Sunday, June 2, 2013

ACL Protection During Football


The greatest number of ACL injuries occur in July & August. It is obvious that this is the time that football and other contact sports begin, so the chances of injury are greater.

An ACL tear is usually a season ending injury. It accounts for 2% of all NFL injuries , with 20% involving special teams. There is no difference if the field is grass or artificial turf.

Lets look at the knee joint and try to understand why this injury occurs.

There are four major ligaments around the knee joint. These ligaments are designed to stabilize the knee and to control functional range of motion. The ligaments on each side of the knee are referred to as collateral ligaments. The medial collateral is located along the inside of the knee (medial is a reference to the midline of the body). The lateral collateral ligament is located along the outside of the knee. Most football players suffer from medial collateral ligament tears, due to side impact collisions with another player, resulting in stretching or tearing of this ligament.

Right in the middle of the knee there's two ligaments that hold the whole joint together. The anterior cruciate ligament (ACL) & the posterior cruciate ligament (PCL). The ACL is the more important of the two in reference to football injuries. If you tear the ACL completely, your knee is completely unstable and you risk further injury if not attended to.

When the ACL is torn, about 40% of the athletes will usually hear a 'popping sound' and then experiences extreme pain and swelling. One study of college students reported that a college football player has a 16% chance of ACL injury. Almost 50% of athletes who suffer an ACL injury will also have an injury to the meniscus (shock absorbing cartilage in the knee). ACL injuries usually mean players are out for the season. The treatment usually depends on the type of injury, but almost all players will have to go through some type of rehabilitation or even surgery.

A post-operative knee brace or knee immobilizer is sometimes used following injury or surgery.
These braces have adjustable hinges on the side to control range of motion during the healing stages. In many instances, a player will wear a metal or carbon fiber brace after healing, to provide additional support and protection, and prevent recurrence.

Athletes who suffer ACL injuries must seek out medical attention and receive proper treatment to avoid further injury and increased risk of arthritis in the knee joint.

Saturday, June 1, 2013

Out of the Forest of Noise - On Publishing the Literary Short Story


So you'd like to try getting your short story published. Take heart: you can do it. And, if your work is worthy- a question only you can answer- it merits the effort. Like a boat, send it out where it belongs, over the great wide sea. Let it find readers, whoever they may be, on whatever strange shores. Some of your readers may not be born yet. It helps to keep that in mind.

Beginning writers often imagine publishing their short story to be a glamorous event, Hemingwayesque in a wear-your-sunglasses-and-knock-back-the-grappa-as-agents-ring-your-phone-off kind of way. But for most writers it's an experience on par with, say, folding laundry. Unless you make one of the slicks- The New Yorker, Esquire, Atlantic Monthly, Harper's- most likely your payment will be two copies of the magazine. These will arrive in your mailbox in a plain brown envelope. Some editors jot a thankyou note, but most don't bother. Chances are, your friends and family will not have heard of the magazine. Even the best literary journals often manage only a modest circulation- 500 to 5,000- and may not be available for sale except in a very few widely scattered off-beat independents. In short, if you want money, you'd do better to flip burgers, and if you want attention, go fight bulls. Knock back that grappa, heck, wear a spangled pink tutu and splash in the Dupont Circle fountain during lunch hour. Scream obscenities in Swahili. Whatever.

So why try? Because when your story is published it is no longer one copy printed out from your printer, but 1,000 or more. Perhaps one is lying on someone's coffee table in Peterborough, New Hampshire, or on a poet's broad oak desk overlooking the beach at La Jolla, California. Maybe one sits on the shelves at the University of Chicago's Regenstein Library, or on a side table in the lobby at Yaddo. Perhaps a dentist will read your story, or a retired school teacher from Winnetka. Perhaps one day, a hundred years from now, a bizarrely tattooed highschool student will find it on a shelf in the basement of the Reno, Nevada public library, and she will sit down Indian-style on the cold linoleum floor and read it, her eyes wide with wonder. Your story, once published, lives its own life, sinking some deep, strange roots. Potentially forever.

