What is osteoarthritis?

Osteoarthritis is a complex condition characterized by both wear and tear of the cartilage and inflammation in the joint. In a healthy joint, the synovial tissue (the inner lining of the knee) plays a crucial role. This tissue produces synovial fluid, which lubricates the joint, absorbs shock and provides nutrients to the cartilage. The cartilage itself acts as a natural shock absorber.

In osteoarthritis, the cartilage is damaged and, as a result of the inflammation, the joint capsule does not function properly and produces lower quality joint fluid. This leads to:

  • Excessive or decreased production of synovial fluid.
  • A reduced quality of fluid, which accelerates cartilage wear.
  • Inflammation that causes pain, swelling and stiffness.

In severe cases (grade 4 osteoarthritis), the bone ends in the knee may rub directly against each other, resulting in sounds such as grinding or clicking.

Causes of osteoarthritis

Although osteoarthritis is often associated with old age, there are other risk factors that may contribute, such as:

  • Overuse or abnormal bone positions: For example, O-legs or X-legs.
  • Medication use: Such as long-term use of corticosteroids.
  • Disorders: Rheumatoid arthritis can cause osteoarthritis.
  • Injury: For example, due to a fracture in the knee joint. Meniscus or cruciate ligament injury in the past.
  • Overweight
  • Not enough exercise

Complaints in osteoarthritis

The symptoms of knee osteoarthritis vary depending on the severity and location of the wear and tear. Common symptoms include:

  • Pain: Nighttime pain or pain after sitting still for a long time.
  • Movement complaints: Pain when climbing stairs, getting up from a chair or squatting.
  • Swelling: A thick knee that feels hot from inflammation.
  • Position change: The knee may change position, such as becoming more curved.
  • Noise on movement: Cracking or scraping sensation during movement.
  • Stiffness: Difficulty bending and stretching the knee.
  • Instability: A feeling of falling through the knee.


Patients often experience increasing pain with movements such as walking, climbing stairs and standing for long periods of time. Cycling, on the other hand, produces fewer symptoms in most cases.

Treatment options for knee osteoarthritis

Although osteoarthritis cannot be completely cured, there are several treatments available that can reduce symptoms and improve quality of life:

  1. Exercise: Regular exercise, such as 8,000 steps a day or an hour of cycling, helps improve joint function.
  2. Weight loss: Reduces stress on the knees and may slow the progression of osteoarthritis.
  3. Medication: Paracetamol is an effective pain reliever with few side effects.
  4. Injection therapies:
    • Viscosupplementation (Hyaluronic Acid): For better lubrication and shock absorption.
    • PRP (Platelet-Rich Plasma, ACP): For stimulation of tissue repair.
  5. Physical or exercise therapy: Guidance on exercises that improve muscle strength and flexibility. Ask your fystiotherapist about the GLA;D program. This is a proven effective exercise program from Denmark.
  6. Gym or home exercises: Focused on strengthening the muscles around the knee joint.

Conclusion

Osteoarthritis is a progressive condition that, without treatment, can significantly limit range of motion. Through a combination of lifestyle changes, physical therapy and innovative treatment methods, it is possible to effectively reduce symptoms and improve quality of life. When in doubt or if symptoms persist, it is wise to consult a specialist.

Discover how you can treat osteoarthritis without surgery!