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Feeling the Pain? Fibromyalgia, a chronic condition, often leaves individuals feeling misunderstood and exhausted. Signs of Fibromyalgia Widespread musculoskeletal pain Extreme fatigue Sleep disturbances Cognitive difficulties Muscle and joint stiffness Tenderness to touch Numbness or tingling Don’t let Fibromyalgia control your life. Consult with our experts for effective treatment and management strategies. ‍ PRESERVE THE JOINTS-ARTHRITIS & SPORTS INJURY CENTER :- 101 Core -The Latitude, Near Bakers Point and NIBM post office, In front of Amba Vatika, NIBM-Kondhwa, Pune, Maharashtra 411040 :- 7387393683 | 020-40064267 https://dryogeshsisodia.com/ Facebook: https://www.facebook.com/118905061301011 YouTube channel: http://www.youtube.com/@ArthritisandSportsInjuryCenter https://maps.app.goo.gl/nfs2Y2tgVtz1RULAA

Understanding Fibromyalgia: A Comprehensive Guide Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview Understanding Fibromyalgia: A Comprehensive Guide Fibromyalgia is a complex, often misunderstood condition that affects millions of people worldwide, yet remains largely underdiagnosed. Characterized by widespread pain, fatigue, and other cognitive and physical symptoms, fibromyalgia can significantly impact a person’s quality of life. In this blog post, we’ll dive deep into what fibromyalgia is, its symptoms, potential causes, diagnosis, and treatment options. What is Fibromyalgia? Fibromyalgia is a chronic disorder that causes widespread musculoskeletal pain, along with fatigue, sleep disturbances, memory issues (sometimes referred to as “fibro fog”), and mood changes. The pain is often described as a constant dull ache that lasts for at least three months and can occur anywhere in the body, though it is typically felt in the muscles, ligaments, and tendons. Although the exact cause of fibromyalgia is still unknown, researchers believe it results from an abnormal response to pain signals in the brain and nervous system. Essentially, people with fibromyalgia may have an increased sensitivity to pain signals, or a heightened pain threshold, causing them to perceive normal sensations as painful. Request an appointment Common Symptoms of Fibromyalgia Fibromyalgia is a multifaceted condition, and its symptoms can vary significantly from person to person. However, some of the most common symptoms include:  Widespread Pain: The hallmark of fibromyalgia is pain that affects multiple areas of the body, especially the muscles, ligaments, and tendons. This pain may feel like a constant ache or a sharp, shooting pain.  Fatigue: Extreme tiredness is another common symptom, often worse after physical activity or insufficient sleep. Fatigue can be so intense that it interferes with daily tasks.  Sleep Disturbances: Many people with fibromyalgia struggle to get restful sleep, often waking up feeling unrefreshed. This is due to disrupted sleep patterns or poor-quality sleep.  Fibro Fog: Cognitive difficulties, sometimes referred to as “fibro fog,” include memory problems, difficulty concentrating, and a general sense of mental cloudiness. This can make it challenging to focus on tasks, remember things, or follow conversations.  Headaches and Migraines: Chronic tension headaches and migraines are common among people with fibromyalgia. They can significantly exacerbate the pain and fatigue experienced by individuals with the condition.  Mood Disorders: Depression and anxiety are common among fibromyalgia patients. The ongoing pain and fatigue, combined with the difficulty in obtaining a proper diagnosis, can contribute to feelings of frustration, helplessness, and sadness.  Sensitivity to Touch: People with fibromyalgia often have an increased sensitivity to touch, cold, or heat. Even gentle pressure on certain areas of the body, known as “tender points,” can cause pain. Causes and Risk Factors While the exact cause of fibromyalgia is unknown, there are several theories and potential risk factors: Genetics: Fibromyalgia tends to run in families, suggesting that genetics might play a role in its development. Specific gene variations related to pain regulation and the nervous system may increase susceptibility.  Infections or Trauma: Some people report that fibromyalgia symptoms began after an infection (such as a viral illness) or physical trauma (like a car accident). It’s thought that these events may trigger an abnormal response in the brain’s pain processing. Stress: Emotional or physical stress may contribute to the development of fibromyalgia. Chronic stress is known to affect pain perception and can exacerbate symptoms.  Gender: Fibromyalgia is more common in women than men, although men and children can also develop the condition.  