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Dear Doctor i've attached my xray - can you advise based on this?
1) Knee care in the activities of daily living. Few simple self-care measures can be remarkably effective in ending pain cycle.
a) Avoid prolonged standing or walking or sitting with joint in a single position.
b) whenever you sit, keep the knee stretched and fold them intermittently.
c) Squatting, sitting cross legged should not be done.
d) Avoid climbing stairs.
2) Rest: Taking a break from your normal activities reduces repetitive strain on your knee, gives the time to heal and helps prevent further damage.
3) Anti-inflammatory medications
4) Physical therapy; the goal of physical therapy is to strengthen the muscles around your knee and help you regain knee stability. Ideal is supervised physical therapy. Stretching exercises are also part of the physical therapy regime.
5) Orthotics and bracing.
7) Hyaluronic acid injections in knee.
8) Local analgesic sprays and ointments to your skin may help relieve the pain and stiffness of osteoarthritis.
9) Deep Electrotherapy by physical therapist.
These are the exercise resources for the knee. You can pick the exercises which suits you;
Dear Doctor - so based o this i can stay pain free upto age of 60-70 years, provided i have strong muscles around the knee?
Dear Doctor - can you tell me why my knee pains more when I am in the airconditioner?
Also - one mroe question - can i know what is the long term treatment for this kind of osteoarthritis of the kneecap? suchas in my old age?
Physical therapy is the mainstay of the treatment. A supervised physiotherapy program is ideal thing. Deep electrotherapy done at physical therapy centers like therapeutic ultrasound or diathermy also are helpful.
The basic exercise principles for management are restoring muscle balance within the quadriceps group, improving range of motion, and restricting the offending physical activity.
Stretching of the quadriceps should be of long duration (20-30 seconds) and performed with low force.
Soft knee braces may also be of benefit initially. Bracing involves control of the tracking position of the patella and restriction of full knee flexion. Braces vary in the manner in which the patella is restricted (patellar window, patellar bar, patellar horseshoe and all of these are available without prescription), but they all have same efficacy. Braces that are tightly applied directly over the patella should be avoided, as it may exacerbate the condition.