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The Knee

The knee is the largest joint in the human body.

The knee joint also withstands a lot of stress even in daily activities. For example, the pressure on the knees while climbing stairs or running is about 3 x body-weight.

This is one reason why the knee is prone to experiencing wear-and-tear problems.

Common Symptoms & Possible Cause of knee problems

  • Symptoms: Pain on prolonged walking or standing (Click here to learn more)

    • Possible causes: cartilage or meniscus damage, leading to poorer shock absorption

  • Symptoms: Pain during or after running or exercises (Runner’s knee)

    • Possible causes: cartilage damage, including minor thinning of cartilage, tear or ulcer in cartilage

  • Symptoms: Pain at the front of the knee, when climbing stairs, or getting up after being seated for some time

    • Possible causes: cartilage damage beneath the kneecap

  • Symptoms: Pain when bending knee, or pain when squats(Click here to learn more)

    • Possible causes: cartilage damage beneath the kneecap, meniscus injury

  • Symptoms: Pain at the inner side of knee

    • Possible causes: cartilage wear and tear on inner side of knee, medial ligament injury, meniscus injury

  • Symptoms: Pain at the back of knee

    • Possible causes: meniscus tear, posterior ligament injury, muscle strain

  • Symptoms: Hearing a pop of the knee

    • Possible causes: ligament tear, meniscus tear

  • Symptoms: Giving way or ‘weakness’ of the knee

    • Possible causes: ligament tear, meniscus tear, cartilage damage

  • Symptoms: Feeling something move inside the knee

    • Possible causes: loose body inside knee

  • Symptoms: Episodic sharp pain of the knee

    • Possible causes: loose body inside knee, cartilage tear. iliotibial band syndrome

  • Symptoms: Swollen knee(Click here to learn more about Swollen Knee)

    • Possible causes: knee arthritis, gouty attack

  • Symptoms: Morning stiffness and pain, or pain at night

    • Possible causes: cartilage wear and tear, knee arthritis

Knee labelled

Common knee conditions in our practice:

  • Osteoarthritis
    • degenerative arthritis of the knee. Various treatment options include oral supplements, lubricant gel and other injections, key-hole procedure to repair knee, or knee replacement.

  • Acute Ligament tears
    • most common is the Anterior Cruciate Ligament (ACL), followed by MCL and PCL. Complete ACL tears are routinely treated with surgery to reconstruct the ligament.

  • Chronic ligament and tendon injuries
    • sometimes, an acute injury can become chronic causing persistent pain. Treatment options include physiotherapy, injections, and surgical procedures.
  • Cartilage damage
    • cartilage damage may occur slowly over months or suddenly due to an injury. Cartilage damage should be treated to prevent deterioration to arthritis.
  • Meniscus tears
    • commonly occur in middle-aged persons after prolonged walking or a holiday. Similar to cartilage damage, this should be treated to prevent deterioration to arthritis.
  • Abnormal bow-leggedness or knock-knee
    • the knee can become deformed due to degenerative arthritis. Because these are progressive conditions, they should be treated before they progress and affect walking and mobility.

  • Loose bodies

     

    • these are usually bone spurs which break off within the knee. They cause episodic, sharp pains. They should be removed through a standard key-hole procedure.
Alam Khwrshed MRI2e

MRI Image of torn ACL

Our expertise includes:

– Physiotherapy
– Knee brace fitting
– Aspiration for knee swelling
– Steroid injections
– Lubricant gel injections
– Biological injections to stimulate healing
– Key-Hole Surgeries
– ACL: Single- or Double-bundle
– Ligament tears: MCL, PCL, LCL
– Cartilage Reconstruction
– Patella Dislocation
– Knee Replacement: Partial or Total, using computer-assisted infra-red technology