And of course it is validating

(i. e., gives one's ego the warm & fuzzies) to have your work published. It also helps to mention it in your cover letters when you try to get other work published, or apply for grants and fellowships, or to attract the attention of an agent, and so on. Indeed, publishing one's stories in literary journals is (with a very few notable exceptions) y a prerequisite to securing a publisher for a collection.

If you can keep your focus on the story, however, and what the story merits- rather than the warm & fuzzies for your ego- the process will be easier. Expect your ego to take some punches.

First, Rejections

It may appear that we live in a nation of "Leno"watchers, throngs of Gladiator"-goers, Stallone fans, Brad Pitt groupies and the like. From a breezy foray through the local mall's bookstore, one might guess that America reads nothing but brand-name bodice-rippers, shiny red foil paperbacks with nuclear warheads on their covers, or those teensy gifty "books" with angels and cats on them displayed at the cash register alongside the chotchkes and chocolates.

Mais non! Secretly, millions of Americans are scribbling, and bravely (if often furtively) thousands and thousands are sending their work to literary magazines. Yes, thousands and thousands (and say that again, out loud, à la Carl Sagan). The Paris Review receives over 10,000 submissions a year. My own Tameme, a bilingual literary magazine with a mere two issues out, has received over 200 submissions. Most litmags publish only 2-3% of the manuscripts they receive. As for the "slicks"- GQ, Esquire, Atlantic Monthly, Harper's, The New Yorker-getting published in one of these, even for the most outstanding and recognized writers, even National Book Award winners, is like winning the lottery.

In short, you've got some competition. So when you receive the unsigned xeroxed form rejection note that says "Sorry" it could mean your story sucks and you should do yourself a favor and burn it, but it could mean that it's a fine story and they simply didn't have room for it. Or they already had a story about a dying alcoholic gradmother, the heartbreak of losing the family dairy farm, or for that matter, a flying monkey in a business suit. (You'd be amazed.) Equally, it could mean it's one of the best short stories ever written- better than Chekov's "The Lady with the Pet Dog," better than Flannery O'Connor's "A Good Man is Hard to Find," better than A. Manette Ansay's "Read This and Tell Me What It Says"- and the editor, or more likely some flunkey/ wannabe / slush pile- squeegee, is an aethetically blind/ dispeptic / Philistine / pinhead. Who was probably hung over. Or jealous. Who knows? The point is, the little unsigned xeroxed rejection note means nothing except that this particular magazine's editor at this particular time has chosen not to publish this particular story.

Sometimes editors write personal notes explaining why they didn't take your story. Indeed, anything handwritten and/ or signed by an editor can mean that a distinguished literary personage has taken an interest in your work, and you should, gratefully, with a zing in your heart and Jell-O in your knees, interpret this as both validation and an invitation to send more. It can also mean that an inexperienced graduate student/ assistant/ whomever as yet unacquainted with the toughening rigors of plowing down towering slush piles felt guilty saying no and was merely attempting in a flakey and time-consuming way to be nice.

Thus it behooves you to do your research about the litmags and editors you are sending your work to. A personally signed rejection letter from the Editor-in-Chief of The Kenyon Review, for example, would make my day. On the other hand,even lengthy letters from an assistant of a minor new litmag would no more impress me than the comments of a commuter randomly collared at the bus stop. (Who might be a very perceptive fellow, but who knows? He could be coke-addled lunkhead.) Keep in mind that anyone- yes anyone, including the flying monkey- can found a litmag. Compared to, say, making a feature film, or casting bronze sculpture, publishing a litmag is dirt cheap. All of which is to say, unless they are from the likes of the editor-in-chief of The Kenyon Review, don't take letters from editors too seriously. For that matter, don't take editors themselves too seriously.

So you send again, and again. And again. She who spends for the most postage wins. As does she who does her research.

