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Want to avoid knee replacement? Read this

By Dr Raviraj A
December 12, 2019 15:17 IST

A good lifestyle, balanced diet, physical fitness and exercise lowers the risk of obesity and thus the risk of osteoarthritis of the knee, says Dr Raviraj A.

What to after a knee surgery

Image published for representational purposes only. Photograph: Kind courtesy Pexels.com

Obesity is a well-recognised global epidemic.

In the last 30 years, worldwide obesity has doubled.

The prevalence of obesity in India is 12 to 31 per cent in various age groups.

About 22 to 39 per cent of the Indian population suffer from osteoarthritis (OA) of the knee.

The most significant impact of overweight on the bone and joints is associated with degenerative OA of the knee.

The treatment of end stage osteoarthritis of knee is surgical -- total knee replacement (TKR).

Good lifestyle -- incorporating a balanced diet, physical fitness and exercise -- lowers the risk of obesity and thus the risk of OA of the knee.

 

In India the risk of OA and the need for total knee replacement surgery increases after the age of 50.

Increasing life expectancy and increasing prevalence of obesity in our country pose a new health hazard of obese patients requiring knee replacement.

Obesity during early adulthood predisposes to OA.

It is a leading driver of knee replacement demand and imposes increased risks of surgical complications.

Obesity is the greatest modifiable risk factor for OA of the knee.

A body mass index (BMI) of more than 30kg/m2 is 7 times more likely to develop an osteoarthritis knee.

The relationship of BMI to osteoarthritis is significantly higher in women than men.

Excess weight causes degeneration of the joints, especially the knee, by not only increasing the mechanical loading of the joint but also hormonal dysregulation in the body.

OA causes limitation of all aspects of the life through pain and limitation of mobility.

It is estimated that the economic burden of osteoarthritis was only second to diabetes in USA and we are not far away from this situation.

Weight reduction or maintaining healthy lifestyles such as regular exercises, walking, jogging and sporting activities not only can keep the knee and other joints healthy, but can keep the articular cartilage nourished and prevent early degeneration of the joints.

A balanced diet can help in maintaining good metabolism in the body in patients with obesity, diabetes and cardiac illness, which often coexist.

It has been proved in multiple studies that weight reduction helps in relieving pain and improving function in patients suffering from crippling knee degenerative arthritis.

High impact exercises such as running, jogging and treadmill are not advisable in patients, once the degeneration in the joints has already set in.

Exercises for patients with knee arthritis include muscle strengthening across the knee, including quadriceps strengthening and hamstring strengthening exercises.

Joint mobilisation exercises to prevent stiffness and a possible development of deformity help in relieving arthritic pain to a great extent.

Once the knee arthritis becomes severe, various exercises to reduce weight and maintain an active lifestyle become a challenge.

Hence, good awareness of modifiable risk factors for obesity and arthritis of the knee can help us to lead a happy healthy and a pain free life.

Avoiding obesity by using good lifestyle, a balanced diet and exercise not only reduces array of medical disorders (diabetes, increased cholesterol, heart disease, osteoporosis, etc) but also significantly reduces the risk of OA knee and thus the need for knee replacement surgery.


Dr Raviraj A is a senior orthopedic and joint replacement surgeon at Medall Clumax Diagnostics. He occasionally contributes health columns to the Business Standard newspaper.

Dr Raviraj A
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