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Blog entry by Adele Stelzer

Inner Knee Pain: Treatment Options and When to Consider Total Knee Arthroplasty

Inner Knee Pain: Treatment Options and When to Consider Total Knee Arthroplasty

inner knee pain treatment knee pain can significantly impact your daily life, limiting mobility and causing discomfort. Fortunately, there's a range of treatment options available, depending on the underlying cause. This article explores various inner knee pain treatments and the role of total knee arthroplasty (TKA) as a last resort.

**Common Causes of Inner Knee Pain:**

* **Medial collateral ligament (MCL) sprain or tear:** This ligament stabilizes the inner knee and can be injured through sudden twisting or forceful movements. Symptoms include pain, swelling, and tenderness along the inner knee.

* **Pes anserine bursitis:** This bursa, a fluid-filled sac, cushions tendons near the inner knee. Repetitive stress or overuse can cause inflammation, leading to pain and tenderness when bending or squatting.

* **Osteoarthritis:** This degenerative joint disease causes cartilage breakdown in the knee joint, leading to pain, stiffness, and swelling. Inner knee pain can be a prominent symptom, especially in advanced stages.

* **Meniscus tear:** The meniscus is a crescent-shaped cartilage that acts as a shock absorber in the knee. Tearing can occur due to sudden twisting or age-related degeneration. Pain, clicking, and catching sensations are common symptoms.

**Treatment Options for Inner Knee Pain:**

* **RICE protocol:** Rest, Ice, Compression, and Elevation are the cornerstones of initial treatment for most inner knee pain. It helps reduce inflammation and promote healing.

* **Medication:** Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation. In some cases, stronger medications may be prescribed.

* **Physical therapy:** Strengthening exercises for the muscles around the knee joint improve stability and support, reducing pain and preventing future injuries. Flexibility exercises can also improve range of motion.

* **Corticosteroid injections:** Injections can directly address inflammation in the bursa or around the joint, providing targeted pain relief.

* **Bracing:** Wearing a knee brace can provide support and stability for the joint, especially during activities that aggravate the pain.

**When to Consider Total Knee Arthroplasty (TKA):**

TKA, also known as total knee replacement, is a surgical procedure where the damaged knee joint surfaces are replaced with artificial implants. It's a major surgery usually considered when conservative treatments have failed to provide adequate pain relief and significantly impact your quality of life. Here are some indicators that TKA might be an option:

* **Severe and persistent pain:** When pain significantly restricts daily activities like walking, climbing stairs, or getting dressed, and doesn't respond to conservative treatment, TKA can be a viable solution.

* **Stiffness and limited mobility:** When knee stiffness makes it difficult to bend or straighten the knee, impacting daily function, TKA can help restore mobility.

* **Deformity:** In some advanced cases of osteoarthritis, the knee joint may become deformed, causing significant pain and instability. TKA can help correct the deformity and improve alignment.

Inner knee pain can have various causes, and treatment depends on the specific diagnosis. Conservative treatments like rest, medication, physical therapy, and bracing are often effective. However, if pain becomes severe and persistent, impacting your quality of life, and conservative treatments offer no relief, then total knee arthroplasty might be the right course of action. It's crucial to discuss your individual situation with a healthcare professional to determine the best treatment plan for managing your inner knee pain.

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