Research, Research, Research

The most basic level of research is to get an overall feel for the "market" for literary short fiction. You can usually find a reasonably interesting selection at your local library. If you can afford it, however, I recommend you go to a bookstore and buy a bunch - at the Georgetown Barnes & Noble I've spotted Chelsea, Calyx, Witness, The Paris Review, Southwest Review, Tin House, Potomac Review, all of which would be worth your while to read. Read all you can, and read the contributors notes. If you read a story by, say, Bob Doe, that you admire, and you read in Bob Doe's bio that he's also published in Seattle Review, High Plains Review, and DoubleTake- check 'em out! Another good way to spot worthy litmags is to pick up prize-winning short story collections - anything that wins the AWP, Iowa Prize, Flannery O'Connor, Bakeless, National Book Award, etc- and look on the acknowledgments page to see where stories have been previously published.

Then have a look at the web for guidelines. Litmags without a website will usually send guidelines in exchange for a SASE (self addressed stamped envelope). A great place to look for links is on the website of the Council of Literary Magazines and Small Presses, http://www.clmp.org

Reference books like Writers Market can be helpful, but in my experience they are often too quickly out of date. There is no substitute for actually seeing - and reading - a magazine and its guidelines before you submit.

Guidelines not only give an idea of the types of writing the editors are looking for, but reading periods. Many litmags read only during the fall, or during the winter. Some read Sept - May, others Oct -June. Oftentimes litmags have special issues, e.g., "The Body", "Mothers and Daughters", "Love in America", "Overcoming Loss", "Borderlands." Your manuscript will have a better chance if you can aim it at a special issue.

2007 Update: an increasing number of litmags accept on-line (e-mailed) submissions. Nonetheless, many editors refuse to read e-mailed submissions. Be sure to check the submissions guidelines before zapping out that attachment.

Calls for submissions are often listed in the classifieds in Poets & Writers, a publication I strongly recommend that you subscribe to. (For more information go http://www.pw.org) For those of you in the Washington DC metropolitan area, consider joining The Writers Center. Their publication, Writer's Carousel, also inlcudes numerous calls for submission.

Contests can be tricky. These invite you to send a story with an entry fee of anywhere from $5 to $20. The fees are often used to fund the litmag, and/or to pay a judge for her time reading manuscripts. For book contests- especially for poetry, but also for literary short story collection awards such as the AWP, Bakeless, Iowa, Flannery O'Connor, and others- reading fees cover the honoria for the judge, and as such I think they are fair and fine. For individual stories, however, I would not enter a contest that requires a fee unless it includes a subscription or anthology that I would have bought anyway. There are too many litmags that don't request a fee to consider your work, and given your chances, you might as well lay down your bucks on a lottery ticket. In short, be sure you know where and why you are sending before you start writing checks.

The Mechanics of Submission

First, your cover letter. This should have your name, address, tel, and e-mail.

Address the letter to a specific person if you can- "To the Fiction Editor" is a red flag that you don't know the magazine.

Tell them what you're submitting,

e. g., "Please find enclosed for your consideration a short story, "Down the Well"). Do not explain the story, e.g., "this is a story about a young girl who falls down a well," etc. You are not selling a nonfiction article

- the literary short story is art, and you must let it speak for itself. Explaining and introducing is blather, it annoys the editor and it makes you look silly.

Editors are human however, so it helps- if you can do it honestly- to say something about their litmag, e.g., "I bought a copy of ABC at the Bethesda Book Festival and I really admired the story by Bob Doe". If you can't say anything, don't. Brief and business-like is fine.

Include something about yourself- a few sentences, a paragraph at the most, that could be used as your contributor's note if your story is taken. I find them easier to both write and read in the third person. (I put mine at the bottom of the page, under the title "Brief Bio".) This is your opportunity to signal that you're serious-

e. g., "Bob Doe's stories have been published in ABC, PDQ etc" or "Bob Doe was recently awarded a scholarship at the Bread Loaf Writers Conference and is now in his second year at the Johns Hopkins MFA Program". If you don't have literary "credentials," not to worry, a simple note will do, e.g., "Bob Doe is a statistician who lives in Grand Forks, North Dakota with his wife, four children and pack of seven Alpo-guzzling Huskies. He is at work on a novel." Anything more- your five page resume, a previously published poem, a newspaper article about your amazing recovery after being simultaneously hit by a cement truck and an estimated 397 volts of lightning- is clutter. The editor has limited time and attention, so don't take it up with the nonessential. End the cover letter with a "thank you for considering my work" and sign it.

