Knee Injuries

Hip and Knee Replacement Live Chat: December 13, 2016

joint-replacement260x200Are you or someone you know considering hip or knee replacement after living with pain for an extended time? Whether you have just begun exploring treatment options or have decided to undergo hip or knee replacement surgery, we can help answer your questions about the procedure and recovery time.

Join us on Tuesday, December 13 at 12 PM EST for a live chat with orthopedic surgeon Dr. Thomas Bradbury of Emory Orthopaedics & Spine Center. Learn more about new treatment options and whether total joint replacement surgery is right for you. Register here today.

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About Dr. Bradbury

Thomas Bradbury, MDThomas Bradbury, MD, enjoys hip and knee arthroplasty because of the consistency of success in the properly selected patient. Dr. Bradbury’s professional goal is the improvement in quality of life for patients with pain secondary to hip and knee problems.

His research interests center around infections involving hip and knee replacements which are rare, but difficult problems. Dr. Bradbury is researching the success rate of current treatment methods for hip and knee replacement infections caused by resistant bacteria (MRSA). Through his research, he hopes to find better way to both prevent and treat periprosthetic hip and knee infections.

Knee Injuries in Young Athletes Live Chat Takeaways

We hosted a live chat with Dr. John Xerogeanes where he answered questions regarding knee injuries and the treatment of them.Knee injuries in young athletes continues to be on the rise. One of the most common sports injuries, an ACL tear, could end a young athlete’s career aspirations in sports before it even begins. Twist your knee sharply or extend it beyond its normal range during play, and you may hear the telltale “pop.” Whether your child participates in football, soccer, basketball or track, their drive for the game may be setting the stage for a serious injury.

We hosted a live chat with Dr. John Xerogeanes, Chief of Sports Medicine at Emory Orthopaedics & Spine Center, on Wednesday, September 28 where he answered questions regarding how to reduce the risk of knee injury, exercises for strengthening the knee, warning signs, what to do following an ACL injury, and the rehabilitation process. Below are some highlights from the live chat, and you can read the full chat transcript here.

 

Question:  What are the signs that I have injured my ACL?

Dr. Xerogeanes: You will usually land from a jump or twist the knee. You will often feel a “pop” in the knee or even hear a pop. Most of the time one will also feel the knee bend in in an abnormal manner.

 

Question: Is it easier to for an athlete to injure their knee again after they’ve already injured it once?

Dr. Xerogeanes: Yes. if you hurt your ACL and do not have surgery, then your knee will go out again when you play. that can injure your knee further. After reconstruction of the ACL, you can alway reinjure it again. My reinjury rate in the last 1500 ACLs that I have done is around 5.5%.

 

Question: What is surgery for an acl tear like?

Dr. Xerogeanes: Surgery takes an hour. I like to borrow tissue from the quad tendon (above the knee). I like this because it is the strongest graft tissue with the least amount of collateral damage. It can be done through a 1-2cm scar. We have followed our patients with a pain app the we created and most patients are off pain meds within3-4 days.

 

Question: Are knee injuries more common in one age group than another? Or in a certain sport?

Dr. Xerogeanes: They are different between sexes. Females increase dramatically at puberty. Males increase in high school but not at drastically as females. We have no idea why, but at this age a female has a 4-5x greater risk of ACL injury than a male.

 

Read the full chat transcript from this live chat about knee injuries here.

 

Knee Injuries in Young Athletes Live Chat- September 28th

knee-injury-emailKnee injuries in young athletes continues to be on the rise. One of the most common sports injuries, an ACL tear, could end a young athlete’s career aspirations in sports before it even begins. Twist your knee sharply or extend it beyond its normal range during play, and you may hear the telltale “pop.” Whether your child participates in football, soccer, basketball or track, their drive for the game may be setting the stage for a serious injury.

Join us on Wednesday, Sept. 28 from noon – 1p.m. EST for an online live chat with Dr. John Xerogeanes, Chief of Sports Medicine at Emory Orthopaedics & Spine Center and head team physician for Georgia Tech. Dr. X (as he’s known in the community) will take questions regarding how to reduce the risk of injury, specific exercises for strengthening the knee, warning signs, what to do following an ACL injury, and the rehabilitation process. Sign up for this live chat below.

