Osteoarthritis of the knee is a disorder based on degenerative pathological changes.
The symptoms of osteoarthritis of the knee are mostly in the middle-aged and elderly population. The symptoms include redness, swelling and pain in the knee, pain when walking up and down stairs, and pain and discomfort in the knee when sitting and standing up. There are also patients who show swelling, popping and fluid accumulation, which can lead to joint deformity and disability if left untreated. According to the evidence-based medical guidelines published in the United States and Europe in recent years and our clinical experience, the following treatment methods deserve attention. Wearing knee braces to protect the knee joint In Europe and the United States, it is recommended that knee braces be worn to protect the knee joint. Based on our clinical experience and our own experience (I have worn a knee brace for a long time due to a knee injury caused by sports), wearing a proper knee brace has a significant effect on the protection of the knee joint. 2. Weight loss and moderate exercise (no exercise in the acute phase) For patients who are overweight, weight loss can significantly reduce the wear and tear on the knee joint. During the acute phase of knee osteoarthritis, it is recommended not to exercise. In the non-acute phase, moderate exercise and functional exercises are possible. Non-steroidal analgesic and anti-inflammatory drugs Non-steroidal analgesic and anti-inflammatory drugs are effective in the treatment of osteoarthritis of the knee. Of course, they should be taken with caution for patients with gastrointestinal disorders. 4. Joint cavity hormone injection For the acute attack of osteoarthritis of the knee joint, patients often have pain with redness and swelling and fluid accumulation, joint cavity hormone injection can rapidly control pain, and most guidelines in Europe and America recommend it. Of course, repeated use of hormone therapy in the joint cavity is not recommended. 5. According to the latest evidence-based medicine, joint cavity irrigation is not recommended. The use of glucosamine is not recommended. According to the latest clinical guidelines, most experts believe that the efficacy of hyaluronic acid injections in the joint cavity is not definitive. If there is severe meniscal loss or intra-articular free bodies, knee arthroscopy is indicated. 8. Severe lesions also require surgical treatment.