The Clinical Center of Friedrichshafen (Orthopedic department) under Prof. Dr. Winter offers efficient treatment for various problems in knee and knee joints. Pain, discomfort and crackling sound in your knee can turn any walk into a real challenge. Annually about 4000 knee surgeries are carried out in our department. Pain syndrome is an alarm trigger. Pain usually warns about some functional disorder or instability in knee joint. The stability in knee joint depends on a few factors: the state of ligaments, tendons and joint muscles, as well as elasticity of intra-articular epiphyseal plates - meniscuses.
Severe pain appearing in the inner part of the knee, as well as edema around the knee joint is a sure sign of meniscus injury. It causes incorrect load distribution in the joint, and in the course of time its rupture. If you felt some sort of “crack” accompanied with acute pain, this can be a meniscal tear that is fraught with physical disability and continuous treatment.
Intra-articular fluid collection in knee joint cavity is often accompanied with excruciating pain and movement disorder.
The injury of articular tendons can be a result of rapid turn with the fixated foot position. If only a few fibers were damaged, a person feels a light discomfort in joint. If tendons were completely broken, the pain becomes acute, sometimes insufferable. Leaving such condition without control a patient imposes himself to a risk of arthrosis deformans development.
Inability to step on foot due to pain sense points at instability in knee joint. Tendinitis or a “jumper knee” is typical for those who overload legs while training. Due to continuous stretching in tendon fibers micro-strains and cracks appear. In this case inflammation covers a tendon between knee-cap and shin bone.
Pain in knee face side occurs due to dystrophic changes of the articular facet that also leads to permanent inflammation. Sometimes it covers all tendon, and this condition is called osteoarthrosis of the knee.
Such a discomfort always has a reason. As a rule other symptoms precede it. If it occurs not only when loading legs but also while walking, you should consult a doctor. This can be a sign of arthrosis or rheumatism.
Pain in knee can be caused by excess body weight. In this case the load on joints should be reduced by diets and moderate physical activity.
Pain in knee while going upstairs can be a sign of inflammation in bursa under inner atricular cavity.
The knee joint and its surrounding structures are susceptible to numerous injuries, inflammation and degenerative processes (signs of wear).
Common traumatic injuries in the knee joint are:
Inflammatory processes that can affect the knee are:
One of the most common forms of joint wear and tear concerns the knee joint (knee joint arthrosis = gonarthrosis). In addition, general bone diseases can also affect the knee joint, such as benign or malignant tumors, osteoporosis and osteomalacia. Last but not least, congenital malformations (musculoskeletal deformities) or malpositions of the leg or hip can impair the function of the knee joint.
As a gonarthrosis, doctors call a joint wear in the knee. Mostly there is no concrete trigger for this: The knee joints were simply loaded too much. Gonarthrosis can cause knee pain. These can be treated with medication, exercises or surgery.
Gonarthrosis: Where does it originate?
The gonarthrosis is a joint wear (arthrosis) in the knee: The articular cartilage wears off. Later, adjacent joint areas such as bone parts are damaged. Osteoarthritis always forms between two parts of the bone. The knee joint is formed by three bones:
There is a joint connection between these bones. The tibia, with its middle (medial) and lateral (lateral) part, even forms two joints with the thigh. In technical terms this is called the different compartments in the knee.
Osteoarthritis forms in the knee
Osteoarthritis in the knee can affect one or more parts (compartments) of the knee joint:
Medial and lateral gonarthrosis
If the inner portion of the knee joint is affected by the wear, there is a medial gonarthrosis. If it is a knee osteoarthritis in the outer area, it is called a lateral gonarthrosis.
A worn joint can easily ignite. Cartilage parts come off, cells are destroyed. They accumulate in the synovial fluid and attract inflammatory cells. From a simple gonarthrosis, an activated gonarthrosis develops. The knee joint and surrounding tissue can swell painfully. The activated gonarthrosis can revert to a non-inflamed osteoarthritis in the knee joint with proper therapy.
Knee joint arthrosis is the most common form of arthrosis in Germany. The information on the frequency vary greatly. The reason is that there are no uniform criteria for the diagnosis of gonarthrosis. Most diagnoses are based on the radiological signs of osteoarthritis. These are indications of joint wear in X-rays, computed tomography or magnetic resonance tomography.
For gonarthrosis and other forms of osteoarthritis some general therapies apply. This includes, for example, to relieve the affected joint, but still to move regularly.
Heat applications such as heating pads or baths help against chronic arthritis pain. Acute complaints, on the other hand, can be alleviated with cold applications such as ice packs. If necessary, medications for the pain are prescribed.
Gonarthrosis therapy: surgery without joint replacement
In knee osteoarthritis, it may be helpful to rinse the joint (lavage). In addition, rough cartilage surfaces in the joint can be smoothed (debridement). Both procedures are performed as part of a joint mirroring (arthroscopy). Another option for gonarthrosis surgery is corrective osteotomy. The bones that build the joint are positioned differently. This should reduce the stress on the arthrosis areas.
Gonarthrosis therapy: surgery with joint replacement
Sometimes osteoarthritis can not adequately relieve knee discomfort caused by conservative measures or joint-preserving procedures. In case of severe gonarthrosis, the affected knee joint is sometimes replaced by a prosthesis: If knee osteoarthritis affects only one compartment, a single-compartment endoprosthesis may be used. In a knee osteoarthritis in several compartments is a total endoprosthesis into consideration.
Any ache while training or resting should be discussed with your orthopedist. As a rule, the diagnostics requires more procedures than a common ambulant examination. A patient can go through MRI (magnetic resonance imaging). X-ray is usually an additional diagnostic procedure, as many injuries are not seen on X-ray image.
Treatment directly depends on the type and stage of the injury. Sometimes non-steroid drug therapy with anti-inflammatory and analgesic effect is enough. Only after eliminating pain syndrome while walking a patient can continue the treatment of problems in knee joints with the aim of remedial gymnastics and massages.
If surgery is inevitable, don’t despair. As a rule, after a surgery patients forget about pain in knee. If you were diagnosed with arthrosis, and pain in knee gets worse within years, you can be prescribed with a joint lavage and clean out procedure. During this minimally invasive procedure fibrous and calcareous deposits, as well as other structures causing local inflammation are removed. After this you will forget about pain in knee. On later stages the need in joint replacement or other radical treatment may occur. The implant is created in full accordance with patient’s anatomy.
The team of experienced orthopedists of our clinic will help you not only to get rid of painful knee, but also to point out the very reason of it. Our clinic offers an effective system of preventive and rehabilitation therapy to exclude pain in knee and to prevent its recurrence. Besides the arthroscopic knee surgery helps in many cases avoid the the massive intervention and eliminate pain.
We will help you to return the joy of move!
If you have any questions or would like a primary consultation, contact us under the number +49 7541 97 82 751 or via email .
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