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About Dr. John Xerogeanes

xerogeanes-john-wDr. Xerogeanes is Chief of Sports Medicine at the Emory Orthopaedic & Spine Center. Known as Dr. “X” by his staff and patients, he is an Associate Professor of Orthopaedic Surgery at Emory University as well as an Adjunct Professor at Georgia State and Mercer University. Dr. X is Head Orthopaedist and Team Physician for Georgia Tech, Emory University, Agnes Scott College and the Atlanta Dream of the WNBA. He specializes in ACL and ACL revision surgery performing over 200 of these operations each year. He is board certified in orthopaedic surgery and has his sub-specialty certification in orthopaedic sports medicine.

Top 6 Reasons You Experience Knee Pain While Running

runners-kneeAs the name suggests, runner’s knee, also known as patellofemoral pain syndrome, is a common ailment among runners. But it can also strike anyone who does activities that require a lot of knee bending, such as walking, crossfit, biking and cycling. But runner’s knee isn’t really a specific injury. It’s a loose term for any one of several conditions that cause pain around the kneecap (patella).

Research has shown that runner’s knee is more common in women than in men, particularly in women of middle age. Overweight individuals are especially prone to the disorder.

Runner’s Knee Causes:

  • The pain of runner’s knee may be activated by a variety of causes. Here are the most common causes of runner’s knee:
  • Thigh and hip/buttock muscle weakness – Weakness in thigh, hip and buttock muscles causes a disproportional load on the kneecap, leading to abnormal wear patterns and inflammatory pain. This improper alignment and tracking can be due to an imbalance of strength between the group of muscles known as the quadriceps and gluteals. This imbalance in strength causes the kneecap to track improperly because it is pulled laterally and out of its track, or causes an increased stress to the cartilage surface underneath the kneecap.
  • Kneecap out of alignment – If any of the bones are slightly out of their correct position — or misaligned — the kneecap can’t smoothly follow its vertical track as the knee bends and extends. This causes wear and tear on the joint. That leads to overuse injuries like runner’s knee and, down the line, osteoarthritis, which can really put a cramp in a runner’s career.
  • Problems with the feet – Runner’s knee can result from conditions of the feet such as fallen arches or overpronation (flat feet). These conditions may excessively stress joints and tissues of the knee. You should always assess your running shoes when experiencing any aches or pains. Make sure they are not too old, and are the correct type of shoes for your feet (more arch support, etc.) Something as simple as an over-the-counter custom insert can help to correct runner’s knee.
  • Direct trauma to the knee – such as a fall or blow.
  • Overuse – Repeated bending or high stress exercises such as lunges, squats, stairs, hills and plyometrics can irritate the kneecap joint. Overstretched tendons as a result of overuse may also cause the pain of runner’s knee.
  • Your training plan – Next, evaluate your training plan. The key points to consider are: Have you been increasing speed or distance recently? Also, are you allowing for adequate recovery time? Increasing mileage too quickly or introducing speed too soon, increases the risk of injury.

Not sure if you have runner’s knee or not? Review these symptoms of runner’s knee. If you have been diagnosed with this condition, you may have to stop running temporarily until the knee pain subsides, but continuing to run will not cause long term damage. If your knee pain has not improved within 4-6 weeks, you should consult your sports medicine physician.

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About the Emory Sports Medicine Center

At the Emory Sports Medicine Center, our team of knee specialists are constantly conducting research and developing new techniques for diagnosing and treating the full range of sports-related injuries. Whether you are a professional athlete, or simply enjoy an active lifestyle, Emory provides comprehensive care, in a patient- and –family- centered environment, so together we achieve the best possible outcome and you can return to the sport you love. To schedule an appointment, call 404-778-3350 or complete our online appointment request form.

About Dr. Hammond

hammond-kyleKyle Hammond, MD, spent his childhood in Johns Creek, GA and graduated from Chattahoochee High School before attending the University of Georgia. During his Emory residency, Dr. Hammond received the “Outstanding Resident Award”, and was twice the 1st runner-up in the Kelly Society’s Annual Research Award. Dr. Hammond’s research on the Anterior Cruciate Ligament (ACL Surgery) won the 1st place Award for Research at the Annual Southern Orthopaedic Association and Georgia Orthopaedic Association meetings. He also worked as a Resident Team Physician for Georgia Tech, Emory, and Oglethorpe University Athletics. After his time at Emory, Dr. Hammond was selected to the ‘world-renowned’ Sports Medicine, Shoulder Surgery, and Concussion Fellowship at the University of Pittsburgh Medical Center. While in Pittsburgh, Dr. Hammond was the Associate Head Team Orthopaedic Surgeon for both the Duquesne University Football team and the University of Pittsburgh Men’s Basketball team. He also worked as a Team Physician for the Pittsburgh Steelers, the Pittsburgh Penguins, the University of Pittsburgh athletics, Robert Morris College athletics, as well as the Pittsburgh Ballet. Dr. Hammond then moved on to the Hospital for Special Surgery in Manhattan, New York to work alongside the renowned, Dr. Brian Kelly and learn his techniques in the field of hip arthroscopy.

