Managing Chronic Knee Pain | Effective Treatments and Interventions

Chronic knee pain can significantly impact an individual’s quality of life, making even simple tasks challenging. With various potential causes, it is essential to identify the underlying issue and implement a comprehensive treatment plan. This article aims to explore the common causes of chronic knee pain and outline effective interventions to manage this condition effectively.

I. Causes of Chronic Knee Pain

Chronic knee pain can arise from several factors, including:

Osteoarthritis: The gradual breakdown of cartilage and bones in the knee joint leads to pain and stiffness.

Rheumatoid Arthritis: An autoimmune disorder causing inflammation and joint damage, including the knee.

Meniscal Tear: A tear in the knee’s cartilage that provides cushioning and stability.

Bursitis: Inflammation of the fluid-filled sacs (bursae) around the knee joint.

II. Effective Interventions for Managing Chronic Knee Pain

To alleviate chronic knee pain and improve functionality, a combination of treatments may be employed:

Pain Medication:

Over-the-counter pain relievers like Panadol and topical creams can provide temporary relief.

Prescription medications from a specialist may be necessary for more severe pain or underlying conditions.

Physical Therapy and Hydrotherapy:

Customized exercises and stretches can improve knee mobility, strengthen muscles, and reduce pain.

Hydrotherapy, involving exercises in a heated pool, can provide gentle resistance and reduce joint pressure.

Assistive Devices:

Braces, crutches, or canes can help reduce stress on the knee, stabilize the joint, and alleviate pain.

Orthopedic footwear or shoe inserts may also provide support and enhance mobility.

Injections:

Corticosteroid injections deliver anti-inflammatory medication directly into the knee joint, reducing pain and swelling.

Hyaluronic acid injections act as a lubricant and shock absorber, improving joint movement and reducing pain.

Pain Interventions:

Radiofrequency Ablation (RFA) is a minimally invasive procedure that uses heat to target and disable nerves responsible for transmitting pain signals, providing long-term pain relief.

Chronic knee pain requires a multifaceted approach to effectively manage its impact on daily life. Understanding the underlying causes, along with a combination of pain medication, physical therapy, assistive devices, injections, and pain interventions like RFA, can significantly alleviate pain, improve mobility, and enhance overall well-being. Consulting with a specialist at Painmed can provide personalized treatment options and ensure a tailored approach to managing chronic knee pain. Remember, by taking proactive steps, individuals can regain control of their lives and experience relief from chronic knee pain.

Refer to https://painmed.au/interventional-pain-management/ for additional information, or contact the team via www.painmed.com.au  or 02 8999 1054

Dr. Sally Wride

Originally from England, Sally graduated from St George’s Hospital, University of London in 2004 with a BSc (First Class Hons) in Physiotherapy. Since settling in Australia, Sally has worked in private practice and in the public hospital setting across Sydney.

Sally gained a Masters in Medicine Pain Management from the University of Sydney in 2019 and is a Titled Pain Physiotherapist (as awarded by the Australian Physiotherapy Association).

In addition to private practice, Sally currently works as a Senior Physiotherapist at Westmead Hospital Pain Management Service.

Sally is highly skilled in assessing, diagnosing and treating people who experience chronic pain. She enjoys working with injured workers and CTP claimants. She has a deep understanding of the impact of pain on the whole person and on their functioning in daily life. In partnership with her colleagues, Sally enjoys applying her knowledge and clinical skills to provide a safe space for exploration of the physical and emotional meaning of pain and for recovery of function.

Qualifications and Experience

Education
MSc in Medicine Pain Management (Sydney University) Accreditations

Dr. Baraa Kassim

Dr. Baraa Kassim is a highly skilled rehabilitation and pain management specialist. With experience in treating patients with complex medical conditions, her expertise spans strokes, neurological, orthopedic, musculoskeletal, and geriatric conditions, as well as spasticity management and spinal and brain injury rehabilitation.

Dr. Adam Mir

Dr. Adam is a Fellowship-trained Pain Medicine Specialist with a Fellowship from the Faculty of Pain Medicine (FFPMANZCA) and a Master of Pain Medicine from the University of Sydney. He is dedicated to the comprehensive management of chronic pain across all age groups.

Dr. Adam trained in adult pain medicine at Liverpool Hospital, Nepean Hospital, and the Department of Pain Medicine, and completed additional training in paediatric chronic pain at The Children’s Hospital at Westmead. He currently serves as a Staff Specialist at Westmead and St George Public Hospitals (NSW Health), and is a Visiting Medical Officer (VMO) at Liverpool Public Hospital, St George Private, Sydney Southwest Private, Holroyd Private, Norwest Private, and Nepean Private Hospitals.

He adopts a whole-person, multidisciplinary approach rooted in the socio-psycho-biomedical model, utilising both pharmacologic and interventional techniques. These include:

Dr. Adam is an Authorised Prescriber of Medicinal Cannabis and holds a Diploma in Medicinal Cannabis. He is also certified in Opioid Treatment Programs, including Methadone, Suboxone, and Buprenorphine injections. His areas of interest include opioid dependence management, medicinal cannabis, and interventional pain procedures.

He also completed advanced training in Virtual Reality Therapy for chronic pain and mental health disorders in Barcelona, Spain, and has further qualifications in Focused Psychological Strategies, Cognitive Behavioural Therapy (CBT), and Clinical Hypnosis.

Qualifications:

Languages Spoken: English, Persian (Farsi), Dari

Dr. Alister Ramachandran

Dr. Alister Ramachandran, a dual specialist in Anaesthesia and Pain Medicine, boasts 20+ years of experience. FIPP-certified, he leads Westmead’s pain service, teaches at Sydney University, and is a Faculty of Pain Medicine examiner. His focus remains on delivering evidence-based chronic pain treatment, ensuring comprehensive and effective pain management intervention.

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