why does my knee gave way when i walk

By Consultant Orthopaedic Surgeon FRCS (Tr Orth) A 25 year old Ski Instructor attended my Knee Clinic and explained how on numerous occasions she had fallen in the snow whilst skiing. P The bindings on her skis had not come off and as a result she felt immediate pain in her knee. P She started to then experience her knee giving way from time to time especially on a twisting movement. P
Diagnosis The Ski Instructor had sustained a cruciate ligament rupture. P The is a key primary stabiliser of the knee joint. P It prevents the knee giving way when the leg rotates outwards during pivoting and sporting movements. P Injuries to the anterior cruciate ligament can occur during various sporting activities and in particular in sports such as skiing, football and rugby. P This injury is sometimes associated with tears within the cartilage of the knee, and other ligament injuries such as the medial collateral ligament. P Patients who have injured their anterior cruciate ligament tend to have a knee that gives way from time to time especially on sporting activity that involves turning and twisting. P In time they can damage their knee irretrievably. Over the last 20 years there have been tremendous advances in the treatment of various conditions of the knee via keyhole surgery.


P An. P A 45 year old Carpenter came to see me after hurting his knee whilst working on a building site. P It was initially painful but the pain appeared to have improved. P It did however catch him from time to time and caused niggling pain which caused him discomfort and instability. Diagnosis The Carpenter had sustained a meniscal cartilage tear in his knee. The medial and lateral menisci are shock absorber cartilages inside the knee. P It is a fairly elastic structure in the younger patient, but as the years go on becomes more fibrous. PP Therefore, they are often torn in sporting injuries and accidents in the younger patient, but can occur after minor twisting injuries as the patient approaches middle age. P If diagnosed early, some meniscal tears can be repaired so that shock absorption inside the knee is maintained. P Often they are diagnosed late and therefore the torn meniscus has to be removed via. P This is a highly successful procedure. A 75 year old lady had developed a knock knee deformity in her right leg and found that she could no longer trust her knee as it would occasionally give way, especially when she climbed down the stairs.


P Diagnosis This lady has one type of osteoarthritis of the knee, which is the gradual wearing of surface cartilage which happens over the years. P This can affect one part of the knee or large areas. P Depending on the area that is worn, different patterns of pain and instability can be experienced by the patient. P Generally early osteoarthritis can be managed with various conservative measures and it is very important to maintain a full range of motion in the joint with. Conservative measures include regular exercises and physiotherapy, injections of cartilage protein, steroid injections and weight loss. When permanent pain and instability is a feature, partial or full joint replacement surgery may be indicated. P are now extremely successful procedures with very high patient satisfaction rates. P Knee replacements have advanced tremendously in the last 20 years and most patients now have rapid recovery programs enabling them to return home 2 or 3 days after surgery. P Implants that are well fixed can last 15 20 years and return people to excellent function and give them pain relief and confidence in their knee.


PFRCS (Tr Orth) is a Consultant Orthopaedic Surgeon specialising in all aspects of knee surgery at The Horder Centre, in Crowborough and The McIndoe Centre, in East Grinstead. Lately, youвve noticed that your knee gives out when climbing up and down stairs, walking on uneven surfaces, or shifting your body weight from one leg to the other. These everyday movements may have become difficult or painful and are accompanied by the feeling of your knee locking or instability when moving. You may have swelling in your knee and heard or felt a grinding, popping, or clicking sensation. Now youвre left wondering, why is my knee giving out? Why does my knee hurt? The knee joint is pretty complex and is made up of bones, ligaments, and cartilage, all of which can be weakened by injuries or the everyday wear and tear that comes with age. Although there are several causes for knee instability and pain, joint injury and osteoarthritis of the knee are two of the most common reasons for a knee to lock up and give out. Your knees have four main ligaments that stabilize the patella, or knee cap and join the thigh and shin bones together.


These ligaments are called: If your knee is giving out, one of the most common causes could be that youвve injured one of your kneeвs ligaments. When these ligaments are stretched or torn, the knee becomes unstable, causing it to give way unexpectedly and become painful while doing everyday activities. You donвt have to be a pro athlete to experience a knee injury! Ligaments can be injured during activities that involve: Another common cause for your knee giving way could be the onset of, which is the breakdown and gradual loss of surrounding cartilage. This condition can be accompanied by pain, stiffness, swelling, and a grinding or grating sound when bending the knee. Did you know? Osteoarthritis of the knee and doesnвt just affect the elderly, as its onset is. Although there isnвt one exact reason why osteoarthritis of the knee develops, some causes include: Most treatments for a knee injury and osteoarthritis of the knee work best when started early. If your knee is giving out, you should seek an assessment from a. After the assessment, your physiotherapist may recommend Has your knee unexpectedly given out? Donвt wait! Get well and stay well by booking a today!

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