When diet, exercise, and medication aren’t enough,

Learn More About Targeting Osteoarthritis (OA) Knee Pain at the Source.

You Don’t Have to Settle for Osteoarthritis Knee Pain

It’s time to find the right treatment option for you

Talking to our doctor is the best way to start exploring your treatment options.

And when you do, keep in mind:

Pain affects everyone differently

The severity of your osteoarthritis (OA) as it appears on an X-ray may not reflect the amount of pain you feel. Some people with OA that appears mild on an X-ray may feel a great deal of pain. Others, whose X-rays show severe OA, may feel less pain. Your doctor is relying on you to give a clear description of how your knee feels.

Xray of the Osteoarthritis Knee
Xray of the Osteoarthritis Knee

Osteoarthritis is caused by more that just cartilage loss

In knees with osteoarthritis, the cartilage protecting the ends of the bones gradually deteriorates, joint fluid loses its shock-absorbing qualities, and bones may begin to rub against each other – all of which may cause the knee pain you’re feeling.

Knee Osteoarthritis

It helps to know your Osteoarthritis treament option

There are several treatment options available for osteoarthritis knee pain.

These may include:

  • Lifestyle changes. such as exercises, physical therapy, and weight loss
  • Oral therapies, including pain relievers and nutritional supplements
  • Viscosupplement injections that provide pain relief when lifestyle changes and simple pain medications aren’t enough
  • Steroid injections in the knee
  • Surgery, such as total knee replacement

Talk to us about the risks and benefits of each treatment option to find an approach that is right for you.

Call +65 6471 2674 today.

 

Osteoarthritis – What is it and what symptoms would I experience?

Osteoarthritis (OA) is a disease that affects the cartilage (soft tissue that protects the bone surface) in your joints, causing it to break down and wear out. Knee OA is the most common form of this disease.

Knee Osteoarthritis

Osteoarthritis:

  • Worn out cartilage
  • Decreased joint fluid

Signs and symptoms

  • Pain and tenderness at the joint
  • Stiffness (especially after getting out of bed or getting up from sitting for a long time)
  • Loss of flexibility
  • A grating feeling or the cracking sound of bone rubbing on bone.

How does knee OA develop? How do doctor diagnose it?

Knee OA develops when changes in the cartilage occur:

  • Cartilage becomes pitted, rough and brittle
  • Underlying bone thickens and broadens to reduce load on cartilage
  • Bony outgrowths form at the outer edges of the joint, making it look knobbly
  • Space inside the joint narrows. Bits of bone or cartilage can break off and float inside the joint space.

Diagnosis is usually made using several methods:

  • Medical history
  • Physical examination of the knee
  • X-rays or other imaging tests
  • Other tests such as blood tests or exams of the fluid in the joints.

What are the risks factors for OA?

  • Older age
  • Bone deformities
  • Overweight and obesity
  • Gender (women > men)
  • Joint injuries (sports or accidents)
  • Sedentary lifestyle
  • Certain occupations (that place repetitive stress on the knee)

What are my treatment options?

Lifestyle

  • Gentle exercise
  • Losing weight
  • Enough rest

Therapy

  • Physiotherapy
  • Braces / knee guards

Medications

  • Simple analgesics (paracetamol)
  • Non-steroidal anti-inflammatory drugs
  • Narcotics

Intrarticular injections

Surgery

Call +65 6471 2674 for Appointment

Call +65 6471 2674 (24 Hour) to get an appointment with our doctor today.

Brief Outline of Osteoarthritis Knee

Osteoarthritis, or degenerative joint disease, is a progressive degenerative disease that wears away at the joint cartilage, which is a stiff connective tissue that allows for smooth movement as the knee joint flexes and extends, and which also acts as a shock absorber. As osteoarthritis progresses, the protective cartilage becomes thin and, in extreme cases, the ends of the bones can be exposed. Osteoarthritis of the knee is more common in patients who are over 50 and overweight.

Osteoarthritis Knee

Cause of Osteoarthritis Knee

Long-term repetitive overuse. Excessive weight or overloading of the knee joint. Previous injury to the knee, such as fracture or a meniscus injury.

Signs and Symptoms of Osteoarthritis Knee

Pain, swelling, and tenderness, especially during activity. Stiffness and limited range of motion. Crunching, grinding, and locking of the knee joint.

