Knee pain ,arthritis and Injured Cartilage - Everything You Need To Know - Dr. Nabil Ebraheim, M.D.
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- Опубліковано 27 вер 2024
- Dr. Ebraheim’s educational animated video describing knee arthritis and knee pain .
Causes of knee pain may be related to:
•Sports
•Trauma
•Inflammation or arthritis
•Osteoarthritis
Cartilage is a tough and flexible connective tissue that gives shape, support and provides a cushion between bones in the joints. Unlike other connective tissue, cartilages do not have its own blood supply, instead, it is composed primarily of water, chondrocytes, collagen, and proteoglycans, which produce and maintain a structural matrix giving cartilage tissue its form and function. Proteoglycans are composed of numerous glycosaminoglycans attached to a core protein. The predominant glycosaminoglycans in cartilage are chondroitin sulfate and keratin sulfate. Within the cartilage matrix, there are numerous prototype and monomers attached by link protein to a molecule of hyaluronic acid. This is all woven with collagen to form an elastic and compressible structure.
Normal articular cartilage also known as hyaline cartilage provides a smooth crystal clear gliding surface to aid in the motion of the joint.
The structure of hyaline cartilage is divided into four layers; superficial, middle, deep and calcified layer with the calcified layer representing a transition from articular cartilage to bone.
This cartilage is designed to achieve and maintain proper function over the majority of a person’s life. If the cartilage is subjected to excessive weight, overuse, improper alignment or injury, it begins to wear away leaving bone to rub on bone.
Articular cartilage does not have the ability to heal itself, however, there are several treatment options available to aid in the repair of injured cartilage.
The knee is the most common joint in the body with cartilage injury issues. The knee joint is composed of femur, tibia, and patella. There are two types of cartilage in the knee joint, the articular cartilage and the meniscus, which is a shock absorbing cartilage. There are also important ligaments within the knee joint, the anterior and the posterior cruciate ligaments.
The goal of treating cartilage injury is to reduce pain and improve the function of the affected area. Anti-inflammatory medications are commonly used to combat-injured cartilage but they can potentially cause cardiovascular or gastrointestinal toxicity.
Damaged cartilage can also be treated with a series of injections. Steroid injections such as cortisone are powerful anti-inflammatory drugs used in the treatment of osteoarthritis. Hyaluronic acid is a substance produced naturally in the body and is present within cartilage when isolated. Hyaluronic acid is a thick viscous solution that can be added to the natural hyaluronic acid of the knee joint. This solution uses purified Hyaluronic acid derived from either rooster combs or genetically engineered cells. Glucosamine is another option for treatment that can be injected directly into the joint. Glucosamine is a modified sugar that is formed by the human body and is used to form larger molecules involved in the formation and repair of cartilage. Other methods include gene therapy, platelet-rich plasma, growth factors, stem cells, drilling and debridement of cartilage may help with injured cartilage.
Occasionally the cartilage is replaced, regrowth and implanted. When the cartilage is damaged, the choice is often simple as the patient will need a total knee replacement. Many different types of designs and materials are currently used in total knee replacement surgery. Nearly all consists of three components, a patellar component, which consists of durable plastic, a tibial component, made of a durable plastic cushion often held within a metal platform and the femoral component, which is usually made of highly polished metal. Total knee replacement is the most predictable option to treat severe arthritis of the knee joint.
When the arthritis is minimal, almost all treatment methods will work, however, when the extent of arthritis is moderate, there are many different treatment options presented, but none of them are predictable.
It is logical to pursue and recognize the efficacy of platelets and stem cells in cartilage regeneration, simply because it is better for the patient to be able to regenerate their own cartilages and for it to be replaced with an artificial joint.
One of the videos i have seen by a doctor in 10 years , I have complete respect for you for helping people like me
Great information, I've had knee issues all my life
Thank You Dr. Nabil Ebraheim M.D. For this great video on Knee pain ,arthritis , and Injured Cartilage
Xnxx
Wonderful animation and demonstration. Thanks for sharing.
Great Video.. Now what a bummer.
عليك بشوربة الكوارع لخشونة الركبة أو شوربة الوطواط.
I had knee injury and torn my ACL, PCL, MCL and LCL. Also, i had my literal meniscus removed. I had those surgery 3 and 2 years ago. I hardly climb stair, and cant squat! Im so scared and I cried when the doctor said i showed symptoms of arthritis when i have my knee stiff sometimes, pain when i try to stand after a long sit and knee popping. Another problem is i gained a lot of weight since the surgery and im overweight now. I wish I could do something... Im not ready for this. Im just 25!!!
How you doing today?
You sound like me, but I'm 70 - not 25. I hope something can be done to save your knee.
Thanks very much for the video Dr. Ebrahim !!
