Knee Osteoarthritis – Early Detection and Modern Therapy
Knee osteoarthritis (gonarthrosis) is one of the most common joint diseases worldwide. In Germany alone, over five million people are affected. The cartilage that covers the bone ends and enables smooth movement gradually wears away – with sometimes significant consequences for mobility and quality of life.
Recognising Typical Symptoms
A classic sign of knee osteoarthritis is start-up pain: the knee hurts especially after periods of rest – when getting up from a chair or taking the first steps in the morning. As the condition progresses, load-dependent pain, swelling, and a crunching sound (crepitation) when moving are added. Many people also notice increasing restriction of movement.
Diagnosis at Our Practice
Diagnosis begins with a detailed discussion of symptoms and a clinical examination. X-rays show the joint space width and any bone spurs (osteophytes). In certain cases, an MRI scan is also performed to assess the condition of the cartilage and surrounding structures.
Conservative Treatment Options
- Physiotherapy to strengthen the muscles surrounding the knee
- Weight reduction to relieve pressure on the joint
- Hyaluronic acid injections to improve joint lubrication
- Platelet-rich plasma (PRP) to promote cartilage regeneration
- Orthopaedic insoles and knee braces to reduce pressure
- Anti-inflammatory medication during acute phases
When Is Surgery Necessary?
If conservative measures have not achieved sufficient success and the patient's suffering is significant, surgical intervention may be appropriate. Options range from joint-preserving procedures (e.g., arthroscopy, corrective osteotomy) to the insertion of an artificial knee joint (knee endoprosthesis).
Published 18 March 2025 | Orthopädie Düsseldorf