Can Arthritis Represent A Medical Emergency
In the situation that the patient presents high fever, severe inflammation and leg pain, he/she might suffer from what is known as septic arthritis.
This is a medical emergency, requiring immediate intervention if the condition is not treated in due time, life-threatening symptoms can occur and the risk of death becomes considerably higher.
It is common for the joints of the hip and knee to be affected by this infection, with a negative impact on the entire leg.
This condition is present in both children and adults, especially in those who have a compromised immune system.
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.
Articles On Knee Pain
You can do many things to help knee pain, whether it’s due to a recent injury or arthritis you’ve had for years.
Follow these 11 dos and donâts to help your knees feel their best.
Donât rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you’re not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist.
Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. Tai chi may also help ease stiffness and improve balance.
Donât risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. Curb your risk of falling by making sure your home is well lit, using handrails on staircases, and using a sturdy ladder or foot stool if you need to reach something from a high shelf.
Do use “RICE.” Rest, ice, compression, and elevation is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated.
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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:
Describing Painful Symptoms To Your Doctor
To determine whether your pain is due to osteoarthritis, rheumatoid arthritis, or another type of arthritis, your doctor will ask you many questions about your pain, how it affects your life and body, when it occurs, and how bad it gets. Your doctor may ask you to rate your pain on a scale from 1 to 10 .
Before you speak with your doctor, think about the words you want to use to describe your joint pain. Here are some terms that will help your doctor get the full picture. Choose the ones that best describe how your arthritis pain feels:
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Knee Pain And Arthritis
Knee pain is a very common reason for a visit to a primary care doctor, and that is not surprising: the knee is the largest joint in the body and supports almost the entire weight of the body, both when upright and when bending. If just one element of the complicated knee joint is damaged, the knee can become painful.
Knee pain and discomfort can be experienced many different ways: a dull ache, a sharp, stabbing pain, possibly accompanied by stiffness, warmth and swelling of the knee. Some people also experience weakness or locking of the knee joint, which can be a strange and discomfiting sensation and inhibit ones ability to function.
Because the knee is such a complex and essential joint, it is important to pay attention to any type of knee pain and obtain an accurate diagnosis for the cause of the pain. Many people mistakenly consider knee pain just a normal part of aging, but a healthcare professional can often identify the cause and prevent progression of the symptoms.
Arthritic knee pain can present itself in many different ways. The specific symptoms will depend on a number of factors, including the degree and nature of joint degeneration, the patients condition and the patients individual perception of pain.
Certain things make the knee pain worse
Certain things make the knee pain better
Thousands Of Arthritis Patients To Benefit From New Arthritis Drugs Available On The Nhs
Around 25,000 rheumatoid arthritis patients are to benefit from new drugs approved for use on the NHS.
The National Institute for Health and Care Excellence gave the green light to several drugs for people with a moderate form of the disease who have not responded to conventional therapies.
The drugs are adalimumab, etanercept and infliximab, taken with methotrexate for use in the NHS.
Dr Natalie Carter, of Versus Arthritis, said the drugs ‘will enable thousands more people to benefit from these treatments’.
Rheumatoid arthritis is a long-term condition that causes pain, swelling and stiffness in the joints and around 400,000 people are affected.
The new treatments have only been recommended for use when intensive therapy with two or more disease-modifying antirheumatic drugs have not controlled the illness.
During the NICE review, one drug – abatacept with methotrexate – was not considered a cost-effective treatment for moderate disease.
Meindert Boysen, deputy chief executive and director of the Centre for Health Technology Evaluation at Nice, said: ‘I am delighted that we are able to recommend additional treatment options for people with moderate rheumatoid arthritis whose disease hasn’t responded to conventional treatments.
‘These recommendations come after a pragmatic review of existing guidance in response to the availability of biosimilars in the NHS.
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What Are The Symptoms Of Knee Osteoarthritis
Symptoms of osteoarthritis of the knee may include:
- pain that increases when you are active, but gets a little better with rest
- feeling of warmth in the joint
- stiffness in the knee, especially in the morning or when you have been sitting for a while
- creaking, crackly sound that is heard when the knee moves
Knowing If You Have Arthritis Of The Knee
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What Are The Symptoms Of Knee Arthritis
Symptoms include knee joint aching, soreness and pain, and swelling and stiffness. Sometimes this leads to reduced activity and muscle weakness. Weakened muscles can lead to instability and decreased ability to control the knee, further limiting the ability to participate in enjoyable activities.
The knee joint may develop cysts, bone spurs, or loss of cartilage. The absence of cartilage will cause friction and narrowing of the joint space.
Disease Activity And Fatigue
Fatigue and arthritis go hand in hand for many people with arthritis. The main culprits are the inflammatory disease process and the accompanying chronic pain.
- Inflammation. If you have an autoimmune disease, your immune system attacks your body and inflammation is the result. The body undergoes stress as it tries to cope with the release of inflammatory cytokines in the blood. That can cause fatigue, especially when disease activity is high or low-grade inflammation remains for a long time.
- Chronic Pain. The pain-fatigue connection can be a vicious circle. Dealing with arthritis pain for months at a time over many years can wear you down. It can affect your sleep habits, which adds to your exhaustion. Being fatigued, in turn, can worsen pain and make it more difficult to manage.
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What Are The Four Stages Of Osteoarthritis In The Knees
People who have immense osteoarthritispain may only show mild changes on X-ray, so it is important to concentrate on the symptoms rather than just the X-ray. Below are the stages of osteoarthritis of the knee with appropriate treatment plans.
Stage 0 or Normal:
- When the knee shows no signs of osteoarthritis, it is classified as stage 0.
