There are numerous potential causes of knee pain.
- soft tissue inflammation around the knee, such as bursitis or tendinitis;
- knee arthritis, where there has been irreversible damage to the cartilage within the knee joint itself;
- tears of the meniscal cartilage (the cartilage between the femur and the tibia); loose bodies within the knee joint.
Occasionally, knee pain will present as what is known as “referred” pain – this means that although the mind senses that the knee is hurting, the actual cause of the knee pain is not the knee itself. “Referred pain” can come from hip arthritis, as well as a pinched nerve in the lumbar spine or lower back area.
Dr. Kaper routinely sees and evaluates patients with knee pain- to help them, first and foremost, the source or cause of the pain; and then secondly, to development a treatment plan to treat the knee problem and thereby alleviate the pain. Treatments options range from the use of oral non-steroidal anti-inflammatory medications (NSAID’s such as Ibuprofen, Advil, or Aleve) to physical therapy to surgery. Injections are also available to help treat arthritis- including both Cortisone and “Viscosupplementation” – injections such as Supartz, Synvisc, or Euflexxa. These injections are Hyluronan “joint lubricants” which can offer significant benefit to patients for 6 months to 3 years. See NY Times article for more interesting information.
Knee replacement surgery is often recommended for patients with severe arthritis of the knee that has failed to respond to appropriate conservative or non-operative treatment.
Dr. Kaper routinely performs both total knee replacement surgery and partial knee replacement surgery, frequently using the NAVIO robotic-assisted surgical technique. These procedures allow patients previously disabled by painful arthritis to restore their quality of life.
Arthroscopic Knee Surgery
Surgery is most often performed to address tears of the meniscus, but can also be used to treat torn ligaments…
Total Knee Replacement
In a total knee replacement surgery, the goal is to replace the damaged cartilage within the knee.
Partial Knee Replacement
Robotic-assisted Partial Knee Replacement, including NAVIO and MAKOplasty technology.
This treatment consists of Hyaluronic Acid (HA) gel injections given into an arthritic knee to help lubricate the joint itself.