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Non Surgical Knee Pain Treatment
When there is a problem with this part of the knee it manifests as pain in the front of the knee after strong exertion (running, walking, or stair climbing.) This may be due to erosion of the cartilage on the under side of the patella, poor tracking of the patella in its groove on the front of the knee, or an inflamed tendon on the lower edge of the patella. The patella is covered on its back side with the thickest layer of articular cartilage of all the joints in the body. Erosion of this cartilage is called "chondromalacia patellae." On x-ray it is seen as a decrease in the amount of cartilage underneath the kneecap. It may be caused by trauma or occur spontaneously. If the patella is fractured, pain may still persist after the fracture heals. Prolotherapy, a non surgical alternative to knee surgery is excellent at relieving all of these pains. Prolotherapy helps chondromalacia patellae or patellar tracking problems because the pain-producing structure is generally the patellar tendon or the musculoskeletal support around the patella. Prolotherapy for chondromalacia involves intra-articular (inside) injections as well as injections on the outside of the knee, stimulating the growth of many musculoskeletal structures around the patella. It is for this reason the knee gets stronger and the pain of chondromalacia is relieved. Patients with pain often succumb to surgical procedures, even drastic ones. A good example of drastic surgery is the recommendation to surgically remove the patella in order to remove the pain. This sometimes does relieve the pain, but at a significant cost to the body. The strength to extend the knee is reduced by about 30 percent, and the force exerted in the knee is increased. There are a host of other risks associated with surgery. The athlete must realize that with each procedure and each shaving or cutting of tissue, NSAID (non-steroidal anti-inflammatory drug) prescription, or cortisone shot, the odds of developing long-term arthritis are greatly increased. The key to keeping the knee strong is to stimulate the area to heal, not to cover up the pain with a cortisone shot or NSAID. Even worse is to eliminate the painful area by shaving or cutting. This just delays the pain for a few years until the remaining tissue becomes degenerated. The best approach is to stimulate the area to heal. The best way to do that is with Prolotherapy. |
