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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Hakasu Genes Building

Excelente atención

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Alfonso Garrido (aburillos)

EXCELENTE Y PROFESIONAL SERVICIO.
Desde el primer momento, la cita con el Dr., el seguimiento para las citas, el seguimiento después del tratamiento y toda la atención recibida ha sido muy profesional, amable y atenta, desde los y las enfermeras, al doctor y auxiliares. Da gusto encontrarse un servicio así hoy en día. Gracias, recomiendo este servicio. FELICIDADES.

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Carmen Alonso

Las palabras se quedan cortas para describir la gran labor y el gran equipo que son...la excelente efectividad del tratamiento que me ayudó completamente a mejorar mi calidad de vida y la amabilidad y cariño con el que me trata cada miembro del equipo.... GRACIAS 🙏

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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 💪

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Pepy Baute

Maravilloso el personal que me ha tratado, en especial la Dra.Gara Díaz y sobre todo resaltar lo espectacular y eficacia del tratamiento,gracias a ustedes mi dolor ha remitido por completo

Response from the owner:Gracias por tu reseña Pepy! En MIVI Salud nos esforzamos por brindar un servicio integral y de calidad, desde la recepción hasta nuestros especialistas. Nos alegra saber que has tenido una experiencia satisfactoria con nosotros y que estás viendo resultados positivos en tu tratamiento. Saludos

Isabel Bethencourt

Excelentes profesionales que tratan al paciente con dedicación y cariño, mostrando gran interés por el estado de salud para aplicar el tratamiento más adecuado. Gracias por mejorar mi calidad de vida

Response from the owner:Gracias por tu reseña Isabel! En MIVI Salud nos esforzamos por brindar un servicio integral y de calidad, desde la recepción hasta nuestros especialistas. Nos alegra saber que has tenido una experiencia satisfactoria con nosotros y que estás viendo resultados positivos en tu tratamiento. Siempre estamos aquí para cuidar de ti Saludos

Jose Maria Blazquez Vilaplana

Magníficos profesionales.

Response from the owner:Gracias José María por tu valoración! Encantados de poder atenderte. Un saludo

Isabel Fernández Fernandez

Són fantàstics. Molt bé atesa!!!

Response from the owner:Gràcies Carme per la teva valoració. Estem encantats de haver-te atès Salutacions

Inmaculada Olmedo

Recomiendo a la doctora Del Valle, con las infiltraciones me está haciendo más fácil el dia a día aliviando mis dolores. Gracias a todo el equipo.

Response from the owner:Gracias Inmaculada por compartir tu experiencia en MIVI Salud en ciudad. Nos alegra saber que tuvo una excelente visita con el Dr.del Valle Saludos