Dr. Hammond has a special interest in ligament injuries to the knee, the overhead and throwing athlete, shoulder arthroscopy, joint preservation/cartilage surgery, and is one of the few fellowship trained hip arthroscopists in Georgia.

Dr. Hammond enjoys spending time with his wife and their twin boys. When he’s not busy with family and work, Dr. Hammond enjoys working-out, golf, tennis, baseball and football.

Additional Resources
Understanding Runners’ Knee aka Patellofemoral Pain Syndrome
Protect Your Knees at Any Age

Protect Your Knees at Any Age

knee-painKnee problems are the most common reason people visit an orthopaedic or sports medicine surgeon. May seem like common sense, but if you want healthy knees later in life, start taking care of them now, even if you are young.

The knee is the largest and strongest joint in your body and the major support structure of all your lower extremities. Unfortunately, as people age, knee issues become more common. Possible knee symptoms are aches, stiffness, and swelling and are usually caused by two main factors.

First, as we age, we lose some of the natural cartilage that acts as a cushion between the four bones in your knee joint. Damage to, or wearing down of, the cartilage causes pain and makes it hard to do many everyday activities, such as walking or climbing stairs.

Second, if you play sports, live an active lifestyle, or have suffered a knee injury, it is likely you may experience future or further knee problems as you continue to age.

Obesity has more recently become a major risk factor for knee conditions such as arthritis, not only of the knee, but also the hip and ankle.

Now that we know the major causes of knee problems, what’s a person with aging knees to do? While you can’t stop the aging process, you can follow these key tips to protect your knees.

1. Monitor changes in your knee health and record any signs and symptoms to share with your orthopaedic physician.

Symptoms from the aging process may be knee pain, but swelling is another common indicator. With age and cartilage loss, the body naturally responds by trying to repair itself, so there may be fluid in the knee, which is the body’s way of trying to increase shock absorption and lubrication in the knee.

2. Maintain a healthy weight

Every extra pound you put on places about four 4 extra pounds of pressure on your knees. Getting rid of extra weight may help alleviate knee pain or cure it altogether.

3. Exercise

Living an active lifestyle and incorporating low impact exercise into your routine promotes healthy knees. Make sure you leave enough time to properly warm up and stretch before starting your activity. Strength training uses resistance to build strong muscles and flexibility in the skeletal muscles.

4. Don’t overdo it!

Make sure you do not ignore the ongoing knee pain. If you play sports, consider additional training to learn proper techniques and alignment. When doing squats and lunges, don’t bend your leg beyond a 90-degree angle and make sure your knee stays directly over your foot. If injured, try using the RICE method to relieve immediate pain and reduce swelling: Rest, Ice, Compression and Elevation. And contact your healthcare provider if the pain persists or intensifies.

The team of knee specialists at Emory Orthopaedics & Spine Center includes orthopaedic surgeons, non-operative and sports medicine physicians, and trainers. At Emory, we offer the most advanced knee treatments in the Southeast, including anatomic ACL reconstruction, PRP knee therapy, meniscus repair, and more. To schedule an appointment, call 404-778-3350 or complete our online appointment request form.

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About Dr. Spero Karas

karas-speroDr. Karas is the Director of the Orthopaedic Sports Medicine Fellowship Program and an Associate Professor of Orthopaedic Surgery at Emory University. Dr. Karas is an internationally recognized expert in the field for sports medicine, surgery of the shoulder and knee, and arthroscopic surgery. He has been recognized as one of America’s “Top Orthopaedic Doctors” in Men’s Health Magazine and “Top Sports Medicine Specialists for Women” in Women’s Health Magazine. Atlanta Magazine has named him in “Atlanta’s Best Doctors” for the past eight years.