Good Advice. Cartilage Replacement.
Thank you. This video was quite detailed and informative.
the best of many
Great presentation. Just two words. Thank you.
thanks
Hi. Is this injection good for reumathoid arthritis? I can barely walk
There are many variables when it comes to expense. See a surgeon and they can give you more accurate cost.
Thanks !!!
Knee injuries are the worst. I ruptured my articular cartilage at a soccer game. I had my surgery and half of my cartilage is gone and i have arthritis now. I was a candidate for Carticel (ligament transplant that is grown out of my cartilage) but since i am 22 yrs old my doc said that hopefully i can heal better to avoid carticel. 7 months after surgery and therapy i still have a hard time running without any pain. My flexibility is good and i have stability but running is so hard and painful.
How is your knee nowadays?
Don't run. Save your knee.
thanks for this informative video
3 to 4 injections a year
Good video
Thank you!
Wow sir u really explained so good w/ video's. So informative. Thank u n God bless..
Thank you . It's the best VDO.
@Firestormify not in the USA ,UNLESS there is a clinical research project with permission and approval of the IRB
but we can use the the marrow stem cell concentrate to treat nonunion and AVN because there are several published data about it
I injured knee playing football .. went for an MRI to see if tendon was torn... luckily it wasn't just major swelling... however the MRI picked up a stage 4 8mm diameter hole in cartilidge...! I wasn't even aware I had it .. I can still squat and run etc... but im not sure how bad it is... is 8mm big compared to whole of cartilidge on knee? should I have something done?
Wow, I've learnt a lot from this video👍
Any solutions for hip replacement and / or sciatica patients? Help urgently needed. God bless you.
@VidhyaRM1 work with the therapist
Well done.
I thought you said that you cannot regenerate cartilage? can you elaborate on what you just said? today is January 2019 thank you for your video it was Informative
This is scaring me. I'm even less confident of what's going to happen. The doctors said I have patella femoral syndrome in my left knee and a torn cartilage... I have no idea what's around the corner.
I have to go for lubricant injection next month. I have been having pains for almost a year. I hope it will help ease the pain. As I am already 68 years old now.
Good treatment
the stem cell is wonderful for the repair of cartilage
Sir, I am suffering from a severe Sciatic pain, can I suggest me how to get rid of this hell.
Thank you.
Dr.Rajagopal
Hyderabad
India.
@wwalcott93 you may need MRI
Which is the best procedure long lasting
Sometimes the back of my left knee hurts like it shot out pain for a few second and when I touch it, it hurts. Okay I think it might be because I don't exercise a lot and this pain started to appear last summer on June 2016. But I get freaked out when I searched it up saying it might be blood clot or varicose veins. I just feel relieved if someone tells me I'm going to be fine. I can't do what I want if there is a person encouraging me to do it. I'm weird right? I depend on a person's comment for my emotions :/
talk talked to your primary physician...then they will probably have you go for testing...if you haven't done so already
Wear and tear through the years of hard work and injuries.Leaving cartilidge degeneration and not as much cushion.Leaving spaces in between the joints.
I am 52 and just found out that I have almost no Cartilage in my left knee, trying to find another way to heal the Cartilage.
instead of knee surgery.
go to letstalkhealth.com look up joint info. heard good things of shark cartilage.
Edwin Newell ..same thing happened to me..i tried everything..in da end I had total knee replaced..no pain.i swim cycle..no problems..
I recently found out that I have vascular disease in that leg.
im just 13 n my knee is in so much pain
i have a similar problem, my knee has a pain when i bend it, climb stairs, and especially when i go into a squatting position. It feels like it'll pop or have a slight crack if i went into a complete squat position.
Unlike the person in this video, i haven't had any knee injuries before. I THINK it might have been caused from when i jumped and fell from about a 7 feet height today. I didn't think i hurt my knee during the fall, but i felt the pain later on.
Please reply, thanks so much!!
How is your knee now ?
Mnbb bnnlll
Hey. I have the same problem. Can I know how you've treated yours and what's it like today?
Get an MRI , don’t take pills that cover up the pain
Thnk u for the video
Many osteoarthritis patients are waiting for further research into platelet and stem cell therapies. In my considered opinion, these hold the best hope for a cure for knee osteoarthritis. Currently, insurance companies will usually not pay for these therapies, because the techniques aren't yet mature or thoroughly proven to be effective.
K
So , how much does it cost if insurance won't cover it ???
Thanks for this opportunity to ask a question. After Knee Replacement Surgery can one play sports again?
@Firestormify you are correct
docs inject PRP platelet rich plasma that produces growth factors that attracts stem cells that help in generation of the cartilage
this treatment is available and it helps in some patients
no prospective or long term studies to prove or disprove the value
my impression ,it works for some patients
great video
Thank you doktor helps me nex week
In this day and age, the best treatment for serious knee injury and or Osteoarthritis is really Stem Cell treatment. Knee replacement shaves years off a persons life and increases the risk of heart disease and heart attack.
