Knee Pain got you down??

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Knee pain?          Is it Arthritis??      What is Arthritis?

 

The most common form of Arthritis is Osteoarthritis, or degeneration of the surfaces of the bone (cartilage) which forms the joint.

This is a wear and tear type of arthritis.

 

Who does Osteoarthritis affect?

  • Generally over 60 years of age
  • Overweight people, since more load through joint = more wear and tear
  • There is a generic component , that is your brother of sister may also be affected
  • Joints with previous trauma such as old fractures

 

Which joints are typically affected?

Most commonly the weight bearing joints are affected, that is the hips and the knees.

 

How do you tell?

X-Rays together with good clinical examination are the most common way of diagnosing Osteoarthritis.

Features suggestive of arthritis include joint space narrowing and formation of Osteophytes (extra bone on the outside margins of the joint).

 

The most common symptoms of knee arthritis are:

  • Pain with activities, such as stair climbing, squatting, kneeling
  • Limited range of motion, particularly bending
  • Stiffness of the knee
  • Swelling of the joint
  • Feeling that your knee is not quite right, and even giving way of your knees.

 

Physiotherapy Treatment

Physiotherapy is important to keep the joint mobility and build muscle and thus maximise function.

Joint Mobilisation techniques are used to keep flexibility in and around the knee joint.

Our Physiotherapists also use taping techniques to help realign the joint whilst the muscles around the knee are strengthened.

 

Here are a couple of exercises that you can start working on.

  1. 1.       Inner Range Quads

 

Place a towel under your knee

Tighten the muscles on the front of your thigh and raise your foot up so your knee is fully straight.

 

Do x 10, six sets

 

TIP: if this is easy then add a 2kg weight (pillow with sand) on the top of your foot

 

 2.       Cycling is great for Knees. This is because the muscles can work without the body weight through the joint.

Start for 15 minutes in the flat and work up each week in 5 minute increments. The same is true for stationary bikes.TIP: set resistance on moderate intensity not really hard. Maintaining and improving range of motion is important and as well as building muscle endurance.

                         

 3.       Wall squats

Lean against a wall or a physio ball ( Vicki is using a Physio ball here)

 

Bend your knees slightly

 

Tighten up the muscles in the front of your thigh and bend your knees (slide further down the wall)

 

Hold for 5 seconds then slowly rise up

 

Repeat x 10 for 3 sets ( break between sets)

 

 Surgical Treatment

If the knee arthritis becomes advanced then there are several knee surgeries your doctor may discuss with you. This includes:

  • Arthroscopy: where the joint is cleaned out
  • Re-alignment (Tibial osteotomy): where a wedge of bone is taken from the bone underneath the knee joint to re-align the joint so that the wear is even
  • Replacement: where the joint surface is replaced.

Any questions?

Please contact Greg  at greg@isaphysio.com  or phone for an appointment on 4749 4719.

 

 

 

 

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