Knee pain ,arthritis and Injured Cartilage - Everything You Need To Know - Dr. Nabil Ebraheim, M.D.
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- čas přidán 6. 09. 2024
- Dr. Ebraheim’s educational animated video describing knee arthritis and knee pain .
Causes of knee pain may be related to:
•Sports
•Trauma
•Inflammation or arthritis
•Osteoarthritis
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.
![How to Regrow Cartilage & Reverse OsteoArthritis? [Can We Do It?]](http://i.ytimg.com/vi/w25yl6lHL78/mqdefault.jpg)
One of the videos i have seen by a doctor in 10 years , I have complete respect for you for helping people like me
@Firestormify you are correct
docs inject PRP platelet rich plasma that produces growth factors that attracts stem cells that help in generation of the cartilage
this treatment is available and it helps in some patients
no prospective or long term studies to prove or disprove the value
my impression ,it works for some patients
Great information, I've had knee issues all my life
Thank You Dr. Nabil Ebraheim M.D. For this great video on Knee pain ,arthritis , and Injured Cartilage
Xnxx
@Andyh144 injection that decrease the inflammation or lubricate the joint
@Firestormify check clinicaltrial .gov
check under stem cell
for arthritis and nonunion and AVN
thanks
happy new year
i will make several videos for this problem to explain
it takes time to make the videos
@Firestormify stem cells concentrate is used to help avasular necrosis and nonunions
that is done in humans
we do not have approval to grow them in the lab and inject them back
but we can get clinical trial
it will not be expensive
we are growing them in the lab now
Wonderful animation and demonstration. Thanks for sharing.
@purestpearl This injury is a bad one
may need scope and cleaning of the joint
@Firestormify why would you use PRP as opposed to stem cell injections?
My answer is there no stem cells available for injection . you need to get them isolate them grow them treat them then inject them
i use adult stem cells from the patient marrow as a concentrate in nonunion and avascular necrosis
these devices are available to help to concentrate the marrow
@Firestormify many things helpe with cartilage regeneration including HGH
PRP cost of the kit ranges fron 180 to 300 dollars
there is no prove that platelets generate cartilage ,but it does help from observations
@Firestormify for cartilage and arthritis the result from stem cells is about 80percent
no prospective study
@Firestormify ask your doc
but if the knee gives out then surgery is good or rehab
@Firestormify not in the USA ,UNLESS there is a clinical research project with permission and approval of the IRB
but we can use the the marrow stem cell concentrate to treat nonunion and AVN because there are several published data about it
@Firestormify
adult stem cells does not produce cancer
the body recognize it as part of its own
it is a good thing for the treatment of patients
it will not take 100 years to be developed
@kaleidoscopekay we do stem cells for AVN and non unions
we use platelets for arthritis and tendon problems
I have watched many of your videos, they are very informative, and really "All we need to know"..., some medical humours are nice to know, such as, disc hernia getting on the nerves...
Thank you
4
@xKINGkhanSRKx you have softening of the cartilage
@kaleidoscopekay microfracture brings stem cell to the injured area through the blood channels
@xKINGkhanSRKx see a doc to help you after examination
it is not easy to decide
a simple problem can get worse
Great Video.. Now what a bummer.
@Firestormify
i agree with you MRI is expensive
stem cell adult from the patient own bone marrow is promising
great ! thanks Dr. Ebraheim, its very useful !
There are many variables when it comes to expense. See a surgeon and they can give you more accurate cost.
thanks
@Firestormify some clinical tries deals with cartilage
this is the project that i will work on
Very helpful video. Thank you very much
@purestpearl may need cleaning if you have pain
3 to 4 injections a year
@kaleidoscopekay will see her for both conditions
@Andyh144 MAY NEED INJECTION OR PT
Thank you. This video was quite detailed and informative.
the best of many
@waffleheadGaming SEE A DOC
MAY NEED ANOTHER SURGERY OR INJECTION TO THE KNEE
Thanks very much for the video Dr. Ebrahim !!
@wwalcott93 see a doc
you may have a torn cartilage
Thank you., one of the best explanations,
Great presentation. Just two words. Thank you.
