Knee Arthritis (Symptoms & Treatment)

Arthritis of the knee is extremely common generally affecting those over the age of 50. Younger patients may suffer arthritic pain in their knees due to previous injuries to the joint, or repetitive sports related injuries from Running, Rugby, Soccer, Hockey, Martial arts and Skiing. Early and mild arthritis is successfully treated with physical therapy, activity modification, medication, joint injections and rarely with key hole surgery.

What is it?

Arthritis (inflammation and pain of a joint) is caused by damage to the cartilage covering the joint surfaces.

How is it caused?

It is often caused by age related wear and tear, but osteoarthritis can also be caused by abnormalities of the joint due to other conditions such as poor blood supply to the cartilage (Avascular Necrosis), and Injuries to the joint (from Fractures, instability, meniscal tears, repetitive trauma or infection).

What are the symptoms?

Pain: These include a dull ache in the knee which may come and go or be constant. Going up and down stairs is an often one of the early signs. Instability and giving way of the knee as well as pain also occurs.  In some cases, pain may make it difficult to walk long distances without limping.  Later, night pain can disturb your sleep.

Stiffness: You may find that it’s more difficult to bend and straighten your knee, and you may hear (or feel) grinding and cracking in the joint when it moves.

How is it diagnosed?

After discussing your symptoms, the specialist will usually back up the diagnosis with X-rays and MRI or CT scans to show the extent of damage to the cartilage and to see if there is an underlying cause.

How is it treated?

Non-operative treatment: this includes taking anti-inflammatory medication, if advised by your doctor, along with a rehabilitation programme of gentle exercises to improve your strength and range of movement. Weight loss, combined with using an exercise bike, can be very effective in the early stages. However, arthritis is a progressive condition that will become worse over time.

Surgery: Knee replacement is the only treatment that can ‘cure’ knee arthritis but is only advised when pain is significantly affecting your everyday life.

"I would like to say that my Hip and Knee replacement surgery was carried out by Mr Edmondson with great skill and excellent care. I am now pain free and mobile again. Should I ever need more surgery I would definitely prefer to come to The Montefiore Hospital with Mr Edmondson."

Gweneth Denman

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