Osteoarthritis is a common joint disease that affects millions of American adults. Osteoarthritis of the knee, an often painful condition, involves a loss of articular cartilage that typically covers the ends of the bones within the knee-joint. Typically there is about 5 mm of cartilage covering the ends of the two bones within the knee-joint.
More than eight million people in the UK suffer from arthritis, a potentially crippling condition which afflicts young and old. Here, Maureen Smither, 62, who lives in Thorpe, Surrey, with her husband Cyril, a retired painter and decorator, tells of an innovative shoulder replacement operation that has transformed her life, and her surgeon explains the procedure. Before the operation, I couldn’t eat, comb my hair, write letters or even wash my face. The pain in my right shoulder was excruciating, and …
If you have osteoarthritis of the knee, the articular cartilage that usually covers the ends of these bones and provides cushioning breaks down. Once there is widespread loss of articular cartilage within the knee-joint it cannot be replaced with new cartilage. This leads to symptoms including pain, loss of motion, stiffness, and swelling. Further, bone spurs also start to develop in the knee-joint.
In osteoarthritis, there isn’t enough hyaluronan by which it can be difficult to move your joints. The surface layer of cartilage breaks and wears away. The bones under the cartilage rub together, causing pain, loss, and swelling of movement of the joint. The joint may lose its normal shape over time.
GAITHERSBURG, Md., Dec 9 (Reuters) – A U.S. advisory panel has unanimously backed a new version of a Genzyme Corp GENZ.O injection to relieve knee pain from osteoarthritis. The panel of experts voted 5-0 on Tuesday to urge the Food and Drug Administration to approve Synvisc-One, a single-dose formulation of the company’s Synvisc injection. The FDA usually approves products that win panel endorsements. The treatment is designed to provide up to six months of pain relief from osteoarthritis of the knee. …
As reported by the CDC, people with past knee injuries and people who’re severely overweight or obese are at greater risk of osteoarthritis in the knee.
There are a series of treatments for osteoarthritis. Some people opt for a surgical option like total knee replacement. In addition, there are likewise many ways to deal with the condition that don’t involve surgery. Knee replacements give some patients significant pain relief, as well as in other patients total knee replacement can actually cause more pain. In addition, knee replacement surgery comes with risks that include blood clots and infections. Other medical complications sometimes combined with a total knee replacements are heart attacks, stroke and blood loss requiring transfusion.
It’s also important to recognize that joint replacement doesn’t last forever. There are scientific studies that show that replaced joints may need more work, following a period as short as 10 years. Delaying a total knee replacement or better yet, preventing it from ever occurring, is ideal. Non-surgical options for osteoarthritis in the knee can help to cut pain, decrease stiffness, improve muscle strength and to enhance the knee’s range of motion.
Hyaluronic acid (HA) is a naturally occurring fluid in the knee. The composition of the hyaluronic acid in the knee changes with osteoarthritis. Typically it is a thick fluid that lubricates the knee joint. HA loses its normal properties and becomes thin and watery with the progress of osteoarthritis.
In a similar vein, Hyaluronic acid injections have been prescribed by doctors for more than two decades as a methodology for treating osteoarthritis of the knee. Hyaluronic acid is believed to restore elasticity to the synovial fluid that surrounds the knee joint. This is depleted in patients with osteoarthritis of the knee. However, there is continued debate as to the effectiveness of these treatments. Recently, French researchers compared the safety and efficacy of the NRD101 Hyaluronic acid knee injection with an orally administered drug, Diacerein, shown by past research to get a structural benefit in hip osteoarthritis.
Three hundred one patients were arbitrarily assigned to receive three courses of NRD101 injections, each involving one injection weekly for three weeks, every three months, along with a placebo capsule; placebo injections and diacerein twice daily; or placebo injections and capsules. Symptoms were evaluated both by patients and clinicians, and X-rays were performed to assess the effects of treatment on the knee structure at the start and end of the study. Patients in all three groups reported improvement of their symptoms and few patients dropped out of the study. This suggests injections are a viable approach to treating knee osteoarthritis. However, the doctors did conclude that further studies were required to evaluate other treatment approaches using this route of administration.
Hyaluronic acid (HA) injections only cause minor discomfort. The injection is carried out in the doctor’s office and takes less than 20 seconds to do. There are several different brands of hyaluronic acid on the market. Some brands require a set of three injections and some are just one shot. HA injections can give pain relief for up to a year or older on patients with osteoarthritis. If you’re allergic to egg products, you’re not qualify for the injections.
The course of treatment with the injections vary from brand to brand. For instance Orthovisc, Synisc, and Euflexxa are given in three injections occurring three weeks apart. Supartz and Hyalgan consist of 5 injections given one week apart. These injections are given by a doctor or orthopaedic surgeon. Both knees can be treated during the same time if needed. Doctors who treat osteoarthritis are split on how effective they believe the injections are. Among the mixed results one thing they’re sure of is that the injections do not cure the root cause of the disease.
It is important for patients considering injections as a treatment option that they realize the relief isn’t normally experienced immediately. Relief can take up to eight weeks to be experienced after the initial injection, the relief is liable to last for several months after the complete series of injections. Patients are commonly directed to avoid any strenuous activities for up to 48 hours.
Unloader knee braces are another nonsurgical option for treating osteoarthritis in the knee and reducing pain. Most patients with knee osteoarthritis will have one edge of the knee where the osteoarthritis is less advanced. The outer half of the knee joint is often less affected by osteoarthritis while the inner half of the knee is more commonly affected. The brace, called an " ;unloader, " unloads the half of the knee that has more osteoarthritis and forces the person to give more weight on the "good" side of the knee.
The unloader knee brace is good to use during activity including going shopping, walking to work, or engaging in a sporting activity. It’s important to see that the leg must accommodate a brace.
Platelet Rich Plasma or PRP is currently one of the hottest topics being researched in orthopedic medicine. Platelet rich plasma is used to deal with a range of orthopaedic conditions including plantar fasciitis. The process involves drawing blood peripherally from the patient and then separating out the blood that is rich in plasma. The platelet rich plasma used for treatment has important elements of the blood that have the ability to heal. This process is easily carried out in the doctor’s office.
Physical therapy is another way to reduce the symptoms of knee arthritis. There are three types of exercises for patients with knee arthritis: flexibility, resistance and cardiovascular.
Flexibility exercises are very good for easing stiff joints which will help people with activities of daily living. You should try to perform the stretches in the morning. They are easier to be done in warm bath water.
Resistance exercises build muscles around the arthritic joints and building muscle helps to absorb shock and safeguard the knee joint from further injury. There are two types of resistance exercises: isometric and isotonic. Isometric are typically the easiest for people with osteoarthritis to perform. Strengthening occurs with the contraction of different leg muscles without moving the joint.
Cardiovascular exercises use big groups of muscles. The best recommendation for cardiovascular fitness if you have arthritis in your knee is water aerobics or cycling. The National Arthritis Foundation is a great resource for exercise DVDs. A referral to a local physical therapist can also be helpful.
Osteoarthritis of the knee is a painful condition. If you think that you’d be suffering from arthritis in your knee, you may wish to consult an orthopaedic doctor like Orthopaedic Specialists for an assessment, and to explore your treatment options. Orthopaedic physicians specialize in bone disorders, musculoskeletal conditions and joint disabilities including osteoarthritis.