Tag: Knee Specialist in Mohali

Dr. Manu Mengi – Best Orthopedic Doctor in Mohali

Patellofemoral Pain Syndrome - The Hidden Reason Your Knees Hurt While Running - Dr. Manu Mengi

Patellofemoral Pain Syndrome: The Hidden Reason Your Knees Hurt While Running

Runner’s Knee Treatment in Mohali – Causes & Prevention Tips by Dr. Manu Mengi

One-third of people visiting healthcare providers with knee pain are diagnosed with patellofemoral syndrome—runner’s Knee, making it one of the most common knee conditions we treat at our Sports Injury Clinic in Mohali. This prevalent condition particularly affects athletes and physically active individuals who regularly run and jump.

As an athlete or regular runner, you might be familiar with that nagging, dull ache at the front of your knee that worsens when climbing stairs or during squats. This pain can affect one or both knees and typically appears during or after intense physical activities. Young female patients and adults aged 20 to 40 are particularly vulnerable to this condition, especially those who suddenly increase their activity levels.

In this comprehensive guide, we’ll explore the causes, symptoms, and effective treatments for patellofemoral pain syndrome, including the RICE method and targeted physical therapy exercises. We’ll also share practical strategies to prevent this condition from affecting your running routine.

What is Patellofemoral Pain Syndrome (Runner’s Knee)?

Patellofemoral Pain Syndrome (PFPS) refers to pain around or behind the kneecap (patella) where it meets the thigh bone (femur). This condition got its nickname “Runner’s Knee” because it frequently affects people who run or participate in activities that put repeated stress on the knee joint. However, unlike what the name suggests, this condition isn’t limited to runners—it can affect anyone who engages in activities that stress the knee joint.

Understanding the patellofemoral joint

The patellofemoral joint consists of your kneecap (patella) and the groove in your thigh bone (femur) where the patella slides. This joint plays a crucial role in your daily movements. The patella acts as a pulley, increasing the leverage of the quadriceps muscles and providing protection to the knee joint.

The kneecap is normally held in place by various structures:

  • Quadriceps muscles (front thigh)
  • Hamstring muscles (back thigh)
  • Medial and lateral retinaculum (tissue along the sides)
  • Patellar tendon (connecting to the shin bone)

In a healthy knee, the patella glides smoothly up and down in this femoral groove as you bend and straighten your leg. This movement should be pain-free and efficient. Nevertheless, if any element of this mechanical system is off, whether it’s muscle imbalance, abnormal anatomy, or poor movement patterns, problems begin to develop.

What happens in PFPS is that the patella doesn’t track properly in its groove. Instead, it may shift laterally (outward) or tilt, creating excessive pressure on certain areas of the cartilage. This improper tracking leads to irritation of the soft tissues and inflammation, consequently causing pain and discomfort.

Why runners are more prone to PFPS

Runners face a higher risk of developing patellofemoral pain syndrome, which is why many seek Runner’s Knee Treatment in Mohali for relief. First and foremost, running creates repetitive stress on the knee joint. With each stride, your knee absorbs a force equivalent to several times your body weight. Over thousands of strides during a typical run, this adds up to significant cumulative stress on the patellofemoral joint.

Furthermore, biomechanical factors make runners particularly vulnerable:

  1. Muscle imbalances – Tight quadriceps combined with weak hip abductors (particularly the gluteus medius) can pull the patella out of alignment during running.
  2. Running form issues – Overpronation (excessive inward rolling of the foot), crossover gait (feet crossing over the midline), or overstriding can all contribute to abnormal knee mechanics.
  3. Training errors – Sudden increases in mileage, intensity, or hill work without proper adaptation time put excessive stress on the knee structures.

The repetitive nature of running means that even minor misalignments or muscle imbalances get magnified over time. As a runner logs more miles, these small issues compound until they reach a threshold where pain develops.

Moreover, running on hard surfaces or uneven terrain increases impact forces and can exacerbate existing biomechanical issues. Similarly, worn-out running shoes that no longer provide proper support can alter your gait and contribute to patellofemoral issues.

Unlike traumatic knee injuries, PFPS typically develops gradually. Many runners ignore early warning signs—such as mild discomfort that disappears after warming up—until the pain becomes persistent enough to interfere with training. This is why understanding the underlying mechanics and recognising early symptoms is vital for preventing long-term problems.

Common Causes of Knee Pain While Running

Running places significant demands on your knees, which is why Knee Pain When Running Treatment in Mohali is a common request among athletes. Understanding what causes knee pain while running can help you prevent patellofemoral pain syndrome or address it before it worsens.

Overuse and repetitive stress

Approximately 80% of running-related injuries are associated with overload. Unlike acute injuries, overuse problems develop gradually through repeated microtrauma that exceeds your body’s natural repair capacity.

When you run, various tissues including muscles, tendons, bones, and ligaments experience physiological stress. These structures adapt differently to training loads—tendons and ligaments adapt more slowly than muscles, making them particularly vulnerable to injury.

The problem arises when the cumulative damage surpasses your tissue’s repair threshold. This typically happens when you don’t allow adequate recovery time between training sessions. For overzealous runners who push too hard too often, the damage accumulates until pain and dysfunction appear.

What makes overuse injuries challenging is their gradual onset. There’s rarely a single, identifiable traumatic cause. Instead, the damage builds up silently until symptoms become noticeable, at which point significant tissue stress has already occurred.

Muscle imbalances and poor biomechanics

Your running form directly impacts how effectively your body absorbs and distributes forces. Poor biomechanics significantly increase your risk of developing patellofemoral pain syndrome.

Muscle imbalances are among the most common culprits. About 25% of adults experience knee pain, representing a 65% increase over the last 20 years. Often, this pain stems from muscle imbalances around the joint:

  • Weak gluteal muscles (particularly gluteus medius and maximus) fail to properly control hip and knee alignment during running
  • Quadriceps weakness reduces support across the knee joint and strongly correlates with the advancement of knee problems
  • Tight hamstrings or calves alter how your knee moves through its normal range
  • An imbalance between inner and outer thigh muscles can pull the kneecap out of alignment

These imbalances change how your patella tracks in its groove, creating excessive pressure on certain areas of the cartilage. Notably, runners with anterior knee pain have weaker knee extensors and flexors than those without pain.

Inefficient running biomechanics, such as excessive knee valgus (“knocked knee”) or knee varus (“knee out”), create abnormal stress patterns that your knee structures weren’t designed to handle.