Sleep Disturbances: Poor or insufficient sleep can worsen fibromyalgia symptoms and may contribute to the development of the condition, as restorative sleep plays a key role in managing pain and fatigue. Diagnosis of Fibromyalgia Diagnosing fibromyalgia can be challenging due to the absence of specific lab tests or imaging techniques. There’s no single test to diagnose fibromyalgia, so healthcare providers rely on a combination of medical history, symptom evaluation, and exclusion of other potential conditions. The American College of Rheumatology (ACR) has established guidelines for diagnosing fibromyalgia, which involve:  Widespread pain lasting for at least three months. Pain in at least 11 of 18 specific tender points across the body. In recent years, however, the reliance on tender points has decreased in favor of a broader assessment of symptoms and symptom severity, as well as the use of patient-reported outcomes. Treatment Options for Fibromyalgia Although there is no cure for fibromyalgia, there are various treatment options that can help managethe symptoms and improve quality of life. Treatment plans are typically individualized, as eachperson’s experience with fibromyalgia is unique. Medications: o Pain relievers: Over-the-counter pain relievers, such as acetaminophen, ibuprofen, or prescription-strength pain medications, can help manage mild pain. However, opioids are generally avoided due to the potential for addiction and worsening of symptoms. o Antidepressants: Certain antidepressants, such as duloxetine (Cymbalta) and milnacipran (Savella), can help alleviate pain and improve sleep. o Anti-seizure drugs: Medications like pregabalin (Lyrica) and gabapentin (Neurontin) are often prescribed to manage nerve pain associated with fibromyalgia.  Physical Therapy: A physical therapist can teach exercises and stretches to help reduce pain and improve mobility. Regular physical activity, such as walking or swimming, is also beneficial in managing symptoms. Cognitive Behavioral Therapy (CBT): CBT is a form of talk therapy that helps individuals develop coping strategies to deal with pain, fatigue, and emotional stress. It can also help address issues like depression and anxiety. Sleep Management: Improving sleep hygiene can help alleviate some of the fatigue and cognitive issues associated with fibromyalgia. Practicing good sleep habits and possibly using medications to manage sleep disruptions may also be helpful. Lifestyle Changes: Diet, stress management, and regular exercise can have a significant impact on fibromyalgia symptoms. Many people find that a balanced diet, mindfulness practices, yoga, or tai chi can help improve their overall well-being.  Complementary and Alternative Therapies: Some individuals with fibromyalgia find relief through acupuncture, massage therapy, chiropractic care, or herbal supplements. However, it’s important to discuss these treatments with a healthcare provider, as their effectiveness can vary, and some may have side effects or interactions

Anterior Cruciate Ligament Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview Anterior Cruciate Ligament Although common in adults, anterior cruciate ligament (ACL) injuries can also occur in children and adolescents, particularly those involved in sports like soccer, basketball, or gymnastics. Paediatric ACL injuries pose unique challenges because children’s bones are still growing. Here’s an overview of key considerations: Growth Plates Open growth plates (physes) around the knee joint are a major concern when treating ACL injuries in children. Growth plates are areas of developing tissue at the ends of long bones and are vulnerable to surgery damage. Injury or improper treatment could lead to growth disturbances, leg length discrepancies, or angular deformities. Request an appointment Diagnosis Symptoms: Pain, swelling, instability (the knee “giving way”), and difficulty bearing weight on the affected leg.Knee Instability or Giving Way – If the knee feels unstable or gives out during activities like walking, running, or jumping, this can be a sign of an ACL injury. A child may feel as though the knee cannot support their weight.Significant Swelling – Rapid swelling within a few hours of the injury suggests internal bleeding in the joint, which can be a sign of a ligament tear. This is especially concerning if the swelling is accompanied by severe pain.Inability to Bear Weight – If the child is unable to put weight on the affected leg or experiences intense pain when trying to walk or stand, this is a red flag that needs immediate medical attention.Popping Sound at the Time of Injury – Hearing or feeling a “pop” at the moment of injury is a common sign of an ACL tear. If the child describes this sensation, it is important to consult a healthcare provider.Limited Range of Motion – Difficulty bending or straightening the knee fully