Dr. Karas came to Emory in 2005, after serving as Chief of the Shoulder Service and team physician at the University of North Carolina in Chapel Hill. He currently serves as head team physician and orthopedic surgeon for the Atlanta Falcons, as well as a consulting team physician for Emory University and Georgia Tech athletics. He cares for patients and athletes of all levels: professional, collegiate, scholastic, and recreational.

How to Recover From a Patellar Tendon Tear

The patellar tendon is the tendon below the kneecap (patella) that attaches the quadriceps (front thigh) muscles to the tibia (shinbone). This tendon is extremely important in straightening the knee or slowing the knee during bending or squatting. Basically, any physical activity or sport requires an intact patellar tendon.

Patellar tendon tears can be either partial or complete. When there is a complete tear, the patellar tendon separates from the kneecap and the knee cannot be straightened.

Athletes tend to overexert themselves during play and when too much body weight or force is placed on the knee, the patellar tendon can rupture or tear. Because this tendon is very small and vital to knee support, choosing an orthopaedic surgeon and physical therapist who specialize in knee injury treatment is crucial. Recovery from a patellar tendon tear can take a long time, so your best friend during those rehabilitation months needs to be your physical therapist.

The general phases to recovery from a patellar tendon injury are provided below for reference to the average patient, but individual patients will recover at different rates depending on age, associated injuries, pre-injury health status, rehab compliance, tissue quality and severity of the injury.

Phase I: Called the “protection phase,” requires about 6-8 weeks of strengthening exercises after surgery. These specific exercises work to restore strength to your quadriceps and range of motion in the knee.

Phase II: Six weeks after surgery, your therapist will remove your brace so you can move more freely with a greater range of motion. Exercises will continue to be conservative to normalize gait and assess control without the brace, including leg stands and squats.

Phase III: This phase starts around 4 months after surgery and focuses on restoring more of the knee function. Running and biking are incorporated in the session as well as sport-specific drills tailored to the athlete’s sport and position. We add impact into the drills and hope to see good control and no pain during participation.

Patellar tendon ruptures are typically major injuries, yet athletes can and should expect to return to their previous level of play after surgery and rehabilitation.

Have you suffered an injury or are recovering from surgery? Make sure you have a team of highly-specialized sports medicine and physical therapy experts who will work together to design an individualized treatment program to meet your goals so you can return to the sport you love.

The highly-trained physicians and surgeons at the Emory Sports Medicine Center treat a wide variety of sports medicine conditions and athletic injuries, including sprains and strains from the foot and ankle to the elbow and hand. To see an Emory Sports Medicine specialist, call 404-778-3350 or complete our online appointment request form.

Emory Physical Therapy offers a complete range of services for patients needing rehabilitation services at seven convenient locations around metro Atlanta. Our experienced staff includes board certified clinical specialists in orthopedics and sports medicine, certified intramuscular and manual therapists, Pilates certified specialists, certified strength and condition specialists.

About Dr. Karas

karas-speroSpero Karas, MD is a team physician for the Atlanta Falcons. He is the Director of the Orthopaedic Sports Medicine Fellowship Program and an Associate Professor of Orthopaedic Surgery at Emory University. Dr. Karas is an internationally recognized expert in the field for sports medicine, surgery of the shoulder and knee, and arthroscopic surgery. He has been recognized as one of America’s “Top Orthopaedic Doctors” in Men’s Health Magazine April 2007 and “Top Sports Medicine Specialists for Women” in Women’s Health Magazine. Atlanta Magazine has named him “Atlanta’s Most Trusted Sports Medicine Specialist” for the past three years.

He has authored over 200 manuscripts, presentations, and instructional videos and has presented his research at numerous institutions both internationally and throughout the United States. His work has been featured in NBC television, Men’s Health Magazine, Ski Magazine, and numerous internet health services. He works closely with industries in the design of orthopaedic devices and teaches physicians throughout the world in their use.

Dr. Karas came to Emory in 2005, after serving as Chief of the Shoulder Service and team physician at the University of North Carolina in Chapel Hill. He currently serves as team physician for the Atlanta Falcons, Georgia Tech Baseball and Lakeside High School, as well as a consulting team physician for Emory University and Georgia Tech athletics. He cares for patients and athletes of all levels: professional, collegiate, scholastic, and recreational.

Using Heat and Cold to Treat Injury

back-painIt’s hard to get through life without straining a muscle, spraining a ligament, or wrenching your back. When something hurts, ice and heat are often the go-to solutions, and using temperature therapy to complement medications and self-care can be very effective. But while both heat and cold can help reduce pain, it can be confusing to decide which is more appropriate depending on the injury. Our tips below give you the facts on when to use (and not use) heat and cold therapies.

