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Osteoarthritis of the Knee
Read about Osteoarthritis of the Knee presented in simple easy to understand language

Osteoarthritis is a chronic degenerative disease of joints progressive in nature and characterized by pain, stiffness, and limited range of motion. It usually begins as a result of the ageing process, i.e. wear and tear of the joints during the later part of one’s life. Among over 100 different types of arthritic conditions, osteoarthritis is the most common form of joint disease. In this disease, the normal smooth surfaces of cartilage covering the bone degenerate, become rough and reduce in thickness.

The space between the bones filled by the synovial fluid becomes narrow. Bony outgrowths or spurs called osteophytes form on the edges of the joint surface. Sometimes pieces of osteophytes break off and float in the synovial fluid. The joints become stiff and painful. It is most commonly seen in the weight – bearing joint in the elderly, more so in the obese. It is uncommon for osteoarthritis to affect jaw, shoulder, elbows, wrists or ankles unless there is unusual stress or injury to such joints. Osteoarthritis in the knee can be a painful problem.

Causes
No precise cause of the disease is known. However, it is caused primarily by wear and tear to the joints. Secondary causes include diabetes, sustained injuries, hyper parathyroidism, obesity, pre-existing joint diseases, hormone disorders and congenital abnormalities.

Risk Factors
• Age over 50
• Obesity
• Injury to a joint
• Prolonged occupational or sports stress

Signs and Symptoms
Osteoarthritis of Hand
• Fingers become painful and stiff
• Heberden’s nodes in the small joints at the end of the fingers.
• Bouchard’s node occurs at the middle joint of the fingers.

Osteoarthritis of Knees
• Knees become stiff, swollen and painful.
• Difficulty in walking and climbing.
• Pain is felt when sitting in a chair or standing from it.

Osteoarthritis of Hips
• Feeling of pain in the region of hips or groin.
• Pain in the inner thigh or buttocks.
• Difficulty in bending and moving.

Osteoarthritis of Spine
• Pain and stiffness in the neck and lower back region.
• Feeling of weakness or numbness in the arms or legs.

How to Manage the Pain Caused by Osteoarthritis ?
Medicines and physical therapy will help you to manage the pain caused by osteoarthritis. You can use pain relieving creams or sprays. You can also take some oral medicines such as acetaminophen to relieve pain. Physical therapy is an exercise program that helps you to regain movement and flexibility of your knee while also trying to relieve pain. These exercises will also strengthen your muscles around your knee for more stability and balance. If oral medicine and the physical therapy do not help you to relive the knee pain then you can use the injection called anesthetic directly into the affecting area of the knee. If this does not prove to be an effective then you can go for surgery or hyaluronic acid injections.

Hyaluronic Acid Injections
Hyaluronic acid is present in your joints in the form of fluid. In peoples suffering from osteoarthritis this hyaluronic acid gets thinner. So, when this happens there will not be enough hyaluronic acid to protect the joint. Injecting this hyaluronic acid directly into your knee will protect the joints. This greatly helps in the relief of the pain than the oral medicines. But this is a very expensive injection.

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