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Chapter 22 - Osteoarthritic Knee Pain

from Part V - Extremities

Published online by Cambridge University Press:  01 December 2023

By
Jamal Hasoon  and
Kevin Bennett
Edited by
Omar Viswanath  and
Ivan Urits
Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

Osteoarthritis is a common etiology of chronic knee pain and disability associated with aging, weight, and physical inactivity. Global radiographic evidence of knee OA is present in 28.7% of people over 40 years old.Global symptomatic evidence of knee OA is present in 12.4% of people over 40 years old. “Wear and tear” damage to hip joint leading to dysfunctional ECM reorganization leads to chronic onset of pain that is worse with use and associated with decreased knee mobility. Years of conservative treatment with exercise, weight loss, and oral anti-inflammatories can mitigate the disease progression, but severe cases may require intraarticular injections or knee arthroplasty. Some promising injections hope to better manage chronic symptoms by reversing the course of the disease; however, knee arthroplasty remains a gold standard treatment of severe knee OA.

Keywords

knee painosteoarthritisdegenerationcortisone injectionstotal knee arthroplasty
Type
Chapter
Information
Cambridge Handbook of Pain Medicine , pp. 173 - 180
Publisher: Cambridge University Press
Print publication year: 2023

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