Knee Pain Treatment
Dr. Sanjay Arora

Cranio-Sacral TMJ Specialist, BDS, MDS ( Endodontist), Occlusion Specialist, Craniodontist, Neuro Muscular TMJ Specialist, Epigeneticist, Master Ceramist,
Location: New Delhi, India

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Knee Pain

Knee is a complex joint of the body comprising of cartilage, bone and ligaments. The knee cartilage functions to provide cushioning effect and a gliding surface. A healthy knee cartilage keeps the joint bones from rubbing against each other. However, in cases where knee joint is affected by arthritis, the joint cartilage wears off thereby allowing the joint bones to rub against each other and thus cause pain.

Causes Of Knee Pain

Aging

Knee Injuries

Commonly occur as a result of sports, fall or trauma.

Knee Pain

Usually involve the ligaments which hold the two of the bones of the knee (femur and tibia) together. Eg- ACL, MCL & Meniscal injuries.

TMJD (Temporomandibular Joint Disorder)

  • TMJD may also result in knee pain.
  • It’s an Infratemporal fossa catastrophe, occurring due to inward disc (medial) displacement of the Jaw Joint or TMJ.
  • This happens due to abnormal teeth grinding, which causes a tilt in the jaw joint leading to abnormal residual forces in the jaw joint.
  • Inside or on the inside of joint exists major structures travelling from and to the brain like nerves and blood vessels. This leads to compression of these structures. A cascade of events is now triggered.
  • The first nerve to be encountered, at a distance of just 0.5 cm or an ants length is the accessory nerve or the number 11 cranial nerve. The job of this nerve is to maintain the head on shoulders at the “COG” or the center of gravity.
  • Irritation of this nerve alters the muscle function and hence the head position, there by ultimately results in putting more pressure on your knee joints thereby causing knee pain.

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Various Forms Of Arthritis

Osteoarthritis

Also referred as ‘WEAR and TEAR’ arthritis or ‘Degenerative arthritis’.

It is the most common degenerative form of arthritis affecting almost 40% of the population.

It is a chronic condition of the knees causing joint inflammation.

It is a degenerative joint disease in which there is gradual breakdown of the knee cartilage thereby exposing the bone of the knee joint and allowing them to rub against each other during knee movements.

This in turn causes the bone around the cartilage to grow thicker and develop bony spurs which further add on to the friction between knee joint bones.

Knee Pain

People having knee infection or knee injury or who are overweight are at greater risk of developing knee pain.

Osteoarthritis may also affect the synovium membrane of knee joint. This membrane functions to lubricate the cartilage by producing a liquid. When this membrane is inflamed, it tends to produce excess of fluid thereby resulting in swelling of the knees or “water on the knee.”

In advanced cases of osteoarthritis, the knee bones tend to become deformed due to the continued friction between the joint bones.

Symptoms include pain, redness, warmth, stiffness, swelling, tenderness, grating sensation when you bend your knee and limited range of motion. The pain usually tends to become worse after exercise.

Rheumatoid Arthritis

It is an autoimmune disorder in which one’s own body cells attack your own normal tissues.

Rheumatoid arthritis is commonly seen affecting joints on both sides of the body (both hands and/or both wrists, both knees).

Age group commonly affected is between 20-50 years.

Females are 4-5 times more commonly affected by rheumatoid arthritis than males.

Rheumatoid arthritis cause wearing away of the cartilage, swelling in the synovium leading to excess fluid accumulation in the knee. In later stages, joint bones tend to rub against each other causing pain and limitation of joint movement.

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Bursitis

Bursitis refers to inflammation of fluid-filled sacs (called as bursae) which functions to protect the body’s joints.

Causes:

  • Repetitive motions of the joint
  • Stress at the joint as in kneeling
  • Sudden injury

Tendonitis

Tendons are rope-like tissues that connect the muscles to bone and other joints.

Tendonitis refers to inflammation of the tendons as a result repetitive and strenuous movement.

PATELLAR TENDONITIS or “JUMPER’S KNEE,”- refers to inflammation or irritation of the tendon between the knee cap and the shin bone.

CAUSE-Tendonitis is commonly seen as a result of sports injury, due to repetitive usage of the same parts of your body.

