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- Types of knee sounds
It's not a good thing to make a sound every time you walk. However, if there is no pain when you make a sound, you do not need to go to the hospital. However, the sound may get louder and louder, or it may be accompanied by pain, or worse, the knee may suddenly lock up while moving. In that case, you should definitely go to the hospital.
Here's a list of the types of sounds your knees make.
- The sound of bending and unfolding
- The sound you make when you sit down and stand up
- The sound you make when you land while playing a sport such as basketball or soccer
- The sound you make when you are about to board the bus that you are waiting for at the bus stop
- Sounds made while crossing a railroad crossing
- The sound of your knees coming from playing football for the first time in a long time
2. If there is no pain, just a sound
In the first and second cases, there is no pain, just sound. In this case, the medical term is "physiological articulation." Among the many structures in the knee, there is something called the 'lumbar wall'. First, let me explain the development of the knee. When the knee is created, it is not a single space. Originally, there are three spaces in the knee, which are combined in the mother's womb. For example, if you go to a Japanese restaurant, the rooms are divided, and if you open the doors between the rooms, it becomes one big room. Like that, the dura mater between the knee spaces disappears, It is made into a single space, and the traces of the dura mater that remain at that time are called vertebral walls. However, the wall of the spine may thicken, or it may become pinched in the knee joint during exercise, or it may be pressed and stretched on one side or the other, causing a softening of the spine. However, when the pain occurs in the vertebral wall, it is called 'pathological lumbar wall syndrome'. This can lead to illness.
3. Pain and swelling go hand in hand
Thirdly, it's not just the sound, but if you have pain or swelling, that's also a problem. Not everyone makes a sound when they land. However, if you are playing high-activity sports such as basketball or soccer and you make a noise from your knee when you land, it is not very good. This is because most of the time it is accompanied by swelling or pain. Most cases are associated with an acute rupture of the anterior cruciate ligament. In addition, a 'pop' sound can cause the cruciate ligament to rupture outside of the normal range of motion of the joint, and the cartilage often bursts because it is a state of kinetic energy, such as running at high speed or jumping high. Therefore, these cases can be diagnosed early and surgical treatment such as cruciate ligament reconstruction can be performed.
Also, there is "chondromalacia," which many women complain about. After not exercising, going hiking or walking a lot, you complain of sore or swollen knees. If you have these symptoms, you can't say that you have chondromalacia. If the articular cartilage is the part of the joint in the knee where cartilage softening occurs, the softening of the articular cartilage is called chondromalacia. Originally, cartilage is supposed to be hard, but because it is soft, it is constantly subjected to shock, and the shock is transmitted to the bone and bone marrow. If this happens repeatedly, the cartilage can fall off, causing cartilage defects, which can lead to degenerative arthritis.
So, what should you do if your knee is swollen? First of all, you need to reduce the swelling. First, it's a good idea to use ice packs or icing to reduce swelling and take medications such as analgesics and anti-inflammatories to control inflammation. And if these things keep repeating themselves, you should check to see if it's really chondromalacia. Because, you say you've had chondromalacia for 10 years, but it turns out it's degenerative arthritis. In addition, regular hiking or walking exercises can be a solution.
4. When a cartilage root rupture can be suspected
The fourth and fifth cases are one of the things I wanted to talk about the most today. Some people say that they are running towards the bus to catch the bus and suddenly feel pain with a 'popping' sound in their stomachs. And when waiting to cross a railroad crossing and suddenly the signal changes and the patient kicks his foot, the patient is often unable to walk and limps on the ground and is helped to come. The same goes for the sixth.
The common characteristic of these people is that they are usually in their 50s~60s. And after a while, I feel a tightness in my stomach and something dripping down my calf, and he says that there is no improvement even with injection treatment. In this case, you may suspect a rupture of the cartilage plaque root.
Cartilage root tears are mostly treated conservatively, which is still controversial. Surgery for cartilage root rupture is not technically easy, and not all results are good even if surgery is performed, so conservative treatment may be used. However, if the pain is not controlled by adjuvant treatment, suture surgery may be tried.
However, surgery is not possible in all cases. If you have symptoms, surgery is possible, but if you don't have symptoms, I don't think surgery is necessary. So, if you have been exercising a lot, of course, you don't need surgical treatment, just take good care of it, I will tell you tips and things that we should avoid in our daily lives, and we should continue to train the quadriceps and hamstring muscles so that we don't lose strength.
If you are in your 40s, surgery is recommended more aggressively. Even in the mid-40s, there are cases of posterior muscle tears. In that case, of course, you need to suture it. And even in your 20s, there are cases of posterior muscle tears. In this case, the anterior cruciate ligament ruptures, causing the knee to rotate and rupture the root at the back of the cartilage on the outside. In this case, in fact, if conservative treatment is performed, they are often more damaged, so it is recommended to suture them, and the cartilage itself may be transplanted.
And if the leg is bent, it is more preferred to shift the weight through proximal tibial osteotomy. This is because if the weight is not transferred, it is very common and normal for it to rupture again after a while, no matter how well it is sutured. So, if you have leg deformity, if you have a medial meniscus root tear and you have other degenerative changes in the inner part of the knee, it's important to get the whole leg in shape.
6. Exercises that don't put too much strain on your knees
Squats and stair climbing are helpful for quadriceps and hamstring muscles, but they are not recommended for those with joint cartilage problems. If it were to be the best form of exercise, I would venture to say that it is a bicycle.
Because in the case of a bicycle, I put all my weight on the saddle and pedal it like this. So, if you ride a bike with your knees straight by increasing the height of the saddle as much as possible, it can be the best way to maintain quadriceps or hamstring muscles without affecting your knees too much. In addition, studies have shown that cycling has less impact on the knee than walking. So if I had to recommend one thing, I would recommend a bike, and walking or swimming is fine. When swimming, be careful not to kick too hard, and aquarobics is also very good.
7. Cartilage supplements, do they really work?
It's hard to say that joint nutrition doesn't work. It has a partly anti-inflammatory effect. It is said that there are many substances in green-lipped mussels that regulate inflammation, so I used it a lot for rheumatoid arthritis. However, it was concluded that there was no dramatic difference when consumed in the long term.
Also, it's not approved as a drug, so it's better to look at what is approved as a drug rather than that.
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