عليك بشوربة الكوارع لخشونة الركبة أو شوربة الوطواط.
@AlyssaCulbertson see a doc
Wow sir u really explained so good w/ video's. So informative. Thank u n God bless..
I had knee injury and torn my ACL, PCL, MCL and LCL. Also, i had my literal meniscus removed. I had those surgery 3 and 2 years ago. I hardly climb stair, and cant squat! Im so scared and I cried when the doctor said i showed symptoms of arthritis when i have my knee stiff sometimes, pain when i try to stand after a long sit and knee popping. Another problem is i gained a lot of weight since the surgery and im overweight now. I wish I could do something... Im not ready for this. Im just 25!!!
How you doing today?
You sound like me, but I'm 70 - not 25. I hope something can be done to save your knee.
I'm 50 and need 2 new knees, I try to keep moving but some days I cry,
In this day and age, the best treatment for serious knee injury and or Osteoarthritis is really Stem Cell treatment. Knee replacement shaves years off a persons life and increases the risk of heart disease and heart attack.
Thank you, I totally agree
How?
Good Advice. Cartilage Replacement.
@wwalcott93 you may need MRI
Hi. Is this injection good for reumathoid arthritis? I can barely walk
@Andyh144 check with your doc
@kaleidoscopekay will be glad to see her
Thank you doctor for the great inforamtion
Great video! Thanks
Knee injuries are the worst. I ruptured my articular cartilage at a soccer game. I had my surgery and half of my cartilage is gone and i have arthritis now. I was a candidate for Carticel (ligament transplant that is grown out of my cartilage) but since i am 22 yrs old my doc said that hopefully i can heal better to avoid carticel. 7 months after surgery and therapy i still have a hard time running without any pain. My flexibility is good and i have stability but running is so hard and painful.
How is your knee nowadays?
Don't run. Save your knee.
DIFFERENT OPTIONS ARE OK FOR THE PATIENTS
I am 81 with osteoarthritis of the hip and knee, the pain is so bad I can hardly stand it, I’ve ride steroid injections but they stopped working, I can’t get a hip replacement you have to wait a year and a half just for a consultation, there’s a waiting list, I can’t find a pain reliever that helps, please advise, I have to hold on to furniture inside the house to move around
At your own risk and expense, please try KNOX GELATINE found in the baking aisle in your local Grocery Store. Two packets a day for two weeks in your cereals or juice drinks will yield noticeable relief of the pain while the body healss itself and restores the cartilage between joints.
@VidhyaRM1 work with the therapist
thanks for this informative video
Thank you . It's the best VDO.
thank you for making this video and it is very helpful
@azguy1990 adult stem cell from the same patient should be tried
This is scaring me. I'm even less confident of what's going to happen. The doctors said I have patella femoral syndrome in my left knee and a torn cartilage... I have no idea what's around the corner.
Everything?
What would be the best aftercare for the injections &/or the total replacement?
Many osteoarthritis patients are waiting for further research into platelet and stem cell therapies. In my considered opinion, these hold the best hope for a cure for knee osteoarthritis. Currently, insurance companies will usually not pay for these therapies, because the techniques aren't yet mature or thoroughly proven to be effective.
K
So , how much does it cost if insurance won't cover it ???
Wow, I've learnt a lot from this video👍
@wwalcott93 see a doc
Any solutions for hip replacement and / or sciatica patients? Help urgently needed. God bless you.
@DigitalCrystal thanks
I have to go for lubricant injection next month. I have been having pains for almost a year. I hope it will help ease the pain. As I am already 68 years old now.
I thought you said that you cannot regenerate cartilage? can you elaborate on what you just said? today is January 2019 thank you for your video it was Informative
Sometimes the back of my left knee hurts like it shot out pain for a few second and when I touch it, it hurts. Okay I think it might be because I don't exercise a lot and this pain started to appear last summer on June 2016. But I get freaked out when I searched it up saying it might be blood clot or varicose veins. I just feel relieved if someone tells me I'm going to be fine. I can't do what I want if there is a person encouraging me to do it. I'm weird right? I depend on a person's comment for my emotions :/
talk talked to your primary physician...then they will probably have you go for testing...if you haven't done so already
THANKS FOR THE VIDEO AND EXPLANATION OF THE THE I AM TRYING TO AVOID KNEE REPLACEMENT SURGERY I WON'T STEM CELL THERAPY ON MY WRITE KNEE .