due to pain, swelling, or mechanical blockage (such as a torn meniscus along with an ACL injury) is a reason to seek a medical evaluation.Prolonged Pain – If knee pain persists for more than a few days after a fall or sports injury, even if it’s not severe, it is important to see a doctor to rule out serious ligament damage.Visible Deformity or Bruising – If there’s visible deformity around the knee joint or significant bruising, this could indicate a severe injury, potentially involving not just the ACL but other structures in the knee.Recurrent Episodes of Instability – If the child repeatedly experiences knee instability, with or without a major traumatic event, they should be evaluated for underlying ligament damage, including a possible ACL tear. Physical examination: Common tests include the Lachman test, anterior drawer test, and pivot-shift test to assess knee stability. Imaging: MRI is typically used to confirm an ACL tear, as it provides detailed images of soft tissues and can detect associated injuries (meniscus tears, cartilage damage). Non-Surgical vs. Surgical Treatment Non-Surgical: In younger children with partial tears or those with lower activity levels, conservative management like physical therapy and bracing may be considered. However, it may not fully restore stability, especially in active children. Surgical: In cases of a complete tear or high activity levels, surgery is often recommended to restore stability and prevent further damage to the knee. Pediatric ACL surgery is typically modified to avoid damaging growth plates, using techniques such as physical-sparing reconstruction. Recovery and Rehabilitation Recovery from an ACL injury or surgery involves a lengthy rehabilitation process that focuses on: Reducing swelling and pain.  Restoring range of motion and strength. Rebuilding neuromuscular control to prevent re-injury. Gradual return to sports, often taking 6-12 months depending on the severity of the injury and the treatment approach. Risk of Re-Injury Unfortunately, young athletes are at a higher risk of re-tearing the ACL, particularly if they return to sports too early. Ongoing conditioning, strengthening, and sport-specific training are crucial to prevent further injuries. When to see a doctor? With proper treatment, most children and adolescents can return to their pre-injury level of activity. However, there is an increased risk of developing osteoarthritis later in life, even after successful treatment. Early evaluation can prevent further damage to the knee and help develop an appropriate treatment plan, which may include imaging like an MRI to confirm the diagnosis. Best orthopaedic surgeons in Pune  plays an important role in diagnosis and planning the treatment. Request an appointment https://www.youtube.com/watch?v=ln6tn6FsLDghttps%3A%2F%2Fdryogeshsisodia.com%2Fwp-content%2Fuploads%2F2024%2F11%2FCyan-Fitness-Business-Facebook-Cover-Video.mp4https%3A%2F%2Fdryogeshsisodia.com%2Fwp-content%2Fuploads%2F2024%2F11%2FWhatsApp-Video-2024-07-26-at-00.10.36.mp4

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Hip AVN Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview Hip AVN Avascular necrosis (AVN) of the hip, also known as osteonecrosis, is a condition that occurs when the blood supply to the femoral head (the ball of the hip joint) is disrupted, leading to the death of bone tissue. This can result in pain, loss of joint function, and eventual collapse of the bone. Understanding the causes, symptoms, and treatment options for hip AVN is crucial for managing this potentially debilitating condition. Causes: The exact cause of AVN is often unknown, but several risk factors and conditions are associated with its development:  Trauma: A fracture or dislocation of the hip can damage blood vessels and interrupt blood supply to the femoral head.  Steroid Use: Long-term use of corticosteroids is one of the most common non-traumatic causes of AVN. The mechanism is not entirely clear, but steroids are thought to affect lipid metabolism, leading to fat embolism and reduced blood flow. Alcohol Consumption: Excessive alcohol intake can lead to fat deposits in blood vessels, reducing blood supply to the bone. Medical Conditions: Diseases such as sickle cell anemia, lupus, and Gaucher’s disease can increase the risk of AVN due to vascular blockages or inflammation. Radiation Therapy: Exposure to radiation can damage blood vessels and impair blood flow to the bone. Decompression Sickness: Also known as “the bends,” this condition affects divers who ascend too quickly, causing nitrogen bubbles to form and block blood vessels. Request an appointment Symptoms: The symptoms of hip AVN can vary depending on the stage of the disease: Early Stages: Patients may be asymptomatic or experience mild pain in the hip, groin, or buttocks, particularly with weight-bearing activities. Progression: As the condition progresses, pain becomes more constant and severe, even at rest. There may be a loss of range of motion and a limp. Advanced Stages: The femoral head may collapse, leading to severe pain, significant loss of hip function, and arthritis. Diagnosis: Diagnosis of hip AVN involves a combination of clinical evaluation and imaging studies:  Clinical Examination: A thorough history and physical examination can reveal pain patterns and functional limitations.  