Knee pain ,arthritis and Injured Cartilage – Everything You Need To Know – Dr. Nabil Ebraheim, M.D.

Dr. Ebraheim’s educational animated video describing knee arthritis and knee pain .

Causes of knee pain may be related to:
•Inflammation or arthritis
Cartilage is a tough and flexible connective tissue that gives shape, support and provides a cushion between bones in the joints. Unlike other connective tissue, cartilages do not have its own blood supply, instead, it is composed primarily of water, chondrocytes, collagen, and proteoglycans, which produce and maintain a structural matrix giving cartilage tissue its form and function. Proteoglycans are composed of numerous glycosaminoglycans attached to a core protein. The predominant glycosaminoglycans in cartilage are chondroitin sulfate and keratin sulfate. Within the cartilage matrix, there are numerous prototype and monomers attached by link protein to a molecule of hyaluronic acid. This is all woven with collagen to form an elastic and compressible structure.
Normal articular cartilage also known as hyaline cartilage provides a smooth crystal clear gliding surface to aid in the motion of the joint.
The structure of hyaline cartilage is divided into four layers; superficial, middle, deep and calcified layer with the calcified layer representing a transition from articular cartilage to bone.
This cartilage is designed to achieve and maintain proper function over the majority of a person’s life. If the cartilage is subjected to excessive weight, overuse, improper alignment or injury, it begins to wear away leaving bone to rub on bone.
Articular cartilage does not have the ability to heal itself, however, there are several treatment options available to aid in the repair of injured cartilage.
The knee is the most common joint in the body with cartilage injury issues. The knee joint is composed of femur, tibia, and patella. There are two types of cartilage in the knee joint, the articular cartilage and the meniscus, which is a shock absorbing cartilage. There are also important ligaments within the knee joint, the anterior and the posterior cruciate ligaments.
The goal of treating cartilage injury is to reduce pain and improve the function of the affected area. Anti-inflammatory medications are commonly used to combat-injured cartilage but they can potentially cause cardiovascular or gastrointestinal toxicity.
Damaged cartilage can also be treated with a series of injections. Steroid injections such as cortisone are powerful anti-inflammatory drugs used in the treatment of osteoarthritis. Hyaluronic acid is a substance produced naturally in the body and is present within cartilage when isolated. Hyaluronic acid is a thick viscous solution that can be added to the natural hyaluronic acid of the knee joint. This solution uses purified Hyaluronic acid derived from either rooster combs or genetically engineered cells. Glucosamine is another option for treatment that can be injected directly into the joint. Glucosamine is a modified sugar that is formed by the human body and is used to form larger molecules involved in the formation and repair of cartilage. Other methods include gene therapy, platelet-rich plasma, growth factors, stem cells, drilling and debridement of cartilage may help with injured cartilage.
Occasionally the cartilage is replaced, regrowth and implanted. When the cartilage is damaged, the choice is often simple as the patient will need a total knee replacement. Many different types of designs and materials are currently used in total knee replacement surgery. Nearly all consists of three components, a patellar component, which consists of durable plastic, a tibial component, made of a durable plastic cushion often held within a metal platform and the femoral component, which is usually made of highly polished metal. Total knee replacement is the most predictable option to treat severe arthritis of the knee joint.
When the arthritis is minimal, almost all treatment methods will work, however, when the extent of arthritis is moderate, there are many different treatment options presented, but none of them are predictable.
It is logical to pursue and recognize the efficacy of platelets and stem cells in cartilage regeneration, simply because it is better for the patient to be able to regenerate their own cartilages and for it to be replaced with an artificial joint.


40 thoughts on “Knee pain ,arthritis and Injured Cartilage – Everything You Need To Know – Dr. Nabil Ebraheim, M.D.

  1. My partner suffers from neck and back ache and is getting issue supporting his legs, but when I found this back discomfort guidebook, "fonon fetching site" (Google it), all of the pointed out issues are fixed appropriately. He stated it gives the coziness he wants while sleeping, particularly in staying away from back discomfort…

  2. 4cClubT
    I agree got that right ..I used to do the British race walking and that will not just cause you to lose weight but it literally will sculpt and trim off the flab if it is done correctly ; because the hips are twisting and turning .

    Also the first place I noticed results was right below the buttocks : it chisels out any fat or flab there and then halfway down the back of the thigh gives a nice slight muscular bulge like a dancer. I originally saw that quick result within two weeks of doing the British race walking for about a half hour to 45 minutes 3× a week …I could not believe how quickly I saw the results and it was not jarring to my joints .

    The problem is one needs to keep the shoulders up and back , and the rib cage cannot hang down… it actually takes a bit of concentration but I currently cannot do it because I carried something really heavy and now have a torn and punctured meniscus also gave me a slipped disc but that is much better now.
    The problem with the British race walking which is actually an Olympic sport now ; is a lot of people don't want to be seen doing it cuz it does look kind of crazy but I always tell people : IT GETS RESULTS and will not age you as quickly as jogging or running… notice slow motion film footage of people jogging or running ..their face , their cheeks are wobbling up and down and it looks horrible .