Complications if Left Unattended Osteoarthritis Knee

If left unattended the cartilage will degenerate to the point where the ends of the bones will be grinding on each other, at which point surgery will be the only option for relief.

Treatment for Osteoarthritis Knee

Anti-inflammatory medications. Synvisc Injection.

Rehabilitation and Prevention for Knee Osteoarthritis

Osteoarthritis is an extremely difficult condition to reverse, so prevention is a high priority. All efforts should be made to reduce any excess body weight and modify any activities that put repeated stress on the knee joint. Improving the condition of the muscles around the knee with strengthening and stretching exercises will provide added support to the knee joint. Another alternative is to take glucosamine supplements, which may help to prevent further degeneration of the cartilage, and may even help to rebuild it.

Long-term prognosis and surgery

If prevention strategies are not initiated at an early stage, osteoarthritis of the knee may progress to the point where surgery is the only option. Depending on the severity of the condition, and the overall health of the patient, a number of surgical options are available. These range from knee arthroscopy, where the surgeon uses fibre-optic technology to look inside the joint and clean it of debris, to a total knee replacement.

Joint Pain

Post-traumatic arthritis is arthritis of the hip joint that develops after an injury. The injury can be a severe contusion to the hip or a fracture of one of the bones within or near the joint.

A hard bruise to the hip joint or fall on the hip may not always cause a visible fracture in bone. It can, however, cause an injury to the surface or articular cartilage of the joint. The damaged surface no longer moves smoothly and the joint deteriorates and develops arthritis.

Articular injuries are hard to diagnose because the joint surfaces cannot be seen on plain x-ray. Injuries to the joint may sometimes be diagnosed on MRI. Other times, the joint injury can present as prolonged pain and stiffness with no positive radiologic findings at all. Months of years later, arthritis can develop and the severity of the joint injury is evident.

Most often post-traumatic arthritis develops after a fracture in or around the hip. Fractures through the head of the femur are unusual but can occur either as an isolated injury or in combination with a dislocation. Fractures into the hip joint socket, the acetabulum, are more common. Either of these injuries results in a damaged joint surface and can lead to post-traumatic arthritis.

Arthritis can also result from fractures that do not directly involve the joint. Examples are an intertrochanteric fracture of the hip or a fracture of the long portion or shaft of the femur. Even though the fracture heals away from the joint, the shape of the femur may change and this can lead to altered mechanics in the joint. Some parts of the joint may develop abnormal pressure and subsequent arthritis.

Since it results from injury, post-traumatic arthritis is most often unilateral or involves one hip only. Injuries to both hips are less common. They usually result from high velocity trauma such as an automobile accident.

Post-traumatic arthritis can develop following a low impact osteoporotic fracture in the elderly. The incidence is lower in these fractures because elderly people place less demand on their hips and have a shorter life span in which to develop the arthritis symptoms.

Hip replacement in post-traumatic arthritis is different than a routine primary total hip. If there has been previous surgery, there may be hardware which needs to be removed. Scar tissue may be present which makes disection more difficult. A fracture deformity of the femur may make it harder to place standard components. A defect in the acetabulum may require a bone graft.

In general, the symptoms of post-traumatic arthritis are similar to osteoarthritis, but the surgery can sometimes be a little more difficult.

Call (+65) 6471 2674 (24 Hour) to see our specialist for your arthritis hip today.

  • If you have an mild pain or swelling at the injection site, you may want to rest and keep an ice pack on your knee for 15 to 20 minutes, or as recommended by your doctor.
  • Avoid putting a lot of strain on your knee – such as with jogging, heavy lifting, or prolonged standing – for 48 hours after the injection, or as recommended by your doctor.

How will I know When it is Time for Another Treatment with SYNVISC or Synvisc-One?

  • Since there is no known cure for osteoarthritis of the knee, and it is a chronic condition that does not go away, it is important that you continue to see your doctor regularly
  • Track your symptoms, and if you notice pain or stiffness returning, speak with your doctor about scheduling your next appointment
    • Your doctor will decide if and when it’s appropriate to repeat treatment
  • Repeat treatment with SYNVISC and Synvisc-One has been proven to be effective with a favourable safety profile.

Osteoarthritis is a chronic condition, and regular contact with your doctor can help you prevent pain from interrupting your daily activities.

Call (+65) 6471 2674 (24 Hour) to fix an appointment with our specialist to have Synvisc Treatment Today.