X-rays: Early X-rays may appear normal, but as the disease progresses, they can show changes in bone structure, such as sclerosis, subchondral fracture (crescent sign), and eventual collapse of the femoral head. MRI: Magnetic resonance imaging is the most sensitive diagnostic tool for detecting early-stage AVN. It can show changes in bone marrow and blood supply before structural damage becomes apparent on X-rays. CT Scan: Provides detailed images of bone architecture and can be useful in surgical planning. Prevention Strategies While not all cases of AVN can be prevented, certain strategies can reduce the risk:  Limit Steroid Use: Use corticosteroids at the lowest effective dose and duration necessary. Moderate Alcohol Consumption: Avoid excessive alcohol intake to reduce the risk of fat embolism. Manage Underlying Conditions: Control chronic diseases like lupus or sickle cell anemia to minimize complications. Protect Against Trauma:## Understanding Avascular Necrosis of the Hip: Causes, Symptoms, and Treatment Avascular necrosis (AVN) of the hip, also known as osteonecrosis, is a painful condition that occurs when the blood supply to the femoral head (the ball part of the hip joint) is disrupted. This interruption in blood flow leads to the death of bone tissue, which can eventually cause the bone to collapse and the joint to become arthritic. Understanding the causes, symptoms, and treatment options for hip AVN is essential for managing this potentially debilitating condition. Treatment Options for Hip AVN Treatment aims to relieve pain, preserve joint function, and prevent further bone damage. The choice of treatment depends on the stage of the disease and the patient’s overall health: 1. Non-Surgical Treatments:   Medications: Pain relievers and anti-inflammatory drugs can help manage symptoms. Physical Therapy: Exercises to maintain range of motion and strengthen surrounding muscles. Lifestyle Modifications: Reducing weight-bearing activities and using assistive devices like crutches can help protect the joint. 2. Surgical Treatments:  Core Decompression: Involves removing a portion of the inner bone to reduce pressure, increase blood flow, and encourage healing. Bone Grafting: Used alongside core decompression, bone grafts can provide structural support and promote bone regeneration. Osteotomy: A procedure to reshape the bone and redistribute weight within the joint. Joint Replacement: Total hip arthroplasty may be necessary in advanced stages where the femoral head has collapsed. When to see a doctor Avascular necrosis of the hip is a serious condition that can lead to joint destruction if not properly managed. Early recognition and intervention are key to preserving hip function and preventing long-term disability. If you experience persistent hip pain, particularly with risk factors for AVN, consult a healthcare professional for a thorough evaluation and appropriate management. Request an appointment

The ILESIUM SPORTS CLUB, UNDRI, invites you to a seminar on the role of functional workouts in preventing sports injuries and the utility of gaining strength for an active lifestyle.We are having DR. YOGESH SISODIA, an Orthopedic Surgeon, who is conducting a Seminar on *FUNCTIONAL FITNESS TRAINING FOR ACTIVE LIFESTYLE AND PREVENTION OF SPORTS RELATED INJURIES.So come join us to continue your fitness journey under our supervision.*WHEN: 15TH OCTOBER 2024 from 4:30pm ONWARDS WHERE: ILESEUM CLUBS STUDIO Xhttps://maps.app.goo.gl/eWnrdgmzqCEwpuGEAFill in the below link to register yourself and also share it with your family and colleagues. Registration is free but compulsory.https://flow.page/seminarelesiumundri#strengthtraining #functionalfitness #workout #dryogeshsisodia

