Andrew Gooley

Knee Joint Cartilage Tears

 What is a Knee joint Cartilage Tear?

The two types of knee joint cartilage tears  include traumatic and degenerative tears.

Traumatic tears occur through twisting injuries of the knee and degenerative tears occur over time through wear and tear on the joint.

 Do Cartilage Tears heal?

It depends on the location and severity of the tear. The meniscus (cartilage) generally has poor blood supply. The outside one third portion of the meniscus had some blood supply, which may give tears in this location a chance to heal. However, the inside two thirds has no blood flow, therefore tears in this region have no chance to heal. These tend to require arthroscopic surgery.

How do you treat knee joint cartilage tears?

 Small meniscal tears, or tears in the area receiving good blood supply can respond well to physiotherapy.

Physiotherapy treatment for meniscal tears aims to decrease the pain and inflammation in the joint, restore normal movement around the joint and muscle length. Physiotherapy will improve the strength of the hamstrings and quadriceps and hip muscles. Physiotherapy will also correct any longstanding biomechanical issues surrounding the knee joint.

Overall, the knee joint will improve in function and will have a reduced chance of re-injury.

How long does a knee joint cartilage tear take to heal?

MeniscKnee painal tears generally take 6-8 weeks to heal, although some meniscal tears require surgery. Your physiotherapist is the best person to guide you on the most appropriate course of action to recover. Typically, avoiding high impact activities that stress the joint whilst seeing your physiotherapist is key to a optimal outcome.

If you suffer from knee pain or knee injurt, it is advisable to start treatment straight away.  Your physiotherapist has numerous tricks that can help to quickly relieve your knee pain and muscle spasm.

If you have suffered knee pain or stiffness for a month or more, your GP may be able to refer you to a physiotherapist in Sydney as the causes and treatment of knee stiffness can be treated effectively at any time.

If you are not sure what to do, please contact Sydney Physio Solutions for advice or to make an appointment with one of our knee physiotherapists.



Wrist and Hand Arthritis

Do you have pain in your hands typing on the keyboard at work?

Do you have pain in your hand or wrist when opening and closing jars?

 Do you feel you have less strength in your hands when performing everyday manual tasks?

Hand and wrist arthritis may be the cause of your problem.

What is arthritis?? I hear you ask…

Arthritis is a very common degenerative condition that can form in the joints of your body as you get older.

It causes wearing away of the cartilage in the joint, which is the shock absorbing material between the bones. This can result in inflammation of the synovial lining in the joint. This is significant as this lining is responsible for producing synovial fluid, which helps protect and lubricate the joint.



What are the common signs and symptoms of hand and wrist arthritis?

If you have arthritis in the wrist and hands you may experience some of the following signs and symptoms:

  • Loss of movement in the joints of the wrist and hand.
  • You might notice grinding or cracking noises with joint movement.
  • Pain in the joint may come and go. It can become worse with gripping objects or repetitive wrist and finger movement. As the arthritis progresses it may develop into a constant ache, even at rest.
  • The joints may swell and can become tender to touch.
  • The joints may appear to be misshaped or deformed.


How can we solve the problem?

Mild symptoms associated with arthritis can be treated effectively by oral anti-inflammatories and physiotherapy. Physiotherapy would involve soft tissue massage to relieve muscle tightness around arthritic joints. Specific exercises can be prescribed for the joints to help improve and maintain range of motion and strength. Additionally, a physiotherapist could provide a splint or support to help protect the joints whilst performing everyday tasks.

In more severe cases of wrist and hand cortisone injections or surgery may be indicated. Surgery is considered when conservative management, no longer eases the pain, or when deformity prevents normal use of the hand. Surgery is also recommended in some patients with inflammatory arthritis. In these patients, the surgery stabilizes joints and prevents tendon damage. Deformity, loss of motion and pain that is not adequately controlled are the main reasons for surgery.