Otherwise its unpleasant and frustrating, but the upside is that this is often a very treatable problem and we a great options for knee pain treatment.
Diagnosis Before Knee Pain Treatment
To diagnose, before knee pain treatment, it requires a focused medical history, that sorts out the details of the pain, like
what it feels like (eg aching, sharp, or burning),
where it is located (eg front of or behind the joint),
when it started (eg, gradually or suddenly), and whether there was any recent trauma (eg blow to the knee).
Apart from medical history, examination of the joint imaging tests like Xray or MRI are done to make or confirm a diagnosis.
In the end, after understanding the precise cause of pain we formulate an effective treatment plan that optimizes the knee healing process and provides relief to our patients.
Causes of Knee pain
Our knee is a complex structure made up of three bones-
the lower part of the thighbone,
the upper part of the shinbone,
and the kneecap.
Also, there are strong ligaments and tendons that hold these bones together, as well as cartilage around the kneecap and between the bones to provide cushion and stabilize the knee against any damage or disease
Some common causes of knee pain
There are different types of arthritis that may affect the knee joint, the two most common are, osteoarthritis and rheumatoid arthritis.
¶ osteoarthritis is more common in people over the age of 50. It develops as a result of wear and tear of the cartilage in the joint due to aging. It causes pain while moving it. The pain may be a constant dull, aching pain. It is the most common type found in patients.
¶¶Rheumatoid arthritis is an autoimmune disease in which a person’s immune system attacks multiple joints in the body. Along with pain, swelling, redness, and warmth over the kneecap may also occur. *In rheumatoid arthritis pain tends to improve with activity*.
◆Knee Ligament Injuries
◆Patellar tendonitis and tear
It is the most common in people who engage in sports or activities that require frequent running and jumping.people with this condition feel sharp pain during activity.
◆Patellofemoral Pain Syndrome
It is most common in adolescents and young adults and is usually caused by vigorous activities that put stress on the knee, like running, squatting or climbing stairs. Due to this condition causes a dull, aching pain feeling underneath the kneecap.
It develops as a result of overuse of the knee too much like bending etc.or from a knee injury. Its symptoms may be a pain, either sharp or aching, located in front of, around, and or behind the kneecap.
All Baker’s cysts do not cause pain, but if they do, the tightening” pain is felt in the back of the knee and there are stiff knee and a visible bulge that worsens with activity.
It is commonly found in people who kneel, like gardeners. Less commonly due to an infection, gout, rheumatoid arthritis, or a direct blow to bursitis. A mild aching knee pain that may only be felt with knee movement.
◆Iliotibial Band Syndrome
It is commonly caused as a result of overuse, especially in runners, and causes an aching, burning pain on the outside of the knee joint. Sometimes, the pain spreads from thigh to the hip
Less Common causes
Gout is an inflammatory condition that occurs due to high levels of uric acid in the bloodstream. It is deposited in the form of crystals within certain joints, like the big toe, fingers, knee, or hip. A gout attack often affects one joint at a time, causing a severe burning pain, as well as swelling, and heating effects of the affected area.
It is found in children and adolescents and occurs as a result of a lack of blood supply to a small segment of the knee bone. The first symptom is pain that is localized to the knee that is experienced with activity.
In this, the person feels middle and front pain that worsens with knee activity, like squatting, running or kneeling, or with prolonged sitting. A popping sensation is often felt while bending the knee.
It is a condition seen in children between the ages of nine to fourteen. It causes knee pain. The pain improves with rest and worsens with knee movement.
It causes discomfort, especially when trying to straighten the kneecap, also bruising and swelling over the kneecap.
Knee Joint Infection
It causes knee pain, with swelling, warmth, stiffness, and often with fever.
Very rarely, bone tumours, such as an osteosarcoma, may be the source of one’s pain. Associated symptoms like fever or unintentional weight loss and pain that is particularly worst at night.
Symptoms of knee pain
●Inability to walk
●An injury that causes deformity around the joint
pain that occurs on the night or while resting
●Unable to bend the knee
●Signs of an infection, including fever, redness, warmth
●Any other unusual symptoms
Ayurvedic View for Joint Knee Pain
According to Ayurveda pains are usually caused by the aggravation of Vata (air) dosha. Arthritis is caused by the accumulation of ama (Ama is toxic by-product generated due to poor digestion) and the aggravation of Vata. This spreads throughout the body and gets deposits or is integrated into the body parts that are weaker. When the ama deposits in and around the joints due to the aggravation of data, it results in a condition called “amavata” this amavata is arthritis.