Patella-Femoral Pain Syndrome (PFPS)

Sometimes called “Runner’s knee”

Patella femoral pain syndrome is characterized by Knee discomfort or pain while walking up and down stairs, jumping or squatting. Pain is usually felt towards the front part of the knees.

Patient with PFPS may experience grinding sensation while bending or straightening of your leg, and sometimes can cause the knees to buckle up.

Cause

  • Improper alignment of knee cap
  • Knee overuse
  • Knee Injury
  • Excess weight 
  • Excessive wearing of the knee cartilage

Knee Pain Detection

Detailed medical history of patient including of-

  • Nature of kneepain (aching, burning)
  • Location of knee pain.
  • Any tenderness or swelling associated with knee pain
  • Onset of knee pain.
  • Whether the pain is due to some accident or injury.
  • Factors aggravating or relieving knee pain.

Investigations For Knee Pain

  • X-rays
  • MRI
  • CT-Scan

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Knee Pain Treatment

Conservative care

Usually knee pain can be relieved and/ or resolved with conservative home care remedies such as:

Adequate Knee Rest
In case of knee injury or inflammation as in case of arthritis, bursitis, tendonitis, it’s very important to avoid over usage of knee and give adequate rest to the joint. Try to keep the knees straight (extended) or in a positions that limit its bending.

Application of Ice/heat
Ice or cold packs application helps to reduce the inflammation and swelling in the knee. Once the swelling has subsided, heat can be used to relax and loosen the tissues.

Pain relievers
Helps relieve knee pain, like ibuprofen and naproxen

Weight loss
Helps to reduce pressure on the knees.

TMJD Treatment

TMJD needs to be treated to get long-term relief from knee pain.

TMJD treatment requires correction of TMJ residual pressures through the dental occlusion correction. TMJD correction is more of a Bio-Engineering problem rather than a Biological problem.

It becomes utmost important to confirm it with the aid of various sophisticated and most advanced diagnostic technology (AVAILABLE ONLY AT Zental Tmj & Body Pain Division  BODY PAIN TREATMENT CENTRE, only SUPERSPECIALIZED DENTAL clinic in INDIA and PERHAPS IN ASIA TOO), like-

Once the diagnosis is confirmed and connection between TMJD and knee pain has been established, various treatment procedures can be done to eliminate back aches from the roots. It includes-

  • Home care remedies
  • Medicines-pain relievers, muscle relaxants, anti-depressants.
  • Orthotic/splint
  • Orthodontic treatment
  • Veneers, Crown and bridges
  • Botox

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bodypainshelpline@gmail.com
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Knee Braces

It wraps around the knee and leg and thus aids in limiting unwanted knee movement along with providing support to the knees. They also avoid the knee from “buckling.” Commonly indicated when knee ligaments are weak.

Knee Pain
Knee Pain

Injections in the Knee Joint

Pain and inflammation in the joint can be reduced by injecting potent anti-inflammatory agents into the joint space. Ozone Gas may also be used in place of anti-inflammatory agents in order to reduce pain and inflammation. Visco supplementation is another technique adopted for providing pain relief. This is a non-surgical treatment involving injection of a lubricant into the knee that provides lubrication and cushioning effect to the joint, thereby allowing joint bones to move with ease by reducing friction between them. It is a viable solution indicated for mild to moderate cases of Osteoarthritis.

Stem Cell/Platelet Rich Plasma (PRP) therapy

In this therapy patient having damaged or injured tendon or cartilage is injected with platelets drawn from patient’s own blood. After drawing the blood from patient’s body, it is centrifuged for 15 minutes to separate out the platelets. This platelet rich plasma is then injected into the injured or damaged portion of tendon or cartilage. This helps to rebuild a damaged tendon or cartilage. This therapy not only helps in relieving the pain but it also accelerates the healing process.

Physical therapy
Physical therapies may help to relieve your pain and help in faster recovery after a knee injury. It includes low-impact exercises and stretches for strengthening your knee muscles, improving knee stability and flexibility and reducing pressure on the knee joint.

Surgical options
Partial and total knee replacement is indicated in case of OSTEOARTHRITIS or RHEUMATOID ARTHRITIS. In cases of injuries, arthroscopy or open repair is indicated.

Consult Best Body Pain Treatment Centre In Delhi, India.