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What Causes Pain And Stiffness In The Knees?
I ama 58 year old construction worker and am having trouble with my knee joints. I have trouble going up and down ladders and stairs by noon daily they have been so sore and feels as if they have a been wrapped with a tight bandage and painfully to walk or worse to climb stairs.
Fri, 5 Apr 2019
Hello,
Do you have any history of trauma? What is your weight?
Knee pain worse during going up and down ladders and stair. Your symptoms belong to Osteoarthritis. Osteoarthritis is the most common form of arthritis. It occurs when the protective cartilage on the ends of your bones wears down over time. Most common affects joint in your knees, hands, hips and spine.
The primary symptoms of OA are joint pain, stiffness, and locomotor restriction. Symptoms usually present in just one or a few joints in a middle-aged or older person. Clinical diagnosis is persistent usage related joint pain in one or a few joints, Age ≥ 45 years, morning stiffness ≤ 30mins, or swelling.
For my practice, I recommend ongoing exercised for pain relief and joint protection. Exercise, along with weight loss when indicated, is a core component of knee OA management. You should go to see a physiotherapist give go the effectiveness of the exercise program. and we prefer a combination of low impact aerobic fitness training like walking, cycling, rowing, and deep water running and lower limb strengthening exercises. Weight loss also the most important to preserve joint structures and improve symptoms. Eat healthy food, decrease calories food. You should meet a dietitian to teach you with diet restriction.
If not respond to nonpharmacologic measures, Pharmacologic can be started in combination with nonpharmacologic interventions. You can use topical NSAID such as diclofenac. This risk of gastrointestinal, renal and cardiovascular toxicity is much lower than Oral NSAID. You can use oral NSAID like Ibuprofen if topical NSAID does not work enough to reduce your pain.
If you still have knees pain you can try Intraarticular glucocorticoid injections, I prescribe to the patient who has moderate to severe pain if my patient already rules out a septic joint.
Please visit your home doctor for the best diagnosis and treatment for you.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Heang Chan Raksmey, General & Family Physician
Do you have any history of trauma? What is your weight?
Knee pain worse during going up and down ladders and stair. Your symptoms belong to Osteoarthritis. Osteoarthritis is the most common form of arthritis. It occurs when the protective cartilage on the ends of your bones wears down over time. Most common affects joint in your knees, hands, hips and spine.
The primary symptoms of OA are joint pain, stiffness, and locomotor restriction. Symptoms usually present in just one or a few joints in a middle-aged or older person. Clinical diagnosis is persistent usage related joint pain in one or a few joints, Age ≥ 45 years, morning stiffness ≤ 30mins, or swelling.
For my practice, I recommend ongoing exercised for pain relief and joint protection. Exercise, along with weight loss when indicated, is a core component of knee OA management. You should go to see a physiotherapist give go the effectiveness of the exercise program. and we prefer a combination of low impact aerobic fitness training like walking, cycling, rowing, and deep water running and lower limb strengthening exercises. Weight loss also the most important to preserve joint structures and improve symptoms. Eat healthy food, decrease calories food. You should meet a dietitian to teach you with diet restriction.
If not respond to nonpharmacologic measures, Pharmacologic can be started in combination with nonpharmacologic interventions. You can use topical NSAID such as diclofenac. This risk of gastrointestinal, renal and cardiovascular toxicity is much lower than Oral NSAID. You can use oral NSAID like Ibuprofen if topical NSAID does not work enough to reduce your pain.
If you still have knees pain you can try Intraarticular glucocorticoid injections, I prescribe to the patient who has moderate to severe pain if my patient already rules out a septic joint.
Please visit your home doctor for the best diagnosis and treatment for you.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Heang Chan Raksmey, General & Family Physician
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