When to Use Cold Therapy

Cold is best for acute pain caused by recent tissue damage is used when the injury is recent, red, inflamed, or sensitive. The inflammatory process is a healthy, normal, natural process that also can be incredibly painful. Here are some examples of common acute injuries:

  • Ankle sprain
  • Muscle or joint sprain
  • Red, hot or swollen body part
  • Acute pain after intense exercise
  • Inflammatory arthritis flare ups

When you sprain something, you damage blood vessels causing swelling to occur. Applying something cold causes the blood vessels to constrict, reducing the swelling and limiting bruising. Cold therapy can also help relieve any inflammation or pain that occurs after exercise, which is a form of acute inflammation. However, unlike heat, you should apply ice after going for a run to reduce post-exercise inflammation.

Tips for Applying Cold

  • Cold should only be applied locally and should never be used for more than 20 minutes at a time.
  • Apply cold immediately after injury or intense, high-impact exercise.
  • Always wrap ice packs in a towel before applying to an affected area.
  • Do not use ice in areas where you have circulation problems.

When to Use Heat Therapy

While ice is used to treat acute pain, heat therapy is typically used for chronic pain or conditions. Unlike cold therapy’s ability to constrict blood vessels, heat allows for our blood vessels to expand and our muscles to relax. That’s why overworked muscles respond best to heat. Heat stimulates blood flow, relaxes spasms, and soothes sore muscles. Some common chronic conditions that heat is used to treat are:

  • Muscle pain or soreness
  • Arthritis
  • Stiff joints

Tips for Applying Heat

  • Unlike cold therapy, heat should be applied before exercising. Applying heat after exercise can aggravate existing pain.
  • Protect yourself from direct contact with heating devices. Wrapping heat sources in a folded towel can help prevent burns.
  • Stay hydrated during heat therapy.
  • Avoid prolonged exposure to heating sources.

Low Level Heat

If you find that heat helps ease your pain, try a continuous low-level heat wrap, available at most drugstores. You can wear a heat wrap for up to 8 hours, even while you sleep.

What to Avoid

Heat can make inflammation worse, and ice can make muscle tension and spasms worse, so be careful. Just like anything else, don’t overdo it! It’s normal for your skin to be a little pink after using cold and heat therapies, but if you start to notice any major skin irritation like hives, blisters or swelling, you should call your doctor. Otherwise, use whatever works for you depending on your condition. Both ice and heat can be very effective if used correctly!

About Emory Sports Medicine Center

At the Emory Sports Medicine Center, our experts specialize in advanced procedures to treat and repair a wide range of sports related injuries. Recently recognized as one of the nation’s TOP 50 orthopaedics programs, Emory Orthopaedics, Sports and Spine has 6 convenient locations across metro Atlanta, as well as 6 physical therapy locations. Click to learn more >>

About Dr. Mines

mines-brandonDr. Brandon Mines is board certified in both family practice and sports medicine. He has focused his clinical interest on sports injuries and conditions of the shoulder, elbow, wrist/hand, knee, foot and ankle. He is head team physician for the Women’s National Basketball Association’s (WNBA) Atlanta Dream, Decatur High School and a team physician for NFL’s Atlanta Falcons. He is also a rotational physician for United States soccer teams.

Dr. Mines enjoys giving talks and lectures regarding the prevention of sports injuries. In fact, as an active member of the American Medical Society for Sports Medicine and the American Society for Sports Medicine, Dr. Mines has attended and presented at various national conferences. Through the years, he has helped all levels of athletes return to the top of their game.

Takeaways from Dr. Mason’s Chat on How to Train and Prepare for Summer Running Races

Running Live ChatThank you for attending the live chat on How to Train and Prepare for Summer Running Races on Tuesday, June 9 with Emory Sports Medicine physician Amadeus Mason, MD. We had a great discussion, so thank you to all who participated and asked questions. From tips for preventing shin splints to advice on how to train for a 5K, we were thrilled with the number of people who were able to register and participate in the chat. (You can check out the transcript here).

The response was so great that we had a few questions we were not able to answer during the chat so we will answer them below for your reference.

Question: I have inflammation behind my knee. What can I do?

