Orthopedic Health

Osteoarthritis of Knee

Written by Dr. Mohan Krishna and medically reviewed by iCliniq medical review team.

 
Image: Osteoarthritis of Knee

Osteoarthritis can affect any joint in the body. It is like wear and tear which develops over many years. It is common in people over 50 years of age, particularly in women. Both knees need not to be affected at the same time.

The cartilage gradually roughens and becomes thin exposing the underlying bone. The wear is more common on the inner side of the knee.

Osteoarthritis of The Knee Joint Produces:

  • Bone wear leading to asymmetric shape and movements
  • Weak ligaments, and
  • Changes to articular cartilage and tears of the menisci.

Symptoms: (Develops slowly over several years)

  • In the beginning there may be some discomfort after a long walk or exertion.
  • Later stages: Stiffness after rest / sitting for some time and early in the mornings.
  • Swelling of the joint
  • Clicks or grinding noises from joint
  • As the condition progresses, pain can interfere with simple daily activities and can disturb sleep.
  • Muscles may become weak and thin. *Patient may also develop bow legs or knock knees.

Risk Factors:

  • Sportsmen who played contact sports.
  • Previous injury to the knee.
  • Obese people with Body Mass Index > 30
  • Occupations involving prolonged squatting or kneeling, carrying heavy weights regularly, repetitive strain to knees.
  • Crystal Deposits such as uric acid in the joint is a chemical risk factor and may damage the joint fast.

Treatment Options:

  • Treatment depends upon the stage of the OA. It cannot be cured at once but one should not consider this as a disease. We can slow down the progression of the disease and to make life more comfortable.
  • Knee Supports/Braces – Some splints provide pain relief with external support but can be uncomfortable to wear
  • Assistive Devices – Such as cane or walker can be used to help in walking
  • Medications – To control pain and to nourish cartilage (dietary supplements).
  • Topical Creams/gels - Topical creams provide an alternative to oral medications.

Last reviewed at: 22.Feb.2019

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