Knee pain is a common problem… in fact one of the most common maladies seen simply by both rheumatologists as well as orthopedic surgeons.
Like most common medical problems there are many myths circulating about what to do with knee pain.
Myth #1: “Knee pain is something you just walk away from… ” Nothing could be farther from the truth. In fact , trying to “walk this off” can cause irreparable damage. Reasonably, most people with a significant knee problem will have a great deal of difficulty walking whatsoever.
Myth#2: Unless it’s swollen, difficult serious… ” Many serious leg problems can cause symptoms other than inflammation. For example a ligament problem will cause significant pain yet, the swelling will be minimal.
Myth#3: “Just make use of a rub or put heat onto it… ” This is not completely wrong but is not a good option with acute knee injuries. Glaciers and rest is what is usually recommended to help reduce swelling and pain.
Myth#4: “You’ll need surgery…
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” Unless of course the knee problem involves significant internal damage to vital structures inside the knee such as a torn anterior cruciate ligament, torn meniscus, and such, surgical treatment may not be the best approach. For example many types of knee problems such as bursitis, tendonitis, and ligament strains can be managed medically using physical therapy, glaciers, non-steroidal-anti-inflammatory medicines, and injections associated with platelet-rich plasma.
Myth#5: “All you will need is a cortisone injection… ” Corticosteroid injections have their place. For example , along with degenerative arthritis, knee pain can be a serious problem. A recent Dutch research showed the prevalence of unpleasant disabling knee osteoarthritis in people over 55 years is 10%, of whom one quarter are severely disabled. (Peat G, McCarney R, Croft P. Ann Rheum Dis 2001; 60: 91-97). In a situation like that, corticosteroid injections can afford great relief. Yet no more than three injections per year must be given for arthritis because steroids can lead to further cartilage deterioration. Alternatively, if osteoarthritis is the culprit, lubrication injections, viscosupplements, can be used to relieve discomfort and improve function.
Myth#6: “You need to see an orthopedic doctor… ” What do surgeons do? Surgeons “surgerize”… they cut. Knee discomfort should be managed by a rheumatologist except if there is clear cut evidence that will damage to internal structures require surgery. This is particularly true when it comes to osteo arthritis of the knee where autologous originate cells, a patient’s own originate cells, may forestall the need for knee replacement surgery.
Myth #7: “There are only a couple of causes of knee pain… ” There are more than seventeen substantial causes of knee pain and they are just about all managed differently. Examples include bursitis, tendonitis, ligament injuries, Baker’s cysts, neural related pain, referred pain through the hip, medial plica syndrome, and so on and so forth.