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Today we will know about,
A. what is OA knee (osteoarthritis) ?
B. does Physiotherapy helps in OA knee ?
Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee. Knee arthritis can make it hard to do many everyday activities, suchas walking or climbing stairs. It is a major cause of lost work timeand a serious disability for many people.
The most common types of arthritis are osteoarthritis and rheumatoid arthritis, but there are more than 100 different forms. While arthritis is mainly an adult disease, some forms affect children. Although there is no cure for arthritis, there are many treatment options available to help manage pain and keep people staying active.
The knee is the largest and strongest joint in your body. It is made up of the lower end of the femur (thighbone), the upper end of the tibia (shinbone), and the patella (kneecap). The ends of the three bones where they touch are covered with articular cartilage, a smooth, slippery substance that protects and cushions the bones as you bend and straighten your knee. Two wedge-shaped pieces of cartilage called meniscus act as “shock absorbers” between your thighbone and shinbone. They are tough and rubbery to help cushion the joint and keep it stable. The knee joint is surrounded by a thin lining called the synovial membrane. This membrane releases a fluid that lubricates the cartilage and reduces friction. Description
The major types of arthritis that affect the knee are :
1. Osteo Arthritis,
2. Rheumatoid Arthritis
3. Posttraumatic Arthritis.
Osteoarthritis is the most common form of arthritis in the knee. It is a degenerative,”wear-and-tear” type of arthritis that occurs most often in people 50 years of age and older, but may occur in younger people, too. In osteoarthritis, the cartilage in the knee joint gradually wears away. As the cartilage wears away, it becomes frayed and rough, and the protective space between the bones decreases. This can result in bone rubbing on bone, and produce painful bone spurs.
Osteoarthritis develops slowly and the pain it causes worsens over time. Osteoarthritis and bone spurs. Osteoarthritis often results in bone rubbing on bone. Bone spurs are a
common feature of this form of arthritis.
A knee joint affected by arthritis may be painful and inflamed. Generally, the pain develops gradually over time, although sudden onset is also possible. There are other symptoms, as well :
• The joint may become stiff and swollen, making it difficult to bend and straighten the knee.
• Pain and swelling may be worse in the morning, or after sitting or resting.
• Vigorous activity may cause pain to flare up.
• Loose fragments of cartilage and other tissue can interfere with the smooth motion of joints. The knee may “lock” or “stick” during movement. It may creak, click, snap or make a grinding noise (crepitus).
• Pain may cause a feeling of weakness or buckling in the knee.
• Many people with arthritis note increased joint pain with rainy weather.
Physical Therapy for Knee Osteoarthritis
Physical therapy can be your first line of defense for managing knee OA symptoms. Having knee osteoarthritis can sometimes seem like a double-edge sword. Overusing your knees can worsen your joint health and knee OA, but the less you move your knees, the weaker they can get. You need to find that balance of keeping your knee joints moving just enough so they’re strong and healthy, and physical therapy helps you do that. With knee OA, the muscles surrounding the knee can become weak, and the knee joints can become stiff. This makes it difficult to do everyday tasks, such as walking or getting out of bed. Physical therapy can help to reduce the pain, swelling, and stiffness of knee osteoarthritis, and it can help improve knee joint function. It can also make it easier for you to walk, bend, kneel, squat, and sit. The two main types of physical therapy—passive and active treatments—can help make your knee OA more manageable. With passive treatments, the physical therapist does the majority of the work. But with active treatments, you do more of the work, such as at-home exercises.
Common Passive Treatments for Knee Osteoarthritis :
• Cold therapy: By reducing circulation, cold therapy can help decrease swelling.
• Heat therapy: Heat therapy increases blood flow to decrease stiffness in the knee joints and muscles surrounding the knee.
• Hydrotherapy: Also sometimes referred to as aquatic therapy, this treatment uses water to decrease your knee osteoarthritis symptoms.
There are several advantages of hydrotherapy. For example, you can do gentle exercises in the water (which won’t aggravate your joints). Also, just being in warm water can help facilitate motion as well as help you deal with pain and other knee OA symptoms.