Amadeus Mason, MDDr. Mason: Inflammation behind the knee can be due to a number of knee conditions. Baker’s cyst are common and can be caused by injury to the knee, arthritis, damage to the cartilage of the knee, and other problems. Sprains (caused by overstretching and tearing of the stabilizing ligaments) can lead to swelling of the knee area as well.

Seek immediate medical attention if you are in serious pain, or are experiencing symptoms such as: paralysis, loss of sensation, absent pulses in the feet, the inability to move the knee joint, severe bleeding, chest pain, difficulty breathing, or uncontrollable pain.

Swelling behind the knee may not produce any other symptoms, but if your condition persists and continues to cause concern, seek an evaluation from a sports medicine physician or knee specialist.

Question: What is the best way to correct an IT band injury that has caused can imbalance and pain while running?

Amadeus Mason, MDDr. Mason: If treated appropriately with conservative treatment and resting of the affected area, IT Band Syndrome is usually curable within 6 weeks. If your injury was not appropriately treated, or not given adequate time to heal, the source of your current complications may be due to:

  • Chronically inflamed tendon and bursa, causing persistent pain with activity that may progress to constant pain.
  • Recurrence of symptoms if activity is resumed too soon through overuse, a direct blow, or poor training technique.
  • Inability to complete training or competition.

Until you are able to seek an evaluation from a sports medicine physician, I would discontinue the activity (ies) that are causing you pain so you do not further damage the iliotibial band.

Question: I get cramps in my calf when I run but not when walking. Is there a remedy?

Amadeus Mason, MDDr. Mason: Cramps are a result of a few factors, but dehydration and improper warm-up are the most common causes.

To prevent muscle cramps, runners need to consume enough fluid before exercising. Some healthy tips are:

  • Drink 16 to 20 ounces 45 minutes before training.
  • Drink 2 to 4 ounces every 15 minutes during a training session.
  • Before you begin your run, warm up with 5 to 10 minutes of low impact activity, like walking to warm up the muscles.

For more information about all our orthopedic and sports-related injuries, visit Emory Sports Medicine Center. Think you need to be evaluated by a sports medicine physician? To make an appointment with an Emory physician, please complete our online appointment request form or call 404-778-3350.

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Understanding Osteoarthritis

OsteoarthritisWhile “arthritis” is a commonly known disease, it is generally misunderstood. In fact, arthritis is not a single disease, rather a way of referring to joint pain or joint disease. There are more than 100 types of arthritis and related conditions. Osteoarthritis (OA), which is also known as Degenerative Joint Disease (DJD), is one of the most common forms of arthritis, affecting nearly 27 million Americans according to the Arthritis Foundation.

Unlike other forms of inflammatory arthritis, OA is most common in older adults. It occurs when cartilage, the smooth, rubbery material that cushions each bone becomes thinned, damaged or worn away. The “wearing down” of cartilage leads to pain, swelling and joint stiffness, and as the disease continues to worsen over time, bone rubbing against bone can lead to joint damage and more intense pain.

Osteoarthritis can affect any joint, but mostly affects the knees, hips, hands and spine joints. While the cause of osteoarthritis is unknown and there is no cure, there are ways to relieve symptoms and improve joint function for those suffering from the disease:

  • Exercise! Just 30 minutes of physical activity five times a week (150 minutes in total) can help significantly reduce joint pain and improve joint mobility in as little as four to six weeks. If you cannot fit in a whole 30 minutes, try breaking your exercise into three, 10-minute increments throughout the day. Any physical activity is better than none!
  • Be SMART when it comes to physical activity:
    • Start low and go slow. Begin with three to five minutes of physical activity twice a day and add activity in small amounts to allow your body to adjust.
    • Modify activity if arthritis symptoms increase, but try to stay active.
    • Activities should be low impact, such as walking, bicycling, water aerobics or dancing.
    • Recognize safe and effective ways to be active. Consider exercise classes designed for people with arthritis. When planning your own activity, make sure to choose safe locations with sidewalks/pathways that are level (e.g., a neighborhood or park).
    • Talk with your healthcare provider to help monitor chronic osteoarthritis symptoms.
  • Watch your weight. If you are overweight, losing one pound can take four pounds of pressure off your knee joints! A weight loss of five percent helps reduce joint pain. Maintaining a healthy weight and physical activity are also beneficial with other chronic illnesses such as high blood pressure, diabetes and heart disease, which often affect those with OA.
  • Eat right. While there is no specific diet for people with arthritis, studies have identified certain foods that can help control inflammation, strengthen bones and boost the immune system. Incorporating foods often found in the Mediterranean diet, which emphasizes fish, vegetables, fruit and olive oil, have been found to promote good joint health.