- There is no treatment required for stage 0 osteoarthritis.
Stage 1 or Minor:
- In this stage, patients may develop very minor wear and tear and bone spur growths at the end of the knee joints.
- Usually, patients may not feel pain or any discomfort.
- This stage is usually diagnosed as an incidental finding or during a regular health checkup.
- Physicians may not recommend any special treatment for stage 1. However, supplements such as glucosamine and chondroitin may be recommended. Lifestyle considerations such as regular exercise and weight loss may also prove to be helpful.
Stage 2 or Mild:
Stage 3 or Moderate:
Stage 4 or Severe:
Symptoms Of Rheumatoid Arthritis Of The Knee
Knee rheumatoid arthritis symptoms include:
- Knee discomfort, pain or tenderness that worsens when exercising, standing or walking
- Reduced range of movement
- Stiffness that is worse in the mornings and during cold weather your knee joint may also become locked ie when you cant fully bend or straighten your knee joint
- Warmth in and around your knee
- Weakness in your knees when you bear weight on them
In addition to symptoms that specifically affect your knee, you may also notice other symptoms including:
- A dry mouth
- Warmth in and around your knee
- Weakness in your knees ie feeling that your knees will buckle
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Are There Any Complications
Osteoarthritis can develop over just a year or two, but more often its a slow process over many years that only causes fairly small changes in just part of the knee.
But in some cases, the cartilage can become so thin that it no longer covers the ends of the bones. This causes them to rub against each other and eventually wear away.
The loss of cartilage, the wearing of the bones, and the bony spurs can change the shape of the joint. This forces the bones out of their normal positions, making your knee feel unstable and painful.
Some people with osteoarthritis find a lump appears at the back of their knee. This is called a Bakers cyst or popliteal cyst.
A Bakers cyst is fluid-filled swelling at the back of the knee that happens when part of the joint lining bulges through a small tear in the joint capsule. This can then cause joint fluid to be trapped in the bulge.
It can happen on its own, but is more likely in a knee thats already affected by arthritis. A Bakers cyst doesnt always cause pain, but sometimes they can burst so the fluid leaks down into your calf, causing sharp pain, swelling and redness in the calf.
Osteoarthritis in the knee might change the way you walk or carry your weight, and this could cause you to develop the condition in other joints, such as your hips.
What Other Types Of Knee Exercises Work Best
Walking is an excellent form of exercise. Its low-impact, and because its a weight-bearing exercise, it helps strengthen muscles and build bone. Wear good, sturdy shoes. Start out slow, and gradually increase your pace and distance for best results.
Water exercises or walking in the shallow end of a pool are also great for muscle strength and knee flexibility. Because the body is buoyant in water, it lessens impact to near zero as it makes you work a little harder to move.
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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!
Make The Right Move: See A Physical Therapist
Your knee pain also may stem from a biomechanical issue that can wear down the joint at a faster rate. A physical therapist can analyze how you move to see if you have an alignment issue or if the way your foot lands places extra stress on your knee. “Changing how you move can help ease existing pain as well as reduce your risk of a knee injury,” says Dr. Adam Tenforde, a Harvard sports medicine physician.
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What Is Piezoelectricity
The ability to generate electricity by applying pressure to a material is called piezoelectricity.
Stretching or compressing a material causes it to generate an electrical voltage .
Piezoelectricity is used power devices like knitting and braille machinery, video cameras, and phones.
‘The regrown cartilage doesn’t behave like native cartilage. It breaks, under the normal stresses of the joint’, he said.
So, Nguyen’s lab designed a tissue scaffold made out of nanofibers of poly-L lactic acid , a biodegradable polymer often used to stitch up surgical wounds.
When it is squeezed, it produces a little burst of electrical current demonstrating piezoelectricity.
‘Piezoelectricity is a phenomenon that also exists in the human body,’ said lead author Dr Yang Liu at the University of Connecticut.
‘Bone, cartilage, collagen, DNA and various proteins have a piezoelectric response.’
The regular movement of a joint, such as a person walking, can cause the scaffold to generate a weak but steady electrical field that encourages cells to colonise it and grow into cartilage.
No outside growth factors or stem cells are necessary, and crucially, the cartilage that grows is mechanically robust.
When the team recently tested the scaffold in the knee of their injured rabbit, it was allowed to hop on a treadmill to exercise after the scaffold was implanted. Just as predicted, the cartilage grew back normally.
The study has been published in the new issue of Science Translational Medicine.
How Will It Affect Me
If you have osteoarthritis of the knee, you will probably feel your knee is painful and stiff at times. It may only affect one knee, especially if youve injured it in the past, or you could have it in both. The pain may feel worse at the end of the day, or when you move your knee, and it may improve when you rest. You might have some stiffness in the morning, but this wont usually last more than half an hour.
The pain can be felt all around your knee, or just in a certain place such as the front and sides. It might feel worse after moving your knee in a particular way, such as going up or down stairs.
Sometimes, people have pain that wakes them up in the night. Youll probably find that the pain varies and that you have good and bad days.
You might find you cant move your knee as easily or as far as normal, or it might creak or crunch as you move it.
Sometimes your knee might look swollen. This can be caused by two things:
- Hard swelling: when the bone at the edge of the joint grows outwards, forming bony spurs, called osteophytes .
- Soft swelling: when your joint becomes inflamed and produces extra fluid, sometimes called an effusion or water on the knee.
Sometimes osteoarthritis of the knee can cause the muscles in the thighs to weaken, so your leg may look thinner. This weakness can make the joint feel unstable and could cause the knee to give way when you put weight on it.
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