Arthritic Knee – Knee OA – Knee Osteoarthritis

 

Osteoarthritis (OA)

knee_osteoarthritisMr. Mihai Vioreanu, a Consultant Orthopedic Surgeon, describes Osteoarthritis OA to be the most common form of arthritis (Vioreanu, 2014). OA is a degenerative, ‘wear and tear’ type condition while largely effects the protective cartilage in the joint which may affect the the ability of the knee joint to take weight during upright activities like walking and climbing stairs. Symptoms can also include achy pains, sometimes sharp from either the inner or outer knee, sometimes both. This
pain or ache can go down your shin. You may also feel a stiffness, weakness or even gel in the knee which may affect your confidence. Other problems may include intermittent swelling, not able to straighten or bend the knee as well as feelings of ‘crepitus’ or grinding (Vioreanu, 2014). The incidence of OA tends to increase with age, with over 50% of the population having OA by the age of 65 (Vioreanu, 2014).

Read Mr. Mihai Vioreanu’s report here

Your Chartered Physiotherapist will provide treatments with the exception of prescribing medication (if needed) which would require a visit to your GP. Surgery or non-conservative treatment can be offered for those who fail to respond after a reasonable amount of time to so called ‘conservative treatment’ as described above. This involves an onward referral from physiotherapy to a GP and then an Orthopedic Consultant who will consider further mediation, injections or surgery depending on the severity of the arthritis.

Your Chartered Physiotherapist will use specific guidelines for knee OA. The American Academy of Orthopedic Surgeons Guidelines (2013) for non-operative treatment of Knee Osteoarthritis can be extremely beneficial to the patient. Their key recommendations are as follows:

– Low impact aerobic exercise (e.g. cycling, swimming, walking, yoga)
– Weight Loss for those with Body Mass Index of greater than 25
– Non-Steroidal Anti-inflammatory drugs (NSAIDs) such as Mobic, Naprosyn, Arcoxia, Mobic, Celebrex, Voltaren and Neurofen
– Supervised Physiotherapy aimed at improving strength, balance and, flexibility (Vioreanu, 2014).

More information

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IMG_0129Patrick Mc Carrick MISCP

 

 

 

 

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