Essential Knee Care Tips for Young Professionals Facing Pain - Rehabilitation

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Knee care


Hello, doctor.
I have a few questions:
1.
During my student years, I didn't like to exercise and often sat for long periods.
Recently, after working as an intern for six months, I started experiencing knee pain and visited a clinic.
At that time, I was only prescribed anti-inflammatory medication.
After about two months, although there was some improvement, I did not fully recover.
I switched to a clinic that has X-ray facilities, and the doctor mentioned that there is some wear and tear in my knee, suggesting that I might have chronic inflammation.
Besides doing leg raises every day, what should I pay attention to in my diet and lifestyle? Is calcium supplementation and glucosamine effective?
2.
I am currently undergoing rehabilitation, and my doctor has prescribed laser therapy, electrical stimulation, and microwave therapy.
Do these treatments help reduce knee wear and tear or expedite the healing of inflammation? If inflammation subsides, will the wear and tear stop? Even if the inflammation resolves, should I still avoid going up and down stairs or squatting? Will I be more prone to developing osteoarthritis or other complications earlier than others in the future?
3.
In my workplace, we are required to wear anti-static slippers, similar to indoor slippers.
Does walking in these slippers, which glide without lifting the feet, reduce wear and tear compared to regular walking? Does standing for long periods also contribute to wear and tear?
4.
During high school, I rode my bicycle to school for about 40 minutes round trip.
I have heard that the seat should be adjusted to a height where the legs can be fully extended when pedaling; otherwise, it can be harmful to the knees.
However, since I am shorter, my seat is set to the lowest position, causing my knees to bend while riding.
Did this already cause damage to my knees at that time?
5.
Should I avoid jobs that require a lot of walking in the future? I am concerned because I am still young and already have knee issues.
Thank you, doctor, for your guidance.

Xiao Mei, 20~29 year old female. Ask Date: 2021/04/14

Dr. Li Yanheng reply Rehabilitation


Based on your age and symptoms, you likely have patellofemoral pain syndrome (which is caused by insufficient strength in the thigh muscles leading to frequent friction between the patella and femur during activity, resulting in acute or chronic inflammation).
Medication and rehabilitation can reduce inflammation and alleviate pain, but in the long term, you should focus on strengthening your thigh muscles and reducing your weight to overcome knee pain.

Reply Date: 2021/04/14

More Info


Knee pain, especially in young professionals who may have sedentary lifestyles or engage in repetitive activities, can be a significant concern. Here are some essential tips and insights to help manage and alleviate knee pain while promoting overall joint health.


Understanding the Causes of Knee Pain
Knee pain can arise from various factors, including overuse, improper posture, and previous injuries. In your case, the combination of prolonged sitting during your student years and the sudden increase in activity during your internship may have contributed to the wear and tear of your knee joint. Chronic inflammation, as indicated by your doctor, can lead to conditions like patellofemoral pain syndrome or even early osteoarthritis if not managed properly.


Lifestyle and Dietary Adjustments
1. Exercise Regularly: Incorporating low-impact exercises such as swimming, cycling, or walking can strengthen the muscles around the knee without putting excessive strain on the joint. Focus on strengthening your quadriceps, hamstrings, and calf muscles, as these provide stability to the knee.

2. Weight Management: Maintaining a healthy weight is crucial. Excess body weight increases the load on your knees, exacerbating pain and accelerating wear.

3. Dietary Considerations: A balanced diet rich in anti-inflammatory foods can help manage knee pain. Foods high in omega-3 fatty acids (like fish), antioxidants (fruits and vegetables), and whole grains can reduce inflammation. Supplements like glucosamine and chondroitin may provide some benefits, but their effectiveness can vary from person to person. Always consult with a healthcare provider before starting any new supplements.


Rehabilitation Techniques
The treatments you are currently undergoing, such as laser therapy, electrical stimulation, and microwave therapy, are designed to reduce inflammation and promote healing. These modalities can help alleviate pain and may contribute to improved function. However, they should be complemented with physical therapy exercises tailored to your specific needs.

1. Physical Therapy: Continue with your rehabilitation exercises, focusing on flexibility and strength training. A physical therapist can guide you through exercises that minimize stress on the knee while enhancing muscle support.

2. Rest and Recovery: Allow your knee adequate time to recover, especially after activities that may exacerbate pain. Ice therapy can be beneficial post-activity to reduce swelling.


Daily Habits and Ergonomics
1. Footwear: Wearing supportive shoes, even in a work environment with anti-static footwear, can help reduce knee strain. Avoid shoes that lack cushioning or arch support, as they can lead to improper alignment and increased joint stress.

2. Movement Patterns: When walking, try to maintain a natural gait. Sliding your feet instead of lifting them may reduce the impact on your knees, but ensure that you are not compromising your posture.

3. Cycling Ergonomics: Adjusting your bike seat to the correct height is essential. Your knee should have a slight bend when the pedal is at its lowest point. If your seat is too low, it can lead to overextension and strain on the knee joint.


Future Considerations
1. Job Selection: While it’s important to consider the physical demands of a job, many roles can be adapted to accommodate knee health. If you enjoy active work, consider positions that allow for movement but also provide opportunities to rest.

2. Long-term Health: Early intervention and proper management of knee pain can significantly reduce the risk of developing degenerative joint diseases later in life. Regular check-ups with a healthcare provider can help monitor your knee health.

3. Avoiding High-Impact Activities: Until your knee is fully rehabilitated, it may be wise to avoid high-impact activities like running or jumping, which can exacerbate your condition.


Conclusion
Knee pain is a common issue, especially among young professionals who may not have prioritized physical activity in their earlier years. By adopting a proactive approach that includes regular exercise, dietary adjustments, and proper rehabilitation techniques, you can manage your knee pain effectively. Always consult with healthcare professionals for personalized advice and treatment plans tailored to your specific situation. Remember, taking care of your knees now will pay off in the long run, allowing you to maintain an active and fulfilling lifestyle.

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