Knee Osteoarthritis

When knee osteoarthritis is a matter of, although an accumulation in this region comes to mind, it is mainly caused by the loss of cartilage tissue that protects the joint and it can cause severe pain or limitation of movement.

Aim in the RTM system is to reveal the causes of calcification in the knee specific to the individual and to determine the source of the disease. In the treatment, it is aimed to normalize the joint functions of the knee by removing the source part of the knee calcification.

Let’s glance shortly at knee osteoarthritis (gonarthrosis)…

What is Knee Osteoarthritis (Gonarthrosis)?

Gonarthrosis, colloquially known as osteoarthritis, is the name given to the loss of cartilage in the knee joint. Contrary to popular belief, there is a loss in the knee, not an accumulation. The Turkish equivalent of the word arthrosis is joint disease.

What Causes Knee Osteoarthritis?

The tips of the bones in the joints are covered with cartilage, which is a solid structure. Cartilage, which acts as a cushion between the bones, provides a slippery surface for the joint to move. In the case of calcification, the cartilage structure deteriorates due to wear, causing pain, swelling and difficulty in movement in the joint.

What are the Symptoms of Knee Osteoarthritis?

Symptoms such as knee pain, difficulty in movement, noise during joint movement, increased pain when using stairs, deformity in the knees can indicate calcification in the knee.

Are there types of gonarthrosis? Is every gonarthrosis the same?

Not every gonarthrosis is the same and its degree is also different. The stage can be determined by examination findings and imaging, and treatment can be determined accordingly. Arthrosis is generally divided into two:

Primary (primary) arthrosis: There is no obvious cause. It is mostly thought to be caused by genetic factors, excess weight, general joint laxity, aging. The starting site is usually the knuckles and spine. Afterwards, the complaints in the knee area begin and it is the knee joint arthrosis that usually causes referral to the physician. It generally starts from the age of 50 and progresses gradually, sometimes requiring surgery in later ages.

secondary (secondary) arthrosis: The causes leading to the case are intra-articular fractures, meniscus, anterior cruciate ligament tears, infection, congenital anomalies and inflammatory joint diseases such as rheumatoid arthritis, which are usually caused by trauma. The type of gonarthrosis seen at an early age and progressing more rapidly is mostly secondary.

How is Knee Osteoarthritis Diagnosed?

Disease history and complaints are heard. With a physical examination, the tenderness in the knee is checked. Radiological imaging is performed. The diagnosis is made with the loss of cartilage in the knee joint space, narrowing, deformation on the joint surface and bone spikes.

Knee Osteoarthritis Approach in RTM System

An Outlook on the Cause of Knee Osteoarthritis (Gonarthrosis) in the RTM System

Our body is designed for movement. The visual movement setup in our body is carried out through the joints. The perception of movement in the cells is the same in the joints. For this reason, they also construct their regeneration processes according to joint activities. The most loaded joints also deserve the most regeneration. Many auxiliary activities come into play in the regeneration of joints, from hormones to enzymes, from the execution of detox processes to circulation. When the regeneration process is activated, the enzymes are activated, the wastes that arise in the regeneration are removed by the circulation and excreted through the kidneys and sweat. In this way, both the regeneration in the joints take place and the tissue architecture is completed by removing the wastes.

There is a source pattern called the Triad of Disease, which causes new settings to come into play in the body. This triple structure, in which contamination in the body, system disorders and code change in DNA (Epigenetics) occur, functions as follows in knee calcification (gonarthrosis);

Body Contamination; As a result of the toxins we are exposed to from the environment or the increase in metabolic activities at the cellular level, there is an increase in toxic load in the body. The removal of these toxic loads from the body is realized by the detox organs (Liver, Kidney, Lung and Skin).

Deterioration in Systems; Defects in detox systems, hormonal or circulatory systems also directly affect the regeneration activities of the knee joint. As with every action carried out in the body, the regeneration processes in the joints are organized with the information recorded in the DNA codes. Regeneration processes are completed in approximately 6-7 month periods.

Since the wastes that arise as a result of joint regeneration in the joint space as a result of the increase in contamination in the body and the deterioration of its systems cannot be removed, the body needs to activate the joint renewal period as new renewal periods of 12 months instead of 6-month periods. This change will be at the level of information change in the body and eventually a code change (Epigenetic Change) will occur in the DNA. As a result of this change in the information form, joint regeneration processes will be prolonged and what we call calcification in the knees will occur.

