Osteoarthritis is the most common form of arthritis, and often affects the knees. Caused by aging and wear and tear of cartilage.
Grade of Osteoarthritis:
The Kellgren and Lawrence system is a method of classifying the severity of knee osteoarthritis (OA) using four grades of disease.
Grade 1- Doubtful narrowing of joint space and possible osteophytes lipping
Grade 2- Definite osteophytes, definite narrowing of joint space
Grade 3- Moderate multiple osteophytes, definite narrowing of joint space, some sclerosis and possible deformity of bone contour
Grade 4- Large osteophytes, marked narrowing of joint space, severe sclerosis and definite deformity of bone contour.
Causes
- Age- OA becomes more common with increasing age.
- Genetics- There may be some inherited tendency for OA to develop in some people.
- Obesity -This is because there is an increased load on the joints and a potential for more joint damage.
- Sex- Women are more likely than men to develop OA
- Previous joint injury, damage or deformity
- Occupational overuse of a joint
Symptoms
- Pain
- Stiffness
- Limitation in full movement of the joint
- Restricted Joint Range of Motion
- Creaking, clicking, or popping noises when the joint moves
- Other symptoms of RA include:
- Restricted activity of daily living
- An affected joint tends to look a little larger than
- No symptoms may occur. Quite a number of people have X-ray changes that indicate some degree of OA but have no, or only very mild, symptoms
Treatment
Conservative Treatment
Drug Used to Treat OA Include
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Pain Killer Like- Ibubruphen/ Paracetamol etc
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Pain Killer Like- Ibubruphen/ Paracetamol etc
Physiotherapy
Exercise- Strenghtheing Exercise, Flexibility Exercise, Range of Motion Exercise
Modalities- Like Heating Modalities, TENS, Muscle Stimulator etc.
Modalities- Like Heating Modalities, TENS, Muscle Stimulator etc.
Surgery
Joint Preservation Surgery - Like Osteotomy
Type Of Knee Osteotomy-
1- Proximal Fibular Osteotomy (PFO)
2- High tibial Osteotomy (HTO)
3- Supra Condylar Osteotomy (SCO)
Joint Replacement Surgery
Type Of Knee Osteotomy-
1- Proximal Fibular Osteotomy (PFO)
2- High tibial Osteotomy (HTO)
3- Supra Condylar Osteotomy (SCO)
Joint Replacement Surgery
Regenerative Medicine
Minimally invasive autologous adipose-tissue derived stromal vascular fraction (Ad-SVF) has shown a long-term safety and efficacy and has been found as the ideal choice in early grades of osteoarthritis