what is functional disability in bilateral knee osteoarthritis?
89959
depends on your country and scoring system.\nin india, we use mc.bride's scale.\n the amount of flexion limitation and occupation are used to calculate the percentage score using a chart.\n\nmay not be true for your country.\n\nmay i help. my services are free. \ni am senior lecturer in medical college calicut.\ncvjeena@yahoo.com
829761
Another solution - have knee-replacement surgery!\nI suffered for years with my knees - always thought\nit would get better with everything I tried -but it did not.\nAbout 2 years ago I had both knees replaced, at the same time.\nBest thing I ever did. No more pain, walking, standing, bending knees, all in all, the best solution for me!
880425
I am puzzled as to why you are on Flexeril for osteoporosis & chodromalacia, unless you are using it as a sleeping pill.  You are awfully young for osteoporosis - are you on medications to help with that?  Have you considered surgical intervention for the knees?  It is better to fix the underlying problem than to try and treat the symptom (pain).\n\nLong term use of narcotics can cause you to not only become tolerant, but to develop extreme sensitivity to pain - things that don't normally cause pain might feel painful to you (opiate-induced hypersensitivity)\n\nI would consult a pain management specialist with the goal of getting off narcotics completely.  Contact your local hospital's anesthesia department for a referral.\n\nGood luck.
160209
Many times it's not caused by an injury but can be caused by a person being overweight and putting too much pressure on the cartilage which compresses it causing extreme pain in the knee when walking.  Can be corrected with knee replacement surgery.
243203
Talk to your doctor.  They should recommend rehab exercises for your knee post-surgery.
1010266
patellofemoral syndrome in a 15 yr old?\ni would think  chondromalacia patella\n\nconservative  approach for a torn meniscus?\nno way!\n\nmushroom shaped bone is probably osteochondroma- leave it alone\n\nmeniscal problems- arthroscopy- period\n\ndislocated knee means torn ligament, probably acl. it never heals if fully torn. needs surgery.\n\nyou need a scopy. you need it now- at least an MRI.\n\nfeel free to contact me if you need\n\ncvjeena@yahoo.com
646783
Meniscal  knee surgery is invasive to the knee joint. It shaves or removes the meniscus which cushions the knee joint. the knee will never ever be the same after that surgery. Arthritis is a common after affect, even when the surgery heals.\n\nThere are methods for making the arthritic knee feel better, but ultimately, your mother is probably on her way to knee replacement in the future.  In the meantime, there are various means to make her mobile and relatively comfortable, until knee surgery replacement is the only alternative left.  These can include: ibuprofen, NSAIDS, joint replacement fluid (synvisc), moderate exercises, heat/ice therapy, cortisone injections.  \nA good orthopedic doctor will try all the medical treatments on her before even considering a replacement surgery.\n\nBest wishes
811978
I have very bad knees, I've already had surgery on one of them for degenerating cartilage. I'm only 20. Before the surgery, I tried physical therapy. In there I found some good stretches, but the most important thing was the discovery that I can use the stationary bike with minimal or no pain. If you decide to do this, keep it at a lower resistance. If it hurts, reduce the resistance. I usually bike on level 2 or so, although bikes differ.
204417
The menisci play an important role in absorbing about a third of the impact load that the joint cartilage surface sees. It's been shown that complete removal of a meniscus can result in progressive arthritis in the joint within a decade or so in a younger patient, sooner in patients who are older with preexisting "wear-and-tear" osteoarthritis. The menisci also cup the joint surfaces of the femur and therefore provide some degree of stabilization to the knee.
1085851
two medicines are injected directly into the knee for osteoarthritis\n1.coricosteroids that are basically depot(long term ) painkillers and 2.joint lubricants (hyalase) -the latter is of doubtful value especially in advanced cases\n\nplease feel free to contact me if you wish - i need further info for a full diagnosis.\ncvjeena@yahoo.com
661869
Hi, all of those questions are answered in the following journal article...\n\nhttp://www.medscape.com/viewarticle/510997\n\nThis is from the " Current Opinion in Rheumatology " journal, article titled... Exercise as a Treatment for Osteoarthritis. The article is written by the Professor of Pysiotherapy at the University of Melbourne.
