Knee pain when to see doctor: 5 Situations in Which Medical Attention Is Necessary for Knee Pain
When to See a Doctor
If your knees hurt from time to time, you’re not alone. Knee pain and stiffness are two of the most common reasons people seek out an orthopedic surgeon. Knee pain can occur in any age group, from children and adolescents to adults and seniors. Often, knee pain gets better on its own or with conservative treatment at home. Sometimes, though, knee pain can signal a condition like an ACL or meniscus tear that requires treatment by a doctor. Learn about the most common causes of knee pain, some at-home treatments to try, and when to see a doctor for knee pain that won’t go away.
Common Causes of Knee Pain
The cause of your knee pain might depend on your age, weight, activity level, and other risk factors. Some of the most common knee pain causes are:
Arthritis, including rheumatoid arthritis, psoriatic arthritis, or osteoarthritis of the knee
Baker’s cyst, which is a benign collection of fluid behind the knee joint
Bursitis, which is inflammation of any of the lubricating sacs located around the knee joint
Dislocated knee or kneecap
Infection of the knee bones or joint
Inflammation due to knee sprain or pulled muscle
Osgood-Schlatter disease, which involves ‘growing pains’ caused by inflammation of the upper part of the shin bone in adolescents
Overuse injuries from participating in sports, such as knee pain from running or repetitive crouching. Other activities that can cause knee pain when bending include gardening, teaching and caring for young children, nursing and home health work, and construction.
Torn ligament or cartilage including ACL tear, MCL tear, and torn meniscus
Wear and tear on the joint from being overweight
Knee Pain Treatment at Home
If you develop knee pain that was not caused by a knee injury (trauma), and there is no visible deformity of the knee joint, you can try treating it at home. To care for your knee pain at home:
Apply ice to the top of the knee for 15 minutes at a time, alternating with 15 minutes of no ice. Be sure to place a towel or other barrier between your skin and the ice pack to avoid injuring your skin.
Elevate the knee on cushions to reduce any minor swelling. You also can sleep with a pillow under your knees to see if it helps the pain.
Rest the knee by avoiding any activities that cause pain including bearing weight. If you think the pain is from repetitive activity, try alternating your activities, such as swimming for a few weeks instead of running.
Take an over-the-counter nonsteroidal anti-inflammatory medication, such as ibuprofen (Advil, Motrin) or naproxen sodium (Aleve).
Wear a compression sleeve for a few days to provide support to the knee joint.
When to See a Doctor for Knee Pain
Any time knee pain occurs as a result of trauma, such as a car accident or a sports injury, you should see a doctor to rule out structural joint damage as the cause of the pain. You also should consult a doctor if your knee pain persists, even off-and-on, for more than a couple of weeks.
You should seek immediate medical attention or call 911 if your knee pain is accompanied by:
Fever higher than 101 degrees Fahrenheit, which can be a sign of infection
Inability to bear any weight at all on the affected leg
Inability to bend the knee voluntarily (never attempt to manipulate an injured knee with your hands)
Numbness in the lower leg, foot or toes
Redness and/or heat around the knee joint
Sudden, severe swelling of the knee and lower leg
Visible deformity of the knee joint or the lower leg
Trauma-related knee pain will be evaluated at first by an emergency room provider, who may then call on an orthopedic surgeon for diagnosis and treatment. If you have chronic knee pain that needs attention, you can start by visiting your primary care provider. Your doctor might refer you to an orthopedic or sports medicine specialist for further testing, diagnosis and treatment. You also can schedule an appointment directly with an orthopedist, but remember that some insurance companies require you to obtain a referral before seeing a specialist.
Depending on the cause of your knee pain, you may also work with physical therapists, hydrotherapists, or other health professionals to get you back on your feet as soon as possible.
Knee pain can be a nuisance that causes you to miss work or cut back on fitness activities. By seeking prompt medical attention for knee pain that persists longer than a week or two, you may be able to treat the condition with conservative measures that relieve the pain and get you back in action quickly.
5 Situations in Which Medical Attention Is Necessary for Knee Pain
If you have a profusely bleeding leg or a broken bone, you probably will call 911. But if your knee pain isn’t quite that dramatic, how do you make the distinction between something that a doctor should definitely look at right now and a minor strain that just needs to be iced?
Here are five situations in which you should seek medical attention for your knee pain.
1. You Can’t Walk Normally
Is your knee pain severe? Does trying to walk hurts more than you can stand or makes you feel like you will pass out or fall over? Stop walking on that knee and then seek medical attention. If your knee pain is that bad, you might have a broken bone. In this case, go to the ER.
However, if your knee only hurts when you walk on it, and you don’t think it’s broken, avoid the expense of the ER by having a family member or friend help you to urgent care instead.
2. The Pain Doesn’t Go Away
Living in pain for a week until your regular doctor can schedule you in isn’t a great option. That’s what urgent care is for: to let you get treatment quickly when you need it. If you have knee pain that’s persisted for more than a couple of days, the logical next step is to go to urgent care.
3. The Pain Keeps Coming Back
Maybe at first you don’t think your knee pain is worth taking to a doctor. If you don’t think you injured the knee and the pain is just an ache that goes away after a gentle ice treatment and some rest, you might have just let the pain keep going. But if your knee hurts mysteriously on a regular basis, you need to have a doctor check your knee out. Patellofemoral syndrome often causes mysterious knee pain.
Going to urgent care while you have an episode of knee pain may be the most practical solution. After all, if you make an appointment with your doctor, the pain may be gone again by the time of the appointment. And your doctor is likely to ask you to move your leg around and tell them if it hurts, which will be much more productive if you’re in the middle of an episode at the time.
4. The Knee is Misshapen, Swollen, or Hot
A warm, swollen knee can mean you have an infection or a serious injury. If the knee is misshapen, that can indicate a physical injury such as a dislocation. In that case, your knee won’t heal normally with just home care. Kneecap dislocation is also a possibility. In either of these cases, you need to seek medical care at once.
5. The Pain Gets Worse Instead of Better
If you iced the knee, put it up for a few hours, and took some ibuprofen and the knee hurts even worse a few hours later, that can be an indication that home treatments aren’t going to cut it in this case. Maybe you have a more serious injury than you thought at first that a professional needs to diagnose.
These are five situations where the practical and safe thing to do is to seek immediate medical attention. But whether you decide on an emergency room visit or stick with urgent care, remember to let someone else drive. Driving with undiagnosed knee pain is unsafe, especially if it’s in the leg you use to drive with.
If you’re in the Coral Springs area, Walking Urgent Clinic is available for both you and your whole family for any urgent care needs. Check our website for directions and hours.
How Your Doctor Will Find Out What’s Wrong
Even if your knee injury happened a while ago, it can still cause pain. But so can many other things, including arthritis and other conditions. To find out what’s going on in your case, you’ll need to see your doctor.