Sudden changes in training or surface

Making abrupt modifications to your running routine often triggers knee pain. Runners who suddenly increase their mileage, intensity, or hill work without proper adaptation time put excessive stress on their knees.

Contrary to popular belief, changing to a softer running surface doesn’t necessarily reduce injury risk. Different surfaces simply alter the biomechanical demands on your body. While softer surfaces may reduce impact loading rates, they increase demands on muscles and tendons. A sudden change in running surface may decrease stress in one area but increase injury risk in others.

Training errors account for many cases of runner’s knee. Adding too much distance too quickly or not allowing sufficient recovery between runs prevents proper adaptation. This explains why many patients develop patellofemoral pain syndrome after they start running at an incline or increase their miles or speed.

Recognising the Symptoms Before It Gets Worse

Early detection of Patellofemoral Pain Syndrome can prevent progression to more severe conditions, which is why visiting a Knee Pain Doctor in Mohali at the first sign of discomfort is crucial. Recognising the warning signs promptly allows for faster intervention and better outcomes. When detected early, most cases resolve with conservative treatment rather than requiring invasive procedures.

Pain patterns and when they appear

The hallmark of Patellofemoral Pain Syndrome is a dull, aching pain around or behind the kneecap, particularly where it meets the lower part of the thighbone. Unlike acute injuries, this pain typically develops gradually over time.

You’ll likely notice pain intensifying when:

  • Walking up or down stairs
  • Squatting or kneeling
  • Running, especially downhill
  • Sitting with knees bent for extended periods (sometimes called “theatre sign”)
  • Standing up after prolonged sitting

Pain is usually diffuse rather than pinpointed to a specific location. Many runners report that symptoms peak when the knee is bent at 60° to 90°, such as during deep squats, and subside when straightening the leg. Initially, discomfort might only appear during or after intense activities, but as the condition progresses, even daily movements can trigger pain.

Clicking or popping sounds in the knee

That strange clicking or popping sound in your knee has a medical name: crepitus. While often alarming, knee crepitus by itself isn’t necessarily a cause for concern. Scientists have studied this phenomenon since 1947, with real-time medical imaging finally revealing in 2015 that these sounds typically occur when tiny nitrogen bubbles in joint fluid collapse due to pressure changes.

Nevertheless, when clicking or popping accompanies pain, attention is warranted. In Patellofemoral Pain Syndrome, you might experience:

  • Rubbing, grinding, or clicking sensations when bending and straightening the knee
  • Popping sounds that worsen after periods of rest
  • Crunching sensations when climbing stairs or kneeling

Clicking at the front of the knee can result from an anatomical structure called a plica. While usually painless, when inflamed it causes “Plica syndrome,” another condition that frequently affects runners.

Swelling around the kneecap after activity

Swelling indicates inflammation in the knee joint and serves as an important diagnostic clue. Following intense activities, you might notice mild swelling around the front of your knee or kneecap, representing fluid buildup in or around the joint.

This swelling typically develops gradually rather than suddenly. Sudden swelling (within four hours of activity) is more concerning, as it may indicate bleeding within the knee (hemarthrosis) and possible structural damage. In contrast, the swelling associated with Patellofemoral Pain Syndrome usually appears more gradually and is milder in nature.

Persistent swelling that doesn’t improve with rest should prompt medical evaluation. Although mild swelling might resolve with home treatment, recurrent episodes indicate that the underlying issues causing your runner’s knee remain unaddressed. In essence, your body is signalling that something isn’t right with your knee mechanics.

PFPS typically worsens over time if left untreated, potentially increasing your risk of injuries beyond just pain and discomfort. Hence, promptly recognising these symptoms can help prevent progression to more serious conditions.

Effective Treatments for Patellofemoral Pain Syndrome

Treating Patellofemoral Pain Syndrome effectively requires a multi-faceted approach, which is why many patients opt for a Knee Pain Doctor in Mohali as part of their recovery. Most patients recover completely with conservative treatments, though recovery timeframes vary depending on severity and adherence to treatment protocols.

RICE method and pain relief options

First and foremost, the RICE method provides immediate relief for acute flare-ups:

  • Rest: Temporarily avoid activities that trigger pain
  • Ice: Apply cold packs for 15-20 minutes every 2-3 hours
  • Compression: Use an elastic bandage around the knee to reduce swelling
  • Elevation: Keep your knee above heart level when possible

Over-the-counter pain relievers can complement this approach. NSAIDs like ibuprofen and naproxen reduce both pain and inflammation, while acetaminophen (Tylenol) addresses pain without anti-inflammatory effects. Generally, these medications should not be taken for more than 10 days without medical supervision.

Physiotherapy and strengthening exercises

Physiotherapy forms the cornerstone of effective treatment. Studies show that performing knee- and hip-strengthening exercises three times weekly for six weeks significantly decreases knee pain and improves physical activity.

Key exercises often include:

  • Straight leg raises for quadriceps strengthening
  • Side-lying clam exercises for hip abductors
  • Wall sits for thigh muscle development
  • Step-ups for gluteal and quadriceps activation

Primarily, these exercises aim to correct muscle imbalances and faulty movement patterns that contribute to improper tracking of the kneecap.

Knee braces and orthotics for support

Supportive devices provide additional stability during recovery. Patellofemoral braces help track the kneecap properly, reducing pressure on affected areas. Unloader braces, the most commonly recommended type, redistribute weight-bearing forces away from painful areas.

Orthotic inserts, either over-the-counter or custom-made, can correct foot mechanics that contribute to knee misalignment. These interventions work best when combined with appropriate exercises.

When to consider surgery

Surgery represents a last resort, typically considered only after 6-12 months of consistent conservative treatment failure. Arthroscopic procedures allow surgeons to examine the knee joint and address specific issues like removing damaged cartilage or releasing tight lateral structures.

For severe cases with significant misalignment, realignment surgery may be necessary to adjust the position of the kneecap. Fortunately, most patients respond well to non-surgical approaches, making surgery rarely necessary for this condition.

Preventing PFPS and Staying Pain-Free

Preventing Patellofemoral Pain Syndrome demands a proactive approach, including Proper Running Form and Knee Pain Treatment in Mohali if symptoms arise.  As the saying goes, an ounce of prevention is worth a pound of cure—nowhere is this more applicable than with runner’s knee.