The manuscript itself should have your name, address, tel and e-mail in the upper left hand corner. If you can, include a word count, preferably in the upper right hand corner. Double space the text (or else!). Fasten the whole thing- manuscript, and cover letter- with a paper clip. (Don't staple, because if they do seriously consider your story they may need to make xerox copies for other editorial readers.)

Finally- crucially- enclose a self-addressed stamped envelope (SASE) for the reply because without it you may not get one. Unless your manuscript is short enough to fit in the 39 c stamped envelope, expect them to (ahem) recycle it.

The Question of Multiple Submissions

A dismaying number of litmag editors say that they either do not accept multiple submissions, or that they insist on being informed. My view is, they're shouting into the wind because so many writers do it anyway. According to my own informal poll, 90% of serious already well published short story writers multiple submit, and without compunction. With the odds so stacked against even the best writers, to expect a one-at-a-time submissions is not only unrealistic but grossly unfair. If you submit your story to one litmag at one at a time, it may take years, toe curling, shoulder sagging years, to find it a home. Even the most distinguished litmags can sometimes take as long as a year to reply. That's right, a year. Rather than get steamed about that, keep in mind that litmag publishing is not a profit generating business, but a labor of love. Most editors are not paid for their time, and if they are, only poorly paid. They're only human, they have to take the kids to the dentist and grade papers and water the lawn and walk the dog and write their own short stories/poems/ novel, and in any case the slush pile is very tall, and growing ever taller what with all these multiple submissions...

If you do have a story accepted, you should immediately inform all of the other editors that you are withdrawing it. A simple postcard will do: "Dear Editor: This is to let you know that I am withdrawing my story "Down the Well". I hope this has not caused any inconvenience. Sincerely, Bob Doe." To do otherwise- to wait in hopes of a bigger bite from, say, The New Yorker- is both dishonorable and unfair to the editor who has taken your story. The literary world is small, and it seems to me that in a somewhat random but inexorable way, what goes around comes around.

I think submitting to three or four litmags or slicks is a good number to start with. With each rejection, send out another. If after three months you haven't received a reply from a given journal, this may mean your story is under serious consideration, although, it may mean your story is sitting behind some junior assistant's couch who still hasn't read it and by the way the cat pissed on it. Who knows? So it's a tough call whether to withdraw the manuscript or not. All I can say is, go with your gut.

Aside from the secretarial hassle and expense of postage, another reason not to send out more than three or four submissions of a given story at a time is that most likely, with a fresh look a few months later, you will want to revise it. You may even want to take it out of circulation. Again, go with your gut.

Keep Learning, Keep Writing

I doubt there are many serious short story writers who don't have a thick file of rejections. It's part of the game, and so don't let them fluster you. Some of the best short stories have five, eight, even fifteen rejections behind them. One prize-winning story by a major contemporary writer racked up 48- that's right, 48- rejections before it was taken. Some genuinely amazing stories are never published- until they show up in a collection.

As writers we must continually work to balance on the razor's edge of arrogance and humility- and we do that with a dose of both: arrogance to continue sending out work when it has been rejected and rejected and rejected; humility to recognize when we need to rewrite, or re-envision, or even (ah well) to discard. Trying to publish can be a discouraging and disorienting experience, like entering a dark forest full of noise. The trick is, keep your chin up but your ego in check, and stay focused on maintaining that balance, and making your writing the best you can.

When your story is accepted for publication, let your ego, for a few private minutes, tingle and shine. When, some months later, your two contributors copies arrive in their plain brown envelope, sit down and read one. Get to know the company your story is in. Write the editors a thank you note. Be generous- if you honestly can- with kind comments about the other contributors' work. Update your resume and bio. Smile wistfully as you wish your story a bon voyage. And then, at last, you can plunk the thing on a shelf and get back to the fun stuff: writing.

