From The Desk of Dr. Paul Anderson M.D.
Sports Medicine & Pain Management

Warning! Are You Making Any of These 3
Common Deadly Knee Treatment Mistakes?

"How to Get Rid of Your Knee Pain
Once and For All - The Right Way!


Your Best Knee Pain Treatment Options for Lasting Relief,Youthful Mobility and Avoiding Early Arthritis


By Dr. Paul Anderson, M.D.
Sports Medicine Expert

Whether you have acute (new) or chronic (old) knee pain; whether your pain is from an obvious knee injury or for no apparent reason at all - here are some knee treatment options to help you find long-lasting relief and maybe even a cure. Before trying any knee treatment, however, it’s best to have a confirmed diagnosis. The best way to do that is by having a proper history, physical and joint examination done by a qualified medical professional who is also a sports medicine specialist. If necessary, his or her findings can then be confirmed with appropriate investigations such as an MRI scan, X-rays, a knee arthroscopy examination or a bone scan.

Once you know your knee pain diagnosis, then you can decide on the best knee joint pain treatment choice for you.

3-Step Knee Pain Treatment

The general guideline is to:

1) Reduce Inflammation and Pain -Right Away: knee ice pack and compression, *natural anti-inflammatories - not drugs, enzymes, a knee brace, patellar taping (McConnell), knee exercises for joint synovial fluid movement and physical therapy. You may need to have the fluid drained. Please consider medications and injections as a last resort.

2) Find and Correct the Cause, Eliminate Hidden Pain Triggers This is done by: knee exercises to strengthen weak muscles, foot inserts (orthotics), proper shoes, knee pads and avoiding the seven evil inflammatory foods. Again, please consider knee arthroscopy (and more invasive surgery), medication and injections as a last resort.

3) Prevent Knee Pain and Inflammation from Returning This is done by: continued knee exercises to strengthen weak muscles, strength weight training, cardiovascular fitness training, foot inserts (orthotics), proper shoes, an anti-inflammatory diet, fish oil, Vitamin D3 supplementation to get back to normal levels and natural anti-inflammatories with healthy joint nutrients

Common Diagnosis with Knee Treatment Options

Find your diagnosis in the list below to review your knee pain treatment options.

Acute medial collateral ligament sprain or tear – knee brace for grades 1 and 2, physical therapy, enzymes, rehabilitation, surgery for grade 3 (complete tear)

Chronic medial collateral ligament sprain or tear – knee brace for all grades, surgery not usually recommended unless accompanying an ACL or PCL tear with instability

Acute lateral collateral ligament sprain or tear – knee brace for grades 1 and 2, physical therapy, enzymes, rehabilitation, surgery for grade 3 (complete tear)

Chronic lateral collateral ligament sprain or tear – knee brace for all grades, surgery not usually recommended unless accompanying an ACL or PCL tear with instability

Acute or chronic medial meniscus cartilage tear – try and avoid surgery by taking natural anti-inflammatories or enzymes, ice with compression, do physical therapy - may take 4 - 8 weeks to improve ... no improvement may suggest the need for arthroscopic surgery. IF your knee is completely locked or continues to lock off-and-on, then surgery is recommended.

Acute or chronic lateral meniscus tear – try and avoid surgery by taking natural anti-inflammatories or enzymes, ice with compression, do physical therapy - may take 4 - 8 weeks to improve ... no improvement may suggest the need for arthroscopic surgery. If your knee is completely locked or continues to lock off-and-on, then surgery is recommended.

 

Knee Bone Fracture - leg bone (tibia), thigh bone (femur), patellar fracture or fibular head fracture – cast or walking brace followed by aggressive physical therapy and rehabilitation. Some fractures do require surgery to correct alignment.

 

Knee Osteo-arthritis or common knee arthritis - ice and compression, *natural anti-inflammatories -not drugs, enzymes, knee brace, patellar taping (McConnell), knee exercises for joint synovial fluid movement, physical therapy, knee exercises to strengthen weak muscles, foot inserts (orthotics), proper shoes, knee pads, avoid eating the seven evil inflammatory foods, strength weight training, cardiovascular fitness training, an anti-inflammatory diet, fish oil and Vitamin D3 supplementation to get back to normal levels. Last Resort Options: hyaluronic acid or cortisone injections, knee arthroscopy, knee replacement surgery

Pre-arthritis, Patella Femoral Syndrome (PFS), Chondromalacia, Runners Knee - ice and compression, *natural anti-inflammatories - not drugs, enzymes, knee brace, patellar taping (McConnell), knee exercises for joint synovial fluid movement, physical therapy, rehabilitation knee exercises to strengthen weak muscles, foot inserts (orthotics), proper shoes, knee pads, avoid the seven evil inflammatory foods, strength weight training, cardiovascular fitness training, anti-inflammatory diet, fish oil and Vitamin D3 supplementation to get back to normal levels. Last Resort Options: hyaluronic acid or cortisone injections, knee arthroscopy, knee replacement surgery

Knee cap (patella) dislocation – McConnell taping is much more effective than the straight leg bracing that is traditionally offered. If the dislocation is habitual or there is chronic subluxing, you may need surgery - ideally, surgery should not be the first option.

Acute or Chronic Iliotibial Band Syndrome - ice and compression, natural anti-inflammatories - not drugs, enzymes, stretching, physical therapy, foot inserts (orthotics), proper shoes, knee pads, avoid the seven evil inflammatory foods, strength weight training

Bursitis - may need draining but rarely requires surgical intervention. Try ice and compression, natural anti-inflammatories and enzymes

Baker's Cyst - may need draining but rarely requires surgical intervention. Try ice and compression, natural anti-inflammatories and enzymes

Popliteus muscle tear – symptomatic treatment, ice and compression, natural anti-inflammatories, enzymes, physical therapy, rehabilitation

Plantaris tear with rupture - symptomatic treatment, ice and compression, natural anti-inflammatories, enzymes, physical therapy, rehabilitation

Anterior cruciate ligaments (ACL) tear– surgical repair - if surgery is not an option, then an ACL knee brace, ice and compression, natural anti-inflammatories, enzymes, physical therapy, rehabilitation, knee exercises to strengthen weak muscles

Posterior cruciate ligament (PCL) tear - surgical repair ... if surgery is not an option, then possibly a PCL knee brace - generally, PCL tears are well-tolerated and do not require bracing unless the knee is unstable and buckling. Use ice and compression, natural anti-inflammatories, enzymes, physical therapy, rehabilitation and specific knee exercises to strengthen weak muscles.

 
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