Knee swelling and pain?
Hello, doctor! My mother is 66 years old.
A few years ago, she experienced swelling and pain in both knees.
After several months of rehabilitation, the doctor recommended taking glucosamine, which she has been taking for a long time.
Her condition improved, and she has been walking for 1.5 hours every morning for the past two years without issues.
However, in the past month, whenever it rains, she stops walking for 2 or 3 days.
Even when she wears knee braces and tries to walk, she feels tightness and some swelling and pain around her knees, making it almost impossible for her to walk.
She loves to go out and believes that being alive means staying active! How can we, as her children, assist her? Thank you!
Lin, 30~39 year old female. Ask Date: 2007/06/30
Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry.
Here are my suggestions in response to your question:
1.
Regarding medications, in addition to Fuzhengmei, you may consider supplementation with Glucosamine and Chondroitin.
2.
Start with stretching exercises for the legs, using a forward lunge and backward arrow position to stretch the muscles, or perform calf stretches on an inclined board.
3.
Adopt a seated position to strengthen the thigh muscles, keeping the knees straight and holding for five to ten seconds before lowering.
This should be done for both lower limbs.
4.
Wear knee braces and perform exercises in intervals, allowing for rest periods in between.
Reply Date: 2007/06/30
More Info
Managing knee pain, especially in an active parent, can be a challenging yet rewarding endeavor. Given your mother's history of knee swelling and pain, along with her recent discomfort during rainy days, it's essential to take a multifaceted approach to support her. Here are some strategies that can help alleviate her symptoms and encourage her to maintain her active lifestyle.
1. Understanding the Cause of Pain
First, it's important to recognize that knee pain can be influenced by various factors, including weather changes, which can lead to increased joint stiffness and discomfort. This phenomenon is often attributed to changes in barometric pressure, which can affect the joints. Additionally, the history of swelling and pain suggests that she may be dealing with osteoarthritis or other degenerative joint conditions. A visit to a healthcare professional for a thorough evaluation can help determine the underlying cause of her symptoms.
2. Medication and Supplements
Your mother has been taking glucosamine (福善美), which is commonly recommended for joint health. However, if her symptoms persist, it may be beneficial to consult her physician about other options. Additional supplements like chondroitin sulfate or omega-3 fatty acids can also support joint health. Always ensure that any new supplements are discussed with her healthcare provider to avoid potential interactions with other medications.
3. Physical Activity Modifications
While it's commendable that your mother enjoys walking, it may be necessary to modify her routine, especially on days when she experiences increased discomfort. Here are some suggestions:
- Low-Impact Exercises: Encourage her to engage in low-impact activities such as swimming or cycling, which can provide cardiovascular benefits without putting excessive strain on her knees.
- Strengthening Exercises: Focus on strengthening the muscles around the knee, particularly the quadriceps and hamstrings. Simple exercises like leg lifts, wall sits, and gentle stretching can enhance stability and reduce pain.
- Warm-Up and Cool Down: Before and after her walks, she should perform gentle warm-up and cool-down exercises to prepare her joints and muscles for activity.
4. Use of Supportive Gear
Wearing a knee brace or support can provide additional stability and reduce pain during activities. Ensure that the brace fits well and is comfortable for her to wear. Additionally, proper footwear is crucial; shoes with good arch support and cushioning can help alleviate pressure on her knees.
5. Managing Pain and Inflammation
On days when her knees feel particularly stiff or swollen, applying ice packs can help reduce inflammation. Encourage her to rest and elevate her legs when needed. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can also be effective in managing pain, but she should consult her doctor before using them regularly.
6. Dietary Considerations
A balanced diet rich in anti-inflammatory foods can also support joint health. Encourage her to include foods high in omega-3 fatty acids (like fish), antioxidants (like berries), and plenty of vegetables. Staying hydrated is equally important, as it helps maintain joint lubrication.
7. Physical Therapy
If her symptoms continue to interfere with her daily activities, consider referring her to a physical therapist. A therapist can provide personalized exercises and treatments to improve her knee function and reduce pain.
8. Emotional Support
Lastly, emotional support is vital. Encourage her to express her feelings about her pain and limitations. Engaging in social activities or joining a walking group can help her stay motivated and connected with others.
In conclusion, managing knee pain in an active parent requires a combination of understanding the underlying issues, modifying physical activities, using supportive gear, and maintaining a healthy lifestyle. By taking these steps, you can help your mother continue to enjoy her walks and maintain her overall well-being. Always remember that regular check-ups with her healthcare provider are essential to monitor her condition and adjust her treatment plan as needed.
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