The Knee Diaries: The symptoms of Osteoarthritis
August 18th 2006
SJ Before SJ After
SJ Left knee; 2005 SJ Left knee; 2006

SJ, a 60-year-old male with a chief complaint of knee pain, visited The Center For Regenerative Medicine in 2005 and was diagnosed with bone on bone osteoarthritis of left knee, causing occasional severe pain and continuing discomfort.  Told only a total knee replacement can help him. he was experiencing the following symptoms:

1.       Pain worse walking downstairs (contrasted to upstairs).

2.       Awakened by pain when asleep (pillow placed between knees for relief upon retiring).

3.       Onset of stiffness only five minutes after sitting.

4.       No pain experienced when remaining stationary (in upright position).

5.      Left knee felt weaker than right.

6.  Patient's pain had little or no response to anti- inflammatory medication.

7.  Arising from sitting position difficult, painful but once walking, pain and stiffness eased.  Examination revealed point tenderness to medial (inner) side of left knee with X-rays confirming severe arthritic condition. Patient thereupon began receiving treatments at The Center for Regenerative Medicine.

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Discussion:

 

Signs and symptoms of osteoarthritis vary between individuals.  Major associated symptoms are stiffness (worse in mornings for 15 to 30 minutes before subsiding) and specific joint pain (severe after exercise and occurring toward end of day). Moving the joint for a few minutes may help reduce stiffness often associated with osteoarthritis.

A second sign of osteoarthritis is a grinding sound and/or sensation that can be heard or felt when bending the knee with hand placed on the joint.  Attempting to move the knee joint through the full range of normal motion is difficult.  Muscles will weaken and atrophy in advanced cases.  

Knee joints can also appear larger than normal, caused by new bony growths, medically-termed “osteophytes” or more simply, “spurs.”  Swelling may occur with no apparent reason, in part due lack of treatment to retard osteophyte growth.