Knee Pain

Knee pain is a common complaint among adults and most often associated with general wear and tear from daily activities like walking, bending, standing, and lifting. Athletes who run or play sports that involve jumping or quick pivoting are also more likely to experience knee pain and problems. But whether an individual’s knee pain is caused by aging or injury, it can be a nuisance and even debilitating in some circumstances. 
The knees are essential for mobility, therefore, at Regenecare pain clinic we strive to provide our patients with comprehensive treatments based on regenerative medicine to improve their quality of life, recovering their mobility and thus their autonomy, trying to avoid surgery.
 

Types of Knee injuries:

The most common joint disease is Osteoarthritis, which is a type of knee injury common among older Europeans and a leading cause of chronic disability. Osteoarthritis, a degenerative form of arthritis, causes bone cartilage to breakdown. Cartilage is the smooth tissue covering bones and cushions joints allowing joint bones to glide smoothly. In its extreme form, the cartilage will be completely boded, and the femur (thighbone) will rub on the tibia (shinbone), bone on bone, producing chronic knee pain that usually worsens with activity.

A torn meniscus is one of the most common knee injuries. The meniscus is cartilage in the knee that cushions and stabilizes the knee and protects the bones from wear. Each of your knees has two C-shaped pieces of cartilage that act like a cushion between your shinbone and your thighbone. Any activity that causes you to forcefully twist or rotate your knee, especially when putting your full weight on it, can lead to a torn meniscus.  A torn meniscus causes pain, swelling and stiffness. You also might feel a block to knee motion and have trouble extending your knee fully.

Represent between 20 and 25% of the causes of knee pain, particularly in people who exercise or those under 60 years of age. Patellofemoral syndrome is pain at the front of your knee, around your kneecap (patella). Sometimes called “runner’s knee,” it’s more common in people who participate in sports that involve running and jumping. The knee pain often increases when you run, walk up or down stairs, sit for long periods, or squat. 

Knee bursitis is inflammation of a small fluid-filled sac (bursa) situated near to knee joint as a result of trauma, infection, or crystalline deposits. Bursae reduce friction and cushion pressure points between your bones and the tendons, muscles and skin near your joints. Any of the bursa in your knee can become inflamed, but knee bursitis most commonly occurs over the kneecap or on the inner side of your knee below the joint. Knee bursitis causes pain and can limit your mobility.

A Baker’s cyst is a fluid-filled cyst that causes a bulge and a feeling of tightness behind your knee. The pain can get worse when you fully flex or extend your knee or when you’re active. A Baker’s cyst is usually the result of a problem with your knee joint, such as arthritis or a cartilage tear. Both conditions can cause your knee to produce too much fluid, which can lead to a Baker’s cyst. The main symptoms are swelling behind your knee, knee pain and Stiffness and inability to fully flex the knee. 

Knee ligament sprains or tears are a common sports injury. Your knee ligaments connect your thighbone to your lower leg bones. The medial collateral ligament (MCL) and lateral collateral ligament (LCL) are found on the sides of your knee. Athletes who participate in direct contact sports like football or soccer are more likely to injure their collateral ligaments. Injuries to the collateral ligaments are usually caused by a force that pushes the knee sideways. Medial collateral ligament tears often occur as a result of a direct blow to the outside of the knee. This pushes the knee inwards (toward the other knee). Blows to the inside of the knee that push the knee outwards may injure the lateral collateral ligament.

Meniscus Tear

Ligament Injury

How can we help you?

At Regenecare pain clinic we aim to improve the quality of life of our patients, freeing them from the pain that afflicts them and preventing future complications. We base our treatments on Regenerative Medicine, but we also carry out the rest of the conventional treatments according to the needs of each of our patients for the management of their pain. We have developed a comprehensive method of care for our patients, based on wellness goals, with close monitoring and always seeing the patient as a whole and not just as a disease.
We seek to avoid or at least delay surgeries since we have evidence and experience that our treatments give excellent results.

Regenerative therapy is an alternative treatment option for knee injury patients. Minimally invasive procedures like stem cell and platelet-rich plasma therapies (PRP) involve an outpatient procedure performed under local anesthesia in the doctor’s office, using the patient’s own adult stem cells to help the knee heal.

Stem Cells

Stem cells are found throughout the body and have the potential to become any type of cell, including those found in cartilage. They can help the body regenerate tissue by stimulating healing and reducing the painful effects of osteoarthritis. And furthermore, researchers believe adult stem cells can repair and replace cartilage as well as other tissue damaged by arthritis. In the same way, this treatment prolongs the longevity of the joint.

Animation video of the division process of a stem cell that exemplifies cell proliferation in a damaged tissue by repairing it.

Platelet Rich Plasma (PRP)

The human blood contains red and white bloods cells, platelets and plasma. PRP refers to blood plasma that contains a large  concentration of platelets. Platelets contain the necessary bioactive proteins and growth factors to repair and regenerate human tissue. PRP injections produce regeneration and repair of damaged tissues. At Regenecare Pain Management Clinic we obtain great results of knee pain relief and improvement of function with our PRP protocol.

PRP injection under ultrasound control

Steroid Injection

Steroid injections generally help relieve pain and swelling and make movement easier. Steroids are powerful anti-inflammatories that, when injected directly into the pain site, greatly reduce inflammation and thus pain. In the case of knee pain, the steroid is injected directly into the painful joint or into a painful trigger point outside the knee The benefits can last for several months and the side effects are minimal with proper administration. 

Hyaluronic Acid Injection

Hyaluronic Acid is a thick fluid, similar to the fluid that naturally lubricates joints. Hyaluronic acid can be injected into your knee to improve mobility and ease pain. Although study results have been mixed about the effectiveness of this treatment, relief from one or a series of shots may last as long as six months.

Knee Surgery

The most common reason for knee replacement surgery is to relieve severe pain caused by advanced osteoarthritis.  There are different types of knee surgery, with their particular indications depending on the patient’s problem, including arthroscopy, osteotomy and partial and total knee replacements. 

At Regenecare our objective is the comprehensive well-being of our patients, therefore, although we base our treatments on Regenerative Medicine and consider surgery the last of our therapeutic options, we have the orthopaedic surgery department that, if necessary, will offer the best surgical option for our patients. At Regenecare we see surgery as an excellent therapeutic option, as long as it is strictly necessary and we have previously exhausted all conservative alternatives.

Reality is Knee Replacement Surgey does not always mean the end of your Knee Pain.

When we talk about knee surgery we are generally referring to knee replacement. As shown in the video, produced by the biomechanical visualization company BIODIGITAL, the procedure involves cutting the damaged bone and cartilage from the femur, tibia and patella, replacing it with an artificial joint (prosthesis) made from metal alloys, high grade plastics and polymers, piercing the bones to secure the prostheses.

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