Knee Pain: Causes, Management, and Dietary Tips

Q: Knee Pain: Causes, Management, and Dietary Tips

Hello, Xiaozong： A blunt contusion of the patella often leads to long-term discomfort, which is unavoidable. <br>If further arthroscopic examination is considered, most patients end up with just three additional incisions. <br>Since there is no structural fracture in the bone or

Knee pain

Knee pain...
According to my memory, it was caused by playing basketball about 4-5 years ago, likely due to my knee hitting the ground.
Both knees have this issue, but the left one is more severe, and there is a noticeable bump when I bend my knee.
I still continue to play basketball, but since then, my knee has been painful.
For example, when sitting in a chair with my knee bent for too long, it becomes sore, and if I squat for more than a minute, I struggle to maintain the position as my knee cannot support my body weight.
I can't kneel, but running, playing basketball, and exercising are not problematic, although any impact causes significant pain.
Even gentle pressure with my hand can be painful.
I have visited a hospital in Taichung twice, and the doctors diagnosed me with arthritis and prescribed medication, but it doesn't seem to have a significant effect.
There might still be an issue with the bones, but previous X-rays did not show any problems.
Additionally, I would like to ask about dietary recommendations for arthritis.
What foods should I consume, and which ones should I avoid? I once read that eating apples with the skin is beneficial.
Is that true?

Xie, 10~19 year old female. Ask Date: 2004/03/02

Dr. Su Yiren reply Orthopedics

Hello, Xiaozong: A blunt contusion of the patella often leads to long-term discomfort, which is unavoidable.
If further arthroscopic examination is considered, most patients end up with just three additional incisions.
Since there is no structural fracture in the bone or joint surface, patients can still bend and even move their knee, but they will experience pain upon impact.
I believe conservative treatment is sufficient, such as carrying analgesic ointment in your pocket to apply when pain occurs.

Reply Date: 2004/03/02

More Info

Knee pain can be a significant issue, especially for individuals who have experienced injuries or have underlying conditions such as arthritis. Based on your description, it appears that your knee pain may be related to a previous basketball injury, which could have led to joint issues such as inflammation or cartilage damage. Here’s a comprehensive overview of the causes, management strategies, and dietary recommendations for knee pain, particularly in the context of arthritis.

Causes of Knee Pain
Knee pain can arise from various factors, including:
1. Injuries: Trauma from sports, such as basketball, can lead to ligament tears, meniscus injuries, or cartilage damage. The impact from falling or twisting can cause significant stress on the knee joint.

2. Arthritis: Osteoarthritis is the most common form of arthritis affecting the knee. It results from the wear and tear of cartilage over time, leading to pain, stiffness, and swelling. Rheumatoid arthritis, an autoimmune condition, can also affect the knees.

3. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the knee joint) can cause pain, especially when bending or straightening the knee.

4. Tendinitis: Overuse or repetitive strain can lead to inflammation of the tendons around the knee, causing pain during movement.

Management Strategies
1. Rest and Activity Modification: It’s crucial to rest the knee and avoid activities that exacerbate the pain, such as prolonged sitting with bent knees or squatting. If you experience pain during specific activities, consider modifying your routine to reduce strain on the knee.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the knee, improve flexibility, and enhance overall joint function. A physical therapist can design a tailored exercise program to address your specific needs.

3. Pain Relief Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. However, it’s essential to consult with a healthcare provider before starting any medication.

4. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and provide temporary relief. Hyaluronic acid injections can also help lubricate the joint.

5. Surgery: If conservative treatments fail and the pain significantly impacts your quality of life, surgical options such as arthroscopy or knee replacement may be considered.

Dietary Recommendations
Diet plays a crucial role in managing knee pain, especially for individuals with arthritis. Here are some dietary tips:
1. Anti-Inflammatory Foods: Incorporate foods that have anti-inflammatory properties, such as:
- Fatty fish (salmon, mackerel, sardines) rich in omega-3 fatty acids.

- Fruits and vegetables, particularly berries, cherries, spinach, and kale.

- Nuts and seeds, such as walnuts and flaxseeds.

- Whole grains like brown rice and quinoa.

2. Hydration: Staying well-hydrated is essential for joint health. Aim to drink plenty of water throughout the day.

3. Limit Processed Foods: Reduce the intake of processed foods, sugars, and trans fats, which can contribute to inflammation.

4. Avoid Certain Foods: Some individuals find that certain foods can trigger inflammation or worsen their symptoms. Common culprits include:
- Sugary beverages and snacks.

- Red and processed meats.

- High-fat dairy products.

- Refined carbohydrates (white bread, pastries).

5. Specific Foods: Regarding your question about apples, they are indeed a healthy choice due to their fiber and antioxidant content. Eating apples with the skin can provide additional nutrients, as many beneficial compounds are found in the skin.

Conclusion
Managing knee pain, particularly when associated with arthritis, involves a multifaceted approach that includes rest, physical therapy, dietary modifications, and possibly medication or injections. It’s essential to consult with a healthcare provider for a personalized treatment plan and to ensure that any underlying conditions are appropriately addressed. By adopting a healthy lifestyle and making informed dietary choices, you can help alleviate knee pain and improve your overall joint health.

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