Empty the knee

Knee emptying What is a knee brace? Knee emptying occurs in which people? Does emptying the knee have a cure? What are the preventions for knee emptying disease? Who is the best doctor to treat knee pain? There are questions like this for people suffering from empty knee disease, so stay with us in this article to find out the answers to these questions. Emptying the knee means imbalance and instability of the knee, which usually over time causes sudden bending and disruption of the movement of the knee. It means that the knee slips from the thigh to the leg, and also people's feet suddenly slip. Dislocating the knee can be accompanied by excruciating shooting pains, and can be associated with dropping or locking. Knee emptying types You experience knee pain when the knee joint is loose or unstable and the knee is tight. Emptying the knee has different forms and types: ### Primary knee instability It is a condition in which the knee joint is loosened and dislocated due to damage to the knee ligament, the knee may become painful and swollen after a few moments. Secondary arthrosis occurs following meniscus tear, arthritis, synovitis, and the presence of a free body in the knee. In this case, if the cause of the knee pain is removed, the knee will no longer be empty. ### Secondary knee instability It is a condition in which the quadriceps muscles are relaxed to reduce the pressure on the knee joint, which may occur due to the rupture of the knee meniscus, the presence of a free body in the knee structure, and arthritis or synovitis. In most cases, surgery is required for primary dislocation of the knee. In some cases, this condition occurs as a result of an injury to the posterior cruciate ligament, patellofemoral instability, or injury to the posterolateral region. Symptoms of emptying the knee To understand and understand this disease, you must first know its symptoms. ### Feeling of weakness and instability in the knee You feel that your knee has weakened and can no longer support your body weight well. ### slipping or sudden bending of the knee Your knee suddenly bends, causing you to lose your balance. ### pain in the knee Sometimes knee discharge is accompanied by mild pain in the knee joint. ### Difficulty walking or running It may be difficult for you to run and walk and you may face limitations because the knee is not stable. ### creating sound in the knee A clicking or popping sound may occur from the knee joint when the knee is unloaded. Causes of emptying the knee There are various reasons that can cause injury to the body, such as emptying the knee. If a person experiences various injuries in their youth and middle age and the ligaments are torn or stretched, they may definitely experience knee pain many times. Among the common causes of injuries to robots, we can mention the sudden emptying of the knee, rotating the knees outside of the normal state, changing directions very quickly, or inflicting severe blows on the knee. If you can take care of your knees, you will definitely not experience such complications. You should know that the presence of knee arthritis and the weakening and destruction of cartilages can be a factor for emptying the knee, which will eventually be accompanied by pain, stiffness and swelling of the knee. Other factors of emptying the knee include: - Rupture of the cruciate ligaments - Rupture of lateral ligaments of the knee or (collateral) - Meniscal tears - Weakness of the muscles around the knee joint - Arthritis Patellar instability A healthy meniscus acts as a shock absorber and provides a smooth surface for the knee to slide on. A tear in the meniscus prevents your knee from rotating, causing pain and locking. Meniscus injuries are especially common among athletes. ### torn knee ligaments In most cases, the cause of instability of the knee joint and weakness of the knee is the injury of a number of ligaments of the knee. The knee has 4 main ligaments, each of which has a specific task and prevents the knee from bending in different parts. If any of these ligaments become problematic, the knee becomes weak and empty. ### meniscus tear The menisci of the knee are two cartilages similar to the English letter c, which act as shock absorbers for the knee and keep it stable. Meniscus tears often occur when going down stairs and squatting in sports. When the menisci of the knee are damaged or torn, the knee joint becomes unstable and loose when walking. ### Patellar instability or patellar laxity Another important cause of knee pain is that the patella of the knee moves out of its original position. The main place of the kneecap is in the lowest part of the femur and in the patellofemoral groove and it slides there. Now, if the patella is out of its exact position, knee dislocation occurs. If the knee patella is directly hit during exercise or the knee bends abnormally, the patella will come out of its groove and the problem of knee patella instability will arise. As a result, the knees become unstable and may give out when moving. ### Abrasion of the knee cartilages Knee arthritis is another common cause of knee pain that causes loosening of the knee joint. With age, knee arthritis also occurs. In knee arthritis, the cartilage wears down and this causes the gradual destruction of the knee meniscus, the tearing of the ligaments inside the knee, the weakness of the adjacent muscles and the presence of free pieces of cartilage inside the knee. ### weakening of the muscles around the knee Another main and very effective reason for the problem of emptying the knee is the weakness of the muscles around the knee. Knee emptying usually occurs in old age, when elderly people suffer from arthritis and the joints are weakened and weakened. The muscles around the knee play a very important