@ShinySilvergames see a doc
In youtube k nuskho se kuch nahi hota maine bahut try kiya hai. Mere ek fb friend ne mujhe ek viadh ji ki medicine suggest ki thi. Fir maine us dawa k sath subah walk karna shuru kiya, ab mere knee ka dard bilkul thik ho chuka hai..
Thanks for sharing!
Sir, I am suffering from a severe Sciatic pain, can I suggest me how to get rid of this hell.
Thank you.
Dr.Rajagopal
Hyderabad
India.
CAC Panchsakar Churna It is a pure and classical preparation known as Panchsakar churna. This churna is used since ancient time for the detoxification of the body. The churna contain five ingredients as the name suggests Haritaki, Shunthi, Krishna Pippali, Trivrit, and Sauvarchala lavana. As toxins are removed from the body knee pain will automatically subsides.
I do have acl,mcl n lcl partially torn from MRI but physical check showed it is not that bad n loose.im doing leg strengthening plus physio to compensate.my scope is due in two weeks...
I am 52 and just found out that I have almost no Cartilage in my left knee, trying to find another way to heal the Cartilage.
instead of knee surgery.
go to letstalkhealth.com look up joint info. heard good things of shark cartilage.
Edwin Newell ..same thing happened to me..i tried everything..in da end I had total knee replaced..no pain.i swim cycle..no problems..
I recently found out that I have vascular disease in that leg.
Wear and tear through the years of hard work and injuries.Leaving cartilidge degeneration and not as much cushion.Leaving spaces in between the joints.
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.
Thomasplayzgamez send me msg 7009142771
+Harvinder Johal hiii
+sridhar budige plz call me
You need to seek a doctor, and get treatment.
Or by this date, maybe you have already gotten.
Please, tell us how you are doing?
Conclusion of previous comment: My friend is very discouraged, and her other knee needs to be replaced also. I told her she needs to try out the UT Ortho, the docs would know how to help her. Thanks
Latest is stem cell replacement and works well.
Thank you!
Thanks !!!
Mine was giving me trouble for about almost two weeks but it's healing not cracking sounds yet but will probably happen later on .
@hacker2005 go to the doc
may need MRI
Five had a full knee replacement 5 yrs ago and I’m in more pain now than before my surgery. I’ve been left without movement. I can’t sit down for long periods l mostly sit with my leg raised out in front of me.
Okay, thanks
@Joshrox17 thanks
I injured knee playing football .. went for an MRI to see if tendon was torn... luckily it wasn't just major swelling... however the MRI picked up a stage 4 8mm diameter hole in cartilidge...! I wasn't even aware I had it .. I can still squat and run etc... but im not sure how bad it is... is 8mm big compared to whole of cartilidge on knee? should I have something done?
Excellent information...SIR....Hat’s off...🌸
@tenaciousdude108 hard to tell
Great informative video, thanks! What program do you use for making the great animation?
My left knee pain at inside edge sometimes it's ok and sometimes too much pain. Right knee has still better but feel pain while waking. Need your advise about which procedure. Does regular use of glusophamine tablets will help to relieve pain
My righr mri report is , grade 3 signal in body and posterior horn of medial meniscus possibly postop changes.... What is meaning... Pls give suggession what to do now
I’ve just had my 3 euflexxa unfortunately it didn’t work
Thanks for this opportunity to ask a question. After Knee Replacement Surgery can one play sports again?
the stem cell is wonderful for the repair of cartilage
Which is the best procedure long lasting
Great video
Good video
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.
How is your knee now ?
@@AdityaGupta-xq3kr Thanks for reaching out. Since several years have passed, my injury subsequently healed.
@@ruthm5413 Glad your doing good.
@Nickliu2010 thanks