At that visit, you’ll talk about your symptoms and the injury. You’ll also get a physical exam, and you may need to get an X-ray, MRI, CT scan, or other tests.
8 Questions Your Doctor May Ask
Your doctor will want to know as much as possible about what’s going on with your knee. Be ready to answer questions such as:
- When did the pain start?
- Where does it hurt: the front, center, side, or back of the knee?
- Did it start suddenly or slowly?
- How would you describe the pain: dull, sharp, or achy?
- Is the pain always there, or just now and then?
- Is there any swelling or redness? Does it feel warm?
- Do any activities make the pain better or worse?
- Did your pain start because of a specific injury? If so, your doctor will want specific details of what happened, including what you were doing and whether you had to stop right away.
Your answers will give your doctor clues about the cause of your pain. For instance, a popping or snapping sound may mean that you tore a ligament. If your pain is worse when you rest and your knee is stiff when you wake up, you could have a type of arthritis.
Your doctor will also ask about:
- Problems with any other joints
- Any knee injuries or surgeries you’ve had
- Other health issues that might be causing the pain
A hip problem, for example, can cause you to walk awkwardly, which throws off alignment of your knees, causing pain. Also, pain from your hip can make your knee hurt.
Let your doctor know what you’ve already tried to treat your knee pain, such as medicines, braces, and physical therapy.
First, your doctor will compare your painful knee with your healthy one, looking for any differences.
In addition to redness, swelling, bruising, and discoloration, your doctor will check for differences in your muscles. Knee pain often happens the when the outer muscles of the thigh are stronger than those in the mid-thigh (causing the kneecap to be pulled “off track”), so your doctor will pay particular attention to the vastus medialis, a muscle in your mid-thigh that extends to the knee.
You doctor will also feel your knee, checking for pain, warmth, and swelling. They will then bend, straighten, rotate, or press on the knee to feel for injury and find out how well the knee moves and where the pain is.
Depending on your medical history and the findings of the physical exam, your doctor may recommend one or more of these tests to see inside your knee:
X-ray. This quick, painless test produces a 2-dimensional picture of your bones that helps find breaks and joint disease like osteoarthritis.
CT scan. It combines X-rays taken from many different angles to give a 3-dimensional view of the knee. The test shows much more detail of the bones than regular X-rays, and it can help diagnose bone problems and find breaks in bones that X-rays may not pick up.
Bone scan. This test creates images of bones on a computer screen or film. First, you’ll get a harmless radioactive material injected into your bloodstream. The material collects in the bones, particularly in abnormal areas of the bones, and shows up on a scanner.
MRI. In this test, a powerful magnet linked to a computer creates pictures of areas inside the knee. It’s useful for finding damage to soft tissue, such as muscles, ligaments, cartilage, and tendons.
Your doctor may order laboratory tests to confirm a diagnosis. For instance, an analysis of fluid taken from your knee can spot an infection, inflammation, or gout. The procedure can also help relieve pain and pressure.
Knee Pain Symptoms & Treatment
Knee pain is a common condition affecting a wide range of people. Pain in knees can result from an injury, an infection or a medical condition such as arthritis.
Treatment for knee pain depends on its cause and how severe the pain is. Our orthopedic specialists can offer personalized treatment plans – including surgical and non-surgical options – after a physical examination and assessment.
Our specialized knee pain treatment
At Aurora, our orthopedists are committed to providing compassionate care for knee pain. We offer:
- Emphasis on prevention: A healthy, active lifestyle can help you prevent knee pain and painful joints. Our primary care doctors can help you maintain orthopedic wellness and prevent injuries at every age.
- One of the largest health care providers in Wisconsin: If your knee pain becomes serious, your doctor can immediately refer you to the right specialists and resources. That’s because our large team of experts is connected by a single, fully integrated health system.
- Seamless chain of care: Whether you need orthopedic specialists, primary care doctors, integrative medicine providers, physical therapists or a combination approach, our providers work together to give you the best care possible.
- Top-tier specialists: Our expert team includes over 70 orthopedic surgeons, many of whom are fellowship trained. This team sees many people for orthopedic care and joint replacement surgery, which translates to deep experience in treating all types of orthopedic problems – including knee pain.
- Faster, more advanced surgery: We offer leading-edge treatments that aren’t widely available elsewhere. Many of these treatments involve minimally invasive surgery options, which can help you recover faster. Learn more about minimally invasive arthroscopic surgery.
When should you see a doctor for knee pain?
Knee pain symptoms can be different for different people, and may change over time. You may feel knee pain constantly, or it may come and go. You might experience back of knee pain, or feel stiffness instead of pain.
If you experience any of the following symptoms, it’s important to see a doctor to prevent further injury:
- Redness and swelling in and around the knee
- Stiffness and inability to fully straighten the leg
- Knee instability
- Popping, crunching and clicking sounds when you move or bend your knee
- Fever, which can be a sign of infection
Is your hip and knee pain cause for concern?
Hip and knee pain doesn’t have to interfere with your life. Our hip and knee pain quiz evaluates your knees and hips, gauges the severity of any issues and gives you an idea what to do next based on your results.
Take the hip and knee pain quiz
What causes knee pain?
Like other forms of joint pain, knee pain can have many causes, including:
Accidents and sports injuries can cause mild to severe knee pain. This type of pain may be caused by damage to different areas of the bones or soft tissue, including:
- Tendons: Tendons are the fibrous connective tissue that attaches muscle to bone to support movement. Tendonitis and jumper’s knee are two conditions affecting the tendons that can cause knee pain.
- Ligaments: Ligaments are the fibrous tissue that connects bones or cartilage to provide stability. Knee ligament injuries like ACL tears can cause knee pain.
- Cartilage: Cartilage is the rubbery tissue that protects the ends of the leg bones that come together in the knee joint. Meniscus tears and other knee cartilage injuries can cause mild to severe knee pain.
- Bursae: Bursae are the fluid-filled sacs that cushion the joint. The knee has three bursae, which can become inflamed (bursitis). Knee bursitis may cause pain and indicate the knee joint is irritated. (It is not very common.)
Find out more about knee injuries including:
Conditions affecting the knee
Common conditions that can cause knee pain include:
Infection or inflammation of the knee can result from several types of bacteria or arthritis. If you have a joint infection affecting the knee, your doctor may prescribe antibiotics.
What to expect at your appointment
At your appointment, your doctor will perform a physical exam to evaluate your knee mobility and investigate the cause of your knee pain.
To gather more information to confirm a diagnosis, your doctor may order tests, including:
- Blood tests: Tests that check for infection or different types of arthritis
- X-ray: Images that can show arthritis, fractures or other problems with bones in and around the knee
- Ultrasound or magnetic resonance imaging (MRI) scans: Detailed images that show injuries to ligaments, muscles and other soft tissue
Treatments for knee pain
Depending on the cause and severity of your knee pain, your doctor may recommend several treatment options. Learn more about our treatments for knee pain.
