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Knee arthritis

Knee arthritis is a quite common disease and from the pathological point of view is not just the degeneration of cartilage but of all the joint and periarticular environment.

It occurs in patients older than 55, overweight, with a history of osteoarthritis in the family. It may occur earlier in patients operated of meniscectomy and/or ligament reconstructions.

Unlike what you may think, the common patient with knee arthritis get huge benefits from long-term rehabilitation program carried out in the pool and gym. The success of the treatment depends of course on the severity of the disease, but also on the seriousness with which the patient undertakes it.

Patient must be aware of the fact that the pathology of which is affected is chronic and worsening so we cannot cure him, but we can still help him to live without having to suffer too much and without having to give up physical activities.

The treatment consists in 3 fundamental aspects:

• Control the symptoms with physical therapy (laser, ultrasound, iontophoresis) and massage;

• Reduce weight with appropriate dietary advice and execution of the threshold test to detect heart rates suitable for aerobic training;

• Strengthen the muscles with exercises because only by working on muscle dampers we can preserve the joint. When setting the treatment, will be performed at first mild toning exercises of the quadriceps, the flexor and calf in both closed and open kinetic chain; at the same time you can begin aerobic activity and exercises to improve core stability. If pain does not appear during the execution of the exercises you can begin field exercises designed to bring the patient to the return of daily and even sport activities, paying attention to the quality of the movement.

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