Roughness of the knee

Roughness of the knee



Roughness knee disease caused by erosion of soft cartilage that covers the joint surface, which helps to smooth the movement. Where there is weakness in the coherence of this cartilage, which leads to cracking of the surface and then gradually eroded to the bone surface to become naked of cartilage, which is protected.

Roughness causes the knee:

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      Genetics: where many studies have shown the existence of genetic factors and help of a foul.
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      Overweight: and is one of the most important factors that lead to a roughness in Egypt and the Arab world, especially in women. Where that excess weight is a burden too heavily on the surface of the articular cartilage.
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      Curvature of the legs: it will lead to an increased load on specific parts of the joint.
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      Age: increasingly vulnerable cartilage with age and thus increase the proportion of roughness.
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      Patient sex: after the age of fifty-increasing incidence of rough in the ladies more than men.
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      Knee injuries: knee injuries such as fractures and the occurrence of cut ligaments or meniscus helps the occurrence of roughness.
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      Repeated stress of the knee: Like a lot of falling and climbing stairs and sitting for long periods in the development of Alagafrsae
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      Rheumatic diseases: such as rheumatoid arthritis and gout lead to roughness in the cases in arrears.

Treatment:
Treatment is divided into the knee to the roughness of the precautionary treatment (non surgical) and surgical treatment.


Conservative treatment (non-surgical):
And be used as a treatment given to him, especially in the early cases of the disease. Conservative treatment includes the following:

Changes in the way of life and reducing the loads on the knee joint and that by following the general guidelines for patients with knee stiffness.

Localized injections into the joint and are of two types:

1) The first type of materials to assist the lubrication of the cartilage surface but these injections expensive and not suitable only for cases of early and usually have their effect for a period of several months.

2) The second type is the cortisone is an anti-inflammatory to help reduce pain, but for a temporary period and is not recommended except in very few cases should not be given more than four injections into the joint per year.

Warm compresses and topical paint.

Medicine: it is helping to reduce the symptoms of disease by the patient's condition and may include:

Prescription pain medicine and anti-inflammatory such as aspirin and paracetamol to reduce pain and swelling

Materials and Alkondroitin glucosamine sulfate and is the material that might be useful in the early cases in reducing pain and swelling. And usually needs treatment in this material for months to give good results.


Surgical treatment:

And are turning to Him if conservative treatment fails to overcome the symptoms of roughness and, particularly in cases in arrears. And surgical treatment may include one of the following methods:

Endoscopic surgery to clean the joint and treatment of torn meniscus and cartilage grafts damaged

Surgery straightening curvature of the legs

Prosthetic surgery
Guidelines for patients

Endoscopic surgery to clean the joint and treatment of torn meniscus and cartilage grafts damaged

Surgery straightening curvature of the legs

Prosthetic surgery




Guidelines for patients with roughness:
Weight loss is one of the most important factors that lead to the reduction of loads on the knee joint

Avoid standing for long periods and a lot of the rise and descent of stairs because that would lead to increased pressure on the knee joint which increases the roughness of the knee and pain.

Avoid bending the knee joint more than ninety degrees either fold under the chair you sit him or sit on a low chair.
Avoid the use of the bike fixed or mobile, leading to increased friction between the surfaces of the joint
Walking regularly lead to the improvement of the situation and tissues of the knee cartilage and strengthen muscles, but must be done without the stress of the knee joint and in other times of extreme pain and on a flat surface such as soft ground track stadium club


When you climb the ladder based on your hand is always on the wall of peace and go up gradually and go up the first leg of sound and vice versa when you get down
(Get off the affected leg first).