Does knee osteoarthritis occur in everyone as they age?

Knee osteoarthritis is a degenerative change characterized by pain and stiffness that occurs as the joint cartilage gradually wears away. However, even if X-ray shows narrowed joint spaces, there may be cases with almost no pain; conversely, severe pain may occur even in early-stage findings. Therefore, the degree of pain is not judged based solely on imaging findings.

While these changes are commonly observed with aging, the degree of pain and functional limitation varies from person to person.

When climbing or descending stairs, especially when going down, pain in the front of the knee often worsens, and swelling with a heavy sensation is common after prolonged walking or activity. There are cases where temporary stiffness occurs in the morning or when standing up after sitting for a long time, but it resolves with movement.

The sound itself in the knee is a common phenomenon; what is more important is whether it occurs along with pain, swelling, or functional limitation.

If the knee suddenly becomes very swollen and feels very warm without an injury, infection or another inflammatory condition should be checked. Prompt assessment is also needed if the joint locks completely and cannot straighten, or repeatedly gives way enough to cause falls.

If the calf suddenly swells and breathing becomes difficult, do not assume it is a knee problem; seek emergency evaluation.

We examine the nature of pain, the timing of swelling, and changes in climbing stairs or walking. We check knee bending and straightening, tenderness and swelling, thigh and buttock strength, and balance.

Imaging examinations are performed selectively when symptoms persist or when a change in treatment direction is needed, for example, when there is no response to conservative treatment or when surgical treatment is considered.

When there are no warning signs and management of knee joint movement and muscle function is needed, Chuna manual therapy and acupuncture combined with pharmacopuncture can be considered. We do not guarantee that it will increase joint spacing or regenerate cartilage.

Strengthening the thigh and buttock muscles, managing weight, and adjusting activity levels may also help manage symptoms. If pain is severe and function is significantly limited, other treatment options should also be considered.