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

Book appointment

Marta García

Mis padres llevan en rehabilitación mucho tiempo y estamos super contentos tanto con el trato de todo el equipo, como la profesionalidad con la que trabajan, sin duda solo tenemos buenas palabras para todos.

Marta

Response from the owner:Muchas gracias por tu valoración Marta!
Saludos

Concepción López Ramírez

Response from the owner:Muchas gracias Concepción , por la reseña de 5 estrellas
Nos alegra saber que su experiencia en MIVI Salud fue excelente
Un saludo !

Elena Díaz Rodríguez

Ha sido una experiencia muy positiva, el trato excelente y profesionalidad excepcional,no sólo por parte del Dr. Orza sino de todo su equipo. La atención recibida por parte de Itahisa y de Erika también inmejorables.
Vivir con dolor es terrible, así que todo lo que se intente para aliviarlo o eliminarlo es poco. Es una inversión en lo único que tenemos por una sóla vez, que es la propia existencia, la vida.

Response from the owner:Muchas gracias Elena, por tomarte el tiempo de dejar esta reseña tan positiva sobre el Dr. Orza a y nuestro equipo! Nos alegra saber que has tenido una experiencia satisfactoria en nuestra clínica.
Saludos

Sandra Roales

Llevo varios meses tratándome por una serie de lesiones. Mi fisioterapeuta es Alicia, una chica educada, amable y MUY PROFESIONAL. A pesar de la cantidad de pacientes que tiene, es capaz de tratarlos de manera eficiente, siempre atenta y dando todo de ella. He mejorado muchísimo y gracias a ella he podido saber que me ocurría aparte de lo diagnósticado, ya que al tratarme ha reconocido otras patologías y me asesorado para que me viera al especialista. Tengo Lipedema de Grado III entre otras y cada semana me da drenaje linfático, he probado en otros sitios y he de darle de nuevo mi enhorabuena porque es una profesional, con conocimientos y con ganas de tratar a sus pacientes. Yo le pondría un 10. Enormemente agradecida

Nieves López Angel

Ayuda a tener calidad de vida.
Resaltar la atención tan buena y detalle de cada intervención e informes.

Response from the owner:Muchas gracias Nieves. Te agradecemos que manifiestes públicamente tu opinión pues siempre intentamos cuidaros y atenderos con profesionalidad. Saludos.

Montse Farré

Me atiende el Dr. Orduña gracias a las intervenciones que me ha hecho no sufro con el lumbago que pase fatal. Tambien en otra zonas con bursitis.

Satisfaccion total y ademas buena att al paciente y resolutivos.

Cecilio Cobos

Mi experiencia en MIVI ha sido genial. Fuimos mi pareja y yo por un alcance en un accidente de coche y estamos muy contentos. Todo el personal es amable, profesional y muy servicial. Especial mención a Víctor (fisioterapeuta que me atendió), pedazo de profesional.

Eva M

Muchas gracias por todo!

Response from the owner:Muchas gracias Eva ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente.
Saludos

Gemma Chaqués Bonafont

Vull agraïr enormement al Dr. Ducca els tractaments que m'ha fet i el seu bon coneixement en apaivagar el dolor i fer que la meva vida sigui més digna. Dr. Ducca el seu bon fer enalteix la seva professió que porta a terme a l'Institut Aliaga amb els seus col·laboradors.