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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Angeles Serrano Redondo

Response from the owner:Gracias Ángeles por las 5 estrellas. En MIVI Salud estamos para ayudar a nuestros pacientes de la mejor forma posible. Un saludo!

Angela Vegas

Trato exquisito del doctor, muy humano. Ha tenido en todas las visitas una gran empatía y tiene la voluntad de quitar el dolor , no dudando en hacer cualquier procedimiento para conseguirlo. Muy profesional. Esta unidad, la del tratamiento del dolor, es absolutamente imprescindible y ayuda mucho a los pacientes

Response from the owner:Muchas gracias Ángela por tu reseña. Nos alegra mucho saber que te hemos brindado una experiencia tan positiva.Gracias por reconmendar MIVI Salud. Cuenta con nosotros siempre que necesites cuidarte
Un saludo

ERNESTO B L

Solo hebido una vez , pero el trato fue muy bueno .
La doctora muy amable y empatica . Lo recomiendo

Response from the owner:Gracias Ernesto por recomendar MIVI Salud . Cuente con nosotros siempre que necesite cuidarse. Un saludo

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.

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

Marga Carrion

Llegué a la consulta del Dr David García después de mucho tiempo, 8 años, con una sintomatologia de meralgia Parestesica en la pierna y de la que nadie me dió solución durante ese tiempo.
Él y con una técnica poco invasiva, en dos sesiones, pudo eliminar el dolor y entumecimiento de mi pierna que ya era insoportable.
Excelente profesional y con un trato hacia el paciente excepcional....
Gracias.

Response from the owner:Gracias por su reseña Marga. Nos alegra leer que el Dr. García solucionó su problema. En MIVI Salud la prioridad es el paciente y su bienestar.
Saludos

Jose Soto Saez

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

Luis Plasencia

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

MONTSERRAT FUENTES HERREROS

Nosaltres podem dir que la nostra experiència amb la Unitat del dolor amb la Dra Carla Farré, ha estat immillorable.
Gràcies X tot

Response from the owner:Gràcies Montserrat,per les 5 estrelles i per confiar en els nostres serveis i en el doctora Farré. A MIVI Salut estem per ajudar els nostres pacients de la millor manera possible.

Verónica Jiménez

Gracias desde la administración y a las dos doctoras. Tanto a la que me vió en consulta. Como la que me puso los pinchos para aliviar mis rodillas. Y a la auxiliar como no, también muy amables. Profesionales.
Un trato cercano, profesional, explicándome todo...genial.
Gracias ✨️ 🙏 💝

Response from the owner:Muchísimas gracias Verónica por dejarnos esta reseña tan positiva. Nos alegra saber que ha tenido una experiencia excelente en MIVI Salud
Saludos