379694
neither thank you but if i absolutly had to a leg the have such good prostitics that its better than loosing the abbility to type these messages and grab things easier plus with bad joints like mine the bad knee is something i could do without
89744
I was diagnosed with this many years ago when I was much younger.  It kept me out of P.E. class for my Senior year in High School.  After I graduated I started a very demanding job being on my feet all day and lots of heavy lifting.  My knee problems went away.  I've had other difficult jobs since then and my current job keeps me moving, all day ( Not much lifting ).  Sometimes, I'll have mild pain in my knee, when it is at its worst I'll put on a knee brace, take some asprin and it's fine in a day or two.  I think being inactive was the worst thing for me and being active has helped.  Please be carefull, listen to what your Doctor says, your condition may be worse than mine ( or not ).  If the pain gets to be too much, take a break!
263513
Managing patellofemoral pain syndrome is a challenge, in part because of lack of consensus regarding its cause and treatment. Contributing factors include overuse and overload of the patellofemoral joint, biomechanical problems and muscular dysfunction. The initial treatment plan should include quadriceps strengthening and temporary activity modification. Additional exercises may be incorporated as dictated by the findings of the physical examination. Footwear should be closely evaluated for quality and fit, and the use of arch supports should be consideredBecause bending the knee increases the pressure between the patella and its various points of contact with the femur, patellofemoral pain syndrome is often classified as an overuse injury.4-8 However, a more appropriate term may be "overload," because the syndrome can also affect inactive patients. Repeated weight-bearing impact may be a contributing factor, particularly in runners.3 Steps, hills and uneven surfaces tend to exacerbate patellofemoral pain. Once the syndrome has developed, even prolonged sitting can be painful ("movie-goer's sign") because of the extra pressure between the patella and the femur during knee flexion.\nDedicated patients can often manage physical therapy on their own, with 20 minutes per day being a reasonable expectation. Guidance from a physical therapist can be helpful, but patients need to adhere to the therapist's recommended home program and should not expect overnight success. Patients may not experience improvement of symptoms for six weeks or much longer, and the syndrome may recurIce is the safest anti-inflammatory "medication," but its successful use requires discipline. Applying ice for 10 to 20 minutes after activity is reasonable. A common complaint is the inconvenience of holding an ice bag on the knee, but a simple elastic wrap solves this problem. A frozen gel pack, crushed ice in a plastic bag or a bag of frozen vegetables also work well.\n\nPatients with patellofemoral pain syndrome have not been conclusively shown to benefit from anti-inflammatory drugs (NSAIDs). Although the same statement can be made about many treatments for patellofemoral pain, the drawback of NSAIDs is that their potential side effects may be more significant than any adverse effects of ice application or rehabilitative exercises. However, considering the convenience of NSAID therapy, a judicious trial may be worthwhile.\n\nSurgery for patellofemoral pain syndrome is considered a last resort. True chondromalacia (fraying of the retropatellar cartilage) may be amenable to an arthroscopic surgical procedure to smooth out the undersurface of the patella.35 Unfortunately, the chondromalacia may return.\nBefore the decision is made to perform a lateral release, other options and treatments should be considered. For example, the physician should consider whether the lateral tracking could simply be due to a tight iliotibial band or weak quadriceps muscles. Taping the knee to enhance medial glide should be tried. Having the patient wear a quality running shoe or arch support is another measure to try before surgery is contemplated. Although the lateral release is effective in a select group of patients, it is often considered an overused procedure, even among some orthopedic surgeonsAn initial conservative approach to patients with patellofemoral pain syndrome should include the following measures: (1) relative rest with consideration of a temporary change to nonimpact aerobic activity; (2) quadriceps strengthening; (3) evaluation of footwear; and (4) icing, especially after activity.\n\nDefinitive treatment should be individualized. The addition of hip strengthening and stretching or stretching of the iliotibial band, hamstrings and calves should be based on a physical examination. Consideration should also be given to use of over-the-counter or custom orthotics. Patient education is essential, and patients need to be given
510818
I had Arthoscopy surgery back in Nov. I had a chipped bone and also had arthritis clean up. My knee still bothers me at times, are you in an immobilizer or anything to keep your leg straight? Or on crutches? Its going to take time for it to heal, knees have a long healing process.
51449
I would need to know the condition of the knee there are some great supplaments I know of that can reverse cartilige damage and reduce or eliminate pain.
30826
it is possible, \nbut the location of swelling rises the suspection for other knee disorders too, you'd better to see your doctor(orthopedist or rheumatologist) , s/he may do some tests and tell you what to do.