Some treatments we offer include:
- Physical therapy
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Medications to treat autoimmune disease, infections or gout
- Injections for joint pain to lubricate the knee joint and relieve pain, including hyaluronic acid and corticosteroids like cortisone
- Arthrocentesis, where a syringe is used to remove fluid from the knee in order to relieve pain and test for signs of arthritis
- Full or partial knee replacement surgery to treat severe arthritis or severe injuries, including back of knee pain
- Integrated medicine like acupuncture
Who is at risk for knee pain?
Knee pain can affect almost anyone at any age. Certain factors can increase your risk, including:
- Poor muscle tone due to a sedentary lifestyle
- Shoes that do not fit properly
- History of previous knee injury
- Participating in exercise or sports without properly warming up beforehand
Get a free injury evaluation
We get to the source of the pain and offer personalized care recommendations.
Request an evaluation
Have Knee Pain Symptoms? Know When It’s Time to Seek Medical Attention.
Your knees are the largest, most active joints in your body and the hinge point of your legs.
It’s easy to think most knee pain comes on as a result of injury during strenuous activities. But everyday activities in work and school can cause it, too.
And for many people, chronic knee pain sets in as they age.
Knee Pain You Can Treat At Home
Like other pain symptoms, some knee pain is not severe enough to require medical attention. You can manage the following symptoms at home:
1. Mild to moderate knee pain after a strenuous activity that you don’t normally do, like running or walking a few miles.
2. Mild to moderate knee pain that comes on slowly.
3. Mild to moderate knee pain from minor injuries without significant movement limitation or inability to bear weight, such as mild knee strains.
Knee Pain that Requires Immediate Medical Attention
Seek immediate medical attention when knee pain is severe, especially when accompanied by weakness and limited range of motion.
Intense Pain: Go to urgent care or the emergency room if you have severe knee pain, especially from a forceful impact.
Deformed joint: Go to urgent care or the emergency room when your knee joint is deformed. A dislocation and or break is likely.
Popping Noise: Go to urgent care or the emergency room if there was a popping noise when your knee was injured.
Sudden Knee swelling: Go to urgent care or the emergency room if your knee swells up suddenly.
Knee Pain Symptoms that Require A Visit to the Doctor
Sudden knee swelling: If swelling sets in gradually, schedule a doctor’s appointment. Significant swelling of the knee can cause joint tissue damage, cartilage degradation, and bone softening.
Joint weakness: See a doctor if your knee cannot bear weight and you need support to walk.
Tenderness and warmth: Schedule a doctor’s appointment if your knee feels warm and sensitive to the touch.
What to Expect During Examination
A doctor will examine your knee and, depending on the symptoms, do the following:
- Drawing fluid from the knee
- Taking an x-ray
- Take an MRI
Surgery may be necessary to correct the damage. If not, the doctor will recommend home treatments such as rest, hot and cold therapy, and pain medications.
Knee Pain Treatment in Houston and Dallas
You don’t need to rush to the ER for non-severe knee pain symptoms, but you should schedule a doctor’s appointment. Texas Pain Physicians’ team of board-certified pain specialists are experts at diagnosing, treating, and managing knee pain.
Put your best foot forward by booking an appointment online or calling us today at (972) 636-5727.
Knee pain | healthdirect
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What causes knee pain?
Knee pain is a common problem that can occur suddenly or over a period of time.
Knee pain may be due to a number of causes, and generally treatment is readily available.
Injury-related causes include:
- damage to parts of the knee, including bone, cartilage, ligaments, tendons or muscles
- bursitis, which is inflammation of the fluid-filled sacs that cushion the knee (known as bursae)
Arthritis-related causes include:
Other causes include:
- patellofemoral pain syndrome: pain around the kneecap (patella) where it runs over the end of the thigh bone (femur), sometimes due to the kneecap being poorly aligned
- pain referred from the hip or lower spine
What are the risk factors for knee pain?
You are more likely than others to develop knee pain if you:
- are overweight
- have weak or tight leg muscles
- do certain sports, for example skiing and basketball
- have hurt your knee before
What other symptoms may be associated with knee pain?
If you have knee pain, you may get other symptoms such as:
- swelling, redness or heat in the knee
- bruising around the knee
- your knee ‘giving way’
- locking or clicking
- inability to straighten your knee
See a doctor if the pain doesn’t improve in a few weeks, if you can’t move your knee or put any weight on it, or if your knee locks or gives way.
Go to an emergency department if your knee is very painful, is badly swollen or has changed shape, or if you have a fever and a red and hot knee.
How is knee pain investigated?
Your doctor will talk to you and examine your knee.
Your doctor may order some tests including:
How is knee pain treated?
If you have knee pain, you can help by avoiding putting weight on it, and using an ice pack for up to 20 minutes every 2 to 3 hours. Painkillers like paracetamol can help with the pain.
Treatment may include:
If your knee pain is caused by osteoarthritis, weight loss, strengthening exercises and water exercise can help to relieve symptoms. Arthroscopy is not recommended for osteoarthritis of the knee.
If you have injured your knee, you can start treatment at home. Read more about initial treatment of knee and other limb injuries.
If you are concerned about your knee pain, visit your doctor or emergency department.
Knee Pain – When To See A Doctor
The majority of knee injuries, especially the minor ones can be treated at home. However, there are situations where you should seek professional medical advice.
When should I seek medical advice?
You should seek further medical assistance if you have any of the following symptoms:
- Severe pain in or around the knee, especially during walking. Or especially if you are unable to walk at all.
- Severe swelling (oedema) in the knee. Acute knee injuries often swell up quickly and feel hotter than normal.
- If you heard an audible ‘pop’ or ‘crack’ in your knee joint that is painful.
- If your knee gives way or you are not confident and feel it might give way when walking, especially going up/downstairs.
- If your knee ‘locks’ whilst bending or straightening it.
- Any altered sensation in your knee, or lower leg. For example a feeling of ‘pins and needles’ (paresthesia) or a ‘loss of feeling/numbness’ (anaesthesia).
- If you are unable to complete your normal daily activities 72 hours after injury.
Where to seek advice
Further medical assistance can be sought through either your local doctor or a private clinician such as a physiotherapist, sports therapist, osteopath, or chiropractor.
- In the first instance, if you have followed the P.R.I.C.E principles and are still unable to walk after 72 hours, or still have severe pain that is not subsiding you should visit your local A&E department for further assessment.
- Also, if your knee gives way whilst walking, feels loose, unstable or locks. If this happens you will be unable to move your knee due to pain. If this happens then you should consult your doctor or visit A&E.
- Secondly, if you have applied the P.R.I.C.E principles and still have weakness or knee pain that lasts a long time (more than 2 weeks), or have ongoing discomfort in your knee, you are highly recommended to seek advice from a specialist expert.
