who experiences knee pain after running for several months will benefit from a much different treatment approach than an older man with osteoarthritis of the knees.
When treating knee pain injuries, Dr. Torrance first looks at his patients symptoms and then discusses their lifestyle and exercise habits. Knee pain treatment should always depend on which specific part of the knee is injured and the underlying cause of the pain. Even if medications and corrective devices like knee braces are needed to treat knee pain, exercises, stretching and other functional medicine practices should also be incorporated to help with recovery and injury prevention.
Aside from resting the knee after an acute injury, conventional treatments for chronic knee pain that lasts more than several weeks include:
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Why Rice And Ice Is Not The Answer
You may be recommended to use ice to reduce the swelling. For many athletes, a doctors recommendation of the RICE protocol for healing their sports-related soft tissue issue injury was seen as the gold standard of care. However, this treatment is now under criticism from a surprising source, the doctor who created the RICE treatment guidelines, Gabe Mirkin, MD.
In a recent article on his own website, Dr. Mirkin admits that both ice and rest may delay healing. This insight comes nearly 40 years after Dr. Mirkin authored The Sportsmedicine Book , where he coined the acronym RICE for the 4 elements which became the standard of care in treating soft tissue injuries- Rest, Ice, Compression, and Elevation. Coaches, physicians, physical therapists, and the lay public have recommended and followed the RICE guidelines for decades, but as Mirkin states:
- it now appears that both ice and complete rest may delay healing, instead of helping.
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Different Methods Of Applying Ice
There are loads of different ways to apply ice to your injured knee. The most popular options for applying ice are:
Getting The Best Results
Ice works best when used regularly in the first 48 hours after a knee injury.
Ice should be applied for a maximum of 10 minutes to the knee. If you leave it on any longer, you actually cool the area down too much and prevent the flow of chemicals needed for healing entering the knee which will actually delay recovery.
Leave at least 2 hours between applications to allow the circulation to return to normal.
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Why Do We Experience Knee Pain
There are many causes of knee pain from injuries such as strains, sprains, torn ligaments and cartilage tears, to conditions such as osteoarthritis, tendonitis and bursitis .
Knee injuries are common among athletes, for example, who often experience tears in the knee ligaments, leading to sudden knee pain. Runners knee is a condition that can affect anyone who does a lot of knee bends, for example while running, walking, jumping or cycling. It is felt as pain around the kneecap and can be the result of overuse, injury, abnormalities of the leg bones or feet and weak muscles.
Knee injuries can happen slowly because of osteoarthritis, for example. If you experience problems with your hips or feet that cause you to walk awkwardly, it can throw off the alignment of the knees leading to damage. If you have a knee injury, even if it is a minor one, it is more likely that you will have similar injuries in the future.
Locate the cause of your pain
Injuries to ligaments or tears to the menisci can cause pain in the side of the knees. Pain at the front of the knee can be due to bursitis, or cartilage problems. Osteoarthritis can lead to pain in the back of the knee.
Chronic Knee Swelling Is Developing And Worsening Knee Osteoarthritis
In this video Danielle R. Steilen-Matias, MMS, PA-C offers a brief summary of the constant degenerative process going on in your knee that shows itself every day to you as swelling.
Summary and learning points:
- Many patients tell us that their other health care providers and doctors dismiss or ignore their complaints of knee swelling. However, as research suggests, such as the research examined in this article, is that chronic knee swelling signifies the early development of osteoarthritis.
- The reason the knee is swelling relates to the strength or integrity or lack thereof of the soft tissue around the knee. So the knee swelling can be coming from knee ligament injury or instability. Your body, in an attempt to provide stability for the unstable knee, will swell the knee as a protective mechanism to provide stability to the need temporarily. It should be temporary. Your body is swelling the knee until healing of an injury can take place. The fluid fills the knee to also prevent excessive movement to accelerate healing. When the injury is healed the swelling goes away.
- If you do a job that is very physically demanding, you are on your feet all day, you climb ladders or steps, etc, that is a lot of strain to be putting on your knees and your body does the best it can to provide the swelling necessary to keep your knee together. The problem is chronic swelling is causing a rapid degeneration in the knee.
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Home Remedies For Knee Pain And Swelling
Are you living with constant pain and discomfort around your knees? As you get older, the cartilage weakens and triggers knee pain during everyday activities like walking or climbing the stairs. The more physical stress your body endures, the more intense the strain on the cartilages. Accidents and injuries will only worsen the condition, amplifying the pain and swelling in your knees.
