“I do not want to undergo a surgery, Doctor! Please give me medicines and suggest few exercises” said the chubby, bow-legged grandmother of two.
“That probably could have worked for you a few years ago, Ma'am. It's too late to avoid surgery now”, I said.
This is a scenario I encounter in my practice nearly every day. What couldn't have worked for the grandmother, may work for you.
Let's discuss the potential problem joint pains could be.
Every typical joint in the body has layers located next to each other of something known as the hyaline cartilage. This is very smooth, glistening layer of whitish cartilage gives the joints a uniform surface for motion. As long as this surface is intact and well lubricated, a person is fine.
Osteoarthritis is a condition wherein this smooth layer of cartilage starts eroding and isn't efficiently replaced by the body. As a result, the thickness of this layer decreases until one day, the underlying raw bone is denuded. The surface becomes uneven and not conducive for smooth unhindered movements. This causes pain and creaking noise.
The condition typically progresses through stages:
Stage 1 is characterised by minimal or no pain and a near-normal X-ray. There is some softening of the cartilage and this is reversible.
Stage 2 consists of a slight reduction in the cartilage thickness and a mild to moderate pain. Exercises, weight reduction, activity modification would be helpful in this situation.
Stage 3 shows more thinning of the cartilage and definitive degenerative changes in the joints on X-ray. The pain is more pronounced and there might be a slight curvature appreciated in the knee. An injection of Hyaluronic acid in the joint, coupled with exercises and activity modification are warranted.
This story is from the April - May 2021 edition of Diabetes Health.
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This story is from the April - May 2021 edition of Diabetes Health.
Start your 7-day Magzter GOLD free trial to access thousands of curated premium stories, and 8,500+ magazines and newspapers.
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