
Knee Osteoarthritis
Knee osteoarthritis is a common condition that can affect quality of life by causing pain, stiffness, and reduced mobility. Treatment is tailored to each patient and often begins with non-surgical options, progressing to surgical solutions if symptoms become more severe or persistent.
Surgical Treatment Options
When non-operative treatments no longer provide sufficient relief, surgery may be considered. The two main options are partial knee replacement and total knee replacement, with advanced techniques like robotic-assisted and patient-specific implants increasingly available.
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Non-Surgical (Conservative) Management
In the early stages, knee osteoarthritis is often managed successfully without surgery. These treatments aim to reduce pain, improve joint function, and slow progression of the disease.
Weight Management
Reducing excess body weight helps relieve stress on the knee joint. Even small amounts of weight loss can make a significant difference in reducing pain and slowing joint damage.
Physiotherapy
Strengthening the muscles around the knee—particularly the quadriceps and hamstrings—helps to stabilise the joint and improve function. A tailored physiotherapy programme is often a key part of long-term management.
Medications
Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce inflammation and manage pain. They may be taken orally or applied topically, depending on the severity of symptoms.
Joint Injections
In some cases, injections can offer additional relief:- Corticosteroids provide short-term pain relief, particularly during flare-ups. However, repeated use may weaken cartilage over time.
- Hyaluronic Acid acts as a lubricant within the joint, helping to ease movement and reduce discomfort.
- Platelet-Rich Plasma (PRP) uses components of the patient’s own blood to promote healing and reduce inflammation. This is an emerging treatment with encouraging early results.
Bracing and Assistive Devices
Supportive devices such as unloader braces can shift weight away from the affected area of the knee, offering relief in cases of compartmental osteoarthritis. Walking aids may also help reduce pressure on the joint during daily activities. - Corticosteroids provide short-term pain relief, particularly during flare-ups. However, repeated use may weaken cartilage over time.