role in keeping the knee joint stable and stretching the knee. Now, if the muscles around the knee are weak, they cannot keep the knee bone stable. If you want your knees to not become unstable, do not forget to exercise and strengthen your knees so that the knee muscles do not weaken. Inactivity and climbing are among the factors that affect the reduction of muscle volume and thus reduce their strength and affect a person with weak knees and leg pain. ### Arthritis Another reason for knee discharge can be knee arthritis. Knee arthritis causes gradual loss of knee cartilage. This condition can be accompanied by pain, stiffness of the knee, swelling, and a popping sound when the knee is bent. ### rupture of the cruciate ligaments and lateral ligaments The cruciate ligaments and collateral ligaments of the knee provide strength to the knee. And when they tear, the joint will definitely become unstable. If we want to explain these lateral ligaments in a general way, we must state them. The most important direction that the knee ligaments allow to move is bending and straightening the knee. Although the knee has slight movements in other directions. Every person's knee consists of four ligaments, which are: - Tear of the anterior cruciate ligament or ACL - Posterior cruciate ligament or PCL - Medial collateral ligament or MCL - External collateral ligament or LCL #### How many groups are ligaments divided into? 1. Back 2. Front Ligaments in joints perform important functions such as resisting the tibia from moving backward or forward beyond normal, maintaining bony ridges, and stabilizing the entire joint. The surface of the ligaments in the joint is covered with cartilage; Menisci are located between two bones (tibia and femur). Knee emptying in children Knee sprains while walking can happen to anyone at any age. Children may also experience knee spasms, causing them to be unable to balance when walking and fall. The emptying of the knee at a young age can be related to various reasons such as osteoporosis, knee arthritis, and joint rheumatism. To prevent further damage, you should take your child to a knee specialist as soon as possible to examine their knees and find out the cause of the knee weakness. The surface of the ligaments in the joint is also called crescentic cartilage. Knee emptying diagnosis To diagnose knee pain, expert doctors use special equipment for knee and leg examination to determine the cause of knee joint instability and pain. They may also recommend blood tests to diagnose the cause of your knee pain. A knee specialist diagnoses the cause of knee pain by examining the person's medical records, examining the knee injury, and asking questions about the person's symptoms and feelings when the knee is empty. The doctor may put pressure on the person's knee or ask him to perform movements such as rotating, bending and straightening the knee to detect any damage to the knee joint. It may be necessary to take MRI or X-ray images so that the doctor can examine the condition inside the knee joint more carefully. Finally, after diagnosing the cause of the knee discharge, the most suitable treatment method is prescribed to solve the problem in the knee. The worst thing to do to treat knee dislocation is self-treatment without doctor's supervision. It leads to more serious problems and dangerous complications. For this reason, if your knees suddenly become empty and you have knee pain, we recommend that you immediately visit a knee specialist doctor so that your problem is resolved as soon as possible and your knees do not suffer further damage. prevention of emptying the knee By doing the following, you can prevent Zanee emptying: ### warming and cooling the body Be sure to warm up your body before starting sports activities and cool down your body after finishing the activity. ### Using suitable shoes The right shoes can maintain balance and prevent ankle sprains and knee spasms. ### Maintaining a proper weight Excess weight puts a lot of pressure on the knee joints. Having a balanced and appropriate weight helps a lot in knee health. ### Strengthening leg muscles As mentioned, the weakness of the leg muscles is one of the reasons for this condition. You can strengthen your leg muscles by doing regular exercise. ### stretching leg muscles Regular stretching of the leg muscles helps to increase their flexibility and thus reduce the risk of knee sprains. How is the damage to the collateral ligaments of the knee caused? In this part of the article, we want to discuss what causes damage to the collateral ligaments of the knee. Damage to the ligaments is both external and internal. Damage to the lateral or internal collateral ligament is more common than to the external ligament. A direct blow to the outer part of the thigh and knee causes the opening of the joint surface of the knee in the inner part, which results in the stretching of the internal collateral ligament and its damage. Damage to the external collateral ligament is usually accompanied by damage to other structures of the knee. In general cases, damage to the ligaments may be only a strain or the ligament may be partially torn or completely torn. Causes of damage to the lateral knee In the following, we would like to mention the case that causes damage to the collateral or internal collateral ligament: Injury of the medial collateral ligament occurs when a person is standing on one knee. Bend your knee a little and at the same time rotate your trunk on your knee. These injuries are mostly seen in athletes, especially football, basketball, volleyball and skiing. If the pressure applied to the ligament is low, it will only cause it to stretch and sprain. A sprain of the medial collateral ligament of the knee is the most common knee injury. If more pressure is