Osteoarthritis (OA) of the knee is a chronic joint disease characterized by degeneration and destruction of articular cartilage and osteophytes. The disease is more prevalent after middle age.
The most common clinical symptoms are joint swelling and pain, osteophytes, and limitation of motion. In the early stage, the disease is characterized by joint pain, weakness, and pain, especially when going up and down steps and standing up from squatting. Symptoms are often reduced after rest and aggravated after excessive walking.
There are no geographical or racial differences in the development of osteoarthritis. Age, obesity, inflammation, trauma and genetic factors may be associated with the development of this disease.
X-ray staging.
Grade 0 is normal.
Grade I Suspicious narrowing of the joint space and possible bony redundancy.
Grade Ⅱ There is obvious bone redundancy and suspicious narrowing of the joint space.
Grade Ⅲ Moderate amount of bone superfluous, with clear narrowing of joint space and sclerotic changes.
Grade Ⅳ A large amount of bone superfluous, obvious narrowing of joint space, severe sclerotic lesion and obvious deformity.
Diagnostic criteria.
Age: Age greater than or equal to 40 years old.
Clinical manifestations.
1.Knee pain with mobility problems for one month, accompanied by ringing when the joint is moved.
2. Morning stiffness less than or equal to 30 minutes.
3.Bony swelling of the knee joint with popping sound .
4.Floating patella test (-).
5.Patellar grinding test (+).
Imaging: There is joint cavity narrowing and bone formation in the knee joint, referring to X-ray staging.
Treatment methods.
1, non-surgical treatment.
Chinese medicine internal (tonics, adult medicine).
External use of Chinese medicine (external application, fumigation, soaking).
Chinese medicine ion introduction.
Tui Na massage, point guidance.
TCM acupuncture therapy treatment.
Chinese medicine acupuncture treatment.
Physical therapy.
Anti-inflammatory and analgesic drug treatment (internal and external use).
Steroid corticosteroid application (pain point closure).
Intra-articular injection (sodium vitrate).
Rehabilitation exercise Application of CPM machine.
2.Surgical therapy.
Minimally invasive surgery (joint lavage).
Joint cleanup (removal of intra-articular free bodies and hyperplastic bone).
Joint replacement.