Common Active Treatments for Knee Osteoarthritis :
• Strengthening exercises: physical therapist [HKP] will show you certain exercises that you can do at home to strengthen your muscles. Working out muscles in the leg can help make your knee joints stronger. Strengthening these muscles alone can help decrease the pain of knee OA.
• Flexibility exercises: Because knee OA often makes it hard to move, flexibility exercises are very important. Doing them regularly can help increase range of motion, make your knees more flexible, and restore normal knee joint function. HK Physio team will create a physical therapy plan for you—one that may incorporate a combination of passive and active treatments for knee osteoarthritis.
Talk to your doctor about beginning a physical therapy program to treat your knee osteoarthritis so you can increase your daily activities. The earlier you treat knee OA, the better off you’ll be in the long run.
Exercise to Manage Knee Osteoarthritis :
We also use machines to reduce your knee pain and promote healing :
1. Ultra Sound,
5. Hydro Collateral Packs.
To reduce joint stiffness and pain HKP staff use highly advance manual therapy techniques such as,
3. Dry Needling
5. Kinesio Taping
But today in this article, we will discuss about exercises for OA knee.
When you have knee osteoarthritis (OA), you might think that exercise will make your knee hurt more. But exercise can help ease the symptoms of knee OA. But before beginning an exercise plan, talk to your doctor or physical therapist [HK Physio]. He or she will also be able to recommend the type of exercise you should be doing for your knee OA.
The Benefits of Exercising with Knee Osteoarthritis There are numerous benefits of exercising with knee OA, but some of the most important ones include :
• Helps build up the muscles surrounding the knee joint
• Improves knee strength, mobility, and function
• Keeps you at a healthy weight or helps you lose weight (extra weight can put extra pressure on your knee joints)
• May decrease the amount of other treatments you need for knee osteoarthritis, such as medications
The 3 Main Types of Exercise for Knee Osteoarthritis :
There are 3 basic types of exercise you need to know about.
• Flexibility exercises are an excellent way to ease yourself into an exercise program for knee OA—especially if you haven’t been active in years. Knee joints can become very stiff if you don’t use them regularly. Pilates, yoga, and other types of stretching are all flexibility exercises you can do. Build up to doing at least 15 minutes of flexibility exercises every day.1 when you’re able to do 15 continuous minutes of flexibility exercises, you can gradually begin to add strengthening and aerobic exercises to your routine.
• Strengthening exercises help build muscles, which act as shock absorbers for your knee joints, reducing some of the impact to your
joints. You need strong muscles (especially in your legs) to do just about anything—walk, climb stairs, bend, and lift. Little by little, work strengthening exercises into your workout routine until you can do about 15 minutes of strengthening exercises a day. Don’t use any weights initially: You can use your own body weight as resistance. However, as you become more familiar with the moves,
you can add some light weights.
• Aerobic exercises such as walking and water aerobics add another dimension to your workouts. For example, working out in the water is so much easier on your joints than running. Aerobic exercise is also essential when you have knee OA because it gets your heart pumping and helps keep you at a healthy weight. The Arthritis Foundation recommends :
• 150 minutes of moderate-intensity aerobic exercise per week
• 75 minutes of vigorous-intensity aerobic exercise per week
• An equivalent combination of moderate and vigorous exercise.
Exercise Tips for Knee Osteoarthritis
Here are our top tips for exercising with knee OA.
• Take it slow and steady. When you’re exercising, there’s no need to rush. The key is to take it nice and easy. Focus on being gentle with your body: Go at your own pace.
• Be consistent. Stiffness can set in after just a few days of not exercising, so it’s important to keep up with your workout plan. Even. If you can only do 15 minutes of stretching, that will still help to
keep your knee joints flexible.
• Respect your body. Some soreness is expected after the first couple of days of starting an exercise program. But if your pain gets worse, stop exercising and call your doctor immediately. Don’t feel like you have to exercise through the pain: Listen to what your body is telling you. Keeping these tips in mind, exercising with knee osteoarthritis can be easy and a good way to manage your knee osteoarthritis symptoms.