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90,000 KNEE PAIN | orto.lv
Most common causes of knee pain:
- injury that caused inflammation,
- the process of degeneration or aging of the knee joint,
Pain in the knee joint is not always indicative of a disease of the knee joint. It can be caused by damage to the hip joint. Pain can also be caused by infectious and rheumatoid arthritis, or an immune system disorder that affects various tissues in the body.
Where does it hurt?
A place that hurts in the knee can help to find out the cause of the pain:
- Pain in the front of the knee joint can be caused by inflammation of the knee capsule, tendons or arthritis.
- Pain in the lateral part of the knee joint is usually caused by a ligament injury or a torn meniscus. In older people, pain can be caused by natural wear and tear of the articular surfaces, as well as osteoarthritis.
- Pain in the back of the knee joint is usually associated with a ruptured meniscus and Baker’s cyst (formed by collecting fluid in the joint, usually caused by other knee problems such as arthritis or ruptured knee cartilage).
- General knee pain can cause inflammation of the joint capsule, arthritis, ligament rupture, osteoarthritis.
Swelling in the knee joint – a symptom common to many knee problems:
- Edema that develops rapidly (within about an hour) after a knee injury may indicate damage to the cruciate ligament or joint cartilage.
- If the edema develops gradually, over several days, the meniscus may be damaged or there is a sprain.
- Edema, which occurs suddenly without injury, can be caused by various causes – osteoarthritis, meniscus ruptures, synovitis of the knee joint (inflammation of the synovial membrane of the joint capsule), gout, rheumatic diseases, including septic arthritis.
Sense of “hold” in the knee joint makes it difficult to squat or try to fully straighten the knee.Usually, the feeling of being “hooked” can cause:
- Mechanical violation. It occurs when a detached fragment of the meniscus or patella mechanically interferes with bending the knee.
- Traffic restrictions. They can appear as a reaction to knee pain. The cause may be infectious arthritis, gout, or septic arthritis.
If you have a feeling of “catch” in the knee joint, immediately seek the help of an orthopedic traumatologist.
Knee stiffness decreases the normal range of motion of the knee. Most arthritis patients feel stiffness in the affected joint. The feeling of stiffness is more pronounced in the morning. In patients with osteoarthritis, joint stiffness occurs with movement and exertion – especially after long walks.
Stiffness in the knee joint is one of the first signs of arthritis, so if you notice that it recurs, see an orthopedic traumatologist or rheumatologist.
Feeling of instability in the knee joint. The most common cause is damage to the knee ligaments. If one or more of the ligaments are damaged or torn, the knee joint may feel unstable.
Transient knee instability, accompanied by sudden acute pain, may be associated with damage to the cartilage of the joint, which as a result of movement gets stuck between the surfaces of the bones of the knee joint.
There may be other reasons for the feeling of instability in the knee joint, so consult an orthopedic traumatologist to establish an accurate diagnosis and choose the appropriate treatment.
90,000 Knee pain treatment – Yekaterinburg New Hospital
“Secrets of the knee joint.” This is how a film about diseases that occur in this joint could be called. Not even a film, but a whole series, since the number of possible pathologies is truly great! If you try to divide them into several groups, then you can conditionally distinguish arthritis, osteoarthritis, diseases of the periarticular tissues, damage to intra-articular structures and pathologies that are not directly related to the knee joint, but manifested by pain in it.
Let’s try to understand at least a little bit of each of these groups.
These are joint diseases in which the main cause of pain is inflammation of the joint capsule – a kind of “bag” surrounding the joint. In this case, the patient, in addition to the pain itself, may notice an increase in the skin temperature over the joint, the appearance of swelling or hyperemia (redness), restrictions on flexion and extension of the knee. The peculiarity of pain in arthritis is that the symptoms bother in the morning or after a long motionless position (driving in a car, for example) and are accompanied by stiffness, and against the background of physical activity, for example, when walking, they go away.Painful aching, “exhausting”.
Arthritis can develop suddenly, such as with gout, or over a period of several days or even weeks, as with rheumatoid arthritis. It can affect one or both knee joints, or be associated with other arthritis and back pain. Arthritis can occur at any age. In order to distinguish arthritis in rheumatoid arthritis and spondyloarthritis, for example, it is not enough just to feel the joint and see the changes; it is necessary to carefully ask the patient about the conditions of his appearance and the dynamics of the process, sometimes – to appoint additional studies.Relatively speaking, all “arthritis” are outwardly similar to each other, and the task of differentiating them is one of the key ones in the work of a rheumatologist.
Arthrosis, or gonarthrosis, or (more correctly) osteoarthritis / osteoarthritis of the knee joint is one of the most common diagnoses and a common cause of joint pain. With this disease, changes occur at the level of the cartilage: it is gradually erased, which increases the load on the underlying bone. As a rule, pain appears during exercise, or after it, or at the beginning of movement, when squatting or bending, when going up and down stairs; morning stiffness is short (up to 10-15 minutes) and patients feel best when lying down.Osteoarthritis of the knee joints develops symmetrically (if, of course, there was no previous injury or inflammation that can lead to different loads on the joints) and, as a rule, at the age of 50.
External changes in osteoarthritis usually develop several years after the onset of the disease and represent the “curvature” of the knee to the outer (more often) or inner (less often) side. In medical language, such a deformation is called varus or valgus.
In this case, there are situations when, with osteoarthritis, the knee suddenly swells and outwardly becomes indistinguishable from arthritis.And even treatments for such an exacerbation can be similar to arthritis therapy.
Soft tissue diseases. These are lesions of the structures surrounding the knee joint – muscles, ligaments, tendons, bursae. They can rightfully be called “great imitators” because of their frequent similarities with the symptoms of arthritis and osteoarthritis. Pain during movement is also observed, external swelling occurs, and restrictions on movement are also often observed. An additional complication lies in the fact that osteoarthritis can be combined with soft tissue diseases, for example, with crow’s foot bursitis or enthesopathy of the medial collateral ligament.But still, an important difference will be a limited lesion that does not extend to the entire joint and the localization of pain at a certain point, which can be on the side or in front.
Most often, soft tissue diseases occur in older patients and in people engaged in physical activity / work. In both cases, the reason is the same – the discrepancy between the load and the state of the soft tissues. Only in the first case, the basis of the problem will be “hypotrophy” – weakness of the ligamentous-tendon apparatus, and in the second – excessive and repeated load on it.
Unfortunately, even doctors often forget about soft tissue diseases, and young patients with pain in the knee joint are sent for x-rays, where they receive a “duty” diagnosis – osteoarthritis and therapy with “chondroprotectors”. Although in diseases of the periarticular soft tissues, it is enough to modify the physical activity and anesthetize as needed.
Lesions of intra-articular structures
The knee joint is unique in structure because in its cavity it has a kind of “cartilaginous pads” – menisci, which act as shock absorbers and soften impacts when walking.If they were not, then the vertical load would very soon lead to “abrasion” of the cartilage and damage to the bones that form the knee joint.
