The knee
Discomfort in the knee can be due to a variety of causes, with a distinction being made between damage due to an acute force such as a cruciate ligament tear or a meniscal rupture, and impairments from long-term signs of wear and inflammatory diseases. Knee pain or knee joint pain form here a general guiding symptom that requires a closer examination. If an acute injury is ruled out, it is important to find out whether there is an infection that causes inflammation in the joint and corresponding pain, or whether permanent signs of wear in the form of osteoarthritis are the cause of the discomfort. While the former can usually be treated relatively well by medication, the initial state of the joint can not be restored in the case of arthrosis by therapeutic measures. Here only the progression of the wear phenomena can be prevented.
Although minimally invasive knee surgery in the form of arthroscopy is widely praised as a treatment option for chronic knee pain due to joint wear and tear, recent studies conclude that knee surgery has no added benefit compared to non-invasive treatments. The renowned specialist journal "British Medical Journal" (BMJ) had recently called for a departure from arthroscopy. This brings significant risks without any additional benefit. Conventional therapeutic measures, such as physiotherapy, are to be preferred here. Because obesity is considered a risk factor for increased wear in the knee joint, a normalization of body weight in the context of therapy is also sought. In addition, certain sports may be associated with significant knee strain, which may require switching to "gentler" activities. Swimming or water aerobics, for example, is particularly gentle on the joints. (Fp)