Knee

KneeThe constant use of the lower extremities makes them an easy target for injury and pain, specifically in the knees. Walking, sitting and standing all put pressure on our knees, while most athletic activities rely on them as well. Knee pain is a common ailment that affect thousands of people in the US each year. These symptoms may be a result of the same condition or can be completely separate. It is important to determine the source of the pain in order to successfully treat these conditions.

We see and treat a variety of knee problems.  Some of the conditions and treatments we offer are:

Conditions

 

Causes of Knee Pain

Any of these structures can be damaged by injury, disease or other conditions that may result in knee pain. Knee pain is often a result of:

  • Trauma
  • Overuse
  • Sudden turning movements
  • Awkward landings from falls
  • Infection
  • Degeneration

KneeInjury is one of the most common causes of knee pain and can sprain, strain or bruise any of the joint structures. Bones can fracture as a result of major trauma. Degenerative diseases like arthritis are also a common cause of knee pain, as they cause the cartilage between the bones to wear away. Bursitis is an inflammation of the bursae.

Because of the different structures involved, amount of use and wide range of diseases and injuries, knee pain can greatly vary. Pain may be severe and constant, or may be more of a dull ache that comes and goes. You may have difficulty walking or standing, experience stiffness or loss of motion. A fever can also be present if the pain is caused by an infection. Injury to the knee is likely to cause sudden, severe pain, while pain caused by disease may be more gradual and mild.

Knee pain is more likely to affect people who:

  • Are overweight or obese
  • Exert excessive use of the knee
  • Play high-risk sports
  • Are older
  • Lack muscle strength and flexibility

Learn more about Knee Pain

Treatment Options

Many knee  conditions can be treated with conservative home methods like rest, ice, compression and elevation.

Your doctor may also recommend other treatment options such as anti-inflammatory medications, physical therapy, corticosteroid injections, orthotics or braces.

Surgery may be necessary for more severe cases. Minimally invasive, arthroscopic procedures are available for most knee conditions which helps minimize scars and recovery times. Surgery may remove, repair or replace damaged areas.

Learn more about your Treatment Options

Total Knee Replacement

KneeA knee replacement is recommended for patients with arthritis and certain knee injuries or diseases that have not responded well to conservative treatments such as anti-inflammatory medications or cortisone injections. The replacement devices are designed to relieve pain caused by cartilage damage, and usually last up to 20 years in most patients.

During the knee replacement procedure, the entire joint is replaced with an artificial prosthesis. The end of the femur is replaced with a metal shell, while the end of the tibia is fitted with a plastic cup and metal stem that fit into the shell. The posterior cruciate ligament and kneecap may be replaced if needed or may be left in place. This procedure can take up to three hours to perform and usually provides immediate pain relief and a return to regular activities.

Products we use:

Life After Joint Replacement Surgery

Guide to Home Therapy after Total Knee Replacement

Video Guide to Knee Replacement Home Therapy

Patella Injuries

The patella, commonly known as the kneecap, helps increase leverage and support within the knee joint. Pain may develop in the patella as a result of overuse or injury, and often causes a fracture. Patella fractures can involve a single crack across the kneecap or a break into several pieces, and usually causes severe pain and swelling.

Surgery may be required for more intense patella fractures, and aims to repair the patella by realigning the fractured ends and holding them in place with pins, screws and wires. Part of the bone may just be removed in smaller fractures. During the healing process, the knee must be kept straight, and patients will often undergo physical therapy to help restore movement to the joint.

ACL Injury

KneeThe anterior cruciate ligament (ACL) works together with the other ligaments in the knee to connect the femur to the tibia and support the knee joint. A tear in the ACL is one of the most common knee injuries, causing the joint to become unstable and slide forward too much. This injury occurs most often in athletes and causes pain, swelling, tenderness and limited motion.

ACL reconstruction is usually not performed until several weeks after the injury, when swelling and inflammation have been reduced. The torn ligament is completely removed and replaced with a new ACL. Simply reconnecting the torn ends will not repair the ACL. Part of another ligament, usually in the knee or hamstring, is used to create a graft for the new ACL.

Arthroscopy

Arthroscopy offers patients many benefits over traditional surgery, including no need to cut muscles or tendons, less bleeding, smaller incisions and shorter recovery times. However, arthroscopy is not appropriate for all patients. Your doctor will decide whether or not arthroscopy is right for you.

Some knee conditions that can often be treated through arthroscopy include meniscal tears, ACL or PCL tears, synovitis, patellar misalignment, arthritis and more. During the arthroscopy procedure, a thin tube with a camera on the end (arthroscope) is inserted into the joint, along with several tiny surgical instruments so that your surgeon can adequately visualize the area while repairing any damage that is found.


To learn more about our Knee Procedures & Treatments, please contact us at (713) 526-2663 today to schedule an appointment.

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