Knee Injuries in the Older Athlete

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Knee Injuries in the Older Athlete Ross Hauser, M.D. Knee injury and pain is also quite common in the older athlete. Pain can be due to osteoarthritis of the knee joint, arthritis behind the patella (kneecap), sprain of the ligaments on the inner and outer part of the knee (medial and lateral collateral ligaments), and weakness of ligaments inside the knee (anterior and posterior cruciate ligaments). Generally all that is needed is a good history and physical examination to determine exactly which component of the knee is injured. There are specific tests on the knee in order to determine the strength of the ligaments. These tests are relatively painless and involve pulling the lower leg forward or backward (anterior or posterior drawer test), pressure on the inner or outer lower leg to determine weakness of the side ligaments (valgus and varus stress test), and listening for crepitus in the joints. Once the diagnosis has been made, generally, Prolotherapy is indicated because almost all knee pain is soft tissue in origin. Prolotherapy can be quite useful in strengthening the medial and lateral collateral ligaments of the knee. It will eliminate pain on the inner and outer aspect of the knee. Tightening the ligaments surrounding the knee, along with injection of a proliferant solution into the joint of the knee, can frequently help osteo-arthritis pain. Injection of proliferant into the knee helps to tighten the joint capsule. In addition, rehabilitation may also be recommended and usually includes exercises to strengthen the muscle surrounding the knee, flexibility training of the muscles of the leg and back, and physiotherapies to help tender points in the muscles (trigger points). As a side note, one of the best exercises that improves coordination, flexibility, and proprioception, as well as muscle strength, is jump roping.

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Ross Hauser, M.D. Dr. Hauser received his M.D. from the University of Illinois, Chicago; completed his residency at Loyola-Hines VA-Marianjoy Hospitals in Physical Medicine and Rehabilitation; and received his Bachelor of Science degree from the University of Illinois, Urbana-Champaign. Dr. Hauser is the Medical Director and co-founder of the physician-run, comprehensive natural medicine clinic, Caring Medical & Rehabilitation Services in Oak Park, Illinois. Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy. He, along with his wife Marion, have written seven books on the topic of Prolotherapy, a comprehensive book on the natural medicine approach to cancer, as well as a myriad of articles and newsletters for the general public. Read more Ask A QUESTION
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There is no known cure for arthritis. Prolotherapy and nutritional supplements can help alleviate, reverse, or end arthritic pain by treating an underlying cause that contributes to degenerative disease, ligament laxity. Strengthening ligaments and other connective tissue can help prevent bone on bone arthritis from developing.

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