• Knee pain is caused by trauma, erosion and rheumatoid arthritis.
• Traumatic and rheumatic pain can occur at any age. Corrosive pain is more common in people over 40 years of age.
• Weight must be controlled to prevent osteoarthritis.
• Physiotherapy is very useful for knee pain.
• Every year some patients undergo free operation at the initiative of Bangladesh Orthopedic Society.

Knee and joint pain is a very common problem among the elderly in our country. There are many reasons for this kind of pain. Knee and joint pain and its treatment is discussed in detail in the last episode of SKF dedicated health special weekly ‘Byathar Satkahan’.

Dr. The event was hosted by Bilkis Fatima and was attended by the Head of the Department of Orthopedics at Holy Family Red Crescent Medical College and Hospital, Prof. Dr. Nazrul Islam.

At the beginning of the discussion it became known about the causes of knee and joint pain. There are three main causes of pain. Traumatic, erosive and rheumatic.

Traumatic pain can result from knee or joint pain from a sports injury or a ligament injury in an accident. Knee pain occurs when there is a soft bone called cartilage near the knee joint. This is usually due to age. It is also called osteoarthritis. Rheumatism is also caused by pain due to arthritis.

Traumatic and rheumatic pain can occur at any age. Corrosive pain is more common in the elderly (after 40 years).

Such problems include knee pain, swollen knees, difficulty bending, increased knee temperature, changes in knee shape, and numbness when kneeling. If the symptoms are more patients come to the doctor said. Nazrul Islam. This pain can occur after sitting for a long time and getting up, when climbing stairs, after walking for a long time. Then gradually the severity increases to such a level that the pain continues to occur when the patient rests.

Dr. Nazrul Islam said that if knee pain is given more importance in the beginning, the complications will be much less later.

The discussion is about osteoarthritis. It tends to be more in the knee joint. Dr. as the reason. Nazrul Islam said, ‘The joint that carries the weight in our body, the heaviest load falls on the knee joint. Its position between two long sisters (tibia and femur). In addition, there is pain in the hip and ankle joint, but it is less than the knee.

Seek medical attention as soon as pain symptoms appear. In the case of such diseases, the doctors first do some routine checkups. Blood tests should be done to see if the patient has uric acid or diabetes. And of course X-rays have to be done.

Osteoarthritis can have many complications. Such asnot working with conventional medicine, joint stiffness, accumulation of fluid in the knee, change in the shape of the knee.

Dr. Nazrul Islam said that weight must be controlled to prevent osteoarthritis. When a patient goes to the doctor with pain in the early stages, he advises them to follow the guidelines of exercise and eating habits given to the patient. These guidelines include eating more calcium and vitamin D foods, bending the knees less, climbing stairs slowly, using high mode, and praying in a chair.

Knee pain can also be caused by an infection or tumor. Septic arthritis can affect anyone. In this case, the patient is given pain medication, antibiotics and joint support after quick diagnosis. Sometimes a joint operation called aspiration or orthodomy is also performed on the joint, said the specialist.

The knee joint is now undergoing advanced quality treatment. There have been many changes, especially in the operation. Surgery like knee replacement is being done in big hospitals in our country. This operation is very expensive. However, Dr. Nazrul Islam said some patients undergo free surgery every year at the initiative of Bangladesh Orthopedic Society.

When prescribing pain medications, physicians prescribe certain doses based on the patient’s other ailments, such as kidney problems, asthma, or gastric problems. Steroid injections are given regularly to treat knee joint pain. However, according to experts, it should be given a little deliberately. In any case, it is necessary to know how much can be given. For example, diabetic patients should be given steroid injections to reduce the level of diabetes. And this injection cannot be given more than twice a year. Dr. Hite expressed the opinion that it could be the opposite. Nazrul Islam.

In addition, Dr. physiotherapy. Nazrul Islam said, it is very beneficial for the knee. It is enough to go to the therapy center and give physiotherapy for two weeks. The exercises that will be taught next time should be done regularly at home.

Fahmida Sikder
The Prothom-alo
November 29, 2020