applied to the ligament, it will tear it partially or even completely. If the pressure is still higher, the cruciate ligaments or menisci are also damaged. The bones around the knee joint may also be broken. What is the cause of meniscus tear? The meniscus tears for two reasons, most often when an athlete twists their body quickly, while the foot is still on the floor, twisting on the knee. These two reasons are: ### Degenerative tear of meniscus **(atraumatic)** Degenerative tears of the meniscus are caused by wear and tear over time and usually affect older people. In other words, degenerative or atraumatic tears usually occur in older populations as a result of biology and degeneration and destruction of the meniscus structure. People with degenerative tears may have twisted their knee and accelerated the tear. However, the tear pattern in a degenerative tear is very different from a traumatic tear. This is important because the treatment of a degenerative tear may be very different from the treatment of a traumatic tear. ### Impact tears in the meniscus Impact tears in the meniscus usually occur during extreme knee rotation and are common among players in sports such as football, basketball, and soccer. These tears can occur during any activity that involves knee rotation. In rare cases, repeated kneeling or rising from a squatting position while lifting can lead to a tear**.** What is the meniscus? The meniscus is a cushion that is located between the joint and when it is torn. It certainly causes slippage in the foot and makes the knee empty. The meniscus is two series of soft and crescent-shaped tissues that are located inside the joint, which together form a circle. Their material is soft and rubbery. The meniscus is responsible for distributing body weight evenly throughout the knee joint. The meniscus is a structure in the knee joint that covers and cushions the space between the femur (thigh bone) and the tibia (shin bone). There are two menisci in each knee, one inside (medial meniscus) and one outside (lateral meniscus). Each of the menisci is made of strong fibrocartilage and is shaped like a crescent or the letter "C". These menisci are like suction cups that are carefully molded into the shape of the articular surfaces of the femur and tibia. What does the meniscus do? The shape and size of the meniscus allow it to perform several functions. When you stand, your weight is supported evenly through your legs and up to your knees. The pressure that this weight puts on the knee increases even more during walking, running and jumping. The meniscus acts as a cushion to prevent the bones of the knee joint from rubbing against each other and causing injury. It also transfers your weight load evenly across the knee joint. This distribution of load helps prevent knee injuries and is very important for knee health and function. Damage to the meniscus can affect the knee's ability to function normally. The most common type of meniscus injury is a meniscus tear. What is a meniscus tear? Meniscus tear is one of the common injuries affecting the knee joint. Menisci are C-shaped discs. which are made of strong cartilage called fibrocartilage. The menisci are located between the femur and tibia and are very important for distributing the load and absorbing shock in the knee joint. What are the symptoms of meniscus tear? - The main symptom of a meniscus tear is pain in the knee joint. - The feeling of locking or cramping may also be felt in the knee and it often becomes inflamed (swelling). - There may be a feeling of weakness in the leg and a feeling of bending or displacement of the knee. - This is because the displaced and torn tissue from the torn meniscus and swelling in the knee can affect the thigh muscles that support the function of the knee. Pain is usually felt in the knee above the meniscus when bearing weight on the affected knee or when twisting or turning the knee, such as when getting in and out of a car. Going up or down stairs may be especially painful and may also increase swelling in the knee. How is a meniscus tear diagnosed? Your doctor will ask about your symptoms and the circumstances of your injury and perform a physical exam. Radiological imaging studies are prescribed to confirm the diagnosis. X-rays can help rule out fractures or other bone damage as the cause of pain. Magnetic resonance imaging studies can also detect meniscal tears. (MRI) with high resolution helps reveal the type and location of the tear. What is an injury to the meniscus of the knee? One of the most common diseases is meniscus damage of the knee joint. Meniscus damage of the knee joint occurs more often in athletes or people who usually do physical work during the day. Knee injuries are divided into several groups, which include: - Hereditary pathology - Chronic damage (senile arthritis) Untreated trauma All of the above lead to an increased risk of meniscus injury. Sometimes, osteoarthritis can be chronic in a person throughout the year. When a person gets old, this pain shows itself more. Sometimes, any wrong movement damages the inner or outer meniscus. Therefore, senile osteoarthritis is the greatest threat to healthy knee joints and structures. Arthritis leads to joint destruction, which not only affects the condition of the knee, but also affects the health of the foot. The knee is known as the largest joint. Does a meniscus tear heal on its own? The meniscus has a limited blood supply and therefore has a limited ability to heal itself. Only the outer third of the meniscus contains the blood vessels needed for healing. This area is known as the "red area". The inner two-thirds of the meniscus is avascular (meaning no blood) and is also known as the “white zone”. Most meniscal tears that affect the white area do not heal on their