Knee Cracks When You Squat? It Could Be a Cartilage Warning!

Why Knee Cracks When You Squat?
Keen Pain While squatting

Yes, you read it right. If you are hearing some cracking sound whenever you make a squat- either during yoga or during daily chores, it might be a cartilage warning. And cartilage plays a vital role in ensuring seamless and pain-free joint movement. Without prompt diagnosis and appropriate treatment, it can lead to discomfort, severe pain, restricted mobility, and, in the long term, knee osteoarthritis.

This blog will unravel the cartilage mechanism, diagnosis of cartilage injury, and its various treatment types.

Decoding- Knee Joint Cartilage and its Mechanism

The tissue covering the limits of the bones on either end is known as joint cartilage. Its composition is basically Hyaline cartilage. The main function of joint cartilage is to offer a smooth surface that restricts the bone from friction damage caused by rubbing and other movements.   

Just like every other joint cartilage, knee joint cartilage lacks its own blood vessels and is sustained by synovial fluid. Its structure is maintained by the cells within the cartilage (chondrocytes).

Symptoms of Knee Cartilage Damage

There are some typical symptoms of a knee cartilage injury and some of them are given below-

  • Uneasiness and pain- in and around the knee. And it gets worse with time, especially after prolonged periods of inactivity
  • Stiffness or swelling
  • A feeling of catching or locking
  • Limited range of motion
  • Instability; where your knee might feel weak or unstable, especially when carrying weight

Generic Causes of Knee Cartilage Injuries

It is reported in several medical journals that the injuries can arise from several factors, including-

  • Traumatic Injuries- sudden incidents, like the impact of a direct blow to the joint or twisting the knee during contact sports, can cause acute cartilage damage.
  • Degenerative transformation refers to the wearing down of knee cartilage due to conditions like osteoarthritis. This leads to incremental joint damage. Redundant usage and aging also contribute to this deterioration.
  • Miscellaneous factors such as- genetic tendency to weaker cartilage, coupled with lifestyle elements such as obesity, may influence the likelihood of injury.

What Entails Proper Knee Cartilage Injury Diagnosis? 

Prompt and meticulous diagnosis of a knee cartilage injury involves a combination of clinical imaging and evaluation. A knee cartilage injury treatment in Mumbai or any other metro city in India would have the ideal set of diagnosis steps. This is because of the access to top orthopedics and physicians in terms of the healthcare centers.

In brief, the series of steps might involve-

  • Physical examination and medical history- where the caregiver reviews symptoms, prior injuries, and activity levels to converge on the potential cause. The physical examination involves examining joint movement, identifying tenderness locations, and scrutinizing any imbalance or swelling.
  • Imaging Tests- Here, the orthopedic doctor suggests going through MRI scans as they offer more in-depth insights into the knee’s tender tissues, including cartilage.
  • Arthroscopy- In the case where imaging renders inconclusive, arthroscopy might be performed. This subtle invasive procedure involves inserting a tiny camera into the knee joint, making provision for a direct visual assessment of cartilage damage and other joint structures.

Types of Treatments in Case of a Knee Cartilage Injury

Knee cartilage damage treatment Mumbai or in any other metro city, varies according to the conditions of the patients. They can be classified into two broad categories:

Non-Surgical Treatment:
This includes some treatments that can be carried out in a home environment too.

  • Rest, compression, ice, and elevation (RICE)- giving rest to your knee helps alleviate the pain. The application of ice helps reduce swelling and inflammation, while elevation and compression minimize fluid build-up, stimulating recovery and comfort.
  • Physiotherapy- Focused exercises enhance the flexibility and strength of muscles supporting the knee. This minimizes the strain on the joint and improves stability. Subtle activities like cycling and swimming are often suggested by physicians.
  • Medications- Sometimes doctors prescribe non-steroidal anti-inflammatory drugs that relieve pain and swelling. It is generally recommended for short-term use during the initial recovery phase.
  • Injections- the ones with Hyaluronic acid enhance the lubrication of the joint, promoting seamless movement. A specialized therapy by platelet-rich plasma taps into growth factors from the patient’s blood to promote tissue repair and minimize inflammation in some cases.

    Surgical Treatment:
    This type of treatment is required when the non-surgical steps no longer serve the purpose or it’s beyond the condition.
  • Autologous Chondrocyte Implantation- This surgical procedure involves garnering healthy cartilage cells from the patient’s own body, preparing them in a lab, and implanting them back into the damaged area.
  • Microfracture Technique- Tiny holes are drilled into the underlying bone to facilitate the advancement of fibrocartilage- a kind, that fills injured areas. This methodology is often used for smaller injuries but may not restore the original cartilage’s total function.
  • Osteochondral Grafting- undamaged cartilage is taken from another part of the body or from a donor to substitute the damaged one.
  • Meniscus Replacement or Repairing- In this procedure, a stitching technique is improvised that allows the tissue to heal.

Conclusion

If you are having any of the preliminary symptoms of a cartilage injury, it is time you consult an experienced orthopedic as soon as possible. This will set you up for a thorough and accurate knee cartilage restoration.

