Osteoarthritis is a non-inflammatory disease that affects many joints of our body, knee joints being the most common. It is a kind of arthritis which results in wear and tear of the cartilage (cartilage degeneration). The cartilage is a protein substance that serves as a ‘cushion’ between the bones of the joints.
Osteoarthritis commonly affects the hands, feet, spine, and large weight-bearing joints, such as the hips and knees. This disease that mostly affects women worsens over time and should be treated as early as possible. Also, knee osteoarthritis is a common cause of knee pain among the elderly.
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly in the morning or after resting. These symptoms tend to build over time rather than show up suddenly. Other symptoms include:
Sore or stiff joints – particularly the hips, knees, and lower back – after inactivity or overuse
Limited range of motion or stiffness that goes away after movement
Clicking or cracking sound when joint bends
Mild swelling around a joint
Joint pain that is worse after an activity or toward the end of the day
Osteoarthritis is not an outcome of a disease as it is primarily caused due to the natural aging of the joint. Other causes are:
Fractures or other joint injuries
Playing sports that involve direct impact on the joint
Max Institute of Musculoskeletal Sciences at Max Hospitals, India, offers the following treatment options for osteoarthritis:
A) Preventive Treatment: Physiotherapy and rehabilitation is a central element of treatment in inpatient and outpatient settings for various arthritis-related conditions. Our physiotherapy and rehabilitation treatment involves physical activities that are directed towards maximising functional abilities and mobility in order to increase your independence. These include:
B) Braces: For varus and valgus deformity of the knee joint, braces are very helpful. Unloader Knee Brace is a custom-formed brace made from moulded plastic, foam, and steel struts to secure (inhibit side movement of) the knee joint. It plays an important role in treating knees affected by osteoarthritis.
C) Medical Management: When it comes to osteoarthritis, there are medications that focus on decreasing symptoms of the disease. For example, pain-relieving medications provide relief from pain due to the condition.
D) Surgical Management: Surgery for osteoarthritis is needed in a few cases where other treatments have been ineffective or where one of the joints is severely damaged. The following surgical treatment procedures are available at Max Institute of Musculoskeletal Sciences:
High Tibial Osteotomy
Partial Knee Arthroplasty
Total Knee Arthroplasty
Max Institute of Musculoskeletal Sciences at Max Hospitals, India, offers comprehensive care for several orthopaedic afflictions of the knee, hip, and joint, including osteoarthritis. It is one of the largest chains of orthopaedic care centres in North India, with presence in Delhi NCR (Saket, Patparganj, Shalimar Bagh, Vaishali, Greater Noida & Gurgaon), Mohali, Dehradun and Bathinda. The centres are equipped with a wide array of specialities ranging from sports medicine, paediatric orthopaedic services, arthritis diagnosis to treatment and pain management. We focus on providing the highest level of patient care with professional expertise for early mobilisation and have taken orthopaedic treatment to an altogether different level.
Max Institute of Musculoskeletal Sciences is fully equipped to deal with early as well as later stages of osteoarthritis. Our doctors have years of experience diagnosing and managing the treatment of the disease. They performed a large number of surgical treatments, with their expertise lying in replacement surgeries - from primary to complex as well as revision surgeries. Each surgery is performed under an experienced team of orthopedicians, anaesthesiologists, physicians & cardiologists, depending on the comorbidities.
The centres are equipped with modern laboratories and the latest imaging technologies, for quick and accurate diagnosis; modular operation theatres with computer-assisted technology. Our Pinless Computer Navigation Technology provides real-time, 3D imaging and guides the surgeon's incisions which helps ensure proper positioning of the implants. This is a big boon for patients with deformities around knees, undergoing knee replacement. Additionally, with the support of the Department of Anaesthesiology and Pain Management, Max Institute of Musculoskeletal Sciences ensures patients undergo painless surgery (minimally invasive joint replacement surgery) and remain pain-free postoperatively.
A thorough physical examination, focused investigations and tailored patient-specific treatment by our experienced doctors make Max Institute of Musculoskeletal Sciences the go-to place for treatment Osteoporosis. Our dedicated team of doctors, physical therapists and departments involved in the treatment of joint pain and other musculoskeletal conditions take a holistic approach for managing and providing prompt relief and rapid recovery to patients.
A doctor will note the symptoms, medical history, medication use and history as well as how the pain affects the patient's activities. Depending on the joint, as well as the type and grade of osteoarthritis, the following diagnostic tests may be conducted:
Physical examination: The doctor will look at and move the joints.
Joint aspiration: A needle is inserted into the joint (after numbing) to pull out fluid which will be then examined for infection or crystals. The results can help rule out other medical conditions or other forms of arthritis.
X-Rays: It can show joint or bone damage or changes related to osteoarthritis.
Magnetic resonance imaging (MRI scan): It gives a better view of the cartilage and other parts of the joint.
Once the diagnosis of type and grade of osteoarthritis is complete, treatment can begin. In early stages, patients respond very well to medical management while later stages of the disease usually require surgical management. Usually, no support is required for patients who have undergone treatment, except in those with multiple comorbidities.
A dedicated team of physiotherapists, under the guidance of orthopaedic surgeons, ensures early rehabilitation and excellent functional recovery after surgery. Patients are required to follow-up once a week for 3 weeks & then once a month.