Unlike the "normal" popping sound that can come from stretching, which is painless, knee crepitus from arthritis is often quite painful. Luckily, there are several ways to detect osteoarthritis:  Look for signs of pain, redness, swelling, and stiffness while walking. The most common location of crepitus from arthritis is in the inner part of the knee. Feel for the presence of crepitus by placing one hand on top of the knee while flexing and extending the joint. Usually, crepitus results in a soft yet crunchy sensation. If the crepitus is accompanied by pain and signs of inflammation, apply ice packs (wrapped in a towel) to the area. Ice packs help decrease the swelling of the inflamed area and ease the associated pain.  You may also take small amounts of over-the-counter NSAIDs (non-steroidal anti-inflammatory drugs)  such as Advil (Ibuprofen) or Naproxen (Aleve) for quick pain relief. However, don't rely on these drugs for long-term pain relief, as they can affect the kidneys and gastrointestinal tract. The benefit of NSAIDs (which are anti-inflammatory medications) is that they not only diminish pain but also reduce inflammation. You may combine an NSAID with an over-the-counter painkiller such as Tylenol (Acetaminophen). This does not diminish inflammation, but it can help to diminish the pain, and the two medications in concert (an NSAID and Tylenol) can be extremely effective and helpful at getting you through your day-to-day activities pain-free. Prescription NSAIDs include Indocin, Daypro, Relafen, and a variety of other drugs. Prescription-strength anti-inflammatory drugs are stronger-acting than over-the-counter varieties and may prove more effective at fighting the pain and inflammation associated with knee crepitus. However, these stronger drugs require permission from a doctor, which usually means your knee crepitus will need to be clinically examined by one. Prescription NSAIDs can have side effects - most commonly, stomach irritation, but in severe cases (and in cases of overdose), stomach ulcers and kidney damage are possible. Always take medicine as directed, and not more than your doctor recommends. Cortisone is a steroid hormone that is naturally produced by the body in response to stress. (Note: it is not the type of steroid used — and sometimes abused — by athletes and bodybuilders.) It suppresses the body's immune system, greatly reducing inflammation. For cases of painful knee crepitus, doctors may choose to inject cortisone directly into the knee joint to reduce pain and inflammation.  Cortisone injections have proven useful as a treatment for periodic "flare-ups" of knee crepitus. However, frequent, repeated injections into the joint can actually cause cartilage to deteriorate, worsening crepitus-associated pain. For this reason, cortisone injections aren't suitable as a long-term form of treatment.  Cortisone injections are not recommended more than once every three months, but they can be used for as long as they are effective, which can be several years in certain cases. " Something called "synovial fluid" within the knee joint is used to lubricate and stabilize the motion of the joint. In some patients with osteoarthritis, the synovial fluid becomes "thinner" - in other words, less viscous. This can lead to extra friction and abnormal joint movement. In this case, your doctor may recommend "viscosupplementation" — a procedure that involves injecting new fluid into your knee joint to strengthen and lubricate your knee joint.  Usually, this treatment takes place as a series of three to five injections over the course of several weeks. Note that, of patients who undergo "viscosupplementation," about half find relief from their symptoms. Special medical braces are sometimes given to patients with arthritis in the knee. These braces shift the weight off of the inside portion of the knee, where crepitus is most common. Knee braces can also stabilize and support the knee joint, ensuring it bends in a healthy way and protecting it from further damage or irritation. While over-the-counter knee braces are commercially available for cheap prices, most medical-quality knee braces need to be custom-made to fit your joint and can, therefore, be more expensive. Talk to your doctor for pricing information if you're interested in a knee brace. In severe cases of knee crepitus associated with arthritis, surgery may be an option. If your quality of life has seriously deteriorated due to knee pain and you've already tried non-surgical treatments, consider talking to your doctor about options for knee surgery.  There are several types of knee surgery that your doctor may recommend: Total or partial knee replacement, cartilage repair, knee arthroscopy, and knee osteotomy are common options.  Note that knee surgeries that work well for one patient may not work for other patients. Arthritis is notoriously tricky to treat — be sure you discuss all options with your doctor before you make a decision.
اعرف ما هي أعراض هشاشة العظام. قلّل التورم في المنطقة المحيطة. تناول الأدوية المُضَّادة للالتهابات الموصوفة طبيًا. خُذ حُقن الكورتيزون. اخضع لعلاج يُسمى «الحَقن المفصلي بالمواد اللزجة التكميلية». ارتدِ دَعامة الرُكبة. تحدَّث مع الطبيب عن خيار الجراحة.