1. Arthritis
Disease accompanied by destructive processes in cartilage and thinning of knee cartilage.
Aggravating factors
The reasons for the development of the disease are many. It can be:
- heavy loads (weight lifting, intense exercise);
- knee joint;
- overweight;
- acute inflammation of the knee previously transferred;
- age-related metabolic abnormalities.
The clinical picture of the disease increases gradually and people often ignore the initial manifestation of disease.
symptoms
The first sign of the disease is the feeling of pain in the knee when moving. The emergence of other symptoms depend on how damaged cartilage
- I - knee hurts moderately long walks after heavy loads there is swelling. Changes in joint structure there.
- II - there is pain and crunch with little physical effort. Man complains of stiffness, while X-ray revealed signs of joint structural abnormalities.
- III - knee hurts constantly, and walking knee becomes an ordeal. Outwardly, they appear swollen and deformed.
Arthritis pain is aching in nature and intensity depending on the severity of the pathological process.
Treatment
While deformation moderately expressed, conservative therapy is used to reduce the destructive process in cartilage and reduce pain. The patient is prescribed:
- analgesics;
- drugs that stimulate cartilage regeneration (hondroprotektory);
- means to reduce pain and inflammation (NSAIDs).
Additionally prescribe ointments having analgesic and anti-inflammatory components in the composition.
In severe cases where the cartilage lining greatly thinned, operative treatment with replacement of damaged tissue with an artificial joint. Before endoprosthesis assess the patient's condition: The elderly, or in case of serious diseases (cardiovascular, endocrine) endoplastiku do because of the risk of graft rejection and the possible postoperative complications. Such patients spend drug therapy and to reduce the load during walking are advised to use a cane, crutches or other auxiliaries.
What the doctor visit
When the pain in his knee, which intensified when walking, even if the deformation is still there, and swelling appears after physical effort, you should visit a podiatrist.
2. meniscus injury
Another name for the disease - meniskopatiya. If unsuccessful falling or subluxation of the knee, the position of the meniscus in the joint.
Causes
Violation of the integrity or the anatomical position of the meniscus It occurs if a history of the person has:
- frequent injuries (sports);
- weakness meniscus tendon.
An additional factor that increases the risk of injury, is overweight and diseases of the musculoskeletal system.
symptoms
The cup of the knee appears sharp throbbing pain, the victim is not able to step on the injured leg.
In addition to pain appear:
- severe swelling;
- difficulty in bending;
- crunching in the joint during movement.
Suggests damage to the meniscus as possible if knee suddenly became ill after a fall or tuck legs. This condition requires emergency care.
If the victim has not asked for medical assistance, the knee gradually starts to hurt less and the process becomes chronic. Thus there is a violation of the sensitivity, a feeling of stiffness when walking, increased pain with minor injuries or sudden movements. The gait of a man becomes uneven due to violation of flexion knee function. Often at the same time the joints begin to hurt badly "on the change of weather."
Treatment
How will the patient be treated with meniskopatii depends on the nature of violations.
conservative
Under anesthesia impart mixture meniscus anatomic position and a plaster bandage is applied to ensure complete immobility and prevent re-offset.
To facilitate and accelerate the healing condition, patients are prescribed:
- pain relievers;
- nonsteroidal antiinflammatory drugs;
- drug stimulating recovery of damaged cartilage and ligaments.
After the tissue healing occurs, the gypsum bandage is removed and the developing knee using physical therapy.
Surgery
Depending on the nature of the damage, the patient is carried out:
- meniscus removal and installation of the prosthesis;
- closure of the stretched tendons.
After the operation is performed and superimposed gypsum conservative therapy with subsequent reduction limb motility.
What doctor treats
About damaging the meniscus should refer to the traumatologist.
3. Inflammation of periarticular bags
Capsule containing synovial fluid, inflammation leads to the fact that the knee starts to hurt when walking.
Causes
The inflammatory process occurs for various reasons:
- post-traumatic complications;
- deep wounds;
- the effects of the previously transferred inflammation of the cartilage of the knee;
- autoimmune diseases;
- previously transferred knee surgery.
The inflammatory process can occur acutely or chronically.
The acute form
The inflammatory process causes severe pain in the knee to walk or at a load, which significantly decreases at rest. In this case, there are outward signs of inflammation:
- edema;
- hyperemia;
- restriction of movement.
In acute during knee can hurt so badly that he can not step on the foot.
The chronic form
Inflammation will cause minor symptoms:
- mild pain while walking;
- little swelling.
Often chronic process accompanied not by the fact that during walking knee pain, and mild discomfort in the joint during movement. Intrigue mild that the person is not considered a disease with something serious and postpones visit to the doctor, aggravating the course of the pathological process.
Methods of treatment
Treatment depends on the cause of the inflammatory process. Patients are prescribed:
- hormones;
- antibiotics (if the cause - infectious agent);
- nonsteroidal antiinflammatory drugs group;
- analgesics.
Medicaments take tablets or injections, and with strong inflammation administered intraarticular administration of hormones or antibiotics.
When the knee strongly hurts and pain relievers do not help, than to treat acute pain in knee individually solved by the doctor, usually to relieve pain spend blockade with lidocaine or Novocaine.
When the pain in the knee walking prohibit recommending the patient bed rest. To limit podvizhnostidelayut fixing bandage.
Who heals the inflammation of the joint capsule
If you are relying on the knee, it hurts, and there are signs of inflammation (redness, swelling), it is necessary to address to the orthopedist or surgeon.
4 more reasons
Inflammation and injury - common factors that cause such pain. But there are also less common causes:
- 1. Pathology in the skeletal development. Violation of the spinal structure (kyphosis, lordosis) lead to an increase in the load when walking. Rooting is below the knee on the side where the spine is curved (higher load). The pain is worse when climbing stairs.
- 2. Abnormal accumulation of salts. Deposition of urate (uric acid) begins with small joints of the feet and gradually in the pathological process involved knees and shins. It appears when walking and bending of severe pain in his knee.
- 3. Congenital diseases of the tendons and muscles. When this knee is not severely ill because of a pathological process in the joint structure, and due to improper muscles or ligaments structure. In congenital pathology hurt when moving your knees begin in childhood.
- 4. Pinching of the nerve processes. Pinched spine bone or cartilage processes.
"What to do with knee pain while walking," only one answer - to visit a doctor and undergo treatment.
How to determine the source of pain
Treatment of knee pain during walking is carried out after identifying the causes of the disease. Hurt my knee when walking can due to changes in joint tissues, inflammation of the joint capsule or due to other pathologies. Determine what you need to visit a doctor in the first place, help the exemplary self-diagnosis:
- Symmetry. When walking, pain in both knees occurs in chronic diseases (arthritis, gout). When inflammation or trauma will often hurt one knee.
- Intensity. Severe pain is when damaged knee or in diseases involving articular deformity, as well as pinched nerves.
- character. Acutely ill will during inflammation or injury, and for the destructive cartilage changes characterized by a dull ache.
- Due to the damage or injury. When, after an injury or subluxation legs started to hurt the knee - this indicates meniskopatiyu and need to see a traumatologist, and if there is no apparent connection, then visit a podiatrist or arthrology.
- duration. If it hurt to walk for a long time, it is a chronic process associated with changes in joint structure, and if it hurts badly - inflamed or pinched nerve.
knee pain is not always because of the pathological process in the joint, the pain often cause other factors. Do not be put off visiting the doctor. The pain always indicates the presence of disease and without treatment may develop irreversible changes that prevent the full move.
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