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Fizyoterapist Aydın AliFizyoterapi & Rehabilitasyon
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"Osteoarthritis" sounds like irreversible damage. But with the right management, most people live an active life with pain under control.

Knee osteoarthritis is the gradual thinning of the knee cartilage over time. Although the word sounds like irreversible damage, when pain is managed correctly, most people live an active and comfortable life. The key is understanding the source of the pain and moving at the right dose.

Symptoms

Pain that increases with movement and eases with rest; brief stiffness in the morning or after prolonged sitting; difficulty with stairs and squatting; sometimes sound and swelling.

The biggest mistake: "staying inactive so it doesn't wear down more"

Cartilage is nourished by appropriate load; inactivity weakens it and increases pain. Movement at the right dose doesn't wear down cartilage — it protects it.

The sequence that reduces pain

  1. Strengthening the thigh and hip muscles — strong muscles reduce the load landing on the joint; this has a more lasting effect on pain than medication.
  2. Weight management — even a small amount of weight loss makes a noticeable difference to pain.
  3. Low-impact activity — walking, cycling, swimming.

Is surgery needed?

Not for most people; a knee replacement comes up at an advanced stage, once non-surgical methods are no longer enough.

Are sounds from the knee concerning?

Clicking or grinding heard during movement (crepitus) usually isn't dangerous as long as it isn't accompanied by pain and swelling; it's also heard in many healthy knees. What actually matters isn't the sound, but the pain, swelling or loss of function accompanying it.

When to see a physician?

Sudden swelling-redness with severe pain, locking, fever, or a deformity after a fall.

Fzt. Aydın Ali first assesses the source of the pain in knee osteoarthritis; runs a programme in person that manages pain and strengthens the muscles supporting the knee.

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Related treatments

  • Knee Osteoarthritis

    An exercise-based programme aimed at reducing pain and increasing walking capacity in cartilage wear.

  • Knee Rehabilitation

    Strength-focused rehabilitation for meniscus and ligament injuries, cartilage wear and the period after surgery.

  • Meniscus Tear

    For meniscus tears, with or without surgery: graded rehabilitation that makes the knee trustworthy again.