Why does my Knee Hurt?

Wednesday, May 20th, 2020, 6:00:00 PM

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Hosted By

Dr Henry Chan

Orthopaedic Surgeon

Ask Dr Henry Chan about:

  • What should I do about knee pain?
  • When do I see a doctor for knee pain?
  • Do I have to go for surgery to totally heal knee pain?

Questions 9

What are the types of knee pain and how to treat them?

There are 3 types of knee pain and they are Injuries, Arthritis and Gout. 1. Injuries (Ligament, Meniscus, Cartilage, Bone) 1. 1 Ligament Tear ACL Tear The most common ligament tear Twisting injury during sports Loud "pop" sound Inability to walk Immense pain and severe swelling Symptoms Instability “Disconnected” ACL is the most important ligament for rotational movement Treatments Initial Stage- Interim period bracing Anti-inflammation and Physiotherapy If initially more swollen and painful the doctor might e.

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

Could a burning sensation in my left knee and walking issues be caused by inflammation due to a new injury?

A quick blood test can be for gout, which comes and goes. Maybe there is an existing problem. Keep a journal on these kinds of pain, the timing when it happens, and what you are doing at that time, every time you do something to trigger the pain. If it keeps coming back then we can do a quick blood test.

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

How do we know we have to do ACL reconstruction for an ACL injury?

ACL doesn't heal by itself if clinically unstable. We can test the knee, do the same manoeuvre if the knee is moving like previously, suggest reconstruction surgery, because ligament don't heal itself even if you wait 5-10 years. If you don't mind wearing knee guards, and can just stroll—you might not need surgery. However, patients must be compliant: if you forget to wear it will cause further damage. The problem is the ligament itself, once it stretches, on MRI we still can see one piece of tissue once it loses tension.

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

Post-Total knee replacement, how to work on gait, is it alignment issue?

Knee pain does not occur after one day. Some people learn the wrong gait and feel like the wrong gait is normal. After surgery, they must learn the correct ways. Therapists will come in to teach them to walk properly and re-strengthen the muscle. When I see these patients walk in my clinic normally, I will sometimes not know they have done a TKR. The whole purpose of knee replacement is to restore the mechanics of walking and quality of life.

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

What will happen after 15-20 years post-knee replacement?

This is a conservative estimation, after 15-20 years or even up to 30 years, it can be working perfectly. Some might have no pain or no symptoms and are absolutely healthy. If unfortunately the knee replacement reaches the end of its lifespan, you can change it. Americans are more advanced, they do a lot more than us in learning how to tackle these problems, thus I learn all their special techniques to do revision surgery. If after 15-20 years you reach the end of the expected lifespan, you can still change it.

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

Can I just add more turmeric to my meals to stop the pain?

Curcumin is the component of turmeric that has been found to reduce joint pain. Curcumin only makes up around 3% of turmeric used in cooking, meaning every 100mg used will only give you 3mg of curcumin. In contrast, curcumin supplements have curcumin that make up 95% of the dose, meaning you will get 95mg of curcumin for every 100mg of supplements taken. However, there may be unknown positive benefits for taking turmeric as a spice instead of just curcumin as a supplement. If you just want to deal with joint pain, you might need more than just turmeric or curcumin to treat or manage it.

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

How does PRP injection work for knee pain?

PRP stands for platelet rich plasma injection. This technique is developed based on the fact that platelets cells in our own blood contains a vast amount of our bodies’ natural growth factors and healing power. The process of PRP injection is incredibly simple. First, we take some blood from the patient and process the blood in a strict sterile and clean environment. This process takes approximately 15 mins.

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

How can I reduce my knee pain without medication?

First of all, we need to find out why you are having persistent knee pain in the first place. Without finding out the cause, your knee pain will never be resolved and you will have to keep taking strong painkillers like NSAIDs continuously for a prolonged period of time. That's when you might suffer from serious side effects such as kidneys damage, stomach ulcers or heart problem. Knee pain is so common that it happens to almost everyone at some point of time.

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

How can one resolve knee pain even after a knee replacement surgery?

Thank you for your question. Persistent severe pain after a right knee replacement is abnormal especially when her other knee replacement was doing fine. I'd strongly advise you bring your grandmom for a checkup and we'll need to do a thorough investigations including X rays, blood tests and advanced imaging (MRI/ CT) to find out what is the cause of this persistent pain. The cause of persistent pain would include infection, implant malposition, cement fracture or referred pain. Only after the cause of the persistent pain is identified then we can talk about the treatment.

Photo of Dr Henry Chan

Answered By

Dr Henry Chan

Orthopaedic Surgeon

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