Can Rehabilitation Therapy Alleviate Knee Pain from Arthritis? - Rehabilitation

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Knee pain


My mother is 60 years old and experiences pain in the muscles around her left knee when walking.
A traditional Chinese medicine practitioner diagnosed her with osteoarthritis and suggested that she ride a bicycle or swim.
Since she cannot swim, she only rides a bike, but after a short time, she also experiences pain while cycling.
Can rehabilitation therapy help improve her condition? Thank you!

Tin, 30~39 year old female. Ask Date: 2008/10/26

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
Here are my responses and recommendations: 1.
Deep heat therapy and electrical stimulation should be prioritized, along with strengthening exercises for the thigh muscles.
2.
Swimming is the best form of exercise, and spa treatments are also a good option.
3.
Cycling should be done on flat terrain or using a stationary bike, as uphill cycling involves greater resistance and is not advisable at this time.
Wishing you safety and happiness!

Reply Date: 2008/10/26

More Info


Rehabilitation therapy can indeed play a significant role in alleviating knee pain associated with arthritis, particularly in cases of osteoarthritis, which is a common form of degenerative joint disease. Your mother’s experience with knee pain while walking and cycling suggests that her condition may be affecting her quality of life, and rehabilitation could provide her with some relief.

First, it’s important to understand that osteoarthritis leads to the degeneration of cartilage in the joints, which can result in pain, stiffness, and decreased mobility. The pain your mother experiences during activities like walking or cycling is likely due to the inflammation and wear on the joint surfaces. Rehabilitation therapy focuses on improving function, reducing pain, and enhancing the overall quality of life for individuals with arthritis.

One of the primary goals of rehabilitation therapy is to strengthen the muscles around the knee joint. Stronger muscles can help support the joint, reducing the strain on it during movement. In your mother’s case, a physical therapist can design a tailored exercise program that focuses on strengthening the quadriceps, hamstrings, and calf muscles. These exercises can help stabilize the knee and improve her ability to perform daily activities with less pain.

Low-impact exercises are particularly beneficial for individuals with arthritis. Activities such as cycling, as your mother has been advised, can be effective because they allow for movement without putting excessive stress on the joints. However, if she experiences pain while cycling, it may be necessary to adjust the bike’s settings or the duration of her rides. A physical therapist can provide guidance on proper bike ergonomics to minimize discomfort.

Swimming is often recommended for arthritis patients due to the buoyancy of water, which reduces the load on the joints while allowing for a full range of motion. Since your mother does not swim, she might consider water aerobics or other aquatic exercises if available. These activities can provide a gentle way to strengthen muscles and improve flexibility without the impact associated with land-based exercises.

In addition to exercise, rehabilitation therapy may include modalities such as heat or cold therapy, ultrasound, or electrical stimulation to help manage pain and inflammation. These treatments can complement exercise and provide additional relief.

Furthermore, education about joint protection techniques is a crucial component of rehabilitation. This includes teaching your mother how to modify her activities to reduce stress on her knees, such as using assistive devices when necessary and pacing herself during activities to avoid exacerbating her pain.

It’s also worth noting that while rehabilitation therapy can significantly improve symptoms, it may not completely eliminate pain, especially in advanced cases of arthritis. Therefore, it’s essential to have realistic expectations and to consider a multidisciplinary approach that may include medication, dietary changes, or even injections if conservative measures are insufficient.

In conclusion, rehabilitation therapy can be highly beneficial for your mother’s knee pain related to arthritis. A tailored exercise program, possibly supplemented with other therapeutic modalities, can help strengthen her knee, improve her mobility, and reduce pain. It would be advisable for her to consult with a physical therapist who can assess her condition and develop a personalized rehabilitation plan that aligns with her needs and capabilities.

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