RTM Sisteminde Diz Kireçlenmesi (Gonartoz)Hastalığının Tedavisi/Treatment of Knee Osteoarthritis (Gonarthrosis) Disease in the RTM System

The aim of the RTM System is not a suppressive treatment that directly targets the problem area in the knees. It is aimed to eliminate the Disease Triad, which is the source of the gonarthrosis mentioned above. In the RTM System, this is called the Treatment Triad.

Treatment Triad  includes processes aimed at starting the detox process to return to the normal balance state in the body, eliminating the imbalance in the failing systems and reversing the epigenetic changes in DNA. This process is planned completely for the individual.

The main part of the treatment triad is RTM Phytotherapy. The phytotherapy protocol is determined by evaluating the patient’s detailed anamnesis, laboratory and imaging findings, and measurements specific to RTM clinics. With the RTM Phytotherapy protocol, the disease triad, which is the source of the disease, is withdrawn and healing is aimed. By informing the body with the seed parts of the plants, it is aimed to normalize the epigenetic changes in DNA that determine the new adjustment constants. The treatment triad is completed by using the leafy parts of the plants, adapting the body to the normalization of the information infrastructure, accelerating the detox activities, and activating the relevant systems. When the disease triad is withdrawn, it is aimed that the body will automatically return to the norm form.

In addition to RTM phytotherapeutics in order to support the body and accelerate the treatment process, nearly 25 traditional medicine methods such as Ozone, Cupping, Acupuncture, intra-knee joint injections, Magnetic field therapy are planned according to the needs of the patient and the individual course of the disease.

Frequently Asked Questions

Who has a higher risk of knee osteoarthritis?

It is more common in people over the age of 50. In the knee joint of people who are overweight or carrying heavy loads, degeneration in the joints is more due to the effect of some enzymes released into the fat tissues and develops rapidly. The disease can be seen more severely and at earlier ages in those who work in jobs where the same movements are repeated or stand for a long time.

Is gonarthrosis a preventable disease?

Gonarthrosis is a disease that can be delayed but not prevented. It is mostly based on genetic factors and can be inherited from a parent or a relative in previous generations. On the other hand, it is common for only one of the siblings to get the disease and the other to not.

Is gonarthrosis related to nutrition? Can it be prevented with a healthy diet?

Preventing excessive weight gain and obesity by eating a regular and balanced diet can prevent early and severe symptoms of the disease.

Do intra-knee injections have a place in the treatment of gonarthrosis?

In the treatment of gonarthrosis, drugs can be given by injection into the knee. There is no need to apply local anesthesia before because it will not be painful when properly applied to the right spot.

Is physical therapy good for gonarthrosis?

Physical therapy and rehabilitation are beneficial for gonarthrosis patients as well as for everyone. In particular, strengthening the hip and upper knee muscles will support a person with knee arthritis to stand. In addition, if it is necessary, theraphy increases the success of a prosthesis operation to be performed at older ages.

When is surgery required in gonarthrosis?

  • In highly advanced cases affecting the entire joint
  • If activities of daily living are severely restricted
  • If physical therapy and other methods are not sufficient
  • If joint movements are restricted
  • If there is advanced gonarthrosis and obesity

Can cartilage and stem cell transplantation be performed in gonarthrosis?

In the treatment of gonarthrosis, cartilage and stem cell transplantation can be performed. In the method known as autologous osteochondral transfer or mosaicplasty in the literature, cylindrical pieces of bone and cartilage taken from the person are surgically transferred to the needed area. The parts taken with special tools from the points where there is no wear and load in the knee area are placed on the damaged part and the area is strengthened.

Autologous chondrocyte transplantation is the process of placing the “cartilage cells” obtained from a piece taken from the person himself, after being replicated in a specially certified stem cell laboratory, to the damaged area with a second operation. In this method, which is constantly developing, a piece the size of a pinhead is taken from the person’s intact cartilage area and sent to a specially equipped stem cell laboratory, which is also rare in Turkey, and the stem cells are expected to multiply for 3-4 weeks. Then, the cells coming from the laboratory with the cold chain are transferred to the area where regeneration is needed.

Which Parts of the Body Does Calcification Affect?

