By Cameron Delicato, PTA, Certified
Throughout your lifetime you may experience different pains in your joints, whether it’s from some sort of trauma or just a gradual progression of increased joint pain. At the Jacksonville Orthopaedic Institute our expertly trained physical therapists can help determine the best form of treatment for your aching knee pain. There are a number of different types of arthritis that can impact the many different joints in your body. Watch this VIDEO on why knee pain can’t wait for treatment. Three of the most common types of arthritis of the knee include:
2. Rheumatoid Arthritis
3. Post-Traumatic Knee Arthritis
Osteoarthritis/Arthritis in your Knees
Osteoarthritis is typically caused from normal wear and tear. It is very common that people experience some sort of Osteoarthritis at some point in their life. After repeated wear and tear over a long period of time the cartilage that surrounds and protects the bones around the knee begin to break down. Once enough cartilage has broken down the surrounding bones begin to rub against each other, which leads to increased pain and/or stiffness in the knee. There are several different symptoms you may experience as a result of Osteoarthritis such as:
- Aching pain
- Stiffness after movement
- Pain during normal daily activities
- Decreased range of motion
- Pain in the back of knee
Knee Arthritis and Painful Knees
If you experience any of these symptoms and they are limiting your day-to-day life then schedule to see an orthopedic surgeon to diagnosis (X-Ray) and review options for conservative vs surgical options.
Exercising is vital to helping with your Osteoarthritis, it is important to find a good balance that fits your physical ability. Exercises that are high-impact have the risk of creating more issues for your knee joints. A good way to start is a light walk around your neighborhood to gauge your tolerance. Another area to focus on is maintaining a healthy weight. Those who are overweight or obese have a higher risk of suffering from osteoarthritis because of the added stress to their joints. For further pain relief there are a variety of pain-relieving medications and anti-inflammatory treatments such as corticosteroids that may be taken and prescribed by an MD.
With the help of our therapists at The Jacksonville Orthopaedic Institute they can show you the proper stretches and strengthening exercises that can increase flexibility, mobility, and stability to combat your Osteoarthritis. If the pain does not become more manageable or even increases in intensity, surgery can be used as an alternative, which typically are partial or total knee arthroplasty.
Learn more about total knee replacements here: https://www.joionline.net/library/show/total_knee_replacement/
Auto Immune Disease
Another source for the pain in your knee could come from an autoimmune disease known as Rheumatoid Arthritis (RA). Those with RA have an immune system that mistakes good healthy cells, for invader cells which leads to the body attacking itself in an attempt to get rid of these “invaders”. One way to tell if you have Rheumatoid Arthritis vs. Osteoarthritis is the occurrence of pain on both sides of your body, such as both knees. A few other symptoms include:
- Tender, warm and swollen joints
- Joint stiffness that is usually worse in the mornings and after activity.
- Fatigue, fever and weigh loss
Treatment of RA
Several of the treatments for each of the previous two types of arthritis are very similar. Rheumatoid Arthritis pain can be greatly helped with exercise. With the help of regular exercise you can strengthen the surrounding muscles around the joint to aid with support of the joint. There are also several medication and anti-inflammatory options for RA. A couple examples of these include:
- NSAIDs (Nonsteroidal anti-inflammatory drugs)
- DMARDs (disease-modifying antirheumatic drugs)
If you want to learn more about RA, please go to this RA ARTICLE. For more severe cases surgery may be recommended to help with pain relief. As with other surgeries, therapy will be utilized to increase mobility and strength after surgery. Many assistive devices are available to help with this issue and can even be custom made. Such devices are braces and splints that support the joint and decrease pressure and pain.
Post Traumatic Arthritis
This type of arthritis can be a result of a few different injuries or trauma. Post Traumatic Arthritis can develop after a bone fracture, a tear of the surrounding ligaments, or a meniscus tear. The result of these injuries can cause the cartilage to deteriorate over time. After the initial surgery for the traumatic injury, many of the same remedies for the other types of arthritis will be used to treat the symptoms.
Treatment for Arthritis in the Knee
Arthritis in the knee can vary in severity, so treatment options will be determined based on the degree of damage to the cartilage. Early stages of arthritis are often treated conservatively with non-operative measures, such as Physical Therapy or injections. In some cases, arthroscopic surgery is indicated to reduce knee pain and inflammation. Advanced stages of arthritis can lead to severe deficits in joint mobility and pain, and a joint replacement surgery may be necessary. To learn more about about running and arthritis, please go to: Arthritis
An Orthopedic doctor would need to diagnose the knee by using X-Rays and a physical examination to determine the extent of arthritis. From their diagnosis, they would determine the appropriate treatment plan for each patient.
It does not matter which type of Arthritis you have, the JOI Physicians and JOI Rehab staff have several different state of the art treatment protocols to help you get back to the things you love.
Robotic Total Joint Replacements
If you would like to learn more about robot assisted total knee surgery, go to: https://www.joionline.net/library/show/makoplasty-robot-assisted-total-knee-replacement/ or call JOI-2000.
Jacksonville Orthopaedic Institute has physicians and therapists that provide innovative knee care for each and every patient, and we will customize a rehab program to meet your needs.
- To schedule a new patient or follow up patient appointment with your MD, please call (904)JOI-2000
- To schedule an appointment for physical or occupational therapy, call 904-858-7045 or call any of the 12 area JOI Rehab Centers.