Dr. Barik's Orthocare Clinic

Meet Our Doctor

Dr. Sanjay Barik

Orthopedic and Joint Replacement Surgeon

Dr. Barik's Orthocare Clinic

Dr. Sanjay Barik is an experienced Orthopedic Doctor in Ramdaspeth, Nagpur. He is a qualified MBBS Bachelor of Medicine and Bachelor of Surgery, MS – Orthopaedics.
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Knee Pain Treatment In Gondia

Knee Pain Specialist in Gondia

The knee is a joint that has 3 bones. The thigh bone meets, the large shin bone forming the main knee joint. The kneecap or patella joins the femur to form the patellofemoral joint.

The kneecap joint is environment by a joint capsule with ligaments strapping the inner side and outer side of the joint, ‘medical & lateral collateral ligaments’. It also have ligaments crossing within the joint ligaments which provide stability and strength to the knee joint.

The knee joint have a thickened cartilage pad between the femur and tibia, known as ‘meniscus’.
The knee joint is environment by fluid filled sacs known ‘bursae’, which reduces friction of the tendons on bones.
Knee pain specialist in Gondia| Dr. Sanjay Barik.
The great muscles of the thigh move the kneecap or patella. In the back of the thigh, the hamstring muscles flex the kneecap. The kneecap or patella also rotates slightly under guidance of specific muscles of the thigh.

knee joint

Knee pain causes:

The most general reason for knee pain in 40+ age is wear and tear in the knee joint, called as Osteoarthritis. Osteoarthritis is not regenerative joint disease in which the articular cartilage and subchondral bone gets degenerated . When the cartilage thins, patient bones rub opposed to each other and the lining of patient joints, which is full of nerves and sensitive to pain. osteoarthritis develops earlier in former athletes who suffered knee injuries during their youth.

Its early symptoms are pain and stiffness in the morning or after strenuous activity. Morning stiffness usually resolves in less than an hr. Pain all side the joint that increases with weight bearing and movement and improves with rest is the commonest presenting symptom.

Clinical signs are tenderness, joint effusion, crepitus,, decreased range of physical movement, deformity of joint etc. X-ray shows low joint space, osteophytes formation and osteoporosis of subchondral bone.

Prevention & Care: In knee pain, one should avoid squatting, sitting on floor & climbing stairs.

Treatments

I) Non-pharmacological therapy: Quadriceps strengthening exercises, Deformity stabilization in which use of proper shoes transfers the load to the other compartment the disease process.

II) Pharmacological therapy: pain medications, agents which help in cartilage regeneration like chondroitin Sulfate and glucosamine Sulfate.

III) Interventions/injections:
1. Injection of cortisone directly into the joint may temporarily help to relieve pain and swelling.
2. Viscos supplementation with artificial lubricant may increase the production of lubricant.
3. Pulsed radiofrequency stimulation and ablation of hurt or painful nerves may be helpful for some Osteoarthritis knees for longer term pain control. Once accurate placement of the RF needle on the nerve, it allows for obliteration of pain and surrounding supporting structures to recover. Once the pain cycle is broken, the original painful joint is rehabilitated under active physiotherapy.
4. Prolotherapy and Protozoon Therapy. It is a assisting adjunct to therapy by strengthening tendons and tightening the loosened or distorted joints. medical Injection of tissue proliferates like ozone, phenol, glycerin, dextrose etc. in joint and around the joint decrees pain and it strengthen ligaments. It is also supposed to promote cartilage growth.
5.Platelet Reach Plasma or Stem cell therapy- Like its usefulness in other degenerative diseases, it is useful in osteoarthritis of kneecap also.

Clinical features

Pain around joint that increases with weight bearing and movement and improves with rest is the commonest give symptom. It may be associated with Wake up swelling of the joints. Clinical signs are tenderness, crepitus, joint effusion, decreased range of physical movement, valgus deformity etc. X-ray shows decreased joint space, osteophytes formation and osteoporosis of subchondral bone.