Osteoarthritis (OA) is by far the most common joint disorder in the United States and throughout the world. It is a leading cause of pain and disability in the elderly, mostly because of its predilection for the weight-bearing joints. And so today I will talk about osteoarthritis in an important weight-bearing joint: the knee. Overweight people are at greater risk of developing knee OA . In addition, major knee injuries such as ligament or meniscal tears are common causes of knee OA. Ultimately, whether it is the extra force on the knee due to obesity or the disruption of the normal internal components of the knee due to a meniscal or ligament tear, OA is caused by a change in the synthesis and degradation of cartilage and adjacent bone. This in turn results in loss of cartilage and damage to bone, manifested in the patient by pain, swelling, and limited range of motion of the knee . The American College of Rheumatology (ACR) suggests initially treating knee OA...
Pain and snapping along the outside border of the knee can be caused by a variety of problems. It could be iliotibial friction syndrome, meniscus tear, degenerative joint disease, or even a loose fragment in the joint. In this report, the case of a 21-year-old female with a painful snapping of the left knee is presented. She had the symptoms for seven years. Evaluation and treatment by a variety of doctors and physical therapists were not helpful. She had to give up all sports and recreational activities. Any activity involving knee flexion or extension seemed to set it off. Even walking became a painful process. Her goal to return to running seemed impossible. She was seen by the authors of this case report (an orthopedic surgeon and a physical therapist). After a thorough examination, it was determined she should try another round of physical therapy treatment. The therapist used a trial of manual therapy, taping, icing, and a knee immobilizer. Conservative (nonoperative) care was uns...
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