Stretching and warm-up routines

Before hitting the pavement, engage in dynamic stretching that mimics running movements to increase your heart rate and warm up muscles. Subsequently, save static stretching for after your run when muscles are warm. Many experts recommend a 5-10 minute walking warm-up to get blood flowing properly through your body. For optimal results, focus on stretching your quadriceps, hamstrings, calves, and hip flexors—all crucial muscle groups that impact knee alignment.

Choosing the right footwear

Your running shoes play a vital role in preventing knee pain. According to podiatrists, proper footwear should provide appropriate cushioning without raised heels, which can shift your center of gravity and place additional pressure on the knee joint. Typically, shoes with lower heel drops (under 8mm) help reduce forward knee push and alleviate IT band issues.

Gradual training progression

Abrupt changes in training volume often trigger knee pain. Accordingly, structure your progression carefully—increase your weekly mileage by no more than 10% and allow approximately six weeks for your body to adapt to new training loads. Likewise, alternate running days with low-impact activities like swimming or yoga to give your knees recovery time.

Maintaining healthy body mechanics

Proper running form dramatically reduces stress on your knees. Land with slightly bent knees rather than straight legs, and avoid overstriding. Additionally, aim for a cadence around 180 steps per minute (170 for taller runners), and ensure your feet point in your direction of travel rather than splaying outward. Above all, focus on a circular leg motion versus a pendulum-like straight leg action that increases impact forces.

Conclusion

Understanding and addressing Patellofemoral Pain Syndrome makes the difference between a short-lived running career and years of enjoyable miles. If you’re experiencing persistent discomfort, consult a Patellofemoral Pain Syndrome Specialist in Mohali for personalised care. While this condition affects many runners, proper knowledge empowers us to prevent and manage it effectively.

Most cases respond well to conservative treatment approaches, especially when caught early. Regular stretching, appropriate footwear, and smart training progression serve as our first line of defence against runner’s knee. Strengthening exercises targeting key muscle groups help maintain proper knee alignment during runs.

Smart runners pay attention to their bodies and address minor discomfort before it develops into chronic pain. Rather than pushing through knee pain, taking appropriate rest periods and following proper rehabilitation protocols leads to better long-term outcomes. Remember, protecting your knees today ensures many more miles of pain-free running tomorrow.

FAQs

Q1. What are the main symptoms of Patellofemoral Pain Syndrome, and when should I see a Knee Pain Doctor in Mohali?

A1. The primary symptoms include a dull, aching pain around or behind the kneecap, especially when walking up or down stairs, squatting, or sitting with bent knees for extended periods. You may also experience clicking or popping sounds in the knee and mild swelling around the kneecap after activity.

Q2. Why are runners more susceptible to developing Patellofemoral Pain Syndrome?

A2. Runners are more prone to this condition due to the repetitive stress placed on the knee joint during running. Factors such as muscle imbalances, poor running form, and sudden increases in training intensity or mileage can contribute to the development of PFPS in runners.

Q3. How can I prevent Patellofemoral Pain Syndrome while running?

A3. Prevention strategies include proper warm-up and stretching routines, choosing appropriate footwear, gradually increasing training intensity, and maintaining good running form. It’s also important to strengthen key muscle groups, particularly the quadriceps, hip abductors, and gluteal muscles.

Q4. What are some effective treatments for Patellofemoral Pain Syndrome?

A4. Effective treatments include the RICE method (Rest, Ice, Compression, Elevation), physiotherapy exercises to strengthen muscles around the knee, and the use of knee braces or orthotics for support. Over-the-counter pain relievers can also help manage pain and inflammation.

Q5. When should I seek medical attention for knee pain while running?

A5. You should consult a healthcare professional if you experience persistent knee pain that doesn’t improve with rest, sudden swelling within hours of activity, or if the pain interferes with your daily activities. Early intervention can prevent the condition from worsening and improve treatment outcomes.

About Patellofemoral pain syndrome specialist Mohali

If you’re experiencing persistent knee pain while running, don’t ignore the warning signs. Early intervention from a Patellofemoral Pain Syndrome Specialist in Mohali can prevent long-term damage and get you back to pain-free movement. Dr. Manu Mengi, an experienced sports medicine expert, provides personalised treatment plans combining physiotherapy, bio-mechanical analysis, and targeted exercises for runners and athletes. Whether you’re training for a marathon or simply want to stay active without knee discomfort, seeking professional guidance ensures proper recovery. Book a consultation today to address your knee concerns with evidence-based care.

May 12, 2025 / by Manu
Is Total Knee Replacement Right for You? A Surgeon's Honest Guide - Dr. Manu Mengi

Is Total Knee Replacement Right for You? A Surgeon’s Honest Guide

Total knee replacement is one of medicine’s most successful procedures, with 90% of replacements functioning well after 15 years. While more than 790,000 knee replacements are performed annually in the United States, determining if you’re ready for this surgery requires careful consideration of multiple factors and total knee replacement indications.

Your decision to pursue knee replacement surgery often depends on how knee pain affects your quality of life. Most patients report substantial or complete relief from arthritic symptoms after recovery, though the journey typically involves a 7-8 inch incision and a one to three-month recovery period. However, before making this significant decision, you need to understand both the benefits and limitations of the procedure.

This comprehensive guide will help you evaluate whether total knee replacement is the right choice for your situation. We’ll explore everything from identifying key surgical indicators to understanding alternative treatments, ensuring you have all the information needed to make an informed decision about your knee health.

Understanding When Knee Pain Requires Surgical Intervention

Knee pain often begins as a manageable discomfort but can progress into a debilitating condition that demands serious medical attention. Research shows that nearly one in four Americans experiences chronic knee pain, particularly due to osteoarthritis.

The progression from manageable to debilitating knee pain

The journey from occasional knee discomfort to severe pain typically follows a predictable pattern. Initially, patients notice pain during high-impact activities. Subsequently, basic movements become increasingly difficult. Studies indicate that patients with severe knee osteoarthritis experience great pain and discomfort when walking or moving the joint, primarily because the joint space between bones significantly decreases.

Additionally, research reveals that knee pain onset is strongly linked to previous knee injuries, with patients showing 1.6 times higher risk of developing chronic pain after an injury. Furthermore, depression and widespread pain increase the likelihood of knee pain development by 1.4 and 1.5 times respectively.

