Knee Calcifications

The knee joint, which carries the body weight at every step, is a joint that is frequently exposed to injuries, sports accidents and calcifications. The causes of knee pain, which can affect people of all ages and genders, may be different according to age and activities such as work and sports. It affects the quality of life quite negatively due to the restriction that it creates in the movement of the person from one place to another. There are many diseases that cause pain in the knees. The most common ones are listed below. However, it is not appropriate to focus only on the knee in patients with knee pain, it is important to evaluate the waist, hip and ankle together, to determine whether there is a pain radiating from these regions and to treat it if necessary.

Knee calcifications

Knee calcification is a painful picture that develops as a result of deterioration in the cartilage structure of the knee joint. As a result of changes in the cartilage and bone tissue under the cartilage, growths in the bone, narrowing of the joint space and protrusions at the joint edge disrupt the normal structure of the joints, causing limitation in movements and pain. In fact, these changes can be detected in the radiographs taken with aging in almost all people, so it is expected that the patient will have pain in addition to the detection of calcification on the radiograph for treatment.

Causes of knee osteoarthritis

  1. advancing age

  2. female gender

  3. Structural defect in the knee joint

  4. Rheumatic diseases involving the knee joint such as rheumatoid arthritis

  5. overweight

  6. Doing occupational and sports activities that cause overload on the knee

  7. Trauma to fracture or damage to soft tissues

  8. Some metabolic and hormonal diseases

Diagnosis of knee osteoarthritis

The main problem in knee osteoarthritis is pain and limitation of movement. It is very important to learn the characteristics of patients’ pain. Pain in osteoarthritis patients usually increases with movement, pressing on it, and decreases with rest. In the advanced stages, rest and night pain may also be seen. Sometimes there may be acute attacks and swelling and warmth may also be present in these attacks, and redness is not expected.

In knee osteoarthritis, the diagnosis is made by examination and radiographs taken when necessary, and the stage of the osteoarthritis is determined. In knee osteoarthritis, MRI is usually performed when there is a suspicion of a disease that cannot be diagnosed by external examination, when the clinical situation is very severe, when infection is suspected or when the patient does not respond to treatment. Blood tests may also be requested to make a differential diagnosis from inflammatory rheumatic diseases.

Meniscus Injuries

Menisci are cartilage-like structures that function to increase the harmony of the upper and lower bones during movement in the knees. It is common in young people with sports injuries, other traumas. In the elderly, meniscus problems are also encountered in knees with calcification. Traumas during sudden turns, which put excessive load on the knee, are one of the most important causes. Therefore, it can be caused by a single major trauma as well as overloading, as in athletes. Patients may apply with complaints such as pain in the knee, limitation of movement, and inability to step on it. If it is suspected by the examination, it is appropriate to evaluate it with MR, especially in young patients. The location of the problem in the meniscus and its features should be known if there is a tear. With this information, a treatment plan is made, taking into account the patient’s age and occupation/sports activities.

Ligament lesions in the knee

Ligament lesions in the knee usually occur with a certain trauma in young people. The patient may also express a sound coming from the knee, usually when he is exposed to sportive, occupational or other trauma. In the elderly, the inner and lateral ligaments of the knee may be damaged due to both trauma and calcification. In acute traumas, it is appropriate to apply advanced imaging methods (MR) and to plan treatment according to the characteristics of the patient and the pain.

anterior knee pain

Pain in the kneecap, especially in young patients. It occurs due to wear on the cartilage under the kneecap or shortening of the ligaments that support the kneecap. Patients complain of pain when they sit for a long time at most, they want to get up and walk around, this is called “cinema symptom”. Diagnosis is supported by examination and x-rays taken in some special positions.

Treatment for knee pain

  1. Medicines : Medicines can be used to reduce pain in knee pain. For this purpose, analgesic/antirheumatic drugs, muscle relaxants, adjuvant drugs, weak opioids can be used. These drugs can be taken orally or used as a gel/cream applied externally.

  2. Rest: Another treatment method is rest. Since the knee is a load-bearing region, rest can be applied to reduce the load from the region. Short-term rest rather than direct bed rest is recommended for knee pain, except in a situation such as trauma. For example, the patient is recommended to lie down for one hour in the morning and in the afternoon.

  3. Complementary medicine methods: Complementary medicine methods such as acupuncture, neural therapy, ozone therapy, mesotherapy, prolotherapy can be used to control knee pain. Among these treatments, acupuncture, electroacupuncture, neural therapy and ozone therapy are used in our clinic.

  4. Physiotheraphy : Combined use of physical therapy tools in knee pain is recommended because it has been a successful treatment method for many years. It can control the pain in the knee area by reducing muscle spasm, reducing edema and increasing blood flow.

  5. PRP: Constructive reparative treatment can be performed by injection of platelet-rich plasma into the knee. Detailed information is available in the PRP section.

  6. Intra-knee joint fluid supplement: It is performed by injecting fluid similar to joint fluid into the knee. Its effectiveness is slightly less than PRP. However, it is preferred in patients in whom PRP cannot be performed.

  7. cortisone treatment : Oral cortisone treatment has no place in knee osteoarthritis. Very rarely, in painful attacks, if the fluid increases in the knee and the temperature is too high, cortisone can be administered into the knee joint to relieve the patient. It should be supported with other treatments following the reduction of fluid.

  8. Cartilage protective and supportive nutritional supplements: There are many nutritional supplements, but some are not suitable for diabetics or impair insulin resistance.

  9. Exercise: It is recommended to do both knee-oriented and aerobic exercises. For the knee, it is recommended to perform exercises that strengthen the muscles that provide the stability of the knee, stretch the painful leg, and deep sense-enhancing exercises. Aerobic exercises should also be added for both pain and weight control.

  10. Weight control:It is recommended to lose weight because each kilo lost will reduce the load on the knee due to load bearing.

Knee joint protective recommendations:

  • The load on the string can be reduced by using a cane

  • In the presence of foot deformity, it should be corrected with insoles.

  • Knee bandages to support the kneecap and knee lateral ligaments (according to the diagnosis) can be used

  • Patients should not walk up or down hills in uneven areas.

  • If walking is painful, sports that do not put a load on the knee (such as swimming, static cycling) can be preferred.

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