Knee Osteoarthritis

What is

When a knee is healthy, it allows the flexion of the leg, its extension and daily situations such as bending and squatting. This is possible thanks to the good function of the elements that are part of it such as the meniscus, ligaments and cartilage among others. This last one is a tissue with ideal characteristics to allow the protection function of the knee, however, unlike other types of tissues such as muscles, tendons and bones, it cannot be cured and that is why we must try to take care of it and provide the conditions for it to last for many years.

Maintaining an adequate weight, proper nutrition, performing daily activities with consistency, and maintaining an adequate physical condition will help preserve the structure of this cartilage. When the cartilage deteriorates, the bones that form part of the knee suffer impacts and wear and tear that over time generate symptoms such as pain, functional disability and diminished faculties.

Causes

Several factors increase the risk of developing osteoarthritis of the knee. Below, we will review the most important ones:

Age: the cartilage’s low capacity for repair decreases every year, to which we have to add the wear and tear that occurs.
Obesity: given its key location in the legs, this joint is directly overloaded in situations involving excessive weight.
Hereditary factors: the shape of our legs, of our pelvis conditions a direct overload of this joint.
Injuries: meniscus and ligament injuries directly lead to increased wear and tear of the joint.

Symptoms

The symptoms accompanying osteoarthritis generally do not appear suddenly, but develop over the years. The most frequent are:

Pain in the area that is no longer protected due to cartilage wear.
The crunching sounds that occur when the joint wears out.
The effusion that produces inflammation that is triggered in an unprotected joint.
The daily and continuous shock of bones devoid of cartilage.
Decreased mobility.

Approach protocol

Diagnosis and assessment

A correct medical evaluation by means of a good anamnesis and physical examination will be necessary. The multidisciplinary vision is essential for a comprehensive, personalized approach, focused on achieving a prolonged relief of pain depending on the phase in which it is found.

Complementary tests

X-ray and/or MRI may be performed.

Treatment

The treatment of this pathology will depend to a large extent on the patient’s condition, age and symptoms, the condition of the cartilage, the degree of osteoarthritis in the joint and how much of the total joint is affected by osteoarthritis will determine the approach to be followed. Below, we outline some of the possible treatments:

Pharmacological treatments such as dietary supplements to improve cartilage condition and/or drugs to relieve pain.
Hyaluronic Acid Blocks
Corticosteroid blockades
Regenerative medicine
- Platelet-rich plasma: the compound extracted from the patient’s own blood has a concentrate of anti-inflammatory factors and cytokines that make it very useful for this pathology.
- Cytokine-rich serum: this is a different process to platelet-rich plasma in which a compound rich in anti-inflammatory cytokines is also obtained from the blood.
- Stem cells: originating from the patient’s bone or fat, they have a regenerative and anti-inflammatory power that makes them a unique treatment for pain relief.
Radiofrequency
Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.

Here begins your life without pain

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Montse Verdú Artufel

Molt bon tracte i una millora important en quan a la reducció del dolor, la qual cosa és molt d'agrair. Absolutament recomanable.

Response from the owner:Moltes gràcies Montse per la teva resenya i confiança en el nostre equip médic. En MIVI Salud estem sempre per donar-te la millor atenció

Andrea Martín

Response from the owner:Muchas gracias Andrea ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro, siempre que lo necesite. Saludos

Maria dolores Gonzalez

Muy buena atenció.

Response from the owner:Gracias maría Dolores por tu confianza en MIVI Salud. Un saludo

roger beroro

Mai he estat atès tant be! Sobre tot la excelent doctora Natalia Neira, no sabeu la sort que teniu de tindre en el centre una profesional com ella! Quan algu ho esta passant malament, com és el meu cas, i te una professional com ella tot es mes fácil.
Des de tot el tractament, intervenció, pautes i sobre tot la profesionalitat que te sense perdre cap valor huma i d’atenció. Espero que la tingueu molt ben cuidada a la doctora perque teniu una profesional com no he trobat mai.
Doneuli el meu agraiment per tot lo que esta fent amb mi, perque si milloro en gran parte es gràcies a ella.
Felicitats i gràcies Doctora Neira, sempre forts 💪

Response from the owner:Moltes gràcies Roger per la teva resenya tan positiva a la Dra. Neira ! A MIVI Salud estem per cuidar de tu Salutacions

Roser Quesada

Dar las grácias al doctor Duca por su atención y profesionalidad. La mejoria de mi padre a sido espectacular😊😊

Adolfo Romerito de Mairena

En “MIVI Sevilla – Fisioterapia y Rehabilitación" consiguen mejorar tu calidad de vida.
Enhorabuena para todo el equipo.
Es justo expresar mi agradecimiento a mis chicas, que me han tratado en esta ocasión, Alicia, Estrella y muy especialmente a Andrea por su bien hacer, por su dedicación y entrega con su vocación de ayuda, que además de los medios técnicos, nos ofrecen su profesionalidad, sus extraordinarios conocimientos y especialmente sus valores humanos, por su confianza y empatía personal, con acertadas habilidades manuales consiguiendo "Mejorar nuestra calidad de vida" y con ello nos ayudan a conseguir una nueva sonrisa.

Con su amabilidad y su trato humano nos ayudan a mejorar las lesiones y alteraciones de nuestro cuerpo, con sus buenos conocimientos y su acreditada experiencia.
Es cierto que estas magníficas profesionales en MIVI ponen tu dolor en el centro del tratamiento, y con sus buenos conocimientos científicos y su experiencia consiguen que pacientes que acudimos con nuestras dolencias, podamos recuperarnos y vivir de forma completamente plena."
• Gracias por la atención recibida de vuestras manos.
• Adolfo Pastor.

Ramon Font

Grans profecionals i molt bona experiència, molt recomenable.

EULALIA MOR ALBAREDA

Acabo de sortir de la consulta de la dra. Natàlia Neira -unitat del dolor-. Vull expressar la meva satisfacció amb l'atenció rebuda tan a nivell tècnic com humà . He estat quatre vegades a la seva consulta i he rebut un tracte excel·lent . També vull remarcar que les seves explicacions han estat molt aclaridores.

Response from the owner:Moltes gràcies Eulalia per la teva valoració . Sempre intentem cuidar-vos i atender-vos amb professionalitat Salutacions