Knee Osteoarthritis Part 2 Symptoms Evaluation
(light rock music intro) Welcome back to The Art of Medicine. The diagnosis of osteoarthritis depends on carefulanalysis of your condition. Let's take a look at the common symptoms and how we evaluate your pain. Symptoms for osteoarthritis are three. Pain, swelling and stiffness.
They can all either bepresent at the same time or you can see each one individually in different degrees. The pain can either bebecause of particles flaking off and irritatingthe lining of the joint or increased pressure within the bone. Similarly, the stiffness can be because of fluid inside thejoint or it can just be
because of increased pressure in the bone because of not havingas much cushion there. Osteoarthritis is nothingmore than wearing away that gristle on the end of the bone and instead of havingseven to 10 millimeters of tread, you may have threeto four millimeters of tread. And the swelling caneither be because of fluid, which is an irritation tothe lining of the joint,
or it can be just because of thickening of the lining of the joint, both of which will cause limited motion. The common symptoms with osteoarthritis are more functional. They're difficulty with walking, ascending or descending stairs, particularly descendingstairs where you put
more force across the kneecap area, kneeling, bending,squatting, where again you're loading and compressingthe joint at its extreme, and driving often times where you have to hold that knee in one particular spot. The symptoms of osteoarthritis often times are made worse any time the knee is held in one position orcompressed in one position
for an extended period of time. All of these decrease the amount of motion across the knee and decreasethe amount of lubrication. On physical exam forosteoarthritis we're really trying to evaluate the nature of thepain, swelling and stiffness. We are looking forseveral specific findings. We're looking to see whereyou're pain is located, if your knee is swollen,
KT Tape Medial Knee Pain
For medial knee pain on the inside of the knee KT Tape can be an effective method of reducingsymptoms which may be caused by a variety of factors for this application I'm going to have you straighten your kneeall the way down and have you tear off an Istrip off the roll. and you are going to tear the paper in the middle of thetape and as you are applying stretch in this technique to the tape make sure you apply even pressure
on the tape, and not actually pinching the middle of the tape on one sideor the other. Ok, and just below the bottom portion of thatkneecap I want to lay the tape down with full stretch and then stretching that tape as you lay it down and pinch off that tape really good right there and then bend the knee up. And you are going to lay the tape down without any tension it's important to not put any tension on the anchor
same thing on the other side rub that tape on with the waxy side the paper pretty vigorouslyso you get that glue to adhere for the second strip of tape in this applicationwe tear another Istrip and you are going to tear off an anchor piece up by the logo and place that anchor
about two to three inches above the knee on theinside portion of the knee then rub that on and as you peel that paper off and you apply it over the inside or medial portion of your knee you are going to put full tension on that tape Go ahead and lay that tape down okay and then stopping just below the knee lay the remainder of the tape down with
no tension rubbing that tape on to ensure better adherence of thetape to the skin creates a little friction and heats up the adhesive and this tape will stick better as you start tomove with it and that's it.