Thank you, I totally agree
How?
Mine was giving me trouble for about almost two weeks but it's healing not cracking sounds yet but will probably happen later on .
I'm 50 and need 2 new knees, I try to keep moving but some days I cry,
im 15 years old and my knee swells after i use it. I took an MRI and i have damaged cartilage under my pattela. My ligaments are swollen 24/7 aswell. Im taking ibuyprofein but my knee isn't healing. I've been injured for the past 9 months and it pisses me off.
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+Harvinder Johal hiii
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You need to seek a doctor, and get treatment.
Or by this date, maybe you have already gotten.
Please, tell us how you are doing?
Good
Do you recommend PRP or Ozone injections for arthritis ?
Sir which treatment isthe best of osteoarthritis
good one, thanks...
My grandma got the acid stuff from a rooster and loved it
I told the Dr. I couldn't take the "Rooster" shot. He asked why? I told him I was a vegetarian.
(which I'm not) He got a good laugh out of it, said he never heard that one before.
I have bone to bone on both knee. Taken the rooster shot over year now. It dont last the 6 months for me. I had mri on left leg last week, see Dr for results Thursday. But dr did say a scope operation might help. I just didnt want the scar if they done knee replacement. Will know Thursday.
salam n hi doc,going for menisectomy for my partially torn medial meniscus...debris in the joint makes my knee swollen after sports activity.articular cartilage slightly reducing.might have to deal with that later in life.probably need hyaluronan jab or chodroplasty or stem cell,as there are now available here in Malaysia.
Hello Sir,
I'm Afsal from Kerala. 2 years ago, I had a bike accident, my right knee and bones are broken. Doctors inserted a steel rode from the top of thigh to heel. Due to that I cant bend my knee. Is there any surgical solution to make my knee bendable? Waiting for your kind reply, thank you.
Sorry; but I am unqualified to advise you. I will just say that I was in ORs in the US often as a technician for orthopedic surgeries and never saw, or heard of, a rod inserted all the way from hip to heel. Was the ankle also injured? If not why disable it with the rod? I have seen rods from just below hip to the knee (in the femur) and from just below the knee to the ankle (in the tibia), but never the entire leg. I guess I have not seen everything. Where you are I guess is high level of medical practice. Have you consulted with doctors to see if the rod can be removed entirely are partially. Perhaps your knee was so destroyed that they can not reconstruct a functioning joint, even a total artificial knee. Good luck.
O sir, really informative nicely illustrated(Dr,M.A.Lone)D.Ortho...
I’ve just had my 3 euflexxa unfortunately it didn’t work
How long would it take to grow new cartalidge if that was the option
HARD TO TELL
VERY VARIABLE
Great 👍👍👍👍👌👌
@DigitalCrystal thanks
Could you please turn the sound volume up
I tore my meniscus one year ago due to a hiking accident and developed a baker's cyst. An x-ray diagnosed me with osteoarthritis, but I'm certain it was accelerated by the fall on my knee. My previous ortho gave me a steroid injection which did nothing. Then he gave me tons of nsaids which are killing my stomach. I'm still in excruciating pain and have difficulty walking. Needless to say, I'm ditching my old ortho for a second opinion.
How is your knee now ?
@@AdityaGupta-xq3kr Thanks for reaching out. Since several years have passed, my injury subsequently healed.
@@ruthm5413 Glad your doing good.
CAC Panchsakar Churna It is a pure and classical preparation known as Panchsakar churna. This churna is used since ancient time for the detoxification of the body. The churna contain five ingredients as the name suggests Haritaki, Shunthi, Krishna Pippali, Trivrit, and Sauvarchala lavana. As toxins are removed from the body knee pain will automatically subsides.
Great
@purestpearl may need cleaning if you have pain
You didn't mention prolotherapy
Ara Blumenfeld sugar injections? Ha , ha ,ha how can you believe that ? I tried Hylagan it’s a scam too .
My knee after a few months working by sitting position is going to be better more and more .Before I didn't know my classmate surprised my knees having looses moving. Until the day I can't feel good from them. Using tools to grind metal very damage for parts of our body.
In youtube k nuskho se kuch nahi hota maine bahut try kiya hai. Mere ek fb friend ne mujhe ek viadh ji ki medicine suggest ki thi. Fir maine us dawa k sath subah walk karna shuru kiya, ab mere knee ka dard bilkul thik ho chuka hai..