Easy Stretches After Knee Replacement Will Enhance Your Recovery


You've suffered the pain and frustration of having a bad knee long enough. You and your doctor agree that the best solution for your situation is the have knee replacement surgery. Now your surgery date is approaching and you want to be fully prepared for the day. But are you ready for the after effects of the surgery? You must prepare for your rehabilitation, so that you can take advantage of your new knee as soon as possible. The longer you wait to get moving, the less positive your results will be. You can start your recovery right away by doing some simple stretches after knee replacement surgery.

Why stretching, you may ask? Well, you're not going to be able to get out of the hospital bed and walk a 5K. That can be left for later down the recovery timeline. Doing some easy stretches after your knee replacement will get the new joint prepared for a later course of more intensive rehabilitation exercises. Stretching can be done without placing any weight on the knee, making it a good way to start your post-surgery recovery. Stretching takes just a few minutes, and you can do many simple stretches right in the comfort of your own home.

Before you leave the hospital, your caregivers will probably give you a long list of detailed instructions on how to take care of your new knee. How to do the basic stretches after a knee replacement should be on that list. Insist that your therapist show you exactly when and how to complete these stretches so that you can feel confident you will know what to do when you get home. When you wake up in the morning, you will want to do those stretches to get your day started in the right frame of mind. If you get your knee moving each day, slowly at first, you will be up and walking pain free in no time at all.

It's true; you really can have a pain free joint, and doing stretches after knee replacement surgery is the way to get started on reaching that ultimate goal. Of course, before you start on any exercise regime you must consult closely with your doctor and your physical therapist. You don't want to push yourself too fast, too quickly, only to find you have damaged the new knee. For more information on how to make a full recovery from your knee replacement surgery, check out http://www.knee-replacement-video.com.

Terrible Knee Pain - When Will it Go Away? - Knee Braces That Help Provide Support


Does your heart just sink sometimes because your knee pain is so bad?

You do not deserve it, but right now you are stuck with it.

Knee pain and knee instability can really cause some serious trouble for people.

Let's not play around here. Knee pain can be caused by many things, such as... Degenerative diseases, physical incidents either in sports or in everyday life, or it can feel like it just kind of came out of the blue.

Can you pick from this list and find your problem?

1.) ACL tear
2.) MCL tear
3.) PCL tear
4.) LCL tear
5.) Arthritis (osteoarthritis or rheumatoid arthritis)
6.) Meniscus tear / Meniscus injury
7.) Hyperextension injury
8.) Bursitis
9.) Patella tracking disorder
10.) Patellar Dislocation
11.) Unknown Reason...

And the list can go on and on.

There are many reasons why you can have knee pain, as we all can see. - Now the next question is, what are you doing about your knee pain?

When it comes down to it, sometimes you have to get serious about how you are going to help solve your knee pain problems.

Chances are that if you would rate your pain as being more severe, then you need to get answers now.

Your Options:

1.) Rest & Ice
2.) Surgery
3.) Knee Braces

If you have a structural anatomical problem then it is possible that rest and ice will help relieve some of your pain issues. In the back of your mind though, you are probably doubting that rest & ice are going to knock out your knee pain issues entirely. (Hey, we hope they do, but let's be honest, sometimes rest and ice don't cut it.)

Surgery is obviously another option for you. The bottom line is that you have professionals (hopefully) performing the surgical procedure and if your knee issues are bad enough then you do have this an option for you. The problem with surgery though can be the cost and recovery time. If your insurance does not cover all of the medical costs, then who do you think will get the final bill?

Knee braces can also be a very helpful option for you. With the use of a well designed knee support you can get the support that you need and it can help reduce your knee pain issues. The knee support itself does not cure you, but it does provide extra support and it can help maintain proper alignment which in turn helps give you the opportunity to heal. If you have knee pain, you should seriously consider looking into a quality knee brace.

Muscle Milk - Why Do Pros Buy Muscle Milk?


Muscle Milk protein has reached new heights among those who seek to build up lean muscle and lose fat. However, with just about all modern muscle building supplements, a lot of newcomers wonder if this protein is actually good for you or not and whether they should buy muscle milk.

