Break of meniscus and degenerative osteoarthritis of knee, bad combination?
If to a break of meniscus him supreme degenerative osteoarthrites, the recovery of the knee meets prevented. When the meniscus crushes there leaves to the overdraft a degenerative osteoarthritis that already existed before, but that had remained secret up to the moment.
When it exists break of meniscus, which works as protector, produces an agony to itself because of the remains meniscales that block the knee. If the pain is intense we must do an arthroscopy to eliminate the torn fragments of the meniscus, to clean the joint and to infiltrate acid hialurónico and factors plaquetarios that help to the recovery.
With the years, those extra kilos and with associate degenerative osteoarthritis, the recovery is more delicate and goes more time, in addition it is not exempt from complications (residual pain, sinovitis, progression of the degenerative osteoarthritis). It is necessary to bear in mind that the degenerative osteoarthritis already is not muffled by the meniscus and that it starts facing the consequences.
Postoperatory slow and progressive
The evolution of this type of knees is variable, a third of them can turn doomed to a bad evolution with an acceleration of the degenerative osteoarthritis and it can finish with prothesis of knee.
With the current therapies of infiltrations you will articulate with acid hialurónico and factors plaquetarios, it is possible to improve this evolution and try to stop the progression of the degenerative osteoarthritis as well as improve the postsurgical results.
It is possible that it is necessary to realize infiltrations in the postoperatory one. In occasions, if the knee is very spoilt, it is better to go directly to the prothesis or to try a palliative treatment with infiltrations with factors platelets.
It will be a labor of the specialist to analyze the case and to inform the patient of the different therapeutic possibilities and of which it would be the most suitable way and to take a joint decision of agreement to the needs and desires of the patient.
If we must have something clear, it is that the heat must never use after a blow or a recent surgery. In the knee it might produce an increase of the pain and of the water on the knee.
To diminish the inconveniences in the knee
To diminish the inconveniences of the knee before the appearance of a posttraumatic pain or of origin artrósico the cold is ideal. Due to his vasoconstrictive character (it closes the arteriolas), it will help to reduce the water on the knee to articulate (ideal to improve the inflamed knees) and also the formation of bruises in contusions and recent surgeries.
Since general rule of the daily application of the cold in the knee the process would be the following one:
– in the morning, after sleeping, it is not necessary to apply cold. If the knee is a bit rigid, it is necessary to to use a warm towel during 5 minutes to improve the mobility. Getting up is advisable to move a bit the knee.
– in the evening, in the snap: to apply cold during 10 minutes
– in the night, before sleeping: to apply cold during 10 minutes
– after that of the exercise: to walk, rehabilitation, work: to apply cold during 10 minutes
On the other hand the heat produces increase of the vascularización of the fabrics and the easing and expansion of the same ones. It can be in use in the muscular contractions (lumbalgia, dorsal pain, wryneck) and to improve the initial movement of a rigid joint.