Osgood-Schlatter’s is a disorder that causes pain at the tibial tuberosity, which is the bump on the front of the knee, just below the kneecap where the patellar tendon attaches. It is generally a self-limited problem and does not lead to long-term consequences. Most athletes with Osgood-Schlatter’s will improve with a short period of rest. The problem is due to pulling of the tendon on the growth plate. Some theories of Osgood-Schlatter’s suggest that there are microfractures of the growth plate in this area.
Osgood-Schlatter’s occurs in children with open growth plates (still growing) and particularly affects active children, especially those athletes who participate in jumping or sprinting sports. Osgood- Schlatter’s is more common in boys. The growth plate is most vulnerable during periods of rapid growth and therefore the incidence in boys peaks at age 13 and at age 12 in girls. It is usually caused by overuse but can also be initiated by a sudden injury.
A physician often can simply diagnose the problem by taking a history and palpating the tender area. The knee area is tender and may be swollen or enlarged. X-rays may reveal widening of the growth plate in this area. An MRI is usually not necessary.
Activity modification is the main treatment for Osgood-Schlatter’s. Other conservative treatment measures include ice, stretching, controlled strengthening, simple over-the counter pain medicines, and a patellar strap. In more severe cases, a short period of casting or bracing may be recommended. Surgery is almost never necessary, except in adults with persistent symptoms.
The symptoms of Osgood-Schlatter’s almost always improve with rest and also usually subside when the athlete reaches skeletal maturity (fully grown). In rare cases, a fragment of bone may not unite to the underlying tibia and symptoms may persist into adulthood. In this situation, the pain can be alleviated by a simple operation to remove the fragment. Although extremely rare, an athlete who continues to play vigorous sports with persistent pain from Osgood-Schlatter’s may develop a complete fracture through the growth plate at the top of the tibia. Usually, however, the only long-term consequence of Osgood-Schlatter’s is a residual bump on the front of the knee cap which does not interfere significantly with sports..
Achy knees? Stiff fingers? Painful hips? Unfortunately, there still is no cure for arthritis. But there are plenty of steps you can take to manage the pain.
Doctors recommend several nonprescription pain relievers for arthritis. These include acetaminophen, aspirin, and ibuprofen. Glucosamine and chondroitin also can be bought without a prescription. Some studies have shown that both of these supplements may help ease the pain of osteoarthritis in knees and hips. But experts stress that more research is needed.
Heat or cold packs may offer relief. Ask your doctor what’s best for you.
EXERCISE AND WEIGHT CONTROL
Doctors recommend range-of-motion, strengthening, and aerobic exercises for arthritis sufferers. The following tips will help keep your workout safe:
• Work out when your pain is less severe and your joints are more flexible.
• Take frequent breaks, and change position regularly. Be sure to stretch muscles before and after working them.
• Ask your doctor to adjust your exercise program if you show any of the signs of too much exercise. These include increased weakness or joint swelling, unusual fatigue, decreased range of motion, or pain that lasts longer than an hour after exercising.
Another benefit of exercise for arthritis sufferers is that it helps keep weight in check. Being overweight can put extra stress on joints. Shedding excess pounds cuts down the wear and tear on joint tissues, and it also can help relieve pain and stiffness.
PROTECT YOUR JOINTS
Canes, crutches, and walkers can make walking less of a strain on your knees and hips. To protect other joints, use larger and stronger joints whenever possible. For example, carry grocery bags with your forearms or palms instead of your fingers.
From jar openers to long-handled shoehorns, many items on the market can make daily activities easier on sore joints.
Using a splint for a short time around painful joints can reduce pain and swelling. Ask your doctor if you should use one.
OTHER THERAPIES THAT MAY HELP
Many sufferers find relief by using one or more of the following measures:
• Soaking and exercising in a pool or whirlpool to cut pain and stiffness
• Relaxation therapy to release tension in muscles
• Massage therapy to increase joint motion and muscle and tendon flexibility
Ask your doctor which measures might help you. Your treatment plan should be tailored to fit your own particular symptoms..
Knee joint pain due to arthritis or any other disease or infection is treated along with the major problem while knee joint pain due to any injury can be treated by hot and cold compresses, massages with warm oil, light exercises like walking and cycling, yoga and aerobics. Knee replacement surgery is the last option to treat a completely immobile and painful knee.
Knee joint is the junction of two large bones of leg in which pain can be caused due to many reasons. The exact location of the pain helps medical experts to diagnose the problem better and quickly for treatment. Like any other joint of the body knee too is prone to the injuries, infections and disorders, in fact in older people complaints for knee pain is more common than compared to any other joint of the body.
The knee joint is formed by two bones femur and tibia supported by four ligaments and a patella also popularly known as knee cap. This whole joint is covered by synovium and is filled with synovial fluid which provides nourishment to the cartilages and keeps them elastic. Synovial fluid inside synovium also keeps cartilages smooth and slippery to ensure friction free and pain free movement of the knee. The knee joint joins thigh and shin bones to make normal activity like walking possible. This joint can bend up to 135 degrees and extend to 0 degrees. It is a weight bearing joint and complex in design which makes it most commonly injured joint of the body.
Injuries can promote pain in the knee. Any traumatic event can cause damage to ligaments attached to the knee joint. As knee has four ligaments attached to it exact area of pain can help the doctor to find out the particular ligament that has been damaged. Pain occurs when weight is transferred on the joint. Swelling of tendons also referred as tendinitis or jumper’s knee, injuries caused to meniscus by sharp and quick movements can cause mild to severe pain in the knee joint. The pain due to tearing of meniscus is felt with a popping sensation and locking or feeling of unstable knee. Swelling of tendons causes pain below the knee cap or at the back of the knee joint. All of these knee pains may also occur due to old age or overuse of the knee joint like in sports and other activities.
Osteoarthritis and rheumatic arthritis are other common causes of pain in the knees. Osteoarthritis causes damage to cartilages which eventually exposes ends of the bones to rub each other to cause severe pain and inflammation and also can cause complete immobility of the joint. Rheumatic arthritis makes immunity system attack its own healthy tissues which causes damage to the tissues present in the knee joint causing inflammation, redness, pain and infection in the synovial fluid. Arthritis also promotes secretion of fluid in the joint which gets accumulated in the form of a cyst at the back of the knee joint also known as baker’s cyst.
Knee joint pain due to arthritis or any other disease, infection or disorder is treated along with the major problem while joint pain in the knee due to any injury can be treated by hot and cold compresses, massages with warm oil or pain relieving ointments and creams, light exercises like walking and cycling , yoga and aerobics. Knee replacement surgery is the last option medically available to treat a completely immobile and painful knee..
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