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Understanding Knee Pain and Arthritis: Causes, Treatment, and Prevention

Knee pain is one of the most common orthopedic complaints, affecting people of all ages. Whether it’s a dull ache after a long day or a sharp pain that limits movement, knee pain can significantly impact daily life. One of the most frequent causes of persistent knee pain is arthritis, a condition that gradually wears down the protective cartilage in the knee joint. If left untreated, arthritis can lead to severe pain, stiffness, and even disability.

As an orthopedic surgeon specializing in joint health, I often see patients struggling with knee pain due to arthritis. Many people assume that knee pain is an inevitable part of aging, but the truth is that there are ways to manage and even prevent it. This blog will help you understand what causes knee pain and arthritis, what treatment options are available, and what steps you can take to keep your knees healthy for years to come.

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What Causes Knee Pain and Arthritis?

Types of Arthritis That Affect the Knee

Arthritis is an umbrella term for various conditions that cause joint inflammation. The most common types that affect the knee are:

  1. Osteoarthritis (OA) – This is the most common form of arthritis, often referred to as “wear-and-tear” arthritis. It occurs when the cartilage in the knee gradually breaks down, leading to pain, swelling, and stiffness. OA typically affects people over 50, but it can develop earlier due to factors like previous injuries, obesity, or genetics.
  2. Rheumatoid Arthritis (RA) – Unlike osteoarthritis, RA is an autoimmune disease where the body’s immune system mistakenly attacks the joints, causing inflammation and damage to the cartilage. This can lead to severe knee pain, swelling, and deformity.
  3. Post-Traumatic Arthritis – This type of arthritis develops after a knee injury, such as a fracture or ligament tear. Even if the injury heals, it can cause long-term damage that eventually leads to arthritis.
  4. Gout and Other Forms of Inflammatory Arthritis – Conditions like gout, which results from excess uric acid in the bloodstream, can also cause severe knee pain and swelling.
Other Causes of Knee Pain

While arthritis is a leading cause of knee pain, there are other potential factors, including:

  • Meniscus Tears – The meniscus is a cushion-like cartilage in the knee that can tear due to sudden movements or aging.
  • Ligament Injuries – Tears in the ACL, MCL, or other ligaments can cause instability and pain.
  • Tendinitis – Overuse injuries, particularly in athletes or active individuals, can lead to inflammation in the tendons.
  • Bursitis – The bursae (small fluid-filled sacs in the knee) can become inflamed due to repetitive movements or excessive pressure
Recognizing the Symptoms of Knee Arthritis

If you’re experiencing persistent knee pain, it’s important to pay attention to the symptoms that may indicate arthritis:

  • Pain that worsens with activity but improves with rest.
  • Stiffness in the morning or after long periods of inactivity.
  • Swelling and tenderness around the knee joint.
  • A grinding or clicking sensation when moving the knee.
  • Difficulty bending or straightening the knee fully.
  • Weakness or instability, making it harder to walk or climb stairs.

If you notice any of these symptoms, it’s best to consult a doctor early to prevent the condition from worsening

Treatment Options for Knee Pain and Arthritis

Fortunately, there are several treatment options available to help manage knee pain and arthritis, ranging from conservative approaches to surgical interventions.

