Knee Arthritis - 7 Most Common Signs You Have It!
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- Опубліковано 17 тра 2024
- Dr. Jeff Peng outlines the seven primary symptoms of knee arthritis: pain, which can be intermittent or constant; stiffness, especially after inactivity; swelling due to inflammation and cartilage wear; decreased mobility and range of motion; mechanical issues such as grinding sounds (crepitus) and locking or catching sensations; muscle weakness and instability leading to fear of movement; and knee deformities like bow-legged or knock-kneed appearances. While these symptoms can vary in severity, Dr. Peng emphasizes that treatments should focus on alleviating symptoms rather than just the extent of visible arthritis. He strongly recommends exercise therapy to improve joint function and mentions platelet-rich plasma (PRP) injections as an effective advanced treatment.
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► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a UA-cam channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypengmd.com/
► Disclaimer
My content reflects my own opinion and does not represent the views or opinions of my employers or hospital systems I am affiliated with. They are meant for educational purposes only. They do not substitute for the medical advice of a physician. Always seek the advice of your physician with any questions you may have regarding your health.
Dear Doctor Peng:
Or should I say, Maestro Peng!?
I came upon your wonderful series of videos by quite accident while investigating the effectiveness of PRP in treating my bilateral OA, from which I have been suffering for more than 10 years.
I have received injections of hyaluronic acid (Supartz 25mg) twice a year and fortunately am one of those for whom this treatment has been very effective.
However, based on your explanations through a series of very clear and helpful UA-cam videos…you should be awarded an Oscar!…I am now considering Platelet Rich Plasma as a next step in my treatment journey.
Two reservation:
(1.) At 75 years of age, I suspect this procedure is less likely to be successful for me; after all, how “platelet-rich” could my plasma be?
(2.) The orthopod with whom I have discussed this protocol…in whom I have a great deal of confidence and who has administered the infusion many times in order to treat arthritis in elbows, hips, shoulders, knees, etc., always guided by ultrasound, prefers to use L-PRP (Leukocyte + PRP), which as you know, contains white blood cells & low fibrin matrix, as opposed to the alternative, and I believe your favored choice, L-PRF (Leukocyte + PRF) which includes no white blood cells & a high fibrin matrix and is believed to be more effective, especially in the treatment of OA of the knees.
When I suggested that though not very large or double blind, studies to date have demonstrated that the L-PRF (Leukocyte + PRF) was more effective, he disagreed and said one study of 700 patients concluded no statistically different results were measured.
What to do?
I think if I were able to show him the studies that you have reviewed (the more, the better!), he would be open to trying it regardless of how slim the advantage.
At my age, anything that increases my chances of success is worth trying.
I would appreciate you sending me links to the most reliable and prestigious studies you have seen.
I think that would be an invaluable first step of this physician being converted to some new thinking on the PRP issue as a viable standard of care.
Many thanks!
Will
Thank you 🙏🏽
Thank you 🙏
I also be recommended by doctor about the PRP therapy for the rotator cuff, but I refer to lots of documents and found the PRP is just be clearanced by FDA, no official approved by FDA. I think the PRP is still in grey areas, need further investigations and clinic data to approve the effectiveness of this therapy
Dr. Peng, I'm a 45yo male. Recently diagnosed with OA in my right knee. I was given a cortisone shot, which I regret agreeing to the more I read about them. I want to do PRP. What's the earliest you would administer PRP following a cortizone injection?
Does PRP help to rebuild cartilage? There is one case study that says so, but only one . Also, with loose bits in the joint, spurs and tears, is it a good bet to try knee scoping before PRP?
Unfortunately the evidence behind PRP (and even stem cells) regenerating or repairing anything is little to non existent. It's more that these treatments help flush out the inflammatory environment of the knee and "resetting" them to a healthy knee. In this way, it helps to slow down the progression of arthritis.
Arthroscopic clean out vs PRP has been studied, and PRP is superior.
ua-cam.com/video/FAsnQtIKN6g/v-deo.html
Just had prp injection for hip labral tear hopefully it will reduce the pain. Can prp injection help heal the labral tear?
It can help reduce symptoms related to the labral tear and any underlying arthritis.
I don’t feel pain but it feels like my knee is swelling when I walk