Menisci are not as strong structures as bone and are often subject to destruction: at a young age, obvious, often athletic, trauma is necessary for their damage.
At an older age, menisci gradually lose their plasticity, exfoliate and even at a small level of trauma break, small pieces can “detach” from them.Quite often, this happens suddenly (for example, when getting up from a chair, an unsuccessful turn of the leg when walking). Rupture of the meniscus is accompanied by inflammation of the joint, the severity of which, as a rule, decreases after a few weeks. The pain is sharp, sharp, sometimes localized behind, under the knee. Less commonly, a piece of the meniscus that has come off can move into the space between the bones and block full extension of the joint.
But even more often, damage to the meniscus is a chronic process that is hardly noticeable for the patient, which is accidentally detected during an MRI scan.And then the question arises before the practitioner – is the described “degenerative meniscus rupture” the cause of pain, or should one look for another.
In addition to the menisci, there are cruciate ligaments in the joint cavity, the integrity of which is important for the normal functioning of the joint. If partial degenerative damage to the cruciate ligament is treated conservatively, then a complete rupture of the anterior, which usually occurs in sports injuries, is an indication for urgent surgery.
Doctors rheumatologists strongly suggest that patients not self-diagnose for pain in the knee joint, since the appearance of such a symptom may be the first sign of problems in the hip joint, since the femur is designed in such a way that pain from its upper sections spreads down to the knee joint.
Other causes of pain in the knee joint can be damage to the joints of the foot, degenerative-dystrophic disease of the spine (better known as osteochondrosis), rupture of the popliteal cyst (in this case, we have a sharp pain radiating to the foot), varicose veins of the lower extremities – very wide a spectrum of pathologies, all of which cannot be covered. Therefore, the doctor sometimes has to solve the “secrets of the knee joint” for a long time before identifying the true cause of the pain and starting treatment.
Cost of rheumatology consultations
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Which doctor should I go to if my back hurts?
When should you see a doctor?
Doctors who treat back pain
Which doctor to contact
First of all, if your back hurts, we recommend consulting a neurologist.A neurologist will conduct an initial examination and, if necessary, prescribe an examination by other specialists.
For back pain, you may need an examination or doctor’s procedures:
As well as additional tests and studies:
Back pain is one of the most common health problems. According to statistics, nine out of ten people worldwide have felt back pain at least once by the age of 30. And the older a person gets, the stronger and more often he gets pain.Therefore, it will be useful for everyone to know why back pain appears, and which doctor will help to cope with this problem.
The back can hurt in different ways. Unpleasant sensations can be sharp and aching, stabbing, pulling. Sometimes back pain affects other organs and parts of the body. In parallel with back pain, people experience discomfort in the legs, abdomen, or chest. The causes of such pain may be different, but for all of them there is one rule: at the first ailment, you need to urgently consult a doctor.
When to see a doctor
Not all people take their health seriously. At the first back pains, they do not attach importance to them and do not rush to see a doctor. If after a while the attacks are repeated, this serves as a signal to register for examination. A thorough examination is required, according to the results of which the doctor will decide on the method of treatment. Treatment without examination can even worsen the patient’s condition.
You should consult a doctor if you have the following pain symptoms:
- Constant, after physical exertion
- Periodic, in the absence of serious exertion and overstrain
- Back pain
- Pain during the night, and in the supine position they do not disappear
- Complications: numbness of hands or feet, fever, etc.
Do not try to find the cause of the pain yourself and start treatment. If you don’t have back problems, do more prophylaxis: be outdoors, watch your posture.
Depending on why your back hurts, the treatment of this ailment may be different. The main doctor who deals with the treatment of back pain is a vertebrologist. He specializes in the diagnosis and treatment of osteochondrosis, the most well-known disease of the spine.This disease is detected after a thorough examination using ultrasound, MRI, computed tomography and radiography.
The following specialists can also help with back diseases:
- Neurologist (neuropathologist). The back can hurt due to diseases of the nervous system. A special examination is carried out using hammers and needles, checking the reaction of the nerve endings. If a connection between back pain and problems with the nervous system is confirmed, an accurate examination is prescribed.If necessary, he can prescribe a referral to more narrowly specialized specialists: chiropractor, osteopath, or masseur.
- A neurologist and urologist treat back pain if it is known that it is not due to a back problem. In these cases, the back hurts due to kidney problems. The neurologist provides therapeutic treatment, while the urologist provides surgical treatment.
In any case, back treatment should be started immediately after they appear. In the first stage of treatment, the patient is given pain relievers and anti-inflammatory drugs to relieve him of discomfort.The subsequent stages of treatment are determined after an accurate diagnosis of back pain. As a rule, it is recommended to see a neurologist or a vertebrologist first, as the back can hurt due to spinal problems.
Crunching in the knee – normal or pathological: when should you see a doctor? :: Blog IVR
Everyone at least once in their life has heard a crunch in their knees: during squats, when walking or awkwardly turning, when bending a leg. Someone does not pay any attention to this, while someone immediately panics, thinking about serious disorders and diseases.Doctors distinguish 2 types of crunch: physiological, which can be considered the norm, and pathological. Why do the joints in the knees crunch and in what cases can such manifestations be considered the norm? Let’s take a closer look. After all, as they say, knowledgeable means armed. And in our case, it will still help maintain health.
The structure of the knee joint
Knee crunches – agree, not a very pleasant sound. But let’s first look at the structure of the knee joint in order to understand what can crunch there at all.
So, the knee joint is one of the largest in our body. It consists of the tibia, fibula, and femur. It also includes the patella and many ligaments. Such a complex structure allows the knee to bend, unbend, cushion jumping and perform various leg movements.
The hyaline cartilage covers the surface of the joint: provides easy glide when moving. Also inside the joint there are external and internal menisci, which additionally cushion and hold it in the correct position.The patella is a special triangular bone that serves both to protect and distribute the load on the muscle.
The entire perimeter of the knee is filled with a special oily synovial fluid. Outside the joint capsule there are cartilaginous sacs that protect the knee from mechanical damage.
As you can see, together this is all a complex system, which, by the way, is designed to preserve the movement of a person until old age. So why does the crunch occur?
Why do knees crunch?
Let’s say right away that nature has made sure that any movement is comfortable and easy for a person.But over the years, in the process of life, like any systems in the body, the joints also age. Therefore, extraneous sounds are often associated with certain age-related changes. Not all of them are pathological and require immediate treatment. But nevertheless, you should not ignore the crunch in the patella.
Causes of crunching knees
- Most often, this sound is created during movement of the hyaline cartilage. Over time, the tissues of the cartilage “wear out”, shrink, wear off and, when in contact with each other, create a certain sound.
- Constant crunching may indicate chronic damage to the meniscus.
- Tendon sprain – weak muscles are unable to keep the joint in the correct position. When moving, the walls touch and create a crunch and click.
- Violation of the composition of cartilage and articular tissue, lack of synovial fluid.