Non-Surgical Treatments
    1. Lifestyle Modifications
    • Weight Management – Excess weight puts additional strain on the knee joint, accelerating cartilage wear. Losing even a few pounds can significantly reduce knee pain.
    • Activity Modifications – Avoiding high-impact activities (like running on hard surfaces) and switching to low-impact exercises (such as swimming or cycling) can help preserve joint health.
    2. Physical Therapy and Exercise
    • Strengthening the muscles around the knee, especially the quadriceps and hamstrings, helps provide better joint support and reduces stress on the knee.
    • Range-of-motion exercises help maintain flexibility and prevent stiffness.
    3. Medications
    • Pain Relievers – Over-the-counter medications like acetaminophen or ibuprofen can help manage mild to moderate knee pain.
    • Anti-Inflammatory Drugs – Nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen can reduce swelling and pain.
    • Supplements – Some people find relief with glucosamine and chondroitin, although scientific evidence is mixed.
    4. Injections
    • Corticosteroid Injections – These provide temporary relief by reducing inflammation in the knee joint.
    • Hyaluronic Acid Injections – Hyaluronic acid is a naturally occurring substance in the joint that helps lubricate and cushion the cartilage. In osteoarthritis, the concentration of HA decreases, leading to increased friction and pain. HA injections supplement this lost lubrication, aiming to reduce pain, improve mobility, and delay the need for surgery. While some patients experience significant relief, the effectiveness varies, and multiple injections may be needed over time.
    • Platelet-Rich Plasma (PRP) Therapy – PRP therapy uses the patient’s own blood, which is processed to concentrate platelets and growth factors that promote healing and reduce inflammation. PRP injections can help repair damaged cartilage, slow arthritis progression, and alleviate knee pain. Studies suggest that PRP may provide longer-lasting relief compared to HA injections, particularly in early to moderate arthritis. However, results can differ based on factors such as disease severity, patient age, and injection technique.
    5. Pulsed Signal Repair Therapy for Knee Pain and Arthritis
    • An emerging treatment for knee pain and arthritis is Pulsed signal repair therapy , a non-invasive approach that uses electromagnetic fields to promote cellular repair and reduce inflammation. Research suggests that PSRT therapy may help improve pain relief, enhance joint function, and slow cartilage degeneration in patients with osteoarthritis. By stimulating natural healing processes at the cellular level, PSRT therapy offers a promising option for those seeking alternatives to medications or invasive treatments. While more studies are needed to determine its long-term effectiveness, many patients report significant improvements in knee pain and mobility with regular PSRT use. This therapy can be included alongside other management options, such as physical therapy, medications, weight management, knee injections, and surgical interventions for those with advanced arthritis.
Surgical Treatments

If non-surgical treatments fail, surgery may be necessary to relieve knee pain and restore function.

    1. Arthroscopy
    • A minimally invasive procedure where a small camera and instruments are used to clean out damaged cartilage or repair minor joint issues.
    2. Osteotomy
    • A procedure where the knee bones are realigned to reduce pressure on the damaged area, typically recommended for younger patients with localized arthritis.
    3. Partial Knee Replacement (Unicompartmental Knee Replacement)
    • In severe cases, a full knee replacement may be required, where the damaged joint is replaced with an artificial one. This procedure has a high success rate and can significantly improve quality of life.
Preventing Knee Pain and Arthritis

While some risk factors for arthritis (such as genetics) cannot be controlled, there are several steps you can take to reduce your risk of developing knee pain and arthritis.

    1. Maintain a Healthy Weight

      Since excess weight puts strain on the knee joints, maintaining a healthy body weight can help prevent arthritis from developing or worsening.

    2. Stay Active, But Be Smart About It
    • Regular low-impact exercises like swimming, cycling, and walking help keep the knee joints healthy without excessive wear and tear.
    • Strength training helps build muscle support around the knee, reducing stress on the joint.
    3. Protect Your Knees from Injury
    • Always use proper technique when exercising or playing sports.
    • If you have a history of knee injuries, consider wearing knee braces for added support.
    • Avoid sudden increases in activity intensity, as this can lead to injuries.
    4. Eat a Joint-Healthy Diet
    • Omega-3 fatty acids (found in fish, flaxseeds, and walnuts) have anti-inflammatory properties that may help with arthritis.
    • Vitamin D and calcium are essential for bone health.
    • Antioxidant-rich foods like berries and leafy greens can help reduce inflammation.
Final Thoughts

Knee pain and arthritis can be frustrating, but they don’t have to take over your life. Understanding the causes of knee pain, recognizing the symptoms of arthritis early, and taking proactive steps to protect your knee health can help you stay active and pain-free.

If you’re experiencing persistent knee pain, consult a specialist to explore your treatment options. Whether through lifestyle changes, physical therapy, medications, or surgery, there are effective ways to manage arthritis and improve your quality of life.

By taking care of your knees today, you can ensure they keep you moving for many years to come.