How knee arthritis affects your daily activities

Knee arthritis creates substantial challenges in performing routine tasks. Studies demonstrate that osteoarthritis significantly impacts:

  • Opening food containers and tucking in bedsheets
  • Writing and using computer devices
  • Driving, walking, and climbing stairs
  • Lifting objects and maintaining balance

Research confirms that both men and women with clinical diagnoses of hip or knee osteoarthritis face considerable difficulties with mobility, self-care, and usual activities. Moreover, studies indicate that one in four people with knee pain experiences sleep disruption, making quality rest increasingly difficult.

When conservative treatments stop working

Conservative treatments eventually become less effective as knee arthritis progresses. Clinical evidence shows that traditional pain management methods typically provide diminishing returns over time. Research indicates that approximately 50% of patients find conservative treatments unsuccessful after 12 weeks.

Studies demonstrate that patients entering the severe stage of knee osteoarthritis experience:

  • Dramatically reduced joint space
  • Almost complete loss of cartilage
  • Decreased synovial fluid
  • Possible joint immobility

Notably, research reveals that conservative treatments alone rarely halt disease progression. A comprehensive study found that standard conservative care results in statistically significant but practically minor improvements, with an effect size of just 0.3 over one year. Furthermore, data shows that analgesics, particularly acetaminophen, demonstrate a trivial clinical effect with an effect size of merely 0.13.

When evaluating whether surgical intervention might be necessary, medical professionals particularly note when medication no longer manages discomfort effectively. Additionally, research indicates that patients experiencing persistent pain disrupting sleep patterns, combined with limited mobility during daily activities, generally require more aggressive treatment approaches.

8 Signs You Might Be a Candidate for Total Knee Replacement

Medical research reveals specific indicators that suggest you might need total knee replacement surgery. Understanding these signs helps determine the optimal timing for surgical intervention.

1. Persistent pain despite medication

Clinical studies demonstrate that patients become candidates for Knee Replacement in Mohali once standard pain medications no longer provide adequate relief. Research indicates that acetaminophen shows minimal clinical effectiveness, with an effect size of merely 0.13. Likewise, NSAIDs offer limited long-term benefits, showing no statistical difference compared to placebo treatments.

2. Significant mobility limitations

Physical limitations often signal the need for surgical intervention. Studies show that patients experience considerable difficulty with:

  • Walking more than a few blocks without substantial pain
  • Getting in and out of chairs
  • Climbing stairs
  • Performing basic household tasks

Research confirms that about 75% of knee replacement recipients struggle with stair navigation, which presents a high fall risk. Furthermore, studies reveal that mobility deficits persist 6 months to 13 years after surgery, with quadriceps strength remaining approximately 20% weaker.

3. Visible knee deformity

Structural changes in your knee joint merit serious consideration for surgery. Medical evidence indicates that knee deformity manifests as either bowing in or out of the knee. Although most cases remain asymptomatic initially, severe valgus alignment can lead to:

  • Lateral subluxation of the patella
  • Out-toed gait patterns
  • Knees rubbing together while walking

4. Sleep disruption due to knee pain

Sleep disturbance emerges as a crucial indicator for surgical consideration. Studies reveal that 50-80% of individuals with knee pain experience sleep problems. Research demonstrates that poor sleep quality correlates with increased systemic inflammatory markers, potentially accelerating cartilage damage.

5. Failed conservative treatments

Once non-surgical approaches prove ineffective, surgery becomes a viable option. Clinical data shows that conservative treatments typically demonstrate diminishing returns over time. Research highlights several key indicators that conservative treatment has failed:

  • Chronic knee inflammation unresponsive to rest or medications
  • Limited knee flexibility despite physical therapy
  • Persistent pain affecting daily activities

Studies confirm that traditional conservative care yields statistically significant yet practically minor improvements, with an effect size of just 0.3 over twelve months. Specifically, research indicates that joint unloading therapies, including weight loss and bracing, should be attempted for 3-6 months alongside analgesics. Nevertheless, medical evidence suggests that regardless of which conservative measures are utilized, knee osteoarthritis patients consistently progress toward requiring surgical intervention.

Weighing the Benefits Against Risks of Knee Replacement Surgery

Making an informed decision about Knee Replacement Surgery in Mohali requires careful consideration of both positive outcomes and potential risks. Understanding these aspects helps set realistic expectations for your surgical journey.

Pain relief and improved mobility expectations

Clinical data shows that knee replacement surgery effectively relieves pain and restores mobility for most patients. Studies indicate that more than 85% of recipients experience substantial improvement in their quality of life. After recovery, you can expect to perform daily activities with greater ease, often returning to low-impact exercises such as swimming and cycling.

Understanding potential complications

As with any major surgery, knee replacement carries certain risks. Research reveals that approximately 2 in 100 people may experience severe complications. Some key considerations include:

  • Blood clots: These can develop after surgery, especially in leg veins. Medical professionals often prescribe blood-thinning medications as a preventive measure.
  • Infection risk: Modern surgical practices, along with pre-operative antibiotics, have reduced infection rates to less than 1%.
  • Joint stiffness: Known as arthrofibrosis, this complication can be minimized through consistent adherence to post-operative exercise regimens.

Long-term success rates and implant longevity

Recent studies demonstrate impressive longevity rates for knee replacements. According to comprehensive research:

  • 93% of knee replacements remain functional at 15 years
  • 90.1% continue performing well at 20 years
  • 82.3% maintain effectiveness at 25 years

Certainly, age plays a crucial role in implant longevity. Research indicates that patients over 70 face only a 5% lifetime risk of requiring revision surgery. In contrast, younger patients, especially men in their early 50s, show higher revision rates of up to 35%.

Recovery timeline realities

Understanding the recovery process helps set realistic expectations. Based on clinical data, typical recovery milestones include:

By week 3:

  • Most patients can walk without assistive devices
  • Prescription pain medication usually becomes unnecessary

At 4-6 weeks:

  • Driving becomes possible for most recipients
  • Many can return to desk jobs

Through 12 weeks:

  • Physical therapy continues to improve mobility
  • Range of motion typically reaches 120 degrees

Full recovery often extends to 12 months, depending on individual factors such as age, pre-surgery activity level, and overall health status. Throughout this period, maintaining a commitment to rehabilitation exercises proves crucial for optimal outcomes.

Regular exercise remains essential for strengthening the knee and restoring mobility. Physical therapists typically recommend 20-30 minutes of exercise daily, sometimes 2-3 times per day, alongside 30-minute walks during early recovery. Above all, proper walking technique emerges as the most effective way to support knee recovery.