In fact, crepitus in the knees, that is, crunching, is a warning about the beginning of the processes of destruction. But experts also note the state of the norm when the knee clicks.
The knee joint is washed with synovial fluid. The movement of the joint changes the composition of this fluid, temperature and pressure. Dissolved gases under pressure begin to bubble and burst. Usually imperceptible, but sometimes crunching is heard. This condition is considered normal if clicks are heard occasionally during physical exertion and do not become permanent. If crunching in the knees without pain occurs often, there is reason to think about it and seek the advice of a specialist.
Causes of pathological crunch in the knee
Pathological crunching may occur on its own and not be associated with physical activity or intense stress.For example, the knee crunches when bending, when walking. Often, the crunch is accompanied by a squeak or unpleasant clicks when climbing stairs. The main reason why knees squeak is the aging process, age-related changes in the structure of cartilage, when the joint wears out or multiple calcium deposits form on it.
If a person leads a sedentary lifestyle and sometimes crunches his knee, then in itself this phenomenon is not terrible. But over time, it can lead to unpleasant consequences.The knee begins to ache, swell, etc.
What can lead to pathological changes in the joint:
- strong physical activity, constant lifting of weights;
- injuries, sprains, bruises;
- Wrong shoes – flat or too high heels;
- genetic predisposition;
- overweight, metabolic disorders;
- unhealthy diet – excess salt and sugar.
Crunching knees as a sign of disease
Very often, crunching and pain in the knee can indicate serious joint diseases. Among them are arthritis, arthrosis, osteoarthritis and others.
Arthritis is an inflammatory process in the tissues of the joint that causes severe pain and degenerative consequences for the cartilage. We will tell you more about this ailment and its types in our next publications.
Osteoarthritis is a physiological change in the joint, which is accompanied by an increase in bone processes, depletion and destruction of tissues, a decrease in synovial fluid.
Joint hypermobility syndrome
The disease is associated with excessive flexibility and mobility of the joints. In such cases, the knee crunches very strongly during extension and flexion. Most often, this pathology is caused by genetic and hormonal disorders.
Violation of metabolic processes
Violation of calcium-phosphorus metabolism leads to a change in the composition of cartilaginous tissues. Deformities of the joint are observed, they become fragile, painful sensations appear during movements and a crunch.
The effect of sports on joints: why knees crunch when squatting
In modern conditions, we often say that joint problems are caused by a sedentary lifestyle. Diseases have become much younger and in 80% of cases are the result of physical inactivity. However, do not forget that excessive physical activity, exercise with heavy weight also provoke arthrosis and other degenerative processes in the joints.
Weightlifting, lifting weights, constantly running and jumping inevitably leads to rapid wear and destruction of cartilaginous tissue.Therefore, most athletes already at a young age feel a crunch in the knee when walking and often pain when squatting. Many are prescribed special drugs, chondroprotectors, injections.
When to see a doctor
It is necessary to consult a specialist when the crunch is accompanied by pain and discomfort. If your knees crunch during exertion, during squats and do not cause any discomfort, in general, this condition can be considered a physiological norm.
Any swelling in the knee area, inflammation, burning sensation and tingling sensation should also be a reason for a visit to the doctor. In these cases, you should not self-medicate, use ointments, apply leaves and read conspiracies.
It is imperative to conduct a survey if single clicks are heard with a mechanical feeling that “something is moving or rolling there”. This symptom indicates a violation of the knee biomechanics.
Which specialist should I contact?
Knee and joint diseases are dealt with by several specialists.If there is a crunch in the knee and a sharp pain, you need to immediately contact an orthopedist, do an examination, X-ray, MRI. If there were injuries or injuries to the knee, you can additionally visit a traumatologist. Joint diseases are treated by rheumatologists.
In addition to examinations of the knee, the doctor may order arthroscopy, blood and urine tests. It is important to remember that the cause of joint disease is often kidney problems, increased ESR in the blood, metabolic disorders, obesity.
Prevention of crunching and pain in the knee
The tissues of the joints are practically not restored.However, excessive or premature wear and aging can be prevented. First of all, you should get rid of bad habits and lead a healthy lifestyle. This includes:
- Healthy sleep. The joints are nourished during movement by the synovial fluid. It is produced and absorbed into the cartilage tissue during sleep. It is important to sleep properly and enough so that the synovial fluid has time to compensate for the daily stress.
- Proper nutrition. This includes a balanced diet, as well as the use of special foods that prolong the youthfulness of the joints.In particular, these are foods rich in omega-3 and vitamin K: flaxseed oil, fish oil, cabbage, herbs, chia seeds.
- Physical activity, sports training. Fighting hypodynamia is the main way to prevent joint diseases in the modern world. Swimming, yoga, cycling, and hiking can help support knee health. If there are already problems and diseases of the joints, remedial gymnastics is prescribed. At the Institute of Vertebrology and Rehabilitation, it is included in the compulsory comprehensive program for the rehabilitation of patients.
- Weight maintenance. Our knees are under tremendous stress during the day. And each extra kilogram of weight increases them several times.
- Preparations with calcium, vitamins. Adequate calcium in the body helps maintain healthy joints by protecting them from premature joint damage. The daily dose of calcium for an adult is 1000–1200 mg per day. However, it is important to remember that calcium is absorbed along with vitamin D3.
- Healing baths, massage.Allows you to relax muscles and joints after intense physical exertion, relieve tension. During work, when the knees are under strong pressure or you have to place emphasis on them for a long time, you need to wear knee pads.
- The right shoes. As we said, a high heel and a flat sole put additional stress on the knee joint. Therefore, to maintain the arch of the foot and the correct functioning of the joint, shoes with wide heels no more than 4 cm high are suitable. When choosing sports shoes, give preference to sneakers with a good instep support.Otherwise, you can use special orthopedic insoles.
Treatment of joint pain in IVR
Joint diseases are easier to prevent than cure. But if problems do arise, do not postpone a visit to a specialist. If the crunch in the knee when walking is persistent, an examination should be carried out as soon as possible. In IVR clinics, an individual comprehensive treatment program is drawn up for each patient, depending on his diagnosis.It includes modern and effective physiotherapy procedures, massage, a course of medical gymnastics and training on special David medical simulators. In some cases, in order to remove pain and unpleasant symptoms, drug therapy is prescribed. A specially developed course of rehabilitation allows in 95% of cases not only to stop the progression of the disease, but also to significantly improve the condition of the joints.
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how to treat joints in the knees drugs reviews
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I ordered this ointment after seeing an advertisement on TV.They offered a limited amount with some kind of super-discount. This marketing did not really convince me, but I decided to test the ointment itself, because my usual balm for joint pains disappeared from the shelves of pharmacies. I took two tubes of Articulat, for myself and my husband. Used according to the instructions. His pain went away just after the first application, but I only had a tangible result by the end of the first week. Acts on everyone in different ways.