Painful calcification in the joints is a health problem that can be encountered in the knees, ankles, waist and hip regions that work under load, as well as in the shoulders, elbows, hand joints and wrists, and even the jaw joint.

What is Arthroscopic Cleaning?

With arthroscopy, which means “looking into the joint”, the inner part of the joints can be visually examined by using fiberoptic devices. In this way, diseases, damage and injuries in the internal tissues can be detected and treated without opening the joint.

The most common joints for arthroscopic treatment are those located in the knee, elbow, foot and wrist, shoulder, hip and big toe. Procedures performed outside the joint but using arthroscopic technology devices are called “endoscopic” interventions.

How is Prosthetic Surgery Performed?

In the knee osteoarthritis, in cases where the articular cartilage is severely damaged and other treatment methods are insufficient, the option of knee prosthesis can be considered. In this surgery, the deteriorated surfaces are removed with the appropriate technique and prostheses, which are artificial surfaces that mimic the knee task, are placed in the area. Although this practice yields useful results in today’s technology, an artificial knee cannot be expected to provide a perfectly normal knee function.

What is good for arthritis pain?

It has been stated that applying cold and hot compresses is effective in controlling joint pain caused by calcification. Ginger and green tea, which are effective against swelling and pain, can be counted among the natural methods that are good for arthritis pain.

What happens if calcification is not treated?

Calcification is a progressive and painful disease if not treated on time. When appropriate treatment is not applied, severe pain and limitation of movement in the joints can adversely affect even daily life, and can reach a level that prevents work and social life.

What should people with knee osteoarthritis pay attention to?

  • The knee area should be moved every half an hour on average, and care should be taken not to stay in the same position for long periods of time.
  • During long walks, frequent breaks should be taken and the pain should be stopped.
  • The exercise order that is suitable for the body mass index should be preferred.
  • In order to reduce the load on the knees, it is necessary to maintain the ideal weight and avoid excessive weight gain.
  • It is important to avoid or limit work that requires standing for long periods of time.

Is ice good for knee pain?

Applying ice compresses for knee pain is a very effective method. It is also useful against pain and swelling caused by any adverse movement or impact.

What causes anterior knee pain?

  • Doing more activities that put extra load on the kneecap, such as running, skiing, jumping
  • Incorrect position of the kneecap or poor alignment of the joint
  • Excessive tension or weakness in the muscles in the front and back of the hip
  • Too narrow cavities in the thighbone where the kneecap rests
  • Being flat-footed

Is vinegar good for knee pain?

Massaging the knee and its surroundings with a mixture of apple cider vinegar and olive oil and waiting for the skin to absorb the mixture is known as a natural method that has a positive effect on knee pain.

How is the kneecap massage done?

Massage can be done on the knee area by gently pressing the fingers and using regular circular movements. It is recommended to apply the massage in a comfortable sitting position for 10 minutes for each knee.

Can you do sports when you have knee pain?

Uncontrolled sports movements are one of the leading causes of osteoarthritis. Appropriate exercises should be performed only when healthy and without signs of pain. When there is pain or swelling in the knees, doing sports can cause very risky results by forcing the area much more.

Is stinging nettle good for knee pain?

It has been stated that nettle, which is said to relieve rheumatic pains, is good for joint pain in the knees, hands and hips and relieves pain, both by consumption and by applying to painful areas.

What does a knee bandage do?

Knee bandage is used to prevent problems such as overloading the knee and edema formation in the knee. Its main purpose is to support the joint and protect it from impacts.

Can those with knee cap pain walk?

Under normal conditions, walking is very beneficial for strengthening the knee joint and surrounding muscles. However, in knees with arthritis, it is not recommended because long walks will accelerate the deterioration of the cartilage structure. Short walks can be made by taking breaks, provided that they stop when pain is felt.

What is knee cap edema?

In knee cap edema, restriction in movements may occur due to knee swelling, often with fluid accumulation. Ice compresses and rest can be applied for priority treatment.

What causes a burning sensation on the kneecap?

A burning sensation in the kneecap, which can occur for different reasons, can often be caused by an overuse injury, also known as runner’s knee.

How is calcification pain?

Calcification pain may vary depending on the affected joint and the severity of the disease. Often, the feeling of pain and stiffness in the joints may increase in the morning or after a long period of inactivity. The deterioration of the cartilage structure that protects the joint and the friction of the bones in the progressive condition can cause severe pain.