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PAY ATTENTION TO PAIN AND SWELLING IN THE KNEE
Menisci are 2 circular wedge-shaped fibr decartilaginous structures located between the condyles of the femur and the tibia plateau. It is mainly composed of water and Type 1 collagen fibers. Physical Therapy and Rehabilitation Specialist Assoc.Doctor in Antalya Turkey, he gave important information about the subject.
1- What Does the Meniscus Do?
In addition to providing resistance to loads and impacts that occur on the knee joint, it contributes to distributing the load and stabilizing it. In addition, the meniscus and articular cartilage, lubricating (lubrication), nutrition and contralateral joints, limbs, ties, recognized by the brain, most of these regions, responses will be kept in a secure location that is the name of the process of creation, the process is governed by the deep and proprioceptive senses) is responsible. There are peripheral fibers that meet axial loading and radial fibers that hold these fibers together and prevent their vertical (vertical) decoupling. This information is very important.
2- What are the symptoms?
Among the many causes of knee, meniscus injuries play a very important role. Along with knee pain, swelling, limitation of movement, tripping, klick sound, deadlock, even ejaculation, even disturbances in walking and balance can be observed. Ruptures, decoupling from the main tissue, are displaced between the joints, which leads to their locking.
The patient feels tenderness and pain in the medial(internal)l and lateral(external) articular line. In particular, loss and tripping can be detected in the knee extension (knee straightening) movement.
3- Who does it occur most often in?
Although often seen in athletes and overload disease is known as sudden twisting motions, including an athlete’s knee, trauma and may present as a result of aging.
4- How is the diagnosis made?
In meniscus tears, the diagnosis is made by examination and magnetic resonance (MRI) imaging. However, meniscus tears can also be detected on MRI in 20% of people who do not have any knee complaints. From this it follows that, judging by the fact that you have a tear, you should immediately undergo surgery and remove this valuable supporting tissue and not throw it away.
5- How Should the treatment be Carried Out?
The goal of treatment should not only be to relieve pain. Because if only the pain is aimed at stopping, the path of deterioration in the knee will also be opened in the next days / months /years. Although the number of non-surgical methods of treatment is quite large, treatment with the hands of a competent specialist should be selected. Among them, the most important option is the combination of stem cells, which is a decongestant and regenerative approach. In addition, osteopathic manual therapy, kinesiobanding, prolotherapy, neuraltherapy, ozone therapy can be used. In addition, the necessary exercises should be given and the necessary restrictions(weight loss at the very beginning) should be made so that we can protect this precious tissue, which is so necessary for a lifetime. Otherwise, low-grade tears may progress and require surgical treatment. If it is taken easily, the joint will become slippery, and the perception of the position will be impaired, and the floor for calcification of the knee will be prepared. In patients with meniscus tears, rapid loss of cartilage volume and an increase in knee pain were detected with increasing weight. It has also been shown that 1% weight loss results in cartilage loss and a decrease in knee pain.
Instead of treatments aimed at eliminating the findings, treatments that repair the tissue should be considered and applied first. In differential diagnosis, other disorders, such as cartilage damage, must necessarily be reviewed. With increasing age, arthrosis changes begin in the knee joint and gradually progress. In older patients, if meniscus tears are also accompanied by cartilage damage, surgical methods for meniscus tears cannot produce good enough results. There is no difference surgery and physical therapy in these patients. The main goal of treatment should be to prevent recurrence in the coming years. The age(year), type and location of the tear should be taken into account in the treatment.
Meniscus tears can be located in the avascular(non-blood supply) and vascular(blood supply) zones, depending on their localization. Ruptures in the vascular region have the ability to heal conservatively. The ability of tears in the avascular region to heal, even after surgical repair, is extremely low. Again, acute tears occur suddenly, while chronic tears occur as a result of wear over the years. With the progression of age, the process of disruption of the meniscus begins. With increasing age,; the quality of the meniscus decreases, the water content increases, the cellular content decreases, the rates of collagen and glucosaminoglycan decrease. As a result, the meniscus becomes vulnerable to degeneration and injury.
Degenerative meniscus tears can occur in elderly patients, as well as in physically active people. there are 7-8 types of meniscus tears(vertical, longitudinal, oblique, radial, horizontal, root, bucket handle and complex). Surgery should not be recommended immediately for tears other than radial, oblique, and bucket handle tears. Surgery should be considered as a priority, especially in the presence of a locked knee due to a displaced bucket handle meniscus tear. In surgical methods, meniscectomy should be considered first and meniscectomy should be considered second. Removal of 15-34% of the meniscus reduces the shock-absorbing effect on the knee and increases the contact pressure by 35%. This means increasing the rate of calcification in the knee.
It should be taken into account whether the continuity of environmental fibers is impaired in the treatment choice in Turkey. To date, there has not been enough evidence to demonstrate the superiority of surgical treatments over physical therapy in people of middle age and older with stable meniscus tears.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.