Osteoarthritis of the knee - Gonarthrosis

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It is a chronic disease of the knee joint, where the cartilage that covers the bones wears out and causes a rubbing and subsequent deterioration of the bones.

There are multiple triggering factors: excess weight, advanced age, menopause, genetic factors, intense physical activity, work activity that requires constant flexion and extension of the joint, injuries and lesions of the knee.

It manifests with pain, limited movement, stiffness (mainly in the morning), crackling and/or swelling of the joint.

The diagnosis is clinical through medical questioning and physical examination. Imaging tests such as x-rays, MRI and/or an ultrasound will be done to complete the study.

The treatment aims to relieve pain and inflammation with analgesic and antiinflammatory drugs. Medications are used for cartilage protection (hyaluronic acid, glucosamine sulphate...) and rehabilitation therapy. Excess weight should be corrected if it exists and proper ergonomics should be promoted in the workplace. If the previous treatments fail, surgery and a prosthesis insertion may be carried out.

If you have any of these symptoms, visit a specialist to treat them and stop the progression of osteoarthritis.

Bibliographic references
  1. N. Kulund D. Lesiones del deportista. Rodilla. Exploración de la rodilla del deportista lesionado. "Rodilla del corredor". Salvat S.A. 353-366.
  2. CuidatePlus [Internet]. Madrid 2017. Artrosis; [citado el 28 de junio de 2017]. Disponible en: http://www.cuidateplus.com/enfermedades/musculos-y-huesos/artrosis.html
  3. UpToDate [Internet]. Waltham. 2017. Management of moderate to severe knee osteoarthritis; [citado el 28 de junio de 2017]. Disponible en: http://www.uptodate.com/contents/management-of-moderate-to-severe-knee-osteoarthritis?source=search_result&search=artrosis+rodilla&selectedTitle=6~150
  4. UpToDate [Internet]. Waltham. 2017. Clinical manifestations and diagnosis of osteoarthritis; [citado el 28 de junio de 2017]. Disponible en: http://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-of-osteoarthritis?source=search_result&search=artrosis+rodilla&selectedTitle=1~150
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Symptoms

    Knee flexing difficulty


    Pain when bending or stretching the knee


    Knee pain increase when bearing weight


    Locked knee


    Joint crackling when moving it

Symptoms to watch out for

Pain that does not subside with analgesics.
Fever (temperature higher than 100.4 ºF)
Joint stiffness for more than 1 hour

Self-care

If you have pain, use over-the-counter pain relievers.
Apply heat to the affected area.
Lose weight if you are overweight or obese.
Get regular physical activity at least 3 times a week that is appropriate for your age and physical condition.