Note: Never be your doctor, always discuss with professionals before initiating any medical plan.
Osteoarthritis is a disease of ageing, a normal wear and tear process. Contrary to mainstream views, I trust, body has enough resilience to recover and bounce back. However, tailoring to age specific and relevant activities help significantly in avoiding any aggressive surgical options. Currently, there is significant impetus towards minimally invasive surgery and if possible, one should explore those.
Agreed, Osteoarthritis of knee is a disease of ageing but ‘Obesity’ is the single most important risk factor. Other contributing factors are sedentary habits and disuse of certain muscle groups and eventual imbalance.
Evaluating the stage of osteoarthritis is important and management depends upon the stage of destruction.
A comprehensive plan will include working on below options –
- Physical Therapy
- Modify Your Activities
- Weight Control
- Self-Help/Assistive Devices
- Heat and Cold Treatments
- Nutritional Supplements
- Over-The-Counter Medications
Weight reduction –
- Salt sugar restriction, and
- Accentuated calorie burning from active exercise
To evaluate Consistent or Progressive Foot Progression Angle.
- Identify muscles that are in disuse atrophy. This creates imbalance and accentuates arthritis. Start fixing those muscles with proper advice from Physiotherapist.
- Postural training.
- Gait training
- Glucosamine-chondroitin supplements
- Turmeric, Ginger (oral when low grade to moderate, topical when severe)
- Babul ka goond
- Vitamin C
- Krill Oil
Nutritional supplements such as
Arthroscopy is invasive
Evaluating knee joint fluid helps. Since arthroscopy is considered, also discuss injecting Glucosamine in the joint fluid and possible steroids if inflammation is exuberant.
As best as possible, avoid taking NSAID’s. If you have pain, take Tylenol (Paracetamol).
(Click the link for additional reading)
Treatment of Osteoarthritis: Stanford University
18 ways to keep your joints healthy (https://www.webmd.com/rheumatoid-arthritis/better-living-ra-17/active/slideshow-keep-joints-healthy)
3 thoughts on “Managing Osteoarthritis of Knee”
Very Good writeup Sir