The effect of the application than to treat the joints in the knees drugs reviews
Useful properties of Articulat ointment saturates inflamed tissues with vitamins and microelements necessary for their restoration; controls the synthesis of synovial fluid; accelerates metabolism in tissues; helps to cleanse structures from slagging; acts comfortably, gradually relieving discomfort.
Articulat is produced in strict accordance with national standards. Raw materials are carefully selected, the finished product is checked. The company’s resource has all the documents confirming the quality and safety.
How to order
In order to place an order for how to treat joints in the knees drugs reviews, you must leave your contact information on the site. The operator will contact you within 15 minutes.Will clarify all the details with you and we will send your order. In 3-10 days you will receive the parcel and pay for it upon receipt.
Articulat restores cartilage tissue, nourishes the problem area with vitamins and microelements, and also removes water. The phyto-complex promotes the absorption of nutrients by the body and removes toxic components from the internal organs.
The drug Articulat helps to remove any joint diseases in just 21 days and for this it receives a lot of positive feedback.The complex eliminates arthritis, arthrosis, synovitis, osteochondrosis, bursitis. According to doctors, the remedy not only masks the symptoms, but really fights the disease.
The medicine Articulate restores joints regardless of the cause of the inflammation of the cartilage and bone tissue. Where to buy how to treat knee joints drugs reviews? Articulat is manufactured in strict accordance with government standards. Raw materials are carefully selected, the finished product is checked. The company’s resource has all the documents confirming the quality and safety.
Reviews on the treatment of knee pain. … We treat knee pain in 10 minutes without pills and injections: Read more about arthrosis of the knee in the article: Arthrosis of the knee joint: causes, symptoms, treatment. How to effectively treat knee arthritis at home? A drug treatment regimen may include: 1. NSAIDs. Non-steroidal anti-inflammatory drugs. They help to quickly stop painful sensations, relieve swelling and significantly. Tell us about the most effective remedies for sore joints…. My knee joints hurt. I am drinking now an anesthetic and anti-inflammatory drug, and at. Correct decision, drugs often cure one another cripple another. The gastrointestinal tract itself does not react well to medicines, folk remedies, etc. Ultrasound of the knee joint, ultrasound of the thyroid gland, tests are done. Nothing that from another city, my mother is also from the region, goes for treatment to the Yekaterinburg medical center. She drinks Don’s drug and puts Fermatron in her knee. The ultrasound also showed the cyst to be removed.Chatter. Ekaterinburg. Mother. It is necessary to restore blood circulation to the joint – I cured the knee with an Ipplikator, put the Ipplikator on the edge. Now there are a lot of different medications that will help get rid of pain in the knee joint, but Restoreyt Fitline was the best for me, it is a German-made supplement. The left knee joint hurts constantly, I even limp. Last Wednesday I arrived home by taxi, got out of the car, didn’t hit anywhere, didn’t pull my leg. I sat down on the bench to find the keys and I couldn’t get up from the bench.Called a doctor on Thursday. A therapist who once worked as a surgeon came. Said that. Dr. Evdokimenko talks about the treatment of arthrosis of the knee joint: Medicines for the treatment of the knee joint are produced in the form. Before treating arthrosis of the knee joint with any pills, consult your doctor. Do not take NSAIDs without a prescription. With inadequate use. Joint pain (finger joints, knee joints, etc.) with rheumatoid arthritis, osteoarthritis. … All drugs have been well recommended for a long time.The list of knee medications will continue to grow. True joint pain (arthralgia) can be accompanied by joint inflammation (arthritis). Sometimes joint pain occurs due to other pathologies – trauma, degenerative processes, infection. In any case, the patient will have some degree of damage to the cartilage and surrounding tissues. If the joint has worn off, as in the case of an extreme degree of coxarthrosis, then no drugs will be able to grow a new joint. … with arthrosis of the knee joint, it is necessary to limit the vertical load on the joint.If knees hurt – how to treat them correctly? First of all, it is necessary to accurately apply mud treatment of the knee joint Healing mud The main causes of pain in the knee joint: possible diseases. Write a feedback. Reviews ›Health and Beauty› Medicines. Preparations for ligaments and joints – reviews. In case of acute inflammation of the joints, these procedures cannot be done! First you need to remove the inflammation! And so to help the treatment with drugs I am. How to lose weight correctly and effectively. • How I treated knee osteoarthritis.Oh, this enema !!! Anti-cellulite wraps at home. The orthopedist made a diagnosis even without a picture and immediately offered to make injections into the joints, restoring the cartilaginous tissue, as it were. Who did, is it worth it right away? And if it is, then what did they inject? Good evening) I had pain in my knee before, occasionally and more than bearable. Two weeks ago, there was a very heavy load on the legs and, as a result, a slight pain when bending.
Useful properties of Articulat ointment saturates inflamed tissues with vitamins and microelements necessary for their restoration; controls the synthesis of synovial fluid; accelerates metabolism in tissues; helps to cleanse structures from slagging; acts comfortably, gradually relieving discomfort.
how to treat joints in the knees drugs reviews
I ordered this ointment after seeing an advertisement on TV. They offered a limited amount with some kind of super-discount. This marketing did not really convince me, but I decided to test the ointment itself, because my usual balm for joint pains disappeared from the shelves of pharmacies. I took two tubes of Articulat, for myself and my husband. Used according to the instructions. His pain went away just after the first application, but I only had a tangible result by the end of the first week.Acts on everyone in different ways.
Which doctor should I go to for the treatment of arthrosis? Arthrosis is a pathological change of a degenerative nature in the joints of the cartilage tissue. With the development of the disease, cartilage is damaged and tissue thinning. lameness (with arthrosis of the joints of the legs) is an involuntary reaction of the body to pain, it is designed to reduce the load on. If the city is small and arthritis and arthrosis are diagnosed, which doctor treats the pathology becomes obvious – a rheumatologist. The first step is to go to a rheumatologist, his medical.Arthrosis treatment in Moscow is carried out by the best specialists of JSC Family Doctor. … Arthrosis (or osteoarthritis) is a disease of the joints associated with the destruction primarily of the cartilaginous part of the joint, as well as the adjacent bone articular structures and articular ligaments. Osteoarthritis like. What kind of doctor treats arthrosis of the joints. What kind of doctor treats arthrosis and arthritis of the joints. Damage to the cartilage in the arms and legs are specific diseases called arthrosis and arthritis. Damage to the cartilage in the arms and legs are specific diseases called arthrosis and arthritis.With their development, there is a thinning of the periarticular tissue, dehydration of the synovial fluid. A small guide-answer to your and similar questions. If arthritis – who to go to? 1) one joint became inflamed after injury. The pain is greater with exertion, it passes at rest. The pain is not severe and you can move. Therapist. 2) one joint became inflamed after injury. Pain on exertion and at rest Pain. Which doctor treats joint inflammation? How does a rheumatologist examine? Does an orthopedist treat joints? How does a doctor treat arthritis and arthrosis? As you know, joint diseases such as arthrosis and arthritis are currently widespread.What is the reason for this? We will help you find a doctor. Call us! Doctors treating arthrosis of the knee joint in Moscow. Here you can choose a doctor specializing in the treatment of arthrosis of the knee joint. If you are unsure of the diagnosis, make an appointment with your GP or GP to clarify the diagnosis. What doctors. Which doctors specialize in joint diseases. … Arthrosis is an insidious disease. It develops for a long time, and with its course the patient gradually. With the appearance of discomfort and pain in the area of the joints of the legs, people often do not know which specialist can solve their problem.And if pains appear. What kind of doctor is a specialized specialist in the treatment of arthrosis. … Which doctor treats arthrosis of the knee joint and others, who to contact. From this article you will learn: which doctors treat arthrosis of the joint (knee, hip and others). Which doctor should I go to if there is no specialized specialist?
