11/6/2023 0 Comments Knee compartments chondromalacia“Patellofemoral arthritis is diagnosed when loss of cartilage is seen in the joint on x-rays or MRI and no other compartment of the knee is affected,” explains Friedrich Boettner, MD. This condition, which is more commonly seen in women, is characterized by pain in the front part of the knee (behind the patella, or kneecap) that typically worsens when the patient walks on inclined terrain, goes up and down stairs, knees, squats, and rises from the sitting position (while walking on level ground is often unaffected). However, in rare cases, arthritis may be isolated to the patellofemoral compartment. Knee arthritis frequently affects two or more compartments of the knee. While the first two compartments are the most important for the patient to walk on flat terrain, the third compartment (patello-femoral joint) is involved in activities like walking on inclined terrain, going up and down stairs, kneeling, squatting, and rising from the sitting position. The third compartment of the knee is formed by the kneecap (patella) and the front part of the femur and is called the “patello-femoral joint.”įigure 1: Diagram of knee anatomy, including the patello-femoral compartment, which is located behind the kneecap (patella). The knee joint is a complex structure with three main compartments that have individual functions and structures: the inner (medial) compartment and the outer (lateral) compartments are formed by the articulation (or joining) of the lowest part of the thighbone (femur) and the highest part of the shinbone (tibia). Pain relief is the goal for people with arthritis.Knee arthritis is a condition that affects more than four million Americans annually, occurs when degenerative changes develop in the cartilage that lines the knee joint. Acupuncture: Various techniques which are used to stimulate specific anatomical points on the body.Transcutaneous electrical nerve stimulation (TENS): This is a small device that directs mild electric pulses to the nerves in or around a painful area.While they are generally considered safe, their effectiveness has not been proven. Dietary supplements: Several supplements are marketed for joint health.Intra-articular steroid injections: An injection into the affected knee joint with a corticosteroid medication is performed to reduce inflammation and pain.Viscosupplementation: A series of knee injections with a gel-like substance (hyaluronates) is conditionally used to supplement the properties of synovial fluid in knees affected by osteoarthritis.Lateral wedge insoles: Special insoles are designed to help reduce pain associated with medial knee osteoarthritis by changing the mechanics of the knee.Topical pain relievers: Topical creams, gels, and ointments provide alternative pain relief for people who have had an inadequate response or cannot tolerate oral medications.That is exactly the burden you want to avoid with knee osteoarthritis. Weight management: Carrying extra pounds adds force to your joints as you move.Exercise: Low-impact exercise helps to preserve strength and range of motion of affected joints. Drugs to slow disease progression are still lacking. Medications: This is traditional treatment, aimed at controlling pain and managing other osteoarthritis symptoms.
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