Precautions and Exercises After ACL Reconstruction Request an Appointment Overview Overview Precautions and Exercises After ACL Reconstruction Anterior cruciate ligament (ACL) reconstruction is a common surgery, especially for athletes and active individuals who experience ACL tears. Recovery is critical to regaining knee function, stability, and strength. Following your surgery, it’s essential to adhere to a specific rehabilitation program to ensure proper healing and return to your regular activities safely. This blog will outline some important precautions and exercises to follow post-surgery. Request an appointment Precautions After ACL Reconstruction Follow Your Doctor’s Advice After surgery, your surgeon will provide specific guidelines based on the severity of your injury, type of graft used, and individual healing process. It’s crucial to follow these instructions carefully. Avoid Putting Excess Weight on Your Knee In the initial weeks after surgery, you will likely use crutches to keep weight off the affected leg. Ensure that you don’t rush into full weight-bearing too early as this can compromise the graft. Be Careful with Range of Motion While it’s important to restore movement, forcing your knee into positions beyond what is recommended can cause complications. Your physical therapist will guide you on appropriate range-of-motion exercises that promote healing without risking further injury.  Don’t Rush Into Sports One of the biggest mistakes people make is returning to sports or high-impact activities before their knee is ready. It can take 6-12 months for the ACL graft to fully integrate into your knee, and engaging in sports too early can result in a re-tear. Watch Out for Swelling Swelling is a normal part of the recovery process, but excessive swelling may indicate that you’re doing too much too soon. Keep your knee elevated and use ice packs regularly to reduce swelling, especially after exercises. Use a Knee Brace if Prescribed If your doctor or physical therapist recommends a knee brace, wear it as instructed. Braces can help protect the knee during the early stages of healing and during exercises.  Avoid Pivoting or Twisting Movements Pivoting or twisting your knee can stress the ACL graft. Until you’ve regained strength and stability through rehabilitation, avoid these motions to prevent reinjury. Request an appointment

Hopscotch Exercise Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview Hopscotch Exercise Hopscotch can be a fun and effective balance training exercise, especially for children and adolescents, but also beneficial for adults. It involves jumping and landing on one foot or two, which helps improve coordination, balance, and leg strength. Here’s how you can incorporate hopscotch into balance training Setting Up: Hopscotch Grid: Draw a hopscotch grid on the ground using chalk or use a pre-made mat. The grid typically consists of single and double squares numbered sequentially. Marker: Use a small object like a stone or beanbag as a marker. Request an appointment Basic Hopscotch Exercise: 1. Starting Position: Stand at the start of the grid with the marker in hand.2. Throw the Marker : Toss the marker onto square one.3. Hopping Sequence:– Single Leg Hop: Hop on one foot into the first single square, avoiding the square with the marker.– Double Leg Hop: Hop with both feet in double squares.– Continue: Follow the sequence of single and double squares, maintaining balance.4. Pick Up the Marker: On the way back, stop on the square before the marker, lean down (while balancing on one foot), and pick up the marker.5. Return to Start: Hop back to the start, maintaining proper balance. Advanced Variations: 1. Single Leg Hop: Perform the entire sequence hopping on one leg to increase difficulty.2. Backward Hopscotch: Hop through the grid backward, which challenges balance and coordination further.3. Timed Hopscotch: Use a timer to add a speed element, focusing on maintaining balance while performing the exercise quickly.4. Obstacle Hopscotch: Add small obstacles or varied surfaces within the grid to enhance proprioception and balance.5. Dynamic Hopscotch: Incorporate dynamic movements such as lateral hops, diagonal hops, or incorporating arm movements to increase complexity. Benefits: 1.Improves Balance: Hopping on one foot requires maintaining balance, which strengthens stabilizing muscles.2.Enhances Coordination: The sequence of movements helps improve overall coordination.3.Strengthens Lower Limbs: Regular hopping strengthens muscles in the legs and feet.4.Increases Agility: Quick and precise movements enhance agility and proprioception.5.Fun and Engaging: Hopscotch is a playful exercise that can keep participants motivated and engaged. Safety Tips: 1.Warm-Up: Always start with a warm-up to prepare the muscles and joints.2.Proper Footwear: Wear supportive shoes to prevent injury.3.Soft Surface: Perform hopscotch on a soft or cushioned surface to reduce impact on joints.4.Monitor Fatigue: Avoid overdoing it, especially for those new to the exercise or with pre-existing conditions. Incorporating hopscotch into a balance training routine can be an enjoyable and effective way to improve balance, coordination, and lower limb strength. Request an appointment

