How should my knee joint be treated?

You have to use your knee joint every step, so getting sick with your knee joint will make your life miserable. Even squatting down to tie your shoelaces hurts. However, you don't have to live like this. In many cases, an orthopedic specialist who specializes in treating joint diseases can replace your damaged knee joint. This is a safe and effective operation. For most patients, total knee replacement means restoring painless knee movement. Here will help you understand what knee replacement means to you.

Defective knee joint

No matter how old you are, a defective knee joint will prevent you from participating in your favorite activities. Pain and stiffness can even limit your daily life. As time goes on, the problem of knee joint becomes more and more serious. The following causes can cause pain in your knee joint:

Poor healing of joint injuries.

chronic ailment

Senile strain

One of the new treatments for knee pain: injection of joint lubricant.

Everyone is suffering from knee pain, especially the elderly, which is more difficult to avoid; However, the pain in the knee joint is not necessarily a disease in this part, but may be a problem with other more important organs or parts of the body.

Do a good job of warm-up exercise before exercise, lubricate the joints naturally, and make the knee joint operate comfortably.

"Many patients come to me because of knee pain," said Tao Jin Xin, an orthopedic consultant at Elizabeth Hospital. After the examination, they found that the knee pain was due to spinal problems.

"In fact, some people sit for too long, such as working in an office, and may not leave their seats for an hour or two. When they stand, their knees and patellas may also hurt. " This may also be knee pain caused by spinal factors.

Last weekend, Dr. Tao attended a lecture on "Healthy Living, Healthy Living" held in the auditorium of newspaper holding headquarters, and explained the "new therapy for knee pain" to nearly 600 participants.

Joint aging and wear

Knee joint pain is one of the most common diseases, which brings great inconvenience to patients' actions. Dr. Tao said that normal aging and wear of joints are the most common causes of knee pain and inflammation. Other causes include joint inflammation, joint collision and joint dislocation, which can also cause joint pain.

Meniscus injury is a common knee joint disease in clinic, and it is also the most common trauma that causes knee joint pain. About 30% to 40% of patients with knee joint problems who usually come to the hospital are due to meniscus injury.

This disease is common in teenagers, especially those who are active and athletic, mostly men.

Speaking of treatment methods, he said that generally speaking, the treatment of knee pain is mainly conservative therapy, and the most commonly used is drug therapy to relieve pain. In addition, only patients with serious illness can be operated by injection or physical therapy.

He said: "drug treatment includes giving patients painkillers and anti-inflammatory drugs, which are only suitable for patients with mild illness." However, taking medicine often has side effects, such as gastric ulcer and kidney. Some patients use Chinese medicine or listen to other remedies, such as Indian medicine to treat joint pain. "

Physical therapy includes reducing strenuous exercise, losing weight, studying gait, training movements and foot strength.

He said: "But these therapies are not effective for every patient. Therefore, more effective treatment methods must be adopted. At present, doctors give patients an oral cartilage regeneration drug' glucosamine', which has been proved to delay the deterioration of osteoarthritis, but some people with too serious conditions have no effect. "

Those with severe knee pain will eventually have to undergo surgery. Doctors perform corrective surgery and knee arthroplasty for patients through endoscope.

The most common knee surgery performed by doctors is to implant artificial metal sheets into patients' knees. He said: "This method is very effective. After the operation, the patient's knee pain can be eliminated and he can move freely. The only disadvantage is that the patient can't squat because it will damage the implanted metal sheet. Usually this operation can last for 10 to 15 years. "

Joint lubricant therapy

Dr. Tao said: "We also used a drug called ‘synvisc', which injected joint lubricant directly into the patient's joints, and the joints were lubricated immediately, making the patient walk more smoothly. This is like the lubricating oil of a car, which can make the whole car run more smoothly. After the injection, it is not a problem for the patient to travel abroad.

"However, the cost of this new drug is relatively high. Every 300 yuan, patients must have an injection every week, a total of ***3 needles. " Although this drug is effective, doctors do not encourage patients to inject this drug for a long time.

