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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Weird Sounds In The Knee Cap Be Due To Low Cartilage Levels?

I hurt my knee in Feb, it got worse ( way worse), In July I went in for my physical and told the doc about it, she said that I was wearing down the cartilage behind my knee cap, and that I need to rest it, and try and stay off of it. It hurts to walk, sit, and I can move it around, and it buckles, and makes weird noises. Should I get crutches? Thank you
Wed, 1 Oct 2014
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.

For osteoarthritis of your knee.
You need to continue cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months.
MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done.

Physiotherapy like ultrasound and tens will help, along with knee exercises
Mild deformity can not be corrected with just medication,but further progression of deformity can be corrected.

Exercises will help to strengthen muscle and joint.
In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times].
Lying on your tummy- flex knee alternately, make knee rotation in flexion.
Sitting on chair- extend your legs alternately [hold in extension for 15 sec]
Standing half squat taking support of wall to back..

VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years.

Yes you can take crutches to avoid loading on joint.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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Could The Weird Sounds In The Knee Cap Be Due To Low Cartilage Levels?

Hello, I have studied your case. For osteoarthritis of your knee. You need to continue cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months. MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done. Physiotherapy like ultrasound and tens will help, along with knee exercises Mild deformity can not be corrected with just medication,but further progression of deformity can be corrected. Exercises will help to strengthen muscle and joint. In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times]. Lying on your tummy- flex knee alternately, make knee rotation in flexion. Sitting on chair- extend your legs alternately [hold in extension for 15 sec] Standing half squat taking support of wall to back.. VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. Yes you can take crutches to avoid loading on joint. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.