Many therapies are simple, straightforward, and can be done at home.
The first treatment for the most common conditions that causes knee pain is the rest of the joint, allowing the immediate inflammation to subside. Rest can be useful to relieve knee pain
Depending on the diagnosis, your doctor may recommend For example, in the case of patellar tendonitis, we advise supportive taping and patellar tendon straps. For prepatellar syndrome, a lightly wrapped elastic bandage over the knee (with a hole where the kneecap is) recommended.
Sometimes to maintain stability, a knee brace may be advisable, as in the case of a collateral ligament injury or partial dislocation. In the same way, in some kneecap fractures, a cast or splint may be placed for healing.
Physical therapy is a very important aspect of treatment. In this Physiotherapists use different techniques to regain mobility of joint, increase the strength of muscles and help patients to return to their pre-injury level of activity.
There are many herbs in Ayurveda that can be taken on a daily basis to prevent from an age-related ailment
1.Ashwagandha (Withania somnifera)
It has many useful properties for the human body, including the treatment of joint pain. One can consume Ashwagandha as its leaves or tablets twice a day for the relief of pain in the joints.
2.Guggul( Commiphora Mukul)
Guggulu has the properties that can increase the number of white blood cells in the body which in turn can dis-infect body fluids thus relieving swelling and pain.
3.Garlic (Allium sativum)
Garlic can be used for treating joint pains. It can be taken in the morning, five to six cloves with warm water.
4.Ginger (Zingiber officinale)
Ginger is also beneficial for treating joint pains. It can be taken as raw, its juice or grated.
5.Lemon juice (citrus juice)
It is also beneficial in the cases of joint pain as the citrus property of a lemon can help in melting ama accumulated in joints. Lemon water with honey can help in relieving stiffness of joints along with helping to reduce weight.
Following ingredients should be included in our diet to prevent knee pain on a daily basis.
●Fresh Orange juice
●Fruits like mango, kiwi, papaya orange, and grapefruit as these fruits are rich in vitamin C, which helps to ease the pain.
●Fish as fatty acids in fish can prevent inflammation in the knee and also block the proteins that erode cartilage of the knee.
●One should take fresh and warm cooked foods
●Take a light diet
●Avoid refrigerated and stale foods
●Wheat or brown bread is good
●Switch to green and boiled vegetables
●Fasting is practiced once a week. .to remove ama from the body.
●Lunch and dinner should be taken on time.
●Avoid fast and junk foods
●One should not take hot, spicy, deep fried and high protein diet.
●Avoid cold drinks, soft drinks, and aerated ones
●Overeating of food should be avoided
Food that should be Avoided
One should avoid wind forming foods such as potatoes, spinach, and cauliflower etc.
One should avoid excessive intake of white sugar, tea, alcohol, coffee, yogurt, chocolate, and cocoa etc.
One should avoid waking up late at night, sleeping during the day, and psychological stresses such as fear, stress, anxiety etc.
Massage therapy, as well as heat treatment, is good in overcoming a knee injury and making it strong and flexible. Massage with ayurvedic herbal oil followed by application of moderate heat with heat bag, make the movement of joints easy and simpler The significance of Yog asana increases when it is practiced after the heat and massage treatment. Steam bath and sunbath are also effective in knees and joints.
Best knee exercises on daily basis सूक्ष्म व्यायाम
●Moving toes inward and outward
●Rotation of toes clockwise and anti-clockwise
●Bend your knees and drag your heels to and frओ
●Static March past
Yoga postures can help strengthen legs, can provide knees with some relief, and can help to stay pain-free in our daily life.
Yoga can be very beneficial to all who are suffering from weak knees or pain. Some postures help to stabilize the knee and provide strength to the muscles that support and hold the knee in proper alignment.
Yoga can help to stretch tight muscles that can pull on the knee.
An observation on the breath when doing poses also keeps us focused and aware of how we are using our body, so we can take care of overstretching or overdoing any poses.
One should practice each one of these poses three to four times a week. Try to hold each pose for at least five breaths and back off if you feel any pain or pulling on the knee.
1. Mountain Pose
2. Triangle Pose
3. Warrior II
4. Hero’s Pose
5. Downward Facing Down.
I will cover Yoga for knee pain in detail in next write-up.
I hope this article will be knowledgeable for you.
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Eat Healthily, Stay Healthy.
Dr. Seema Gupta
Senior Ayurvedic Medical Officer
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