The primary reason many beginners don't buy this product is due to the apparent high amount of fat it incorporates. Unfortunately most neglect to understand that the fat content is not your everyday type of fat that is stored away in the body, it is a fast burning fat that's utilized to fuel energy to your muscles and assist in the growth of lean muscle. Almost never is this fat stored in the body.

Whenever you have an good workout routine and are aiming to put on mass and increase lean muscle, then this is the best supplement on the market and can work well as a meal replacement and especially as a before bed protein supplement. While you are sleeping, this protein has the power to repair your muscles from training and will prevent you from losing muscle while you sleep.

So is it good for you? Yes it is. It does not incorporate any harmful ingredients whatsoever and when used correctly it provides great results. Did I mention the taste? It is no secret that muscle milk is the best tasting protein ever made.

Muscle Milk comes in a variety of forms including protein powder, muscle milk 'n' oats, ready-to-go drinks and the popular muscle milk light.

ACL - Anterior Cruciate Ligament, Reconstruction Surgery is Done For Injured Ligaments of the Knee


ACL is a ligament in the center of your knee that becomes damaged when twisted or injured. The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments of the knee.

ACL reconstruction is surgery to replace the torn ligament. ACL Reconstruction is performed using a combination of open surgery and arthroscopy. Patients with ACL tears who place high demands on their knees, generally require ACL reconstruction.

WHO NEEDS?

o Most people expecting to return to high-level athletic activities in sports such as soccer or basketball
o Individuals who experience recurrent episodes of knee instability due to anterior cruciate ligament deficiency
o Patients who do not want to attempt conservative therapy

PROCEDURE

ACL reconstruction is surgery to replace the torn ligament. There are several choices of tissue to use for the new ligament, including tissue from your own body (an autograft) or tissue from someone who has died (allograft). The most common autografts use part of the tendon in the front of the knee (patellar tendon) or in the hamstring. Each type of graft has small advantages and disadvantages, and works well for many people.

Knee arthroscopy is a surgical procedure in which a pencil-sized instrument called an arthroscope is inserted into a joint without any open cut or incision. Fluid is then inserted into the joint to allow the surgeon to thoroughly examine the interior of your knee and determine the source of your problem.

The surgeon checks the cartilage and ligaments of the knee. If there is other damage, such as a meniscus tear, the surgeon will fix the problem. You will most likely go to sleep for the procedure, but it can be performed under different types of anesthesia.

Then, the surgeon will replace the ACL. Other small incisions are made around the knee to place the new ligament. The old ligament will be removed using a shaver or other instruments. Bone tunnels will be made to place the new ligament in the knee at the site of the old ACL. If your own tissue is to be used for the new ligament, a larger, "open" incision will be made to take the tissue. The new ligament is then fixed to the bone using screws or other devices to hold the ligament in place.

At the end of the surgery, the incisions are closed, and a dressing is applied.

REVISION OF ACL RECONSTRUCTION

Failure of an ACL reconstruction is often hard to describe. The patient can have complaints of knee instability, pain, stiffness, or the inability to return to desired activities. Treatment for failed ACLs is complex and technically challenging, and the results of revision ACL surgery are not as good a primary ACL reconstruction. It is therefore important to follow a specific approach to evaluate, diagnose, and treat potential revision ACL cases. Causes of failure like drill hole placement in a nonanatomic location, failure of fixation, graft impingement, intrinsic graft failure, arthrofibrosis and trauma. With the help of arthroscope the patient's knee is then evaluated within the joint and any scar tissue is removed. Precise placement is necessary for a successful revision. If the old hardware is in the way of the ideal tunnel placement it is removed usually under fluoroscopic (x-ray) control. The anatomic insertion site on the femur for the original ACL is identified, and a drill hole is initiated using a gaff to place a rear-entry guide, then drilled from outside in. The hole is cleared out and the edges are chamfered (rounded) to avoid damage to the graft.

Next, the insertion site of the ACL on the tibia, on the tibial plateau, is identified, and a drill hole is initiated using a triangle-guide, again drilling from outside in. The hole is cleared out and the edges chamfered in a similar manner.

