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Osteoarthritis (OA) Knee

About Osteoarthritis (OA) Knee

Knee pain is one of the most common musculoskeletal complaints in Singapore. It has been on the rise with the increasing number of contributing factors such as torn cartilage, ruptured ligament, or by conditions such as arthritis gout and infections. Knee pain treatment administered is dependent on the cause. Home remedies can help to relieve mild conditions, however it would be better to seek advice from a knee pain specialist when it gets severe and affects your lifestyle.

What is Osteoarthritis (OA) Knee?

Osteoarthritis knee is one of the most common type of arthritis in Singapore. Osteoarthritis knee develops mainly due to degeneration and overuse of knees. It could also be due to repetitive strain injury (RCI). Degeneration occurs when the covering at the bones in the knee underwent wear and tear gradually, resulting in painful bone on bone rubbing and disrupted movement. Deformity is a late stage of the osteoarthritis knee condition and is irreversible.

 

Symptoms

  • Knee pain and swelling
  • Difficulty walking, squatting, going up and down the stairs.
  • Difficulty wearing trousers and getting in and out of car.

 

Osteoarthritis Knee treatment

Osteoarthritis knee treatment in Singapore includes:

  • Viscosupplement joint injection acts as a lubricant to enable the joints to move smoothly and reduce pain.
  • Depending on the severity of the osteoarthritis knee condition, this artificial gel injection may have different duration of outcome
  • Temporary knee brace to reduce pain and improve mobility
  • Anti-inflammatory medications

 

PATIENT’S RESPONSIBILITIES

  • Reduce weight / maintain proper weight
  • Lifestyle changes – no squatting, less climbing stairs, less prolong standing
  • The most ideal exercise is hydrotherapy. When chest level immersion in water, our body weight is reduced by 50%, reducing equivalent pressure on the knees.

 

POST VISCOSUPPLEMENT INJECTION

  • If you have mild pain and swelling at the injection site, rest and put an ice pack on the knee for 15 to 20 mins.
  • Avoid too much strain on the knee such as lifting, prolonged standing or walking up to 72 hours after injection.
  • Take the medications prescribed by the doctor, especially anti-inflammatory medicines, as well as nerve stabilizers and muscle relaxants.
  • Start hydrotherapy 72 hours after injections

 

HYDROTHERAPY

  • 30 mins each session
  • 3 times a week
  • Water level in the pool at 1.2 metres
  • Knee-chest marching
  • Continue over 3 months

Anti-inflammatory medications