TENDONITIS: THE MAJOR CAUSE OF PAIN IN OSTEOARTHRITIS
Abstract
Background: The conventional concept of osteoarthritis is that it occurs as an aging anddegenerative process resulting in reduction of the surface cartilage, narrowing of the joint spaceand reduction of the synovial fluid. The objective of this study was to introduce the new techniqueof unmasking and treating the underlying problem confirming lesions outside the knee joint beingthe cause of pain in osteoarthritic knee joint. Methods: Clinical work making the base of thispaper was carried out at Pain and Plegia Centre, Dabgari Gardens Peshawar from 2005 to 2012.Patients reporting with knee pain were palpated deep around the knee joint and major tender spotsidentified upon Adductor tubercle on medial aspect and Gastrocnemius (lateral head) on lateralaspect proximal to the knee. These lesions were injected each with 20 mg of TriamcinoloneAcetonide diluted in 2 ml of Xylocaine 2%. Results: The lesions responded favourably to thesimple treatment and patients of pain knee joint of various durations were completely pain free.The optimum healing time of the lesions was 10 days. Conclusion: Osteoarthritic changes insidethe knee joint may not be the cause of painful knee, rather it can be a referred pain. Two lesions,Adductor tubercle on medical side and lateral head of Gastrocnemius on the lateral side proximalto the knee joint are identified to attribute to this pain.Keywords: Pain, Knee Joint, Osteoarthritis, TendonitisReferences
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