@Firestormify some clinical tries deals with cartilage
this is the project that i will work on
@kaleidoscopekay will see her for both conditions
I have a pain in right lef what 💊 i use
will the metal rust inside the knee?
sir i got question....is knee brace can get rid of pain ???...like injured cartilage? pls rply
im 17 and a year ago i had a knee injury nothing got done about it since then i have had 4 docters apointments all he said was because of my age i am always growing and it will heal and he gave me ibruophen and that is it i have pain on and of for a year i started college in september then in october bam i have a nasty fall during a basketball game i made my knee injury from a year ago TEN TIMES WORSE i have been KICKED of my college corse and now i have to go see a another docter!!!!!!!!!
Muito bom! !!!
i've got to have an MRI and might do surgery if there's anything wrong with me... is there any other option like self-healing?
It may be just my own body but steroid injections did more damage than before the injection. I am pretty sure that it was just from adding a foreign substance to the body and the pain was coming from my body coping with it. It still hurts
my mom also suffering from inside knee joint. Dr asked knee related soft gel is nil so that it happen. But i need which food is best for these problems.
You should have way more subscribers! What's wrong with people?
Has anyone got a microfracture and returned to sports with minimum pain after having cartilage damage & arthritis ( degenerative )?
How is your situation
cortisone injection ms cause further damage to the cartilage even on the short term but I appreciate that you mentioned stem cells as a treatment option actually it's the only "real" cure for cartilage damage in my opinion
what are the best diet to heal a knee injury
Lots of oily fish or cod liver oil etc... also glucosamine may help
Amen Ali l
All these treatments have very little or non effect in treating osteoarthritis, not to tell that there is no scientific evidencie that support that good intention! I've had all these procedures done and nothing really helps, doctors play a safe card by saying that every system reacts in a different way!
My right knee hurts and gives cracking sounds sometimes I walk with a drag
Same here is it ok now? How did u cure it?
A friend of mine, had a knee replacement this past June. She is allergic to most pain medication. At this time, she still limps and is in terrible pain. I told her about the UT Ortho and about the pain management that is available at the center. Would this be beneficial for her. Her present doc keeps telling her to wait and give it more time. She lives within an hour drive to Toledo. I thought the pain management doc could help, or maybe there is something wrong with her knee replacement.
@kaleidoscopekay we do stem cells for AVN and non unions
we use platelets for arthritis and tendon problems
hello doctor please can you advice me how my can be back to function, am a sportman ,my knee just twisted on the field of play i can work normally but i just feel pain by the side of my kneel,and also i cant bend fully but can still swing the knee very well.please i will be waiting for your reply.
May I have syringe/needle size details for knee/foot. Thank you.
They aren’t very large and not very painful they use a spray lidocaine to sorta numb the area before injections
My righr mri report is , grade 3 signal in body and posterior horn of medial meniscus possibly postop changes.... What is meaning... Pls give suggession what to do now
Do chondroiten and glucosamine supplements work ?
What should I eat/take to grow back cartilage? Glucosamine? Collagen?
Glucosamime
Glucosamine
Glucosamine is nothing to do with cartilage. You should have more chondrocytes. In other words, your adult stem cells should be turned on for differentiation as well as proliferation so that chondrocytes can be regenerated.
If you take collagen, it'll become amino acid after passing through your stomach.
Osteoarthritis only can be treated by real stem cell therpay. Real stem cell therapy is to help adult stem cells, inside of body, to turn on the switch for repair of worn-out tissue. Autologous and/or allogeneic stem cell transplantation are completely wrong. Real stem cell therapy is nano-medication that's based on:
God formed man out of dirt from the ground and blew into his nostrils the breath of life.
Hence, nano-medication won't cause any side effect and/or complication to humans.
If osteonecrosis patient can be back to normal, osteoarthritis seems to be much light disease. How to effectively treat osteoarthritis:
1. to eradicate inflammation
2. to eradicate MMP (matrix metalloproteinase)
3. to turn on the switch of adult stem cells, inside of knee, for repair of worn-out tissue.
All glory does belong to God !
David Lo (E-Mail: DavidLo0827@gmail.com)
so how do you do this? I had an autoglous cartilage implantation and a year later still in pain. I don't think than are many more options, except for glucosmine as mentioned above
@@077jess update? On your pain
@Firestormify why would you use PRP as opposed to stem cell injections?
My answer is there no stem cells available for injection . you need to get them isolate them grow them treat them then inject them
i use adult stem cells from the patient marrow as a concentrate in nonunion and avascular necrosis
these devices are available to help to concentrate the marrow
Sir, when I get up and sit down, there is a crack in both my knees, please give me a solution.
My doctor diagonise me with thin cartilage symptoms. What they ask me to do is to do physiotherapty which is train the tights and leg muscle. But after a few month I went back to baskball I still felt the pain.
What can I do at this point of time?
En lengua española. Gracias.
Çevirisi olsa daha iyi olurdu