Knee Pain in Malaysia

Knee issues are the most common pain afflicting people in the world today.

Knee issues are the most common pain afflicting people in the world today. From walking, working, falls and sitting, our knees are put under immense stress daily and very few take initiatives to care after their knees, Knee pain is a typical reason people visit their doctor or emergency rooms. It is the largest human join in the body and very prone to injury and degeneration. Knee degeneration can occur to daily wear and tear, aging and past injuries from sports or falls that go unnoticed. This article will focus on addressing common knee issues and what are the causes for it.

 

Structure of our knees

Our knees are constantly working. Whether we are sitting or standing, sleeping or walking, our knees are used to promote movement and flexibility. As we go from birth to adulthood, our joint age and harden to form the strong knee joints we have today. The knee is comprised of a cap (the patella), ligaments, menisci, cartilage and the two bones of the legs, the femur and tibia. The knee also has a protective cushioning that is gel like called minuscule fluid and the meniscus also provides a cushioning due to its structure. The ligaments help adhere all the bones together. The meniscus and ligament is most prone to injury when we fall or twist your legs too fast, causing a pop or aching pain. The ligaments as well as the meniscus also helps prevent rubbing of the bones which can cause further degeneration and pain. Several diseases, and diagnoses are developed due to damage and wear to the knee.

 

Osteoarthritis

Osteoarthritis is a common known knee diagnosis and pathology. This condition affects the elderly especially and most commonly affects the knee. Osteoarthritis is due to the wear and tear of the knee joint where the usual lining of the cartilage and fluid is gradually worn away over time. The underlying bone is exposed adding to friction and degeneration. Imagine two bricks which one had a cushion center being rubbed away till the center is gone and is now scraping each other. This is both uncomfortable and causes both discomfort and difficulty to use the joint. This is why many people who work, run, or through aging use their knees a lot are prone to osteoarthritis. Treatment for osteoarthritis is for limited use of the knee and NSAIDs, topical and oral, and glucocorticoids. Physical therapy and exercise also helps to strengthen the muscles and ligaments surrounding the knee to lessen the burden. Osteoarthritis can also cause stiffness of the knee. As we age our bone wears done but also the lack of fluids causes the knees to “lockout” or become stiff. This is accompanied by a clicking sound when extending and flexing the leg as well as the knees buckling while walking, which is due to the ligaments being caught by any of the bone.

 

Types of Knee Pain

In terms of knee pain, there are four major types due to anatomical location. Medial knee pain is the most common and is found in osteoarthritis patients. Anterior knee pain is due to muscle injury or from over jumping or those with increased weight gain or frame which causes pressure and tears on the knee. Lateral knee pain can be from meniscal tears and ligament sprains. Finally, posterior knee pain can be from cysts such as baker’s cysts and DVT’’s which are deep venous thrombosis from blood clots. Swelling and diffuse knee pain can be from a variety of causes. Swelling can be due to inflammation from physical or infection origins. Arthritis and injuries can cause inflammation and cause swelling to the knee though this resolves quickly. The knee appears mildly red and tender to touch. However, those with infections from bacteria or viruses can have very hot, swollen knee caps that are tender to touch. This requires antibiotics or aspiration of the fluid as it doubles in size, if not treated this can causes sepsis which is infection of the blood.

Regardless of the person, everyone is susceptible to knee pain and injury. As we age our body ages too and we must take steps to take care of it. Knee pain is very common and daily stretches and services can strengthen it better. If pain does occur, it is best to take rest, drink lots of fluids, exercise , use NSAIDS and vitamins daily.

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