IT Band Syndrome Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview IT Band Syndrome Iliotibial Band Syndrome (ITBS) is an overuse injury commonly affecting athletes, particularly runners and cyclists. It involves inflammation and irritation of the iliotibial band (ITB), a thick band of tissue that runs from the hip to the shin along the outer thigh. This condition is caused by repetitive friction of the ITB against the lateral femoral epicondyle, a bony prominence on the outer knee. Causes: Faulty biomechanics Unbalanced, repetitive exercise Excessive training Muscle tightness or lack of flexibility Request an appointment Symptoms: Pain on the outer side of the knee, which can radiate up the thigh or down the leg. Tenderness and possible swelling over the lateral femoral epicondyle. Pain that worsens with activities like running, especially downhill, or cycling. Diagnosis: Clinical examination focusing on pain location and movement-related symptoms.  Patient history, particularly physical activity and training routines.  Imaging studies (such as MRI) may be used to rule out other conditions if necessary. Treatment: Rest: Avoid activities that exacerbate the pain. Ice: Apply ice to reduce inflammation. Medication: Use NSAIDs (e.g., ibuprofen) for pain relief and inflammation reduction. Physical Therapy:– Stretching exercises for the ITB, hip abductors, and core muscles.– Strengthening exercises for the hip and thigh muscles.  Foam Rolling: To alleviate tightness in the ITB. Biomechanical Adjustments: Proper footwear and orthotics to correct gait abnormalities if necessary. Prevention: Gradual increase in activity levels to prevent overuse. Incorporation of cross-training to minimize repetitive stress on the ITB. Regular stretching and strengthening exercises for the hip and thigh muscles. Ensuring proper technique in running and cycling. If conservative treatments do not alleviate symptoms, further interventions like corticosteroid injections or, in rare cases, surgical release of the ITB may be considered. Consult with a healthcare professional for a personalized treatment plan. Request an appointment

Meniscus Tear Request an Appointment Overview Symptoms & Causes Doctors & Departments Overview Meniscus Tear A meniscus tear is a common knee injury involving the menisci, which are two C-shaped pieces of cartilage that act as shock absorbers between the femur (thigh bone) and tibia (shin bone). Here are the key aspects of a meniscus tear Causes: Trauma: Often occurs during activities that involve twisting, pivoting, or sudden stops, common in sports like football, basketball, and soccer. Degeneration: In older adults, the meniscus can weaken and become more susceptible to tears from minor movements. Request an appointment Symptoms: Pain: Usually localized to the knee joint line and can vary in intensity. Swelling: May develop within the first 24 hours after injury. Stiffness: Limited range of motion in the knee. Locking or Catching: The knee may lock or catch during movement. Instability: Feeling of the knee giving way. Difficulty Squatting: Pain or inability to fully bend the knee. Diagnosis: Clinical Examination: Includes history taking and specific physical tests like the McMurray test and Apley’s grind test. Imaging: MRI is the gold standard for visualizing meniscal tears. X-rays may be used to rule out other conditions like fractures. Treatment: 1.Conservative Management: Rest: Avoid activities that exacerbate symptoms. Ice: Apply ice packs to reduce swelling and pain.  Compression: Use an elastic bandage or knee brace. Elevation: Elevate the leg to reduce swelling. Medications: NSAIDs to alleviate pain and inflammation. Physical Therapy: Exercises to strengthen surrounding muscles and improve range of motion. 2.Surgical Options Arthroscopy: Minimally invasive surgery to repair or remove the torn portion of the meniscus. Meniscectomy: Removal of the damaged meniscal tissue if repair is not feasible. Meniscal Repair: Stitching the torn edges together, usually recommended for younger patients or those with tears in the outer third of the meniscus where blood supply is better. Rehabilitation: Post-surgical rehabilitation is crucial and includes physical therapy to restore strength, flexibility, and function. Recovery times vary depending on the extent of the tear and the type of treatment. Prognosis: With appropriate treatment, many individuals can return to their regular activities. However, untreated or improperly managed meniscal tears can lead to complications such as persistent pain, knee instability, and an increased risk of developing osteoarthritis. When to see a doctor If you experience persistent knee pain, swelling, or instability, or if you have difficulty moving the knee or performing daily activities, it is important to seek medical evaluation. Early diagnosis and treatment can improve outcomes and prevent complications. Request an appointment