Why Knee Pain | Reason behind Knee Pain & Arthritis | घुटने का दर्द ।जल्द आर्थ्राइटिस का कारण

There is a common wrong belief that knee pain is mainly because of osteoarthritis. However, studies have found out that osteoarthritis, per se, does not always cause pain. Then, what is it which is the culprit of this excessive pain.
Osteoarthritis is like a collection of conditions, which includes fat pad irritation, muscle imbalance, patellar maltracking and joint malposition. It has been found out that fat pad irritation is one of the major causes that leads to pain. Fat pad is like a pad/cushion that contains many nerves which makes it susceptible to pain and discomfort.
Whenever there is pain, there are huge chances that it is due to fat pad irritation. So, fat pad irritation can be treated by manual
therapy, i.e. by proper, specific, and guided tibiofemoral and patellofemoral joint mobilisations along with muscle strengthening and stretching exercises. And in some cases, it may need taping techniques which gives magical and instant results in reducing
the fat pad irritation.
Another reason that causes pain and improper gait pattern is muscle imbalance in and around the knee joint. Muscle imbalance
is common in the knee joint, where inside structures tend to weaken, and outside structures tend to tighten. Therefore, it is important to stretch outside structures and strengthen inside structures, thereby improving balance of muscles around the knee joint. Strengthening and stretching specific muscle groups can improve muscle alignment and thus, can reduce musculoskeletal pain.

If muscle imbalance is not treated or dealt with properly, it causes patellar maltracking. That is, the patella, which is the most anterior oval shaped bone of knee joint shifts towards the outside of the knee joint, that means laterally. Why does lateral tracking of patella occurs? This occurs because, as already discussed, the outside structures become tighter and inside structures become weaker; so, the muscles present laterally tend to exert a pulling force on the outside of the patella causing it to shift, tilt
or rotate externally or laterally. This condition causes pain in the lateral retinaculum as it becomes tight, in addition to pain and tenderness along the iliotibial tract. This also causes pain in the inside of the knee joint, i.e. at the medial aspect of the knee, due to weakness of vastus medialis oblique muscle. Thus, strengthening the VMO muscle and stretching the ITB and lateral retinaculum pays a substantial role in decreasing pain, stiffness, thus reducing the severity of osteoarthritis, thereby, ultimately
helping to delay TKR surgery.
Other reasons which cause pain are pes anserinus bursitis and retropatellar bursitis. Pes anserinus bursitis is usually caused due to inflammation of pes anserinus bursa which is present slightly inferior to the knee joint, and retropatellar bursitis is usually caused due to inflammation of the bursa which is present just under the patella.
There are other reasons as well which cause pain and limitations in knee. These are caused due to excessive twisting, jumping, or putting excessive loads on the joint. These are Anterior cruciate ligament tears, Medial collateral ligament strain, Lateral Collateral ligament strain, Posterior collateral ligament strain, Meniscal tears such as medial meniscus tears and lateral meniscus tears.
What all are the factors that will help to reduce knee pain, stiffness, and therefore delaying the severity of osteoarthritis?
First, leading a healthy lifestyle which includes regular walks/ jogs are crucial. Secondly, proper strengthening, mobility and stretching exercises play a vital role in decreasing the symptoms of pain, stiffness, thereby delaying osteoarthritis. And, thus, ultimately delaying TKR.

Exercise Videos

Stretching: https://youtu.be/5vcBrwoEekM
Strengthening: https://youtu.be/usF1BXcMZf4
How to avoid TKR: https://youtu.be/O_G-BF7soMQ

Online Consultation Form: https://www.caprispine.com/online-physiotherapy-consultation

Видео Why Knee Pain | Reason behind Knee Pain & Arthritis | घुटने का दर्द ।जल्द आर्थ्राइटिस का कारण канала Dr. Deepak Kumar Capri