Knee Pain
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Knee Pain Care in Kenya
Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. Medical conditions — including arthritis, gout and infections — also can cause knee pain.
Many types of minor knee pain respond well to self-care measures. Physical therapy and knee braces also can help relieve pain. In some cases, however, your knee may require surgical repair.
nee pain is a common complaint among adults and most often associated with general wear and tear from daily activities like walking, bending, standing and lifting. Athletes who run or play sports that involve jumping or quick pivoting are also more likely to experience knee pain and problems. But whether an individual’s knee pain is caused by aging or injury, it can be a nuisance and even debilitating in some circumstances.
Symptoms
>>> Swelling and stiffness
>>> Redness and warmth to the touch
>>> Weakness or instability
>>> Popping or crunching noises
>>> Inability to fully straighten the knee
When to see a doctor
Call your doctor if you:
- Can’t bear weight on your knee or feel as if your knee is unstable or gives out
- Have marked knee swelling
- Are unable to fully extend or flex your knee
- See an obvious deformity in your leg or knee
- Have a fever, in addition to redness, pain and swelling in your knee
- Have severe knee pain that is associated with an injury
Causes
Knee pain can be caused by injuries, mechanical problems, types of arthritis and other problems.
Injuries
- ACL injury. An ACL injury is a tear of the anterior cruciate ligament (ACL) — one of four ligaments that connect your shinbone to your thighbone. An ACL injury is particularly common in people who play basketball, soccer or other sports that require sudden changes in direction.
- Fractures. The bones of the knee, including the kneecap (patella), can be broken during falls or auto accidents. Also, people whose bones have been weakened by osteoporosis can sometimes sustain a knee fracture simply by stepping wrong.
- Torn meniscus. The meniscus is the tough, rubbery cartilage that acts as a shock absorber between your shinbone and thighbone. It can be torn if you suddenly twist your knee while bearing weight on it.
SHOULDER CONDITIONS
- Shoulder arthritis
- Bursitis
- Tendonitis
- Swimmer’s shoulder
- Frozen shoulder
- Acromioclavicular joint problems
- Rotator cuff disease
- Broken shoulder
- Shoulder impingement syndrome
- Rotator cuff injuries
Instability
- Shoulder instability
- Shoulder dislocation
- Slap tears
ELBOW CONDITIONS
- Bursitis
- Golfer’s elbow
- Cubital tunnel syndrome
- Radial tunnel syndrome
- Elbow dislocation
- Elbow sprain
- Osteochondritis dissecans of the elbow
- Throwing injuries
- Bone spurs
- Elbow arthritis
- Elbow pain
Ligament Injuries
- Ulnar collateral ligament injury
- Tennis elbow
- Flexor Tendonitis
Other problem
Patellofemoral pain syndrome is a general term that refers to pain arising between the kneecap and the underlying thighbone. It’s common in athletes; in young adults, especially those whose kneecap doesn’t track properly in its groove; and in older adults, who usually develop the condition as a result of arthritis of the kneecap
Mechanical problems
- Loose body. Sometimes injury or degeneration of bone or cartilage can cause a piece of bone or cartilage to break off and float in the joint space. This may not create any problems unless the loose body interferes with knee joint movement, in which case the effect is something like a pencil caught in a door hinge.
- Iliotibial band syndrome. This occurs when the tough band of tissue that extends from the outside of your hip to the outside of your knee (iliotibial band) becomes so tight that it rubs against the outer portion of your thighbone. Distance runners and cyclists are especially susceptible to iliotibial band syndrome.
- Dislocated kneecap. This occurs when the triangular bone that covers the front of your knee (patella) slips out of place, usually to the outside of your knee. In some cases, the kneecap may stay displaced and you’ll be able to see the dislocation.
- X-ray. Invisible electromagnetic energy beams produce images of internal tissues, bones, and organs onto film.
- CT scan. This is an imaging test that uses X-rays and a computer to make detailed images of the body. A CT scan shows details of the bones, muscles, fat, and organs. CT scans are more detailed than standard X-rays.
Types of arthritis
- Osteoarthritis. Sometimes called degenerative arthritis, osteoarthritis is the most common type of arthritis. It’s a wear-and-tear condition that occurs when the cartilage in your knee deteriorates with use and age
- Rheumatoid arthritis. The most debilitating form of arthritis, rheumatoid arthritis is an autoimmune condition that can affect almost any joint in your body, including your knees. Although rheumatoid arthritis is a chronic disease, it tends to vary in severity and may even come and go.
- Gout. This type of arthritis occurs when uric acid crystals build up in the joint. While gout most commonly affects the big toe, it can also occur in the knee.
- Pseudogout. Often mistaken for gout, pseudogout is caused by calcium-containing crystals that develop in the joint fluid. Knees are the most common joint affected by pseudogout.
- Septic arthritis. Sometimes your knee joint can become infected, leading to swelling, pain and redness. Septic arthritis often occurs with a fever, and there’s usually no trauma before the onset of pain. Septic arthritis can quickly cause extensive damage to the knee cartilage. If you have knee pain with any of the symptoms of septic arthritis, see your doctor right away.
Risk factors
A number of factors can increase your risk of having knee problems, including:
- Excess weight. Being overweight or obese increases stress on your knee joints, even during ordinary activities such as walking or going up and down stairs. It also puts you at increased risk of osteoarthritis by accelerating the breakdown of joint cartilage.
- Lack of muscle flexibility or strength. A lack of strength and flexibility can increase the risk of knee injuries. Strong muscles help stabilize and protect your joints, and muscle flexibility can help you achieve full range of motion.
- Certain sports or occupations. Some sports put greater stress on your knees than do others. Alpine skiing with its rigid ski boots and potential for falls, basketball’s jumps and pivots, and the repeated pounding your knees take when you run or jog all increase your risk of knee injury. Jobs that require repetitive stress on the knees such as construction or farming also can increase your risk.
- Previous injury. Having a previous knee injury makes it more likely that you’ll injure your knee again.
Prevention
Although it’s not always possible to prevent knee pain, the following suggestions may help ward off injuries and joint deterioration: knees work together more effectively. And because tight muscles also can contribute to injury, stretching is important. Try to include flexibility exercises in your workouts.
- Keep extra pounds off. Maintain a healthy weight; it’s one of the best things you can do for your knees. Every extra pound puts additional strain on your joints, increasing the risk of injuries and osteoarthritis.
- Be in shape to play your sport. To prepare your muscles for the demands of sports participation, take time for conditioning.
- Practice perfectly. Make sure the technique and movement patterns you use in your sports or activity are the best they can be. Lessons from a professional can be very helpful.
- Get strong, stay flexible. Weak muscles are a leading cause of knee injuries. You’ll benefit from building up your quadriceps and hamstrings, the muscles on the front and back of your thighs that help support your knees. Balance and stability training helps the muscles around your k