Osteoarthritis of the knee (OAK) is the most common presentation is the participation in the joint, the tibiofemoral (part) of the femur and tibia (the larger of the two lower leg bones).
These are the two areas that contain the hyaline cartilage within a generation, most of the time.
As mentioned above, the hyaline cartilage is "more difficult" in the course of the two types of cartilage in the knee. Hyaline cartilage caps the long bones contain, at the same time, the joint, the ends of the Fibrocartilage, softer taped to the cartilage of the knee menisci, medial and represents. These are the semicircular piece of cartilage, hyaline cartilage that provides certainty, when it comes, the flying and rotate.
The symptoms usually consists of OAK, the joint stiffness, swelling, and tenderness of the joint fluid buildup along a line. Over time, as well as the ability to bend and straighten knee weakens. Even if one of the title, either in the form of a knee medial (inside) and lateral (outside) of the passenger compartment can be affected more than others, often in the two sections. This causes the diffuse pain.
Diagnosis is suspected clinically the history and physical examination. It may be determined in accordance with the standing knee x-ray is reflected in the positive changes. Magnetic resonance imaging (MRI) is substantially more sensitive description of the changes to the TOS, which is made up of cartilage defects, bone edema (swelling), and fluid.
A typical treatment program with the aim of reducing pain and function.
If the patient is overweight, weight is necessary. Regular exercise, aerobic exercise, which consist of low-resistance exercise and stretching are patient with the OAK of the mind-the parts of the program.
Non-steroidal-anti-signs of the drug orally, or, if it is to be carried out by the agent, in addition to the current may also be used.
Excessive joint fluid capital glucocorticoids ("Cortisone") follows from the burden of relief are useful. Glucocorticoids deleterious effect on the cartilage and should be used sparingly, more than three times a year for a joint.
The patient may also benefit from the contributions of capital viscosupplement. These are substances that are made up of hyaluronic acid, which mimics Normal joint fluid properties. These capital contributions may also help the relief of burden of proof.
All of the capital contributions required to be administered by applying ultrasound to ensure the accuracy of the control.
Surgery as defined in the cartilage or cartilage Sparing Table. Cartilage sparing procedures to join the osteotomy wedge of bone from the line-in order to get a straighter edge the knee joint. This is used for active young people to buy time. The cartilage of the joint replacement procedures, refer to the "top sacrificing. The trend has recently obtained the younger patients. The downside is that these surgeries are associated with serious complications including infection, monitor, and a small but real risk of death.
This option is shown as an alternative to the patient's own blood stem cells, the stem cells help maintain and regrow knee cartilage may have osteoarthritis.
(Wei, et al. Guided Mesenchymal stem cells for the treatment of osteoarthritis of the knee layering Technique. (J) shall apply to the Res. 2011; 11: 44-48)
Nathan Wei, MD, FACP, FACR is a rheumatologist and the arthritis treatment Center-http://www.arthritistreatmentcenter.com/. He is a former Assistant Professor of medicine, University of Maryland, University of, school of medicine and consultant to the health of the plants. For more information: http://www.arthritis-treatment-and-relief.com/arthritis-treatment.html.
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