Alternative Treatments to Try Before Committing to Surgery

Before considering Knee Replacement Surgery in Mohali, exploring conservative treatment options often yields positive results. Research demonstrates that combining multiple non-surgical approaches provides the best chance of managing knee pain effectively.

Physical therapy and exercise programs

Exercise remains the cornerstone of knee arthritis treatment. Studies confirm that gentle stretching and low-impact exercises strengthen the muscles supporting your knee joint. A comprehensive exercise program typically includes:

  • Water-based activities for reduced joint stress
  • Walking routines to improve strength and flexibility
  • Targeted exercises for quadriceps, hamstrings, and glutes

Physical therapists create customized programs focusing on muscle strengthening and joint flexibility. Clinical evidence shows that combining supervised sessions with home exercises produces optimal outcomes.

Medication options for knee arthritis

Medication management plays a vital role in controlling knee pain. Research supports a stepped approach:

First-line medications include acetaminophen and NSAIDs, with topical versions offering fewer side effects. For enhanced pain control, doctors often prescribe:

  • Oral NSAIDs at their lowest effective dose
  • Topical capsaicin cream, requiring 3-4 daily applications
  • COX-2 inhibitors for patients with gastrointestinal concerns

Injections and minimally invasive procedures

When oral medications prove insufficient, injection therapy offers additional relief. Clinical data highlights several effective options:

Corticosteroid injections provide short-term pain relief, typically lasting several weeks to months. Similarly, hyaluronic acid injections show promise, with benefits lasting up to six months.

Newer treatments include platelet-rich plasma (PRP) injections, which studies suggest may help with mild to moderate osteoarthritis. Research indicates that PRP can stimulate natural healing processes and reduce inflammation.

Lifestyle modifications that can delay surgery

Simple lifestyle changes often yield significant improvements. Research demonstrates that every pound lost reduces knee stress by four pounds. Key modifications include:

Weight management emerges as crucial, with studies showing that losing 7-10 kilograms dramatically improves knee pain. Furthermore, research reveals that each 1% weight loss corresponds to a 2% reduced risk of requiring Knee Replacement in Mohali.

  • Dietary adjustments also play a role. Studies highlight the benefits of:
  • Foods rich in omega-3 fatty acids for decreased inflammation
  • Vitamin C for cartilage development
  • Beta-carotene to protect joints

Additionally, incorporating low-impact activities like swimming or cycling helps maintain joint health without excessive stress. Research confirms that regular movement keeps joints lubricated and flexible while strengthening supporting muscles.

Personal Factors That Influence Your Knee Replacement Decision

Several personal considerations shape your decision about knee replacement surgery. Understanding these factors helps determine the optimal timing for your procedure.

Age considerations: Is there an ideal time?

Research indicates that patients between 50-70 years old represent the most common age group for knee replacements. Even so, medical evidence suggests that older adults over 70 often experience significant improvements in mobility and independence following surgery.

For younger patients under 45, doctors typically recommend delaying surgery unless absolutely necessary. Studies show that younger, more active individuals may wear out implants faster, potentially requiring revision surgery within 15 years. Consequently, medical data reveals that men in their early 50s face up to a 35% chance of needing revision surgery.

Activity goals and lifestyle expectations

After recovery, you can resume various low-impact activities. Clinical studies outline permitted activities:

  • Walking and swimming
  • Golf and cycling
  • Doubles tennis
  • Light exercise routines

Yet, medical professionals advise against high-impact activities like jogging or contact sports that could accelerate implant wear.

Support system for recovery

Studies demonstrate that social support significantly influences post-surgery outcomes. Research reveals that patients with strong family support show better post-surgical recovery. Throughout recovery, you’ll need assistance with:

  • Daily tasks for several weeks post-surgery
  • Transportation for 4-6 weeks until driving clearance
  • Medication management and wound care
  • Rehabilitation exercise support

Clinical data confirms that social isolation affects approximately 25% of joint replacement patients. Therefore, arranging help from family, friends, or caregivers proves crucial for optimal recovery.

Financial and insurance considerations

The total cost of Knee Replacement Surgery in Mohali varies. Multiple factors influence these expenses:

  • Hospital location and facilities
  • Surgeon’s expertise
  • Type of implant selected
  • Pre-operative tests
  • Post-operative care requirements

Most insurance providers cover knee replacement surgery, provided it’s deemed medically necessary. Insurance typically includes:

  • Initial evaluation and diagnostic tests
  • Surgery costs including implants
  • Post-operative care
  • Physical therapy sessions
  • Essential medical equipment

Conclusion

Deciding for total knee replacement requires careful evaluation of your specific situation. Medical evidence shows impressive success rates, with over 90% of replacements functioning well after 15 years. Still, surgery should remain your last resort after exploring conservative treatments.

Your age, lifestyle goals, and support system play crucial roles in determining the right time for surgery. Though knee replacement offers significant pain relief and improved mobility for most patients, realistic expectations about recovery time and potential limitations help ensure satisfaction with your outcome.

Remember that each patient’s journey differs. While some people might benefit from immediate surgical intervention, others may find relief through alternative treatments like physical therapy, weight management, or injection therapy. Speaking with an experienced Knee Replacement Surgeon in Mohali, such as Dr. Manu Mengi, helps evaluate your options and create a personalized treatment plan that aligns with your needs.

FAQs

Q1. What are the key indicators that I might need a total knee replacement?

A1. Persistent pain despite medication, significant mobility limitations, visible knee deformity, sleep disruption due to knee pain, and failed conservative treatments are strong indicators that you might be a candidate for total knee replacement.

Q2. How long does it typically take to recover from knee replacement surgery?

A2. Full recovery often extends to 12 months, depending on individual factors. By week 3, most patients can walk without assistive devices. At 4-6 weeks, many can return to desk jobs and start driving. Through 12 weeks, physical therapy continues to improve mobility.

Q3. What are some alternative treatments to try before considering knee replacement?

A3. Before surgery, you can explore physical therapy and exercise programs, medication options for knee arthritis, injections like corticosteroids or hyaluronic acid, and lifestyle modifications such as weight management and low-impact activities

Q4. How long do knee replacements typically last?

A4. Recent studies show impressive longevity rates for knee replacements. About 93% remain functional at 15 years, 90.1% at 20 years, and 82.3% at 25 years. However, longevity can vary based on factors like age and activity level.

