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Knee Pain and Arthritis Consultation
Knee pain is one of the most common reasons adults seek orthopaedic care. It can come from arthritis, a cartilage or ligament injury, or problems around the kneecap. A consultation identifies the source so the treatment is targeted.
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WHAT WE ASSESS
Focused evaluation.
Personalised care.
Knee pain: what patients usually notice
- Knee pain while walking, climbing stairs or going downhill
- Knee pain when squatting, kneeling or sitting cross-legged
- Pain after sitting for a while, or stiffness when getting up from a chair
- A swollen knee, or a knee that feels tight
- Knee locking, clicking or cracking, or a knee that gives way
- Difficulty walking because of knee pain
Medical terms you may hear
Knee osteoarthritis is the wear-and-tear form of arthritis, sometimes called degenerative joint disease. Patellofemoral pain is pain around the kneecap. A meniscus tear is a tear in the knee cartilage. ACL, PCL, MCL and LCL refer to the knee ligaments. Bow legs and knock knees are alignment changes of the knee. Total knee replacement (TKR) is a surgical option for advanced arthritis when other treatment is no longer controlling symptoms.
Common causes
- Age-related wear of the knee cartilage
- Previous knee injury, including ligament or meniscus injuries
- Extra body weight placing more load on the knee
- Repetitive loading, such as heavy squatting or prolonged standing
- Weak thigh and hip muscles, or changes in leg alignment
What a consultation includes
- A history of your symptoms, including how and when the pain started
- Examination of swelling, movement, strength and knee stability
- X-rays for arthritis, where indicated
- MRI scans where they will help decide the treatment of a ligament or meniscus problem
- Blood tests only when an inflammatory cause is suspected
Treatment options
Early and moderate knee arthritis is often managed with a strengthening programme for the thigh and hip muscles, weight management, activity changes, suitable footwear and supports, pain-relieving medicines as prescribed, and injections in selected cases. Knee replacement is discussed when arthritis is advanced and non-operative care no longer controls symptoms; it is not needed for everyone with knee arthritis. Meniscus and ligament problems are managed as described on the sports injuries page.
When to arrange an assessment
- Knee pain lasting more than a few weeks
- Swelling that keeps returning
- Difficulty climbing stairs or getting up from a chair
- Knee locking or giving way
- Night pain or pain that is getting worse
Warning signs that need urgent care
- A knee that cannot bear weight after an injury
- A knee that looks deformed after a fall or twist
- A hot, red, very swollen knee with fever
Go to the nearest emergency department or call 112 if you have severe pain with a deformed limb, numbness, a cold or pale limb, or heavy bleeding.
PATIENT CENTRED CARE
Accurate diagnosis. Appropriate treatment. Better movement.
The right treatment depends on the cause, severity, duration and functional impact of your symptoms. Consultation helps determine whether you need conservative care, further investigation, rehabilitation or referral for additional treatment.
Schedule a Consultation →This information is educational and does not replace an individual clinical assessment. Your symptoms and treatment are assessed at consultation. Call for appointments and availability: +91 92116 36116.