The OSTEOARTHRITIS DEPARTMENT => KNEE ARTHRITIS - General principles of managing Osteoarthritis of the knee => Topic started by: LLL on April 23, 2008, 04:52:02 PM

Title: any advice appreciated
Post by: LLL on April 23, 2008, 04:52:02 PM
I am a 38 Mom who is 4 weeks into my recovery for TPF (tibial plateau fracture).  I have been told I have a very good chance of developing arthritis in this knee because of the type of injury.  Is there anything I can do to try and prevent this?  The OS did not think calcium supplements or glucosiamine would be of any help.  Any advice on vitamins or exercises that might help would be greatly appreciated.  Thanks, Lisa 
Title: Re: any advice appreciated
Post by: kathat on May 07, 2008, 05:15:06 AM
Glucosamine helps some and not others. It seems to be more effective in early OA, so you may find it helps, so if you can afford it and don't have side effects then go for it. The best thing overall is to keep your muscles strong. A trip to a PT might be of use to get some exercise tips so you exercise all the appropriate muscle groups. You need to address strength, endurance, flexibility, and proprioception (position sense) to fully make the most of an exercise regime, so make sure you do basic hamstring and quad stretches regularly, and practice balancing on one leg at a time regularly to keep your proprioception working well. Long walks, swims or bike rides will address endurance, and things like straight leg raises with weights will address strength. If you can maintain good muscles then you will find that even if arthritis takes a hold, you will have less pain and disability from it and it's progress should be slower with good muscles to support the joint. Don't do too much high impact stuff as once you have had damage (like a fracture) you are more likely to do damage from high impact work - it's healthy for undamaged joints but not healthy once some form of damage has happened.

Good luck, I hope this helps.

Title: Re: any advice appreciated
Post by: LLL on May 07, 2008, 11:27:05 PM
Thanks for the info.  I have just started PT and will be doing for at least the next 6 weeks so we will be working hard on that.  Thanks, Lisa