Knee pain in a 33 year old boy.

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The young arthritic knee: doing and not doing

Shalaka Deoa, a 33-year-old mother, recently visited me with pain in both knees. She has been gaining weight constantly since the birth of her first child 8 years ago. Now he weighs 85 kg and measures five feet and four inches. For the rest, she is healthy, but she began to complain of pain in both knees as she climbed the stairs. Your youngest child is 3 years old. She began to have difficulty getting up off the floor after playing with him for a while. His x-ray showed a premature wear that is not expected at this age.

I'm seeing patients like Shalaka almost every alternate day. Osteoarthritis is a wear related to the age of the joints that we all suffer. Traditionally I see these patients in the age group of 55 years or older. Young patients with arthritis pose a different problem. If these young people do not take adequate care at the early stage, they end up undergoing knee replacement surgery by the time they reach their 40s. I am used to doing knee replacement surgeries in elderly arthritic patients and in the average age group of 65 years or older.

Shalaka was very interested in getting rid of her painful knee pain and followed my instructions religiously. Shalaka now weighs 63 kg and has no complaints.

I would like to share our treatment plan with other young patients for obvious reasons.

The first important goal is to strengthen the muscles around the knee joint. My physiotherapist gave Shalaka some exercises to strengthen the muscles of the knee. These are simple exercises that do not require equipment and can be easily done at home. We asked Shalka to avoid climbing unnecessary stairs and sitting on the floor. I gave him anti-inflammatory medications for only 7 days and his pain subsided. Then we start gradually with low impact aerobics (Pilates). A dietitian planned her diet appropriately. Shalaka received the goal of burning certain calories per day. She started with Pilates and regular morning walks, but what helped her was a lifestyle modification. He began to park his car at least a kilometer away from his destination and began to walk. He used a free application available on the net to calculate the distance he walked and the number of calories he burned. Shalaka also started to get up from his chair while watching his favorite daily soap every time there was a commercial break. She used to walk in front of the television during those 2 or 3 minutes. He set an inactivity alarm on his smartphone that used to buzz every 15 minutes to remind him to move. She slowly instilled the habit of not sitting in one place for more than 30 minutes unless there was a valid reason. Many friends suggested that he take nutraceuticals such as glucosamine / chondroitin / green moss extract, but he refrained from trying medications. Weight-loss tablets were also pushed by some friends. Shalaka asked me for scientific evidence about the effectiveness of these medications and when I told him there were none, he refused to take these tablets. Shalaka's close friend had lost a lot of weight in the Zumba classes and she asked Shalaka to join her class. Dancing with zumba is a very good exercise to burn calories, but in cases of knee pain it is classified as a high impact activity and, therefore, should be avoided. Acupuncture and acupressure are allowed, but they only have a temporary advantage of reliving the pain. Both modalities do not address the basic cause.

Shalka's aunt, from the USA UU., He sent an elegant knee brace called "unloader" (costs 26,000 Indian rupees). These braces are again not useful for young arthritic patients.

So folks, the take-home message from the Shalaka case study is important:

Reduce your weight Change your lifestyle Strengthen the muscles around your knee. Eat sensibly Avoid tablets of any kind, especially to lose weight or for the growth of cartilage. Personalize your exercises after consulting your doctor, what is good for your friend may not be good for you! Use your smartphone to track your calorie burn and workouts. Avoid fancy straps / belts.

Read the full article "Knee pain in a 33 year old child" that Dr. Shreedhar Archik wrote on Practo.com here: https://www.practo.com/healthfeed/knee-pain-in-a-33- year- old-2105 / post

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