If you are somewhere within and around Mumbai, then your best bet would be to consult our renowned orthopedic at shoulderandkneeclinic.com. With uncountable success stories and commendable years of experience, our top doctor is ready to give you a healthy lifestyle with a fit knee movement, in no time.

The Impact of PCL Injuries on Everyday Activities and How Surgery Can Help

The Impact of PCL Injuries on Everyday Activities

PCL which stands for posterior cruciate ligament positions within the knee joint parallel to the anterior cruciate ligament (ACL), binding the femur (thigh bone) to the tibia (shinbone). Reports suggest that PCL tears don’t happen to people as frequently as compared to ACL injuries. But the answer to the question of- how do PCL injuries occur? is very simple. It arises due to abnormal movements such as twisting, sudden falls, dashboard injury or head-on impacts to the knee during tough sports.  We will discuss how the condition affects us and what entails a proper PCL injuries knee treatment; but first, let us go through the knee anatomy a bit. This will help you understand the medical condition in depth, and allow you to take action for yourself or suggest someone you know, who is suffering from the same.

Structural Insights

The knee joint- It’s a complex structure altogether where three significant bones i.e. the kneecap, tibia, and femur play a crucial role every day to help you make the basic movements when you walk. The patella a.k.a kneecap, acts within a trough at the end of the femur. If we look at the overall architecture, you will notice that the robust muscles in the thigh, especially the quadriceps at the front and hamstrings at the rear, provide balance and strength to the knee.

The knee is balanced by four substantial ligaments, two of which we have already discussed earlier i.e.  ACL and PCL. Now the other two are – the medial one (MCL) and the lateral collateral ligament (LCL). The PCL and ACL traverse within the knee joint, working simultaneously to keep the joint balanced and refrain from strenuous forward and backward movement. They also manage the rotational motion of the tibia, which is crucial for actions like running, skating, or driving.

Symptoms and how it can affect your daily life

In the initial days, the symptoms can be very ambiguous, leading people unaware of the injury until the situation degrades and cause pain over the course of time. Typical symptoms include-

  • Minimum to moderate knee pain.
  • Exponential swelling and soreness around the knee.
  • Feeling deep pain during regular activities like squatting, running, kneeling, or pacing up and down the stairs.
  • Uneasiness during a stroll or frequent limping.
  • A tingle of disbalance in the knee, as if it might yield soon.

Diagnosis of PCL injury

To diagnose PCL injuries knee, your healthcare provider should suggest a few steps:

  • Any standard Sports injuries specialist  should start asking about your history i.e. when you injured yourself and how it happened. If the doctor that you are about to consult is from shoulderandkneeclinic.com, then you might be asked additional questions like-
  • If your knee were straight, twisted, or bent after the accident
  • How gradual was the pain right after the incident, and
  • If you have faced the symptoms since the accident
  • The next step would be a physical examination. In this, you would be asked by your doctor to lie on your back with your knee bent. The doctor then examines your knee and presses against your upper shin. During this entire action, if abnormal movement of your knee is identified, it may suggest a PCL injury.
  • Imaging- Another basic step towards a fool proof diagnosis is imaging. Generally, X-rays might be suggested by your doctor to identify any signs of damage to your knee. Moreover, sometimes an MRI scan is also suggested to obtain a clear image of the PCL injury.

Treatment

There happen to be non-surgical treatments for PCL injuries and these are only feasible when it is-

  • Grade I or II injuries and doesn’t involve any other knee ligaments.
  • Low activity level of the individual

Some individuals need to go through some exercises as advised by their physicians. This only helps to regain the leg muscles around the knee. A rehabilitation session is also recommended whether the patient goes through surgery or not.

When neither home remedies nor non-surgical treatments yield results, your Sports injuries specialist might suggest you for a surgical procedure. This is typically the scenario when you have hurt other ligaments in your knee apart from the PCL. Our doctors would clearly communicate with you whether surgery would be the ultimate solution or not.

So, the general criteria that draw the line towards surgery are-

  • A condition where PCL injuries include loose or broken pieces of bone
  • Injuries  where more than one ligament is involved
  • Acute PCL disbalances that causes symptoms, especially in athletes

Generally PCL is not repaired except in cases of bony avulsion of the PCL where it has come poff with a piece of bone from the tibia. The reason behind refraining from utilizing the old one is that it doesn’t heal properly in the long run. Instead, the doctor will reconstruct the PCL and incorporate the old tissue in the reconstruction

The subsequent ligament may be substituted with-

Piece of tendon extracted from other parts of your body, such as the back of your Bone patella tendon or thigh

This is what is known as an arthroscopic procedure in medical terms. It also involves certain tools and camera insertion through precise cuts around your knee. But you should know that this procedure is the ultimate solution to heal your PCL injury in no time. Another advantage is that it doesn’t leave scars as grave as other kinds of surgeries.

 Post-surgery, you might need around 4-5 months for a complete rehabilitation period.

Now that you know what a PCL injury entails, you can decide on your own to proceed with diagnosis or further steps. Don’t forget to consult with an experienced Sports injuries specialist  before making any major decision. Reach out to us at shoulderandkneeclinic.com to book an appointment with our most experienced doctors- known for their expertise and numerous successful procedures throughout their profession.