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Chapter-085 Knee Pain

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. Resident, Department of Anesthesiology UT Health San Antonio, San Antonio, TX, USA
2. S Patel
ISBN
9789386261458
DOI
10.5005/jp/books/14128_86
Edition
3/e
Publishing Year
2018
Pages
3
Author Affiliations
2. UT Health San Antonio, San Antonio, TX, USA
Chapter keywords
Knee pain, sprain, osteoarthritis, OA, meniscus, collateral ligament, cruciate ligament, rheumatoid arthritis, infectious arthritis, conservative therapy, nonsteroidal anti-inflammatory drug, NSAID

Abstract

Knee pain is a common presenting complaint in patients of all ages. It is present in approximately 20–25% of the general population and commonly occurs secondary to trauma, sport-related activities, overuse syndromes, and degenerative changes. Musculoskeletal-related injuries account for nearly 21% of visits to primary care office, with knee pain ranking second only to low back pain in that category. The most common etiology of knee pain are strains and sprains (42%), osteoarthritis (OA) (34%), meniscus (9%), collateral ligament (7%), cruciate ligament (4%), gout (2%), fracture (1.2%), rheumatoid arthritis (0.5%), infectious arthritis (0.3%), and pseudogout (0.2%). Treatment is directed to the underlying diagnosis. In general, conservative therapy consisting of nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, modalities, bracing/casting, immobilization, and injections (steroid, anesthetic, and/or hyaluronic acid) are indicated.

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