Injuries and disorders of the knee represent one of the more common problems seen by the orthopedic surgeon and knee doctor. Inadequate and painful knee function can be very disabling and severely alter one’s daily activities. Knee disorders may be severe enough to prevent walking, or may prohibit fine control necessary for work or sports activities. The Houston knee doctors at AOKC utilize the most advanced techniques to get you back on your feet, including state of the art arthroscopic techniques.
Symptoms: Mild to severe pain at point of injury, especially when leg is straightened. Swelling is likely, and knee may click, lock, or feel weak.
Treatment : Most patients will benefit from a muscle-strengthening physical therapy regimen. For more extensive tears, arthroscopic or open surgery may be required. The meniscus may be repaired or removed and replaced with an allograft.
MCL & LCL:The Medial Collateral Ligament is more often injured than the Lateral Collateral Ligament. The cause is most often a blow to the outer side of the knee that stretches and tears the ligament on the inner side of the knee. Such blows occur frequently in contact sports.
Symptoms: When a collateral ligament is injured, a pop and sideways buckle may occur. Pain and swelling are common.
Treatment: Most sprains will heal with Physical Therapy, and bracing and ice packs will help. Severely sprained or torn ligaments require surgical repair.
Symptoms: Repeated tenderness at the point where the patellar tendon meets the bone. Pain may be present, as well as difficulty bending, extending, and lifting the leg.
Treatment: Rest, Ice, Compression, Elevation. Anti-inflammatory medicines also help. For complete tears, surgery is required to reattach the ends of the tendon. For partial tears, only a cast may be applied without surgery. Physical Therapy restores strength.
Osgood -Schlatter DiseaseCaused by repetitive stress or tension on part of the growth area of the upper tibia (the apophysis). May also be associated with an injury in which the tendon is stretched so much that it tears away from the tibia and takes a fragment of the bone with it. Commonly occurs in younger people.
Symptoms: Pain just below the knee that worsens with activity and is relieved by rest. A bony bump below the kneecap may occur.
Treatment: Rest, Ice, Compression, and Elevation. Limitation in vigorous sports may be advised and bracing or use of kneepads may be recommended.
Iliotibial Band SyndromeThis is usually an overuse syndrome, which causes inflammation, although it may be caused by direct injury to the knee.
Symptoms : Aching or burning at the sides of the knee during activity. Pain may also localize at the side of the knee or radiate up the side of the thigh. The patient may feel a snap when bending the knee and there is usually no swelling.
Treatment : Rest, Ice, Compression, Elevation. In rare cases where the syndrome does not resolve, surgery is necessary to split the tendon so it isn’t stretched so tightly over the bone.
Symptoms: Pain, swelling, and decrease in range of motion are common complaints. Other common symptoms are morning stiffness, joint locking, and stiffening.
Treatment : Osteoarthritis is most often treated with pain-reducing medications, such as nonsteroidal anti-inflammatory drugs. Losing weight may also help. Rheumatoid arthritis may require physical therapy and stronger medications. Joint replacement is also an option. Recently, new technological advances have been made in treating all forms of arthritis with magnetic resonance imaging.
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