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Damage to articular cartilage damaged by sound
– On anterior knee arthritis –
#. The story of a 55-year-old patient. I had gone through menopause a few years ago and since then my thighs have become thinner. At the same time, I feel a dull ache in front of my knee. There is no pain when walking on the apartment, but when I squat, it hurts so much when I wake up and when I walk on the flat again. After long legs, I said that when I open my knees, I go to bed. I had no pain when I was walking in the plains, so I had hesitated for years to come to the hospital for medical attention. I went to a clinic near my home and I tried to do an x-ray, but I thought I had just grown old because I had no problem. However, recently, I felt a lot of swelling of the knees.
I decided to do the revision and I came to the hospital. The 34-year-old woman, who is a career woman, said that she had gained much more weight than anyone after giving birth. About three years ago, I felt blunt pain in front of my knee. I often traveled by plane, but when I sat in the plane for a long time and sat in the same position, my knees became too swollen and uncomfortable. Since last year, it was said that there would be fear abroad. I also took an x-ray of a small orthopedic surgeon. I was only taking medication when I heard that there was no big abnormality in my knee. However, if I forgot to do it, I repeatedly developed pain and I went for the purpose of an accurate diagnosis.
#. A 28 year old patient who was sensitive to weight. I started my workout at the fitness club near my home for weight control. I started to squat and split to increase the strength of the legs. From about 2 weeks, the blunt pain started in front of the knee. When I was walking on the flat floor, I had no pain to do the exercise to lie down, and I supported the exercise. My fitness instructor told me that my knee was a bit sick and said, "I think my tendons became inflamed because of my exercise. However, the pain has not improved.
As you may have noticed, three cases of patients were reasons to have a diagnosis similar to that of patients with similar diagnoses. The common symptoms of these patients are:
First, the pain is mainly in the anterior part of the knee. Secondly, there are no symptoms when you are walking on flat ground. Third, symptoms tend to begin when weight gain or thigh strength decreases. Fourth, a small orthopedic surgeon did not find any particular findings on x-rays or exams
If so, what part of the knee broke when the knee was sore? In the front of the knee is a bone of the seed (patella), which looks like a pebble, and a femoral joint that abuts the opposite side of the knee. If this joint, often called the anterior knee joint or femoral metatarsal joint, causes problems, there are no symptoms when walking on a flat surface, as mentioned above .
Sensitivity of patella around patella and pressure on patella complain of pain, but when knee is lowered, rub patella inward or outward or upward and down causes friction and pain. When arthritis is prolonged and severe, the lateral and lateral movements of the patella are reduced. In most patients, a fricative is often present in the anterior part of the knee during the movement of the knee.
Fortunately, most patients with patellofemoral arthritis do not exhibit severe symptoms, so they are more likely to suffer from aggressive treatments such as surgery. There are not many cases where this is necessary. Regardless of the treatment, weight loss and restoration of thigh strength are the most important. If there are 100 patients, there will be less than 10 patients who undergo actual surgery. The reason for this is that no good surgery has yet been developed for arthritis of the patella femur and patients are satisfied with the injection or non-surgical treatment.
Weight loss and quadriceps exercise is not a good thing as it is not an exercise. It's rather poisonous when you perform a lowering exercise like a "squat" that repeatedly hangs your knees repeatedly, or a "lunge" that leans forward. The strength of the thigh may be a little, but it causes more damage to the articular cartilage during such an exercise. For those who suffer from this disease, it is recommended that the thigh muscles be reinforced by a swimmer, a leg extension, a lightweight indoor bike and flat rides in order to maintain joint inflammation and reduce l & # 39; abrasion. In addition, it is best to avoid squatting or sitting on your lap in your usual way of life.
It is important to know that there is a growing number of patients with arthritis or arthritic cartilage lesions at the femoral patella at a young age. It is also important to know that if you examine it in detail and do not inspect it, it will be missed often. The diagnosis should be done correctly to avoid unnecessary work or the wrong way to exercise. If you have suffered from the above symptoms, do not hesitate to stop at the orthopedic clinic to find the cause of the pain.
Run Jang Hospital, director of Jong Hoon
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