If the knee pain persists, visit your local Newmarket chiropractor for a professional assessment. The chiropractor can recommend a suitable treatment plan to relieve the pain or swelling. In addition, you may like to try various home remedies for knee and leg pain. From essential oils to gentle exercises, these remedies can soothe the discomfort in between your physiotherapy treatments.
Here are the seven best home remedies for knee pain and swelling:
Urgent Advice: Get Advice From 111 Now If:
- your knee is very painful
- you cannot move your knee or put any weight on it
- your knee is badly swollen or has changed shape
- you have a very high temperature, feel hot and shivery, and have redness or heat around your knee this can be a sign of infection
111 will tell you what to do. They can tell you the right place to get help if you need to see someone.
Go to 111.nhs.uk or .
You can also go to an urgent treatment centre if you need to see someone now.
They’re also called walk-in centres or minor injuries units.
You may be seen quicker than you would at A& E.
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Must Haves After Knee Surgery
After knee surgery, it is important to have the following items on hand:
- A compression bandage, A compression bandage can be used to help reduce swelling
- Ice packs,
- A stool or chair with a low seat.. Ice packs can be used to help reduce pain and inflammation
- Elevate the Knee
Another way to reduce swelling is to stay hydrated. Drink plenty of fluids after surgery. This will help to flush the toxins out of the body and reduce the swelling. It is also important to keep the legs elevated. This will help to circulate the blood and reduce the swelling. Drink plenty of fluids before, and after surgery. This will help keep the bodys fluid levels balanced and reduce swelling. Elevating the legs is another way to reduce swelling. Place a pillow or some other object under the leg to elevate it. This will help the fluids drain out of the leg faster.
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Surgical And Other Procedures
Treating the underlying cause of a swollen knee might require:
- Arthrocentesis. Removing fluid from the knee can help relieve pressure on the joint. After aspirating joint fluid, your doctor might inject a corticosteroid into the joint to treat inflammation.
- Arthroscopy. A lighted tube is inserted through a small incision into your knee joint. Tools attached to the arthroscope can remove loose tissue or repair damage in your knee.
- Joint replacement. If bearing weight on your knee joint becomes intolerable, you might need knee replacement surgery.
Your doctor might also recommend physical therapy to improve your knee’s function and strength.
Getting A Diagnosis For Swollen Knee
Chronic swelling can cause permanent damage to the joint tissue, cartilage and bone. It is therefore important to ask your doctor for advice if your swelling doesnt go down.
They’ll discuss your symptoms and carry out a physical examination.
They may arrange for you to have some tests. These may include an:
They may also arrange for you to have joint aspiration. This is when a fine needle is inserted into the swollen area to check for blood, bacteria or crystals
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Causes Of Swollen Knee
If your pain and swelling have come on suddenly, it may be due to an injury from playing sport or after an accident or fall. Common injuries include:
- A fracture
- Taking nonsteroidal anti-inflammatory drugs eg ibuprofen to relieve your pain
Chronic swelling, often with night-time pain, could be due to an underlying disease. These conditions, such as arthritis, are more likely as you age.
If you have arthritis, you will have chronic inflammation but you may also have symptoms of acute inflammation. There are different types of arthritis, which can all cause a swollen knee. These include:
- Gout caused by too much uric acid in your blood
- Infectious arthritis caused by an infection of a joint that leads to swelling
- Juvenile arthritis occurs in people aged up to 16 years
- Osteoarthritis the most common form of arthritis caused by break-down of cartilage in the joints
- Reactive arthritis usually occurs after an infection of your genitals or urinary tract and becomes chronic this is not common
- Rheumatoid arthritis your immune system mistakenly attacks your joints
If your doctor thinks your swollen knee could be caused by arthritis, they will ask you about any other symptoms and your medical history. They may refer you for further investigations, such as blood tests or an X-ray.
Treatments for arthritis vary depending on the type you have. They include:
- Lifestyle changes eg exercise
Diagnosing A Fluid In The Knee
Visually, a knee with fluid will usually look swollen and puffy. If your physician suspects that fluid in the knee may be an issue, he or she may extract some fluid from the knee using a sterile syringe to assess what type of fluid is present. A lab test may be requested to test for the presence of infection or other types of issues. Your doctor may also suggest an imaging test, such as X-ray , MRI or ultrasound which will help him or her evaluate the situation.
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What You Need To Know:
Knee pain may start suddenly, or it may be a long-term problem. You may have pain on the side, front, or back of your knee. You may have knee stiffness and swelling. You may hear popping sounds or feel like your knee is giving way or locking up as you walk. You may feel pain when you sit, stand, walk, or climb up and down stairs. Knee pain can be caused by conditions such as obesity, inflammation, or strains or tears in ligaments or tendons.