When Arthritis Hits Your Kneecap

When you think of arthritis in the knee, you likely think of the cartilage between the bones and ends of the femur and the tibia. But patellofemoral arthritis affects the kneecap, actually the cartilage directly behind it. 

Dr. Moore performs different surgical procedures, if necessary, to address a patient’s patellofemoral arthritis. 

What is involved with patellofemoral arthritis? 

Really, any arthritis involving wear and tear can be lumped under the term “osteoarthritis.” This is the “wear and tear” form of arthritis that affects just about everyone at some point in their life. 

With the kneecap, patellofemoral arthritis affects the cartilage. This cartilage is normally somewhat slippery, enabling the knee to move freely. But when it begins to wear away, the cushioning between bones diminishes. Eventually this will lead to pain. 

Who is at higher risk for developing patellofemoral arthritis? 

  •     Age — This arthritis, as with all areas affected by wear and tear, occurs mainly in people over the age of 40.
  •     Sex — Patellofemoral arthritis is more common in women than men.
  •     Prior injury — Injuries such as a fractured kneecap increase the odds.
  •     Obesity — The increased pressure placed on the knees eventually takes a toll.
  •     Repetitive movement — If a person sustains the same movement for long periods of time, this can lead to patellofemoral arthritis.
  •     Health conditions — Other health conditions, such as gout, rheumatoid arthritis, dysplasia, and Paget’s disease are at higher risk.

What are the symptoms of patellofemoral arthritis? 

Pain is the primary symptom. This pain will usually occur at the front of the kneecap when the person is doing something like climbing stairs. The knee may also crackle when in motion. 

When surgery is necessary? 

Once the damage has been done, there is no way to heal the kneecap and reverse patellofemoral arthritis. Non-surgical treatments, such as wearing a knee brace, having corticosteroid injections, and medications, can reduce the pain during activities. But surgery is often eventually necessary. 

Dr. Moore would have three surgical options in these cases: 

  •     Arthroscopy — This minimally invasive surgery only involves a small incision to gain access. The cartilage is then trimmed and smoothed.
  •     Kneecap alignment — This minor surgical procedure tightens or releases soft tissues around the knee to modify the actual position of the kneecap to reduce pressure and improve comfort.
  •     Knee replacement — In some cases, only the patellofemoral aspect of the knee joint needs to be replaced. However, it’s more likely a total knee replacement is the better option for more severe deterioration.

Do you have chronic knee pain? Call Dr. Moore at Pinehurst Surgical, (910) 295-0224, to schedule an appointment to have him check it out.

patellofemoral arthritis | Pinehurst, NC

What Are The Signs Of Patellofemoral Arthritis?

Having joint stiffness and pain in your kneecaps isn’t exactly something that anybody wants to have, but if you do have any of these symptoms, it may be caused by a condition called patellofemoral arthritis.

What Is Patellofemoral Arthritis?

Behind the kneecap and just along the femoral groove is articular cartilage that is a slippery texture. When patients have patellofemoral arthritis, however, this slippery cartilage becomes inflamed and starts to deteriorate which can result in pain and a lack of cushion between the bones.

How Is It Caused?

The good news about patellofemoral arthritis is that you aren’t likely to just wake up with it one day; it is something that gradually happens overtime. On average, common risk factors of arthritis include:

  • Age. Most patients dianosed are over the age of 40
  • A knee injury such as a fractured kneecap can increase the risk of post-traumatic kneecap arthritis.
  • Certain repetitive movements sustained for long periods can wear down the knee joint, leading to osteoarthritis of the kneecap.
  • Statistics indicate that women are affected more commonly than men.
  • Health conditions like dysplasia, gout, rheumatoid arthritis, and Paget’s disease are risk factors for kneecap arthritis.
  • Obesity may cause joint degeneration, which could lead to arthritis of the knee and kneecap.

How Can We Treat It?

Depending on the severity of your patellofemoral arhtritis, we may reocmmend eithe rnon surgical or surgical treatmetns.

Non-surgical treatments include:

  • Weight loss and managemnt
  • Strength training exercises like swimming and walking
  • Cortisone injecions
  • Over-the-counter non steroidal anti inflammatory medications like ibuprofen

Sergies include:

  • Kneecap alignment – A minor surgical procedure to tighten or release soft tissues around the knee modify the actual position of the kneecap to reduce pressure and improve comfort.
  • Arthroscopy – This minimally invasive procedure is performed through a small incision. Its purpose is to trim and smooth joint surfaces that have become rough due to excessive degradation.
  • Knee replacement – In some cases, only the patellofemoral aspect of the knee joint needs to be replaced. However, patients who experience chronic knee pain due to severe joint deterioration may benefit the most from complete replacement.

If you experience chronic joint pain in your knees, schedule an appointment with Dr. John Moore at Pinehurst Srugical to get examined. Contact us at our office today and call us at 910.295.0224

Arthritis Pinehurst, NC

4 Thanksgiving Foods That Are Good for Your Arthritis

Living with arthritis can put a real damper on everyday things like trying to open a jar of pasta sauce or even turn your doorknob. This Thanksgiving, rather than just loading your plate full of things to eat that aren’t exactly doing your body any favors, this article will list four Thanksgiving foods that are good for your arthritis. Read on to learn more.

Swap The Sugar Pies For Fruit Pies

Even though that chocolate cream pie or that pecan pie may sound a little tantalizing to your taste buds, try eating fruit pies instead. Fruit pies are the healthier option and will hopefully help you cut calories which will prevent you from gaining some additional weight that will be harmful to your joints.

Skip The Gravy

When it comes to fat drippings like gravy, they are high in saturated fats which are associated with joint inflammation and obesity; both of which you don’t want any part of if you have arthritis. Rather than dousing everything on your plate in gravy, reach for a healthier alternative like cranberry sauce instead.

Go For Fresh Veggies Over Casseroles

Sweet potato casserole and green bean casserole are two side dishes that you will see at just about every American’s Thanksgiving feast. And even though the added toppings and cream make these casseroles delicious, the excess saturated fats will only lead to joint inflammation and excess swelling.

Skip the Salt

That salt shaker that’s staring at you on the Thanksgiving table may as well be enemy number one. Excess sodium is only going to lead to inflammation and water retention which are not good for your arthritis or your joints. Make sure that you use low sodium turkey broth and that you skip the additional salt on your plate.

It can be hard to know exactly what you should and shouldn’t eat for your joint health. Use the tips in this article to ease swelling and discomfort this Thanksgiving. To learn more, schedule an appointment with us at our Pinehurst office today and call us at 910.295.0224.