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Osteoarthritis of the Knee (Knee Arthritis): "Degenerative Joint Disease" can cause pain, stiffness, and cartilage breakdown.

Edited By: Seth S. Leopold, M.D.
Last updated Monday, January 14, 2008

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Symptoms

Anatomy

Osteoarthritis of the knee occurs when the joint surface cartilage (also called hyaline cartilage, or articular cartilage) becomes worn away, leaving the raw bone beneath exposed. The cartilage normally serves as a “pad” or a bearing in the joint, and under normal conditions, the cartilage bearing is even slicker than a hockey puck on ice. When the bearing wears away, the result is a roughed joint surface that causes the pain and stiffness that people associate with osteoarthritis.

Initial symptoms

Pain, swelling, and stiffness are the main symptoms of knee arthritis. When it becomes more advanced, joint deformity (knock-knees or bow-legs) can occur.

Symptoms

Pain, stiffness, swelling, and joint deformity are the symptoms of arthritis of the knee.

Progression

Early in the course of arthritis, the symptoms can be intermittent, perhaps related only to particular activities or sustained activity. At that point, usually rest and avoiding the precipitating activity will improve the symptoms.

As the arthritis worsens, the symptoms can become more persistent or more severe, such that simply walking on level ground can result in pain.

When arthritis is severe, the pain with activities can linger even after the activity stops, such that the knee can remain painful even after one stops walking.

Conditions with similar symptoms

Other forms of arthritis can cause similar symptoms to osteoarthritis of the knee; in particular, post-traumatic arthritis and post-meniscectomy arthritis are almost indistinguishable in many cases from osteoarthritis of the knee.

Rheumatoid arthritis, the next most common cause of arthritis, can also affect the knee. It tends to cause other joints to be involved, and often causes more of an inflammatory set of symptoms (swelling and warmth, as well as pain), and can in fact effect other organ systems as well.

The diagnosis of osteoarthritis versus rheumatoid arthritis can be made by a physician with experience in treating conditions of this type.

Surgery for Knee Arthritis at the University of Washington, Department of Orthopaedics and Sports Medicine, Seattle, Washington

If you are interested in making an appointment to discuss this procedure in Seattle, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call the Bone & Joint Surgery Center at 206-598-BONE (2663) or Eastside Specialty Clinic at 425-646-7777 to make an appointment. Our clinical center is located in Seattle Washington, USA


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