own. Can you still walk with a torn meniscus? Simple walking and other activities that do not require turning, rapid change of direction, etc. are usually well tolerated after a meniscus tear. Impact tears can progress over time, but the rate of progression is generally gradual and highly variable. If the tear worsens, there will generally be symptoms associated with increased pain. What happens if you leave a torn meniscus untreated? Untreated tears can progress and worsen over time. Progressive loss of the meniscus can increase the risk of developing degenerative arthritis of the knee. It is important to diagnose this condition in a short period of time and treat it in time. Treatment of knee joint meniscus damage Nonsurgical treatments, such as anti-inflammatory medications and rehabilitation with physical therapy, may help some people with a meniscus tear. Other patients will need surgery, usually by shortening or repairing the meniscus. Treatments may also depend on whether the tear is traumatic or degenerative. Now, if the damage to the meniscus of the knee joint is severe, physiotherapy, traditional medicine and other therapeutic drugs will be useless and surgery must be performed. Meniscus damage to the knee joint significantly complicates movement. Until recently, it was believed that the presence of the lateral (internal) meniscus is not due to any of the functions. Doctors believed that it was just muscle remnants. However, according to the results of numerous studies, doctors have identified a number of functions. It seems that the menisci can distribute the load on the joint and protect it against arthrosis, arthritis. They reduce the thrust that falls on the knee and stabilize it. What type of medicine treats a meniscus tear? If you suspect a meniscus tear, it is important to see an experienced orthopedic doctor such as Dr. Majid Ghorbanzadeh for treatment. Methods of treatment for emptying the knee As discussed above about the causes of this disease, it should be stated that in order to treat knee pain, all causes that cause knee pain must be treated. In the early stages, the following factors can help the treatment process, which are: - Ice bag or ice therapy - Resting the treatment period according to the discretion of the doctor - Splint - Using a knee brace - Physiotherapy - Change of lifestyle - Surgery - Ozone therapy - Laser therapy Performing sports activities and body movements that fall under the category of various physiotherapy treatment techniques can help to a great extent in the treatment of emptying the knee. An unhealthy lifestyle may cause knee damage and weak knee muscles. Try to live a healthy lifestyle so as not to be exposed to risks. Due to the fact that the body's joints deteriorate with age, it is better to use supplements such as vitamin C and D. Usually, the use of glucosamine is effective for healing knee joint pain and improving its condition. Finally, for those who have done all the steps and have no results and have an acute condition, the doctor recommends surgery. If the person is suffering from knee arthritis and it is of acute type, the person may perform knee joint replacement. Among other surgical methods, arthroscopy can be mentioned, which repairs knee ligament injuries. In this type of surgery, the doctor makes a small hole on the knee with an arthroscopic camera and surgical tools. The surgical instrument enters the knee through this hole and the knee problem will be solved. Finally, the treatment is based on the doctor's opinion and based on the type and cause of the disease. Therefore, in the context of the following causes, the best and fastest method should be done under the supervision of a doctor. The causes mentioned in the above sections for the occurrence of the disease are: - Cruciate ligament treatment - Treatment of meniscus tears - Arthritis treatment - Treatment of muscle weakness around the knee joint There are different reasons why people may experience knee pain at different times. According to the severity of the complication, specialists and doctors take treatment methods for people. Usually, emptying the knee is due to damage to the muscles and robots, which if doctors and specialists can improve them with medication and special exercises, it will definitely be a more appropriate method. In more severe cases, specialists may have to perform surgical operations in order to fix the problem and restore people's health. In general, it is better to do proper and basic exercises regularly in adolescence and youth, in addition to a proper diet, so that you can strengthen your muscles and other organs. If your muscles are in a good condition, you will definitely not put pressure on your ligaments and joints at an older age and eventually you will not have problems such as emptying your knees. Each of these causes has different treatment methods. Useful exercises to improve knee clearance There are many exercises to strengthen the leg muscles that help prevent knee pain, some of these exercises include: ### Scott This movement is one of the best exercises to strengthen the quadriceps and hamstrings. ### lounge The lunge is performed in two ways, forward and backward, and both types are effective in strengthening the quadriceps, hamstrings, and calves. ### climbing the stairs Climbing stairs, especially at a slow, controlled pace, can help strengthen the quadriceps. ### Hip Bridge Exercises This exercise helps strengthen the hamstrings and glutes, which indirectly helps stabilize the knee. ### calf exercises Strengthening the calf muscles helps maintain balance and prevent ankle sprains, thereby preventing this condition. Note that before starting any type of sports, if you have a history of knee injuries, you should definitely consult a specialist and orthopedic doctor.