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Wednesday, October 28, 2009

Knee Pain and Loss of Knee Function

By Dr. Stefan Tarlow

Knee pain is usually caused by arthritis. There are three common types of arthritis: rheumatoid, traumatic, and osteoarthritis.

When you injure your knee, it can cause traumatic arthritis. This is a condition that develops over time as damaged ligaments and or bones cause further damage to the knee structure and break down the articular cartilage.

Rheumatoid arthritis causes the synovial membrane to produce too much fluid. The fluid overfills the joint space, thickens, and becomes inflamed causing damage to the knees cartilage. This chronic condition causes loss of cartilage, stiffness and pain.

If the cushion of cartilage in the knee wears out, it leaves the bones to grind against each other. This extremely painful condition is known as osteoarthritis. It is usually a problem for people over fifty years old, especially those who have a history of osteoarthritis in the family.

Knee Replacement May Bring Relief

Talk over all your options with your family and your doctor. If it seems total knee replacement surgery may be a good idea for you, your doctor will refer you to an orthopedic surgeon, who can give you all the details about surgery and other options. Once you are fully informed, you can make a confident choice.

Click here for more on knee pain solutions .

Here are some good reasons to have total knee replacement surgery:

Exhaustion of Options: You have tried everything else without success. Once you have gone through physical therapy, cortisone injections, and other types of surgery to no avail, it is definitely time to consider total knee replacement.

Difficulty getting through each day without pain. If it hurts to stand up, sit down, walk, climb stairs, get in your car, get out of your car, and so on, it is time to try total knee replacement. This is also true if you are doing all these things, but you are using a cane or a walker to manage them.

The following symptoms indicate the need for total knee replacement:

Stiff knee joints that will not straighten or bend.

Your knee hurts even when you are resting it.

You are knock-kneed or bow-legged and it is causing pain and problems.

Your aspirin or ibuprofen dont work any more. Understand that these medications are good for early symptoms, but as your pain worsens, they cant keep up.

Your knee continues to be swollen, red and painful, even after you have taken medication and rested it.

It is important to realize that the effectiveness of medications may vary widely from patient to patient. The more severe your arthritis, the less effective medications will be. Over time, you may build up a tolerance to medications that prevents them from being effective, or you may develop complications that prevent you from being able to use them at all. - 17268

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