Overview of OA knee:
OA is known as degenerative disease and commonly referred as wear and tear, in which the natural cushioning between joints-cartilage wears away. Due to this, the bones of the joints rub closely against one another resulting in pain,swelling,stiffness,decreased ability to move and sometimes leading to formation of bone spurs.
Who gets OA knee ?
Several factors increase the risk of developing significant arthritis at an older age.
What are the symptoms ?
The severity of symptoms varies from person to person with some feeling mild discomfort which come and go and others suffering continuous debilitating pain which makes them difficult to do daily activities.
Imagine waking up in the morning and falling back down on the bed as soon as you stand because your knees cannot immediately support your weight due to pain and swelling resulting in joint stiffness and tenderness in the joint area followed by a grating sensation known as crepitus which occurs while moving the affected joint. Further, this pain is aggravated by muscle weakness, decreased range of motion, poor alignment of knee, hip and ankle.
How can OA knee be treated ?
There are various treatment options available, but it depends on number of factors needed to your body. These includes your medical history, level of pain, and impact of OA on your daily life. in most cases, treatment includes a combination of therapies, as well as healthy lifestyle modifications.
Various treatment approach:
Many treatment regimes include combination of exercise and assistive device or surgery along with medications.
There is various physiotherapy treatment program associated in managing the symptoms such as:
And other than these treatments, there’s a highly effective treatmentcalled ESWT (Extracorporeal Shock Wave Therapy) which we use in our setup.In this high energy sound waves are introduced to the painful areas of the body therefore the therapy eliminates the pain and thereby restoring full mobility and improving quality of life.
In severe cases, surgery would be the option for instances knee arthroscopy, partial or total knee replacement.
OA knee prevention:
pubmed.ncbi.nlm.nih.gov/32268027/ physical therapy versus glucocorticoid injection for osteoarthritis of knee.
This study had 156 patients suffering from OA knee.They were randomized into two groups one with physical therapy and other for injection group. In the physical therapy group exercise include stretches, knee extension, squats etc. the other group had initial injection and follow ups at 4th and 9th month. WOMAC score were used for assessment. Conclusion: the physical therapy group that less pain and functional disability at 1 year than patients who received intra-articular glucocorticoid injection.
Dr.Roshini Menon (PT)