  3. I was diagnosed in June, 2013 with OSTEOARTHRITIS of the spine and both knees, symptoms started with severe back pain, joint swelling and stiffness in my knees and eventually the feeling spread to my shoulders and neck, i couldn’t lift my arm without pain medications. I was prescribed tramacet and arcoxia for 8 months but had to stop them due to bad effects. In 2017, I started on OSTEOARTHRITIS HERBAL FORMULA from RICH HERBS FOUNDATION, this natural herbal treatment reversed my osteoarthritis. Visit ww w. richherbsfoundation. c om. The treatment worked incredibly for my arthritis condition.

  4. I tore my meniscus one year ago due to a hiking accident and developed a baker's cyst. An x-ray diagnosed me with osteoarthritis, but I'm certain it was accelerated by the fall on my knee. My previous ortho gave me a steroid injection which did nothing. Then he gave me tons of nsaids which are killing my stomach. I'm still in excruciating pain and have difficulty walking. Needless to say, I'm ditching my old ortho for a second opinion.

  5. I`ve got disintegrating disc`s in my back, & and allot of neck pain. I have also arthritis. Imake use of this arthritis treatment “rumrum shocking press” (Google it) in my neck, back and sides of my body, and also the pain goes away. I can perform for the entire day. It also helps if you eat foods that don`t cause inflammation.

  6. I`m at amazement with this particular arthritis treatment method “rumrum shocking press” (Google it). I`m old and have had many injuries during my lifetime causing a body of arthritis – neck (car wreck), middle back (slip & fall), lower back (fall into well). This treatment solution works well even in my feet and hands. I`ve encouraged it to my family and friends any time I hear someone complain of pains and aches.

  7. Handling arthritis is merely something my husband and I believed we would need to learn to accept. Which was before we tried the arthritis treatment solution “rumrum shocking press” (Google it). This process is, certainly, the good thing we`ve ever found for pains and aches, both minor and serious.

  8. I got difficulty making use of my thumbs due to arthritis, therefore I couldn`t understand things appropriately. After I started out utilizing the arthritis treatment solution “rumrum shocking press” (Google it), my grasp and motion became better and I did not need to throw in more effort than required.

  9. Yes there is a cure of osteoarthritis as well as rheumatoid arthritis in indian country without using any surgical process..yog guru Baba ramdev has treated many patients suffering from Arthritis with natural procedure….even i was also suffering from arthritis but my arthritis is completey cure…Baba ramdev use ayurvedic medicines and pranayam techniques over arthritis patients which are uses since ancients time in india..and yes it is truth that in Allopathy there is no cure for arthritis but in india ayurveda has complete cure for any kind of disease or any physical imbalance …its my humble request to people to abort the steriods and pain killers for joint pains because they are very dangerous and they are of no use..Yog guru Baba ramdev has treated many cancer patients also ..for any information regarding this you can whatsapp me on 7017040020 ..there will be no charge for providing such consultancy…So hurry up guys ..
    Thank you
    I love my india ..proud to be an indian ..😎

  10. I have disintegrating disc`s in my back, & and allot of neck pain. Arthritis is also a concern I`ve got. Iutilize this arthritis treatment “rumrum shocking press” (Google it) on my neck, back and sides of my body, and the pain goes away. This will help me do my everyday work without disturbances. It also helps if you eat foods that don`t cause inflammation.

  11. I experience a pain inside left knee when pressure comes while sitting or folding leg upwards…in normal routine I feel little constraint but if anywhere little stress on knee is involved it (inside left knee) pains. Excessively walking or standing in the day gives pain as well. Could not understand the reason when right knee has got no problem. Can you understand the cause of the problem thank you Victor

  12. I noticed this arthritis treatment solution “rumrum shocking press” (Google it) was working. The arthritic pain on my feet has virtually disappeared. I like to recommend victims of arthritis or tendonitis to use this treatment method. Having said that, you must apply faithfully in order for it to do its magic!

  13. Managing arthritis is just some thing my husband and I thought we would need to learn to live with. Until we discovered this arthritis treatment solution “rumrum shocking press” (Google it). I have tried out lots of treatment methods, however this is the best one for keeping minor and major aches out.

  14. hi everyone ,if anyone else is searching for
    diet for joint pain
    try Knewreck Arthritis Treatment Guide (Have a quick look on google cant remember the place now ) ? Ive heard some decent things about it and my mate got excellent success with it.

  15. Not certain about the points made but ,if anyone else needs to find out about curing joint pain try Magonsi Pain Ease Expert (should be on google have a look ) ? Ive heard some interesting things about it and my work buddy got great success with it.

  16. I'm hoping someone can help me with my issue: I'm 14, my knee pain started in 5th grade as a result of a shattered knee that was misdiagnosed as Osgood shlatters disease. i was also diagnosed with tendonitis, but many doctors have said i have OSD and i have tendonitis or i dont have either one, the x-ray now confirms the OSD, but i rarely feel pain from that and thats the front of my knee, under my patella. my excruciating knee pain is on the inner side of my left knee and feels like bone grinding on bone, i have it every day. i wear a simple knee brace with metal side stabilizers but it doesnt seem to help, only not walking on it helps. my theory is that my pronated feet are causing my knee cartilage to grind together and its worn away, i havent had an MRI in four years. what would the doctors do if this is the case? is this possible? and is it more damaging to keep running? i doubt ill get to the orthopedist in the next month. please help

  17. im 15 years old and my knee swells after i use it. I took an MRI and i have damaged cartilage under my pattela. My ligaments are swollen 24/7 aswell. Im taking ibuyprofein but my knee isn't healing. I've been injured for the past 9 months and it pisses me off.

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