Elbow and Knee Pain: When to Seek Medical Help - Orthopedics

More Info

---

When it comes to understanding elbow and knee pain, especially in older adults, it is crucial to consider various factors that could contribute to the discomfort. Your mother, at around sixty years of age, is experiencing pain in her elbow joints when sleeping on her side and also has knee pain when bending. Given her age and the absence of swelling or signs of overexertion, there are several potential causes for her symptoms.

Firstly, age-related changes in the joints, such as osteoarthritis, are common. Osteoarthritis can lead to joint pain due to the degeneration of cartilage, which cushions the joints. This condition often presents with pain during movement and can be exacerbated by certain positions, such as side sleeping, which may put pressure on the elbows. It is also possible that the knee pain she experiences when bending could be related to similar degenerative changes or even tendinitis, which is inflammation of the tendons around the knee joint.

Another possibility is that her pain could be related to conditions such as bursitis, which is inflammation of the bursa (a small fluid-filled sac that reduces friction between tissues) in the elbow or knee. This condition can cause pain during movement and may not always present with visible swelling. Additionally, conditions like rheumatoid arthritis or other inflammatory arthritis types could be considered, especially if there are other systemic symptoms present, such as fatigue or morning stiffness.

Given that your mother has not found relief through previous medical consultations, it may be beneficial to seek a more specialized opinion. A visit to a rheumatologist would be appropriate, as they specialize in autoimmune and inflammatory conditions affecting the joints. They can conduct a thorough evaluation, including blood tests to check for markers of inflammation or autoimmune diseases, and imaging studies like X-rays or MRIs to assess the condition of the joints.

In terms of immediate management, it may be helpful for your mother to engage in gentle range-of-motion exercises to maintain joint function without exacerbating pain. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help alleviate pain and reduce inflammation, but she should consult with a healthcare provider before starting any new medication, especially considering her age and any other underlying health conditions.

Physical therapy could also be beneficial. A physical therapist can provide tailored exercises to strengthen the muscles around the joints, improve flexibility, and reduce pain. They can also teach her proper body mechanics to avoid putting undue stress on her joints during daily activities.

In summary, your mother’s symptoms warrant further investigation, particularly by a rheumatologist or a pain specialist. They can help determine the underlying cause of her elbow and knee pain and develop a comprehensive treatment plan that may include medication, physical therapy, and lifestyle modifications. It is essential to address these symptoms proactively to maintain her quality of life and mobility as she ages.