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Do I Need Surgery If My Knee Hurts?

Knees are some of the hardest-working joints in our bodies. They take a lot of pounding and pressure every day, so it’s no wonder that knee problems are so common. In fact, I see patients of all ages and fitness levels with knee pain.

Thankfully, you don’t have to live with it. PSMI has many ways to treat knee pain. Talking with an orthopaedic specialist at Performance Sports Medicine Institute is the first step. With treatment, you can get back to living the life you love.

What Causes Knee Pain?

The doctors at Performance Sports Medicine Institute see many different causes of knee pain.

These are some of the most common:

  • Iliotibial band syndrome — This inflammatory condition is usually caused by long-term overuse. I often see it in runners’ knees.
  • Ligament injuries — Ligaments are the tissues that help hold a joint together. In the knees, the anterior cruciate ligament (ACL) and medial collateral ligament (MCL) are most at risk of tearing.
  • Meniscus tears — The meniscus is cartilage that stabilizes the knee. It can be torn if you twist quickly.
  • Osteoarthritis — Years of use can cause general wear and tear. Osteoarthritis happens when the cartilage that cushions the bones wears away.
  • Patellofemoral pain — This is the most common cause of knee pain in younger adults, resulting from climbing stairs and squatting. The pain is caused by inflammation around the knee cap.
  • Post-traumatic arthritis — After a knee injury, you may have bone fractures or ligament tears. Over time, those injuries can damage the cartilage as well.
  • Rheumatoid arthritis — With this disease, the membranes around the joints become thickened and inflamed, which can damage the cartilage.

Can knee pain be treated without surgery?

Yes. It’s a good idea to discuss all of your treatment options with your doctor.

At Performance Sports Medicine Institute, we don’t jump right into surgery. Instead, our first choice is often conservative treatment, including:

  • Medications, like anti-inflammatory drugs or corticosteroid injections, such as cortisone
  • Exercises or physical therapy to improve movement and strength
  • Biologic treatments, such as platelet-rich plasma therapy
  • Ice for swelling
  • Rest

What if Surgery is Needed?

Sometimes knee surgery is necessary. When that happens, our orthopaedic surgeons are ready to help.

There are several types of knee surgery your doctor might recommend. Two surgeries offered at PSMI are arthroscopic surgery and total knee replacement. Each one meets specific needs.

Arthroscopic Knee Surgery

This minimally invasive procedure involves making small incisions to treat the affected area. Knee arthroscopy can be used to repair the meniscus or the ACL. It can also be used to remove damaged tissue or treat kneecap issues. Because this surgery uses small incisions, patients tend to feel less pain and stiffness.

Total Knee Replacement

A total knee replacement is more involved, where the worn-out parts of the knee joint are replaced. Metal implants take the place of the existing cartilage and bone, and a plastic spacer creates a smooth gliding surface between them.

If patients have general, severe knee pain that impacts their daily life, we often recommend a consultation with one of our knee replacement specialists. It can also be a good option for chronic stiffness or inflammation.

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