Q5. What activities can I resume after knee replacement surgery?

A5. After recovery, you can typically resume various low-impact activities such as walking, swimming, golf, cycling, doubles tennis, and light exercise routines. However, high-impact activities like jogging or contact sports are generally not recommended to prevent accelerated implant wear.

March 26, 2025 / by Manu
guidelines-for-knee-treatment-from-the-best-knee-specialist-in-mohali-dr-manu-mengi

Guidelines for Knee Treatment from the Best Knee Specialist in Mohali

Knee pain makes every step feel like a challenge. Simple tasks like climbing stairs or walking to your car become difficult, and knee discomfort can substantially affect your daily routine. Research shows that knee pain affects nearly 25% of adults chronically, making it one of the most common muscle and joint complaints.

Living with knee pain isn’t your only option. Dr. Manu Mengi helps his patients deal with Knee Pain. Medical treatments and exercise routines that work can help restore your mobility and comfort. This piece covers everything from different types of knee pain to the most effective treatments, including basic approaches and advanced medical solutions. You’ll learn the exact steps to manage knee pain and return to a comfortable life.

Understanding Your Knee Pain

Finding out what’s causing your knee pain is your first step to treating it properly. The knee’s complex structure makes it vulnerable to different types of pain. Each type comes with its signs and causes.

Common Types of Knee Pain

Knee pain shows up in three main ways. You might feel sudden pain from injuries or trauma. Long-term pain builds up slowly because of conditions like arthritis or regular wear and tear. Athletes and active people often deal with overuse injuries when they put too much stress on their knee joints.

Identifying Pain Locations and Meanings

Your knee pain’s location often reveals what’s wrong. When you feel pain in front of your knee, especially while climbing stairs, it points to patellofemoral pain syndrome. Pain on the inner side usually means you have a meniscus tear or MCL injury.

Here’s what different pain locations usually mean:

Pain LocationPossible Cause
Front of kneeRunner’s knee or patellar tendinitis
Inner kneeMCL injury or medial meniscus tear
Outer kneeIT band syndrome or lateral meniscus issues
Back of kneeBaker’s cyst or hamstring problems

Warning Signs and Red Flags

Some symptoms mean you need to see a doctor right away. Look out for these warning signs:

  • Your knee swells up quickly within hours of injury – this could mean a serious problem like an ACL tear
  • You hear a loud pop and feel immediate pain – this suggests you might have torn a ligament
  • You can’t put weight on your injured leg
  • Your knee looks deformed or out of place

Your knee might also feel stiff, look red, or feel warm around the joint. These warning signs help you decide if you need urgent medical care or if you can try basic treatments first.

Professional Treatment Options

Medical professionals have many ways to treat persistent knee pain. Your doctor will start with conservative treatments before exploring more invasive options.

Medical Interventions Available

Your treatment experience starts with oral medications and targeted therapies. NSAIDs and acetaminophen are the original treatments to manage knee pain. Your doctor might suggest corticosteroid injections for severe cases. These can help relieve pain for several months.

Here’s a comparison of common medical interventions:

Treatment TypeDuration of ReliefBest For
NSAIDsShort-termAcute pain and inflammation
Corticosteroid Shots2-3 monthsModerate to severe pain
Hyaluronic AcidUp to 6 monthsJoint lubrication

Physical Therapy Approaches

Physical therapy is the lifeblood of Knee Pain Treatment. Active rehabilitation works better than passive treatments to improve function and reduce pain. Your physical therapist will create a customised program that has:

  • Targeted exercises to strengthen muscles around your knee
  • Manual therapy techniques for improved joint mobility
  • Balance and stability training
  • Pain management strategies

Research shows that exercise-based therapy combined with weight management for patients with a BMI over 25 delivers the best results.

When to Consider Surgery

Surgery becomes an option after other treatments don’t work. You might need to think over surgical intervention if you have:

  1. Severe knee pain that limits daily activities
  2. Moderate to severe pain while resting
  3. Long-lasting inflammation unresponsive to medication
  4. Visible joint deformity
  5. Mechanical symptoms like locking or catching

Knee Replacement Surgery in Mohali can provide long-lasting relief for suitable candidates. Most replacements last 15-20 years. Surgical options range from partial to total knee replacement, based on joint damage.

Your recovery timeline depends on your age, activity level, and overall health. Your healthcare team will guide you through each treatment phase and adjust approaches for the best results.

Medication and Pain Management

Managing knee pain takes a mix of medication approaches. Your doctor will likely start you with basic solutions before moving to advanced treatments when needed.

Most people start their fight against knee pain with medications. NSAIDs like ibuprofen and naproxen can reduce both pain and inflammation.

Topical NSAIDs are great for people who want to avoid oral medications. These treatments work just as well for knee pain and cause fewer side effects.

Prescription Medications

Your doctor might prescribe stronger medications if over-the-counter options don’t work well enough. Here’s a comparison of common prescription options:

Medication TypeBenefitsDuration of Relief
Prescription NSAIDsStrong anti-inflammatory effectShort to medium-term
DuloxetineHelps with chronic painLong-term
TramadolEffective for severe painShort-term

Your healthcare provider will watch these medications closely. You might need extra protection, like stomach-protecting drugs when taking prescription NSAIDs.

Injectable Treatments

Injectable medications offer targeted relief with promising results:

  • Corticosteroid Injections
  • Provide relief lasting 2-3 days up to several months
  • Limited to 2-3 injections per year

Hyaluronic acid injections work as a natural joint lubricant. These treatments can relieve pain for up to six months. Doctors usually recommend no more than two treatments each year.

PRP treatments are among the newer injectable options available. Patients usually see improvement within 2-6 weeks after PRP therapy. Your doctor might suggest these alternatives if traditional treatments haven’t given you enough relief.

Note that safety comes first with any medication:

  • Never exceed recommended dosages
  • Report any unusual side effects right away
  • Keep regular contact with your healthcare provider
  • Don’t mix different pain medications without medical supervision

Expert-Recommended Exercises

Targeted exercises that build strength and flexibility can substantially boost your knee health. Let’s look at expert-backed exercises that help reduce knee pain and improve mobility.

Strengthening Exercises

The muscles around your knee determine its stability. The American Academy of Orthopedic Surgeons suggests a well-laid-out exercise program lasting 4-6 weeks to get the best results. These proven exercises will help you get started:

  • Wall squats with an exercise ball to move smoothly
  • Thigh contractions – 10 sets of 5 seconds per leg
  • Straight leg raises to strengthen quadriceps
  • Hamstring curls to work back thigh muscles

You should do these exercises 2-3 days per week. Strong muscles around your knee joint absorb shock better and put less stress on the joint.