The latest therapies include knee joint cell tissue reconstruction and knee joint cartilage reconstruction. Cartilage regeneration therapy includes inlay surgery, cartilage culture and transplantation, periosteal transplantation and unicondylar replacement invented by Hungary.

At present, the medical community is studying a gene therapy to stimulate cartilage regeneration to keep the knee joint strong.

The above lecture was jointly organized by Lianhe Zaobao, East Coast Hospital, Eagle Pavilion Hospital and Elizabeth Hospital.

Prevention of knee joint injury

Among all sports injuries, knee joint injury is the most serious. If the cartilage of the knee joint is broken or the cruciate ligament is broken, it will lead to knee joint pain, repeated swelling, thigh muscle atrophy, weakness and joint adhesion.

The most serious is the rupture, relaxation and dislocation of cruciate ligament. Most of these injuries can't be healed, and athletes can't continue to engage in fine twisting movements.

However, as long as you know how to protect the knee joint, many knee joint accidents can be prevented.

First, improper or no warm-up.

Many people often do leg stretching exercise first when exercising, but they don't know that leg stretching exercise is the main cause of knee injury.

When exercising, your knees should bear a lot of pressure, so you must warm up properly to avoid injury.

Exercise without warm-up is equivalent to no natural lubrication of joints, and of course the operation of knee joints is not smooth. In addition, cold and tight muscles are not conducive to the smooth operation of joints. Sudden starting or ending actions will tear the muscles around the joints, leading to or aggravating overuse injuries, such as tendinitis, or hurting cartilage.

Second, stop exercising at the right time.

Excessive exercise is often counterproductive, which not only reduces physical fitness, but also is one of the factors of knee joint injury.

If you feel uncomfortable in your knees during exercise, that's acceptable; If you feel pain after exercise or the next day, the situation is not good. Prolonged pain, limping and swelling around the knee are warning signs of knee injury, and you should seek medical attention immediately.

Third, overweight and improper diet.

Obese people have to bear more weight on their knees, and their knees will be "reimbursed" sooner or later.

As simple as going upstairs, the pressure on your knees is four times that of usual! If you are 5 kilograms overweight, then every time you climb the stairs, it is equivalent to carrying 20 kilograms of "fat" on your back!

Eating (meat) and drinking (wine) is also the black hand that hurts the knee joint.

As long as you often eat fast food and drink beer, and your body lacks enzymes that can avoid decomposing uric acid, you have gout. Gout patients will have joint swelling and pain.

If there is uric acid is too high in the blood, uric acid will go to sodium "companion" and form sodium urate crystals. Once sodium urate is deposited on the joints, white blood cells in the body will attack it as a foreign "hacker" and form gout.

Treat knee pain

You should use your joints when standing, sitting and walking, but sometimes your joints suddenly feel as painful as collapse. In particular, sudden physical activity or running is most likely to cause joint pain. At this time, no matter going up and down the stairs, you will feel great pain.

If it is chronic pain, it hurts as long as the weather changes, and the feet can measure the weather as accurately as the meteorological station. If it worsens, it may become a knee joint disease, accompanied by bending, which makes the knee unable to bend. The reason of joint pain is that the bones are fragile and become free small bone fragments due to years of friction or calcium. However, many people think that the elderly will feel pain to some extent because of their weakness. If it is chronic, they can only get used to the pain, because it is incurable.

Twisted tendons or cracks in bones are difficult to heal and eventually lead to arthritis. But as long as it can be treated before it becomes chronic. If it is not handled properly, it hurts every cold night, so cover it with a warm and wet cloth. This kind of person should not take a cold bath, but keep warm in winter to prevent the pain from happening again.

Acupoints and acupressure therapy for Treating Knee Joint Pain

Joint pain is not limited to the knee, but sometimes the ankle, wrist and arm also feel pain. Finger pressing "knee eye" is very effective in treating joint pain. Now briefly introduce this acupoint.

The "knee eye" is located in the depression below the knee when folded at right angles. When acupressure, use the middle finger of both hands, exhale slowly and press hard for 6 seconds, and do this left and right 10 times, 3 times a day. Then the joint pain can be removed unconsciously.