Key Signs of Knee Osteoarthritis and What You Can Do About It

Knee pain is extremely common, particularly as we get older. Many people worry about what their symptoms mean, especially when discomfort starts to interfere with walking, work, or everyday tasks.
In this article, a radiotherapy specialist explains the key signs of knee osteoarthritis, why they occur, and when it may be time to seek specialist advice.

Thumb Joint Osteoarthritis Treatment

Knee pain is extremely common, particularly as we get older. Many people worry about what their symptoms mean, especially when discomfort starts to interfere with walking, work, or everyday tasks.

In this article, a radiotherapy specialist explains the key signs of knee osteoarthritis, why they occur, and when it may be time to seek specialist advice.

What is knee osteoarthritis?

Knee osteoarthritis is a condition in which the surface of the cartilage that cushions the knee joint gradually becomes rougher and thinner. This means that the joint doesn’t move as smoothly any more. This can cause changes in the joint that lead to knee pain, stiffness, and swelling.

Although it can affect anyone, it is most common in women and people over the age of 50, those with a history of knee injury, and people who are overweight or regularly place high stress on their joints.

Common symptoms of knee osteoarthritis

Knee osteoarthritis can present in several ways, and the symptoms often develop gradually, making them easy to overlook at first.

  1. Pain during movement

One of the earliest and most recognisable signs is pain when walking, climbing stairs, or getting up from a chair. This occurs because the joint surfaces no longer glide smoothly.
People often describe this pain as a deep ache inside the knee.

  1. Morning stiffness

Stiffness that lasts for less than 30 minutes after waking is a hallmark of osteoarthritis. This occurs when the joint becomes less lubricated overnight. The stiffness usually eases once you start moving.

  1. Swelling around the knee

Inflammation inside the joint can lead to swelling, which may vary throughout the day. Swelling often worsens after standing or walking for long periods.

  1. Grinding, clicking or crunching sensations

These sensations, known as crepitus, occur when roughened joint surfaces move against each other. They are not always a cause for alarm on their own but can indicate thinning cartilage.

  1. Reduced movement and flexibility

Many people notice that bending or fully straightening the knee becomes harder. This can make activities such as kneeling, squatting, or getting in and out of cars more challenging.

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Why do these symptoms happen?

Osteoarthritis develops gradually. Over time, the shock-absorbing cartilage becomes thinner and less effective. The body responds by producing extra joint fluid and forming small bony growths known as osteophytes.

These changes lead to inflammation, restricted movement, and the characteristic knee pain and stiffness that many patients experience.

What should you do about this?

Firstly it’s worth seeing your GP for an initial diagnosis. They will ask you various questions and examine your knee. They may recommend an Xray to confirm the diagnosis. 

Initially you should be able to deal with the symptoms with:

  1. Exercise – don’t be afraid to use your joints. If you’re not sure what to do then you could see a physiotherapist for advice
  2. Weight loss – if you are overweight then losing weight can make a big difference to your symptoms
  3. Medications – you can take simple painkillers, but bear in mind that anti-inflammatory drugs like ibuprofen or naproxen can have side effects like effects on the stomach, the kidneys or the heart if taken too often

When should you see a specialist?

Consider seeing a specialist if you have tried the initial treatments (exercise, weight loss, medication) and you still have significant pain that’s interfering with your normal activities.

Ideally you should get an Xray first so that when you see the specialist they are aware about the stage of the condition. They may need another scan like an MRI to rule out other conditions.

A lot of the time, a non-invasive treatment like low-dose radiotherapy can be very helpful to get rid of your pain. It’s a very low dose and helps around 75% of people with knee osteoarthritis. There are now three randomised controlled trials supporting its use.

You can also consider injections into the knee. Steroid injections may give temporary relief, but they end up thinning the cartilage and speeding up the progression of the disease. Another injection called hyaluronic acid can also be helpful, although the evidence on its long-term effectiveness is mixed.

However, if you have “bone on bone” disease (grade 4 Kellgren Lawrence osteoarthritis) then you will have to consider surgery, often with a joint replacement. You should discuss in detail about the likely outcome and side-effects and risks.

Written by Pulse Digital Health

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