Cartilage loss in the knee joint (gonarthrosis)

Causes
The causes for cartilage damage in the knee joint are numerous. Most common are malallignments, injuries or diseases, such as rheumatism, circulatory disorders of the bone or past infections. The knee joints, in addition to the hip joints, are most commonly affected by degenerative changes of the soft tissue of the joint.

Symptoms
In most cases, gonarthrosis develops over several years. It shows in joint stiffness and a sense of tightness in the back of the knee, and pain felt when the joint is strained or stressed. So called start-up pain after sitting for a prolonged period is typical. With activity, this pain normally eases within a few minutes. Also axial malallignments of the legs, such as bowleggedness or knock-knees (varus/valgus deviation) are frequent findings.

Possible therapies
Moderate changes can be successfully treated with injections. Dr Braune treat early stages of gonarthrosis with inter-articular hyaluronic acid injections. This cartilage nourishing substance (hyaloronic acid) is injected directly into the knee joint, since the body is unable to produce an adequate amount of hyaluronic acid itself because of the inflammation induced by degenerative changes.