The graft tissue, which usually is a bone-patellar-tendon-bone graft, is brought through the now continuous tunnel running from the femur through the knee joint and through the tibia. The tissue is secured in place using 9x20mm screws, which bind the bone blocks at either end into the tunnel.

The knee is finally brought through a full range of motion to visualize for any impingement of the graft, and to ensure proper placement. The instruments are removed and incision sites closed, the joint injected with Marcaine for pain relief, and the patient is able to return home later that day.

ACL provides almost 90% of the stability to the knee joint. ACL reconstruction is a highly successful operation. With good rehabilitation, 90% to 95% of individuals who undergo this surgery can expect to return to full sports participation within six months.

In India, Apollo hospitals have the required expertise to treat the above disease.

Osteoarthritis of the Knee - The Joint That Suffers the Most Injury


Our knees and hips are our largest joints, supporting the body's weight and providing the mobility that most people take for granted. The three basic types of arthritis that may affect the knee joint are Osteoarthritis, Rheumatoid Arthritis and Post-traumatic Arthritis, with Osteoarthritis being the most common form of knee arthritis and knee pain. Although osteoarthritis is rare in young adults, results show that one in three people over the age of 62 has some amount of osteoarthritis on one or both knees.

Knees Suffer More Injury than Any Other Joint

It is possible to develop osteoarthritis in any joint but the knee is especially vulnerable as it is a weight-bearing joint, which is susceptible to daily wear and tear and sudden injury. In addition to genetic predisposition, poor bone alignment and minor or major injuries, high stress activities over time often lead to osteoarthritis. In some cases, normal age-related changes, such as reduced muscle mass and bone density, may make you more prone to knee injury as you age.

Knee Pain and Excess Weight

Studies consistently show a link between excess weight and knee pain, with many knee problems being avoidable by maintaining a healthy weight. Carrying only 10 pounds excess weight increases the pressure on the knees by 30-60 pounds, and it was found that about 56% of severely obese people suffered from significant knee pain in comparison to 15% of people who were not overweight. In addition, it was indicated that obese women stand nearly 4 times the chance of developing knee osteoarthritis in comparison to non-obese women, and obese men standing nearly 5 times the chance.

Symptoms of Knee Arthritis

Although some people suffer from tenderness and swelling in the morning, many people find that knee pain increases during the day, sometimes arising in the afternoon and getting steadily worse. Some of the common signs of osteoarthritis of the knee are:
• Pain with activities
• Intermittent or steady pain
• Limited range of motion
• Swelling or tenderness
• Stiffness when getting up from sitting or lying down
• Grinding or crunching sounds
• Pain with passive motion

Medical Treatment for Osteoarthritis of the Knee

There is no medical cure for osteoarthritis and although it is possible to regrow cartilage in a laboratory, getting implanted cartilage to grow in an osteoarthritic knee has not yet been successful, as the implanted cartilage eventually dies. In most cases over-the-counter pain relievers are used but many of them have a variety of side effects such as stomach pain, digestive problems, headaches and dizziness. In addition, NSAIDs actually sabotage the body's own efforts to heal itself by preventing the formation of new cartilage and accelerating the degeneration of the joints. Some surgical procedures are used for knee osteoarthritis, including arthroscopic surgery and knee replacement surgery.

Alternative Treatments for Osteoarthritis of the Knee

• Exercising is a crucial part of treatment, helping to improve balance and sometimes relieving pain. Specific exercises can be designed to help spread the forces of everyday activity to other joints thus helping to protect the knee. Regular exercise also strengthens the muscles and other structures around the knee, with range-of-motion exercises helping to maintain joint function and relieve stiffness.
• Using a cane in the hand on the side opposite to the affected knee will help to decrease demand on the arthritic joint.
• Wearing soft-soled shoes or special shock-absorbing shoes, and replacing them frequently, will help to reduce the impact on your knees.
• Weight loss is one of the most important treatments, alleviating pressure placed on the joint.
• Following an anti-osteoarthritis diet can help to control the destruction of joints and reduce inflammation