Flexibility Routines

Your knee’s health depends on regular stretching. Add these stretches to your daily routine:

Stretch TypeDurationTarget Area
Hamstring15 secondsBack of thigh
Standing quad30 secondsFront of thigh
Calf raises10-15 repsLower leg

These stretches help improve the range of motion and reduce muscle soreness. Do each stretch gently without bouncing or forcing the movement.

Recovery Techniques

Recovery matters as much as the exercises. These strategies will help you recover after your workout:

  1. Apply ice for 15-20 minutes after exercise
  2. Use compression bandages when needed
  3. Raise your legs post-workout
  4. Take enough rest between exercise sessions

Keep these vital safety guidelines in mind:

  • Stop any exercise that causes pain
  • Warm up for 5-10 minutes before starting exercises
  • Start with fewer repetitions to maintain proper form
  • Build intensity gradually as you get stronger

Research shows that regular stretching combined with strengthening exercises helps maintain healthy, pain-free knees. A conditioning program that has both stretches and strengthening exercises boosts knee strength and mobility.

The best results come from doing these exercises in a controlled environment, ideally with original guidance from a physical therapist. As you build strength, you can increase repetitions or add resistance gradually, but always focus on proper form to avoid injury.

Advanced Treatment Technologies

Medical science has made breakthrough discoveries that provide new ways to treat stubborn knee pain. These groundbreaking solutions bring hope to patients who haven’t found relief through conventional methods.

Latest Medical Innovations

The MISHA Knee System is a revolutionary advancement in Knee pain treatment. This FDA-cleared device acts as an implantable shock absorber that eases pressure on your joint and boosts function. The system helps people with severe pain who haven’t responded well to other treatments, especially younger patients who aren’t ready for full joint replacement.

Smart implant technology has revolutionized the field. The Persona IQ system tracks you:

  • Range of motion
  • Walking speed
  • Step count
  • Overall activity levels

Your healthcare team uses this data to monitor recovery progress and modify treatment plans.

Alternative Therapies

Beyond new technologies, several alternative therapies have delivered promising results. The American College of Rheumatology/Arthritis Foundation strongly recommends yoga and acupuncture to manage joint pain and mobility.

Here’s how different alternative treatments compare:

Therapy TypeRecommendation LevelBest For
YogaConditionalPain management
AcupunctureConditionalPain relief

Recent guidelines don’t support treatments like glucosamine supplements and massage therapy, despite their potential.

Emerging Treatment Options

Orthobiologics lead the way in innovative knee pain treatment. These minimally invasive options utilize natural, tissue-derived products that speed up healing. Current options include:

  1. Platelet-Rich Plasma (PRP)
  • Uses concentrated platelets from your blood
  • Shows improvement within 2-6 weeks
  • Works best for osteoarthritis

2. Bone Marrow Aspirate Concentrate (BMAC)

  • Contains healing stem cells
  • Shows notable clinical improvements
  • Performs better than both PRP and hyaluronic acid in clinical outcomes

3. Regenerative Cell Therapy

  • Uses recycled cartilage cells
  • Delivers promising results in joint restoration
  • Available through FDA-monitored trials

These advanced treatments create new possibilities for managing knee pain. The RECLAIM procedure combines native cartilage cells with donor stem cells and successfully fills cartilage defects within one year. We have a long way to go, but we can build on this progress in knee pain treatment options.

Note that treatments affect each person differently. Your doctor thinks over factors like your age, activity level, and specific condition before recommending advanced treatment options. The RECLAIM procedure, for example, only accepts patients aged 18-55 with specific types of cartilage defects.

Conclusion

You don’t have to live with knee pain. Many treatment options exist today, from basic exercises to state-of-the-art medical technologies. Your knee health and mobility can improve with the right mix of professional care, medication, and targeted exercises.

Understanding your specific condition is the first step to pain-free movement. Watch your symptoms closely and note their patterns to share with your healthcare providers. This knowledge paired with proper exercises and medical care builds a strong recovery foundation.

Knee Pain Treatment needs patience and consistency. Quick relief solutions help, but lasting results come from a complete approach that has strengthening exercises, flexibility work, and proper pain control. Your best path to renewed mobility lies in working with healthcare professionals and following their treatment plans.

Dr. Manu Mengi has the fellowship degrees with him and can help you regain mobility by getting rid of your knee pains.

FAQs

Q1. What are some effective home remedies for knee pain?

A1. The RICE method (Rest, Ice, Compression, Elevation) is often recommended for minor knee injuries. Rest the affected knee, apply ice for 15-20 minutes every few hours, use compression bandages if needed, and elevate your leg when resting. For ongoing pain management, over-the-counter medications like ibuprofen or naproxen can help reduce inflammation and discomfort.

Q2. How can exercise help with knee pain?

A2. Regular exercise can significantly improve knee health by strengthening the muscles around the joint and increasing flexibility. Recommended exercises include wall squats, straight leg raises, and hamstring curls. It’s important to start slowly, focus on proper form, and gradually increase intensity. Always warm up before exercising and stop if you experience pain.

Q3. When should I see a doctor for my knee pain?

A3. You should consult a doctor if you experience severe pain, sudden swelling, inability to bear weight on the affected leg, or if you hear a popping sound accompanied by immediate pain. Additionally, if your knee pain persists despite home treatments or significantly impacts your daily activities, it’s time to seek professional medical advice.

Q4. What are some advanced treatment options for chronic knee pain?

A4. Advanced treatments for chronic knee pain include corticosteroid injections, hyaluronic acid injections, and newer options like platelet-rich plasma (PRP) therapy. In some cases, innovative technologies such as the MISHA Knee System or smart implants might be considered. Your doctor will recommend the most appropriate treatment based on your specific condition and medical history.

Q5. Can alternative therapies help with knee pain?

A5. Yes, some alternative therapies have shown promise in managing knee pain. Tai Chi and yoga have received strong recommendations for improving joint mobility and pain management. Acupuncture may also provide pain relief for some individuals. However, it’s important to discuss these options with your healthcare provider before starting any new treatment regimen.

