Knee Pain

Common cause of knee pain is due to osteoarthritis of the knee, or after injuries or other unusual causes like gout rheumatoid arthritis etc Osteoarthritis of the knee results from age related degenerative changes in the joint and in the muscles responsible for movement of the joint. This is more commonly seen with women, the obese and the elderly. Patients are advised to manage conservatively till surgery is indicated. Treatment for knee joint pain depends on the cause and severity.
In most patients pain is from a combination of all these.
Difficulty in climbing down the stairs and later up the stairs
Difficulty in standing

Difficulty in walking
Difficulty in squatting
Difficulty in performing prayers, sitting cross legged, etc
After a while, many patients complain of pain in the other knee as well along with low backache
The reason for the pain and the common occurrence in population is lack of exercise. Traditional Indian life used to entail considerable exercise to the knee with the cross legged sitting , walking as a part of daily work, use of the Indian toilet etc.
Treatment:-
1. Medications,
2. Nerve blocks of the nerves around the.
3. IMS of specific muscles involved in moving the knee
4. Intraarticular injections ( injection into the joint) . In very selected cases injection of hyaluron, a lubricant may be given
5. Physical therapy
6. Weight loss
7. Posture correction, nutritional correction, lifestyle modification and patient education are other aspects of complete therapy