Knee

Body Mass Index is a Risk Factor in Cartilage Repair

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When joint cartilage is damaged and needs repair, surgeons can take a plug of cartilage and subchondral bone from a healthy joint and transfer it to the defect. A special tool called the Osteochondral Autograft Transfer System (OATS) is used to harvest the bone-cartilage plug. The graft is called autologous because it is taken from the patient. This technique has been used for several different sites such as the shoulder, elbow, and knee.




I'm starting to be bothered by my knee arthritis more and more. Up until now, I've been able to manage with just Tylenol. Should I bump up the dosage on my Tylenol or switch to ibuprofen?

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All drugs come with benefits and possible side effects or adverse events. For anyone suffering joint pain from osteoarthritis, acetaminophen (i.e., Tylenol) can be an effective pain reliever. There are no acidic components like with aspirin and no antiinflammatory effects, so it's used for pain control.




Years ago I remember DMSO was all the rage for arthritis. I didn't pay much attention back then and I haven't heard a whisper about it since. But now that I have started having arthritic symptoms in my knees, I thought I'd check it out. Is there anything to this stuff?

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Dimethyl sulfoxide (DMSO) is a chemical compound that was first made in 1866 by a Russian scientist. It is a colorless liquid penetrates the skin and other membranes easily without damaging them. This quality makes it an excellent compound for carrying other compounds into the body.




Topical NSAIDs As First-Line Therapy for Knee Osteoarthritis

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All drugs come with benefits and possible side effects or adverse events. For anyone suffering joint pain from osteoarthritis, nonsteroidal antiinflammatory drugs are often used to reduce pain from inflammation and improve function. But since osteoarthritis is a chronic condition, that can mean taking these medications for a very long time. And that increases the risk of problems or complications.




I'm actively searching the Internet for information about autochondrocyte implantation. It looks like that's in the cards for me. It will be my third knee surgery for damage to the knee cartilage. What can you tell me about this operation?

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You may be referring to autologous chondrocyte implantation (ACI). Autologous chondrocyte implantation refers to using the patient's own cartilage to repair deep holes or defects in the cartilage. These type of full-thickness, large lesions of the knee occur most often in in active, high-demand patients such as athletes.




I was always a good athlete, involved in year-round sports activities even after high school. But now I've got a bunch of tiny holes in my knee cartilage that really seem to bother me. I've looked into various options and it seems like surgery is my next step. What can I expect for future sports participation after I recover?

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Cartilage covers the ends of bones that make up the knee joint. This type of cartilage is called hyaline or articular cartilage. It is made up of cartilage cells called chondrocytes. Damage to this structure can cause holes called defects or lesions. Continued daily use of the joint puts pressure on the damaged area leading to pain, swelling, and sometimes locking or catching of the knee.




Long-Term Results of Autologous Chondrocyte Implantation of the Knee

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The authors of this study provide us with some long-term information about the results of autologous chondrocyte implantation (ACI) for large lesions in high-demand patients (athletes). Autologous chondrocyte implantation refers to using the patient's own cartilage to repair the problem.




Mother seems to be awfully stiff in the mornings. Once we get her up and moving, she seems to do much better. She does have some knee pain, but it's the stiffness that really holds her back. What can be done about this -- anything?

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Someone who experiences stiffness that gets better with movement is probably experiencing some muscle involvement. On the other hand, people who feel good when first waking up but then stiffen up as the day goes by are more likely to be dealing with issues involving the joints.




My knees seem to be kinda wobbly. I never know when they are going to go out from underneath me. Are there some exercises I can do to get them back in shape? Quite frankly, I'm worried about taking a fall.

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Maybe what you need is a rehabilitation program to increase muscle strength and improve proprioceptive function. Proprioception is the joint's sense of its own position. Tiny receptors inside the joint send messages to the brain whenever even the slightest change in position or movement occurs.




Proof That Exercise Helps Arthritic Knees

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If you have painful knee arthritis, exercising the knee may be the last thing on your To Do list. But studies like this one show that knee flexion and extension exercises do help. They improve strength and help your knee respond quickly to any change in position. The result can be less stiffness, faster walking speed, and a lower risk for falling. If you are a young athlete, that may not sound very important. But if you are an older adult, these benefits may grab your attention.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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