January 8, 2025 / by Manu
Consult an Expert Knee Specialist in Mohali for Effective Pain Management - Dr. Manu Mengi

Consult an Expert Knee Specialist in Mohali for Effective Pain Management

Signs You Should See a Knee Specialist

Knee pain can impact individuals of any age and may begin unexpectedly, often following intense physical activity or an injury. Common causes include sudden trauma, overuse injuries, or underlying conditions such as arthritis. Symptoms of a knee injury may consist of stiffness, pain, and swelling. In some cases, knee pain starts as mild discomfort and gradually worsens.

Knee pain can occur due to various reasons. Excess weight raises the risk of knee problems because it puts additional strain on the knees. Additionally, overuse of the knee can cause pain and discomfort. A history of arthritis is another common factor that might cause knee pain.

If you have occasional knee pain, you are not alone. Knee pain and stiffness are the most prevalent reasons for seeing an orthopaedic physician. It can affect people of all ages, including toddlers, teenagers, adults, and seniors. Sometimes, knee discomfort resolves on its own or with simple home remedies. However, it can occasionally suggest a more serious problem, such as an ACL or meniscus tear, necessitating medical treatment.

Schedule an appointment with a Knee Specialist in Mohali if your knee pain follows a forceful impact or injury, or if your knee is severely swollen, red, warm, tender, or extremely painful. Additionally, seek medical attention if you experience a fever or other signs of illness.

Knee pain can be alleviated using home remedies

Although over-the-counter pain medicines can assist with knee discomfort, you should visit a Knee Specialist Doctor in Mohali if you take them regularly to avoid potential negative effects from long-term pharmaceutical use.

For various minor knee injuries, you should

Take proper rest

Give your knee a break from activities that put a strain on the joint. Ice: Apply an ice pack to reduce pain and inflammation.

Apply ice pack

An ice pack relieves pain and inflammation by numbing the affected area and restricting blood vessels. Use it for 15-20 minutes at a time, multiple times per day, especially after an accident or activity.

Compress to reduce swelling

Use a compression bandage to minimize swelling and support knee alignment, ensuring it’s not too tight and is removed at night.

Elevate

Raise the injured knee, ideally on a pillow while applying ice, to help reduce swelling and rest the joint.

Thus, if your knee pain is caused by overuse, reduce your running or walking distance and use softer terrain. To avoid severe injuries, avoid uneven and slippery ground while walking.

How knee surgery treats and cures knee pains

Knee surgeries include arthroscopy, partial knee replacement, and total knee replacement (TKR).

Arthroscopic knee surgery

Arthroscopic Knee Surgery is a typical outpatient treatment in which a surgeon utilizes a fibreoptic camera to inspect and fix the knee through small incisions, frequently removing loose cartilage or bone pieces.

Partial Knee Replacement

It replaces only the damaged sections of the knee with metal and plastic components, resulting in a shorter recovery time than TKR.

Total Knee Replacement (TKR)

It involves replacing the complete knee joint with an artificial joint.

In conclusion, surgery can enhance the quality of life for people with persistent knee pain by restoring knee function and lowering inflammation.

If you are looking for a Knee Replacement Surgeon in Mohali, Dr. Manu Mengi is an excellent choice. With extensive experience and a full grasp of diverse knee diseases, he provides tailored care to each patient. Dr. Mengi uses cutting-edge procedures and treatment strategies to properly evaluate and manage knee pain, resulting in optimal recovery and increased mobility.

Whether you have a sports injury, arthritis, or chronic pain, his empathetic approach and commitment to patient well-being make him a trusted knee care specialist. Schedule an appointment today to begin your journey to a pain-free lifestyle.

October 4, 2024 / by Manu

What To Expect After Knee Replacement Surgery in Chandigarh

If you undergo Knee Replacement Surgery in Chandigarh for arthritis, you must anticipate reduced pain, improved mobility, and the opportunity to return to many of your favourite activities. However, be prepared to have some downtime during rehabilitation before reaping these benefits. In the first few days and weeks after surgery, you will suffer discomfort, swelling, and limitations on your activities as you gradually resume many, if not all, of your pre-surgical routines. During this time, understanding knee replacement aftercare is essential.

While it is critical to follow the recommendations of your surgeon and medical team, here is what you should know about common issues after Knee Replacement in Chandigarh, as well as how your caregiver may help you –

Effectively manage your knee pain and swelling

You cannot overlook knee pain and swelling after the surgery, however, there are various methods to reduce the discomfort –

Create a schedule

Create a pain medicine schedule, usually every four to six hours as your doctor directs, and stick to it religiously. Maintaining a steady schedule allows you to manage discomfort better and promote a smoother recovery.

Use alarms

If you wake up in pain at night, set an alarm for when your next dose of pain medicine is due. This allows you to wake up quickly to take the medication and then effortlessly return to sleep, rather than being awakened later by discomfort. This strategy helps you maintain consistent pain management all night.

Use ice pack

Apply cold packs to minimize swelling. If you do not have any ice packs, you can manufacture your own by freezing a mixture of one part rubbing alcohol and three parts water in a sealable freezer bag. Alternatively, you can use frozen pea sacks that conform to the shape of your knee. Wrap an ice pack in a towel and place it on your knee for 20 minutes at a time, as needed.

Change positions

Alternate between lying down, sitting, and walking. Do not sit with your foot down for longer than 30 to 45 minutes. When sitting, try to keep one leg elevated and straight on an ottoman or pillow. This will assist reduce swelling and improve circulation.

Practice motion exercises

A range of motion exercises and ankle pumps should be performed while lying down to improve circulation and minimize swelling. Move your ankle up so that your toes point back at you, then down so that they point away.

Overall, the common concerns that arise after Knee Replacement Surgery in Chandigarh include pain and swelling management, adhering to a rehabilitation regimen, and dealing with temporary mobility constraints. Patients may also have trouble with wound care and adjusting to new levels of physical exercise. Being aware of these problems and addressing them proactively can tremendously aid in the recovery process.

Are you looking for a skilled Knee Specialist in Chandigarh? Look no further than Dr. Manu Mengi. Known for his creative approach and caring attitude, he provides exceptional care tailored to your specific needs, ensuring effective treatment and a smoother recovery from your knee ailment.

Dr. Manu Mengi’s emphasis on advanced treatment techniques guarantees that you receive the highest standard of care for a successful recovery. His commitment to utilizing the latest medical innovations and personalized approaches ensures effective management of your knee condition and supports a smoother, faster healing process.

August 9, 2024 / by Manu