If you are in your 20’s, 30’s, or 40s and have a knee cartilage defect the pain can be debilitating on a daily basis. The injury that resulted in the pain may have been a car accident, sports injury, really anything that could’ve led to a cartilage defect in your knee that is now causing pain.
An example of this type of injury would be a you are a competitive basketball player. Let’s say that you play professionally and in a playoff game you twist your knee and unfortunately tear your anterior cruciate ligament. You need gets unstable and you fall over and during the fall you end up with a cartilage defect along with a medial meniscal tear. What would the end result be of the injury?
To start with ACL reconstruction in the modern era is very effective. With surgery you could end up with a very functional newly CL that is made either from tissue of a cadaver or your own tissue. The medial meniscal tear can be shaved down and if the tears not too large you will end up with enough shock absorption in that regard. What the end result may be though his deep chronic knee pain from the cartilage defects sustained and this may shorten your basketball career.
The first treatment that works fairly well for a cartilage defect is called a microfracture treatment. It is performed as an outpatient arthroscopic knee surgery where the area of the cartilage defect is drilled multiple times through the bone slightly to generate some bleeding. With the bleeding present, there’s able to then be some more cartilage production from the healing process being started. The cartilage that is produced unfortunately is not Type one native cartilage. It is call fibrocartilage and is not a great permanent fix for the defect. It will function well for a period of time, but the cartilage produces is not what you were born with.
The 2nd treatment to help with a knee cartilage defect is called articular chondrocyte implantation. This ACI surgery involves harvesting some of your own cartilage cells and sending them to a lab in Massachusetts for culture. After a few weeks of growing new cartilage cells, they are shipped to the surgeon for implantation in the defect. The cells are put into place and a patch is placed over the area to keep them there for healing. The procedure has a decent track record of success but the down side to it is that it involves 2 surgeries and a significant amount of rehab.
A third option that does well with cartilage defects is called an Osteochondral Autograft Transfer Surgery (OATS). the surgery involves removing cartilage from a non-weight bearing area of the knee and then shifting it over to the painful cartilage defect area. Multiple circular punctures are involved in the placement of the cartilage and the hope is that they will grow together and provide pain relief area.
All of these procedures are done as an outpatient and have decent track record results for knee pain relief. They may reduce the need for treatment with an Arizona pain doctors.
Want to find out more about the best Arizona pain doctors, then visit Preferred Pain Center’s site on how to choose the best Phoenix chiropractor for your needs.