Can osteoarthritis be prevented? Learn more about risk factors for osteoarthritis >>

Find the right physician

If you are experiencing severe pain, swelling or stiffness in your joints, it may be time to see one of the physicians at the Emory Orthopaedics & Spine Center for further evaluation and treatment.

Related Resources

About Dr. Mason

Amadeus Mason, MDAmadeus Mason, MD, is an assistant professor in the Orthopaedics and Family Medicine departments at Emory University.

He is board certified in Sports Medicine with a special interest in track and field, running injuries and exercise testing. He has been trained in diagnostic musculoskeletal ultrasound, orthopedic stem cell therapy and Platelet Rich Plasma (PRP) therapy. Dr. Mason is Team Physician for USA Track & Field, Tucker High School, and Georgia Tech Track and Field.

Dr. Mason is a member of the American College of Sports Medicine, the American Medical Society for Sports Medicine, the America Road Racing Medical Society, and the USA Track and Field Sports Medicine and Science Committee. He has been invited to be a resident physician at the US Olympic Training Center, a Sports Medicine consultant in his homeland of Jamaica and the Chief Medical Officer at multiple USA Track and Field international competitions. He is an annual speaker at the pre-race expo for PTRR, Publix marathon and Atlanta marathon commenting on a wide variety of topics related to athletics and running injuries.

Dr. Mason is an active member of the Atlanta running community. He attended Princeton University and was captain of the track team. His other sports interests include soccer, college basketball and football, and the National Hot Rod Association (NHRA). A Decatur resident, he is married with three children.

Knee Arthroscopy and Knee Arthroscopy Recovery

knee surgeryKnee arthroscopy is surgery that uses a tiny camera (arthroscope) to look inside your knee. Small cuts are made to insert the camera and small surgical tools into your knee for the procedure.

Your surgeon can use arthroscopy to feel, repair or remove damaged tissue. To do this, small surgical instruments are inserted through other incisions around your knee.

Preparation for Knee Arthroscopy:

Usually no significant pre operative testing is needed. Depending on your heath, your orthopaedic surgeon may order pre-operative tests. These may include blood counts, an EKG (electrocardiogram), and even a complete physical examination to assess your health and identify any problems that could interfere with your surgery.

Surgery for Knee Arthroscopy:

During the procedure, the orthopedic surgeon inserts the arthroscope (a small camera instrument about the size of a pencil) into your knee joint through a small incision in the knee. A sterile solution will be used to fill the knee joint and rinse away any cloudy fluid. This helps your surgeon see your knee clearly so that he may diagnose the problem and determine what treatment is needed.

Arthroscopy for the knee is most commonly used for:

  • Removal or repair of torn meniscal or articular cartilage
  • Reconstruction of a torn anterior cruciate ligament (ACL)
  • Removal of loose fragments of bone or cartilage
  • Removal of inflamed synovial tissue

After your procedure has concluded, a doctor will remove the instruments and close the incisions with a stitch.

Recovery from Knee Arthroscopy

Recovery from knee arthroscopy is much faster than traditional open knee surgery. You may have some slight swelling in the knee after surgery. Keep your leg elevated as much as possible for the first few days following surgery and ice your knee following the instructions given by your doctor. You may or may not be placed on crutches. Your surgeon will make that decision and discuss with you. Your surgeon will most likely prescribe physical therapy for 6-12 weeks, as well.

About Dr. John Xerogeanes

John Xerogeanes MD

John W. Xerogeanes, MD, Chief of Sports Medicine at Emory University, is known as Dr. “X” by his staff and patients. He is an Associate Professor of Orthopaedic Surgery at Emory University as well as an Adjunct Professor at Georgia State and Mercer University. Dr. X has been the Head Orthopaedist and Team Physician for Georgia Tech, Emory University, Agnes Scott College and the Atlanta Dream of the WNBA since 2001. He specializes in ACL and ACL revision surgery performing over 200 of these operations each year. He is board certified in orthopaedic surgery and has his sub-specialty certification in orthopaedic sports medicine.

Dr. Xerogeanes has been recognized as one of US News & World Report’s Top Doctors with a special distinction listing him among the top 1% in the nation in his specialty.

Related Resources: