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Knee

Knee Arthritis

What is Knee Arthritis?

The knee is a hinge joint connecting the thigh and lower leg. The joint is lined with articular cartilage and meniscal cartilage. Articular cartilage is the smooth, white tissue lining the ends of each bone, and can break down over time from injury or the natural aging process. This process is known as degenerative arthritis or osteoarthritis.

How do you know if you have Knee Arthritis?

Symptoms can include knee pain, inflammation and stiffness. X-ray images may be needed to confirm the diagnosis.

What are the treatments for Knee Arthritis?

Nonsurgical options historically included rest, modified activities, weight loss, medication, and physical therapy. The definitive treatment for Knee Arthritis is a joint replacement (total knee replacement). Many patients are not ready for a joint replacement and there are a number of strategies to help manage pain until you are ready or the disease is severe enough to warrant surgery.

The goal of treatment is to control the pain. Viscosupplementation injections are commonly used for knee pain, and have been approved by the US Food and Drug Administration (FDA) since 1997. Learn more about viscocupplementation injections for knee pain here.

In the past when traditional conservative treatments failed, a total knee replacement was recommended. Dr. Sussman now offers alternatives to knee replacement including PRP injections, stem cell injections and the Coolief procedure. Learn more about alternative treatment here.



Patella Tendinopathy (Tendonitis)

What is Patella Tendinopathy?

Ultrasound image of patella tendinopathy with a small tear (arrow head)
of the deep fibers of the tendon. A needle (arrows) is being directed into
the tear to anesthetize or numb the tendon for a Tenex procedure.

The patella tendon connects the knee cap to the shin bone, and helps straighten the knee. Stress is greatest across the patella tendon when jumping and landing, and excessive stress can damage the tendon. Patients often feel increased symptoms when bending the knee while squatting or walking down stairs. Tendonitis (tendinitis) means “inflammation of the tendon,” but we now know that inflammation is not a common cause of tendon pain.

Most tendon injuries are a result of gradual wear and tear. Stress can result in micro tears over time, and the damage can exceed the rate of repair. Micro-damage over time can result in degenerative tears of the tendon and pain.

How do you know if you have Patella Tendinopathy?

Symptoms can include knee pain and often the tendon is stiff in the morning. Patients will often feel increased symptoms when bending the knee, such as when squatting or going down stairs.

What are the treatments for Patella Tendinopathy?

The Tenex is guided into the tear and uses ultrasonic energy to remove the
diseased tendon and stimulate a healing response. The procedure is
completed in less than 5 minutes and with only local numbing.

Nonsurgical options historically included rest, ice, medication and physical therapy. Imaging, including a MRI or musculoskeletal ultrasound, will often confirm the diagnosis.

In the past when these traditional conservative treatments failed, surgery was recommended. Dr. Sussman now offers alternatives to surgery for chronic tendinopathy including platelet rich plasma (PRP) injections, stem cell injections and percutaneous needle tenotomy (Tenex). Learn more about these options here.



Quadriceps Tendinopathy (Tendonitis)

What is Quadriceps Tendinopathy?

The quadriceps tendon connects the thigh muscles to the patella (knee cap), and helps straighten the knee. Stress is greatest across the quadriceps tendon when jumping and landing, and excessive stress can damage the tendon. Patients often feel increased symptoms when bending the knee, squatting or walking down stairs. Tendonitis (tendinitis) means “inflammation of the tendon,” but we now know that inflammation is not a common cause of tendon pain.

Most tendon injuries are a result of gradual wear and tear. Stress can result in micro tears over time, and the damage can exceed the rate of repair. Micro-damage over time can result in degenerative tears of the tendon and pain.

How do you know if you have Quadriceps Tendinopathy?

Symptoms can include knee pain, and the tendon can be stiff in the morning. Patients can feel increased symptoms when bending the knee, squatting or walking down stairs. Imaging, including a MRI or musculoskeletal ultrasound, will often confirm the diagnosis.

What are the treatments for Quadriceps Tendinopathy?

Nonsurgical options historically included rest, ice, medication, and physical therapy.

In the past when these traditional conservative treatments failed, surgery was recommended. Dr. Sussman now offers alternatives to surgery for chronic tendinopathy include platelet rich plasma (PRP) injections, stem cell injections and percutaneous needle tenotomy (Tenex). Learn more about alternatives to surgery here.