MRI in the diagnosis of diseases and injuries of the knee joint
In life, we often encounter pain in the knee joints. They can be associated with the trauma suffered or arise “out of the blue” when it seems that there were no adverse effects on the joint.The knee joint takes on a significant load from the weight of the human body, so problems with the joint limit our physical activity and force us to consult a doctor.
In most cases, when contacting a traumatologist with complaints of pain in the knee joint, the doctor will prescribe magnetic resonance imaging. MRI evaluates soft tissue damage, including ligaments, menisci, joint capsule, and adjacent tissues.
Also, MRI is useful for diagnosing the condition of the articular cartilage and bones that form the knee joint.
Magnetic resonance imaging is a research method based on a magnetic field, it does not expose the patient to ionizing radiation, therefore it is considered harmless. The study is performed in the supine position. The knee joint is located inside a special radio frequency coil, after which it is immersed in a tomograph. The examination does not require special training and can be performed at any time of the day.
MRI of the knee joint most often does not require the administration of contrast agents.For the study of ligaments and menisci, standard MRI is as informative as a study with contrast. However, in rare cases, when it comes to tumor lesions of the joint, the use of a contrast agent can provide additional important diagnostic information.
Choosing a tomograph with the optimal magnetic field strength for examining joints is an important factor in obtaining a correct diagnosis. The best results for examining the knee joint can be achieved on high-field tomographs with a field strength of 1.5 Tesla and 3.0 Tesla.
The ability to diagnose ruptures and injuries of the cruciate and collateral ligaments of the knee joint is a great advantage of MRI. Injuries to these ligaments can also be investigated using ultrasound, but its informative value is inferior to tomography. X-ray research methods (CT, X-ray examination), although informative for detecting bone fractures, are powerless to diagnose ligament pathology.
Meniscus injury is an important sports injury.The most common meniscus tears occur in football. If you suspect meniscus pathology, you cannot do without an MRI of the knee joint. The lateral and medial menisci are equally clearly visible during the study.
In addition to primary trauma, MRI is used in the diagnosis of changes after surgical interventions, including resection of the menisci and prosthetics of the anterior cruciate ligament.
In addition to the ligaments, MRI of the knee examines changes in the bones that make up the joint.Deformation of the articular surfaces by calcium deposits – osteophytes – occurs in arthrosis. Defects and damage to articular cartilage, areas of subchondral sclerosis are important for the diagnosis and determination of treatment tactics. An MRI scan can detect edema and aseptic necrosis in the bones and determine their severity. Fragments of osteophytes or chondromic bodies in the joint cavity (popularly called “articular mice”) can cause significant inconvenience, but if they are detected early on MRI, a traumatologist will be able to offer treatment aimed at eliminating the cause of pain, and not just pain relievers.
MRI is also the leading method for diagnosing inflammatory diseases of the knee joint. The study perfectly shows the pathological accumulation of fluid in the joint cavity with bursitis, as well as thickening and proliferation of the synovial membrane with synovitis. Inflammatory bone disease is less common, which is also successfully detected using MRI.
Knee examination is the most common MRI procedure performed at the National Medical Research Center for Cardiology.The doctors of our center have extensive experience in performing such studies, starting with the very first tomographic examinations in our country.
Fig. 1. MRI of the knee joint is normal.
Fig. 2. Rupture of the medial meniscus.
Fig. 3. Rupture of the anterior cruciate ligament.
Treatment. Knee-joint. Dislocation of the patella
Description of the disease, symptoms and causes, methods of treatment.
Description of the disease:
The patella is the largest sesamoid bone of the human skeleton, located in the thickness of the quadriceps femoris muscle.The bone is perfectly accessible for examination and palpation. The main function of the patella is to protect the knee joint from lateral displacement and mechanical shock from the front.
Dislocation of the patella is not a life-threatening condition, but it will not be possible to correct it on your own. The first symptoms appear immediately: the patient is worried about a sharp pain, especially when moving. Often the knee joint is bent in a forced position.
After half an hour, inflammatory edema grows, which does not subside for a long time after the dislocation has been repositioned.Given the rather difficult situation of the patient, it is recommended to seek urgent help from a traumatologist to provide qualified assistance. If everything is done efficiently and quickly, treatment of a patellar dislocation will take a little time and will quickly return the patient to his feet.
If a severe mechanical injury was inflicted, the knee joint is swollen and there are suspicions of a dislocation of the patella, then it is easy to independently verify the correct diagnosis: visually, the patella will be displaced, especially when comparing a healthy and damaged limb.Do not forget that even with its conditional correct location, the patella can be damaged; we are talking about a fracture.
Symptoms and Causes:
Most often, dislocation of the patella occurs when playing sports. Also, a dislocation can occur with a sharp turn of the leg in the knee joint, the foot of which is firmly on the ground, or when falling to the knee.
Why is it worth seeking help from a qualified specialist?
Lack of timely treatment can lead to disability and delay the further rehabilitation process.
- consists in repositioning the dislocation (first, the leg is bent in the hip joint, to loosen the tension of the tendons with the 4 heads of the thigh muscle, then the injured limb is extended at the knee joint and the dislocation is eliminated, at the end a plaster splint is applied or an orthosis with a variable angle of flexion is applied). ;
- after the dislocation has been reduced, a control X-ray is prescribed to confirm the dislocation has been reduced;
- after that, the patient walks in a splint for 4-6 weeks, during which physiotherapeutic (interference therapy, ultrasound with hydrocortisone) and therapeutic procedures (massage) aimed at eliminating inflammation in the knee joint and preventing contracture, and myostimulation, to maintain 4- x the head of the thigh muscles in tone and preparation for the active phase of rehabilitation.
Full load on the limb is allowed one month after injury. All activities are carried out only under the supervision of a physiotherapist and a rehabilitation physician.
It is necessary only if conservative treatment has not brought results or in case of repeated patellar dislocations.
The main goal of such treatment is to return the patella to a central position and normalize the congruence of the articular surfaces.