8 Ways to Relieve Knee Pain
How to protect the most vulnerable joints in your body
It’s really not surprising. The complicated structure of joints and cartilage coupled with a lack of protection makes knees especially vulnerable to injury. Knee injuries in turn can lead to osteoarthritis (OA), a form of arthritis that affects your joints.
In fact, half of all boomers who suffer tears to knee ligaments and cartilage will develop OA in as few as five years, says Dr. Patience White, a rheumatologist and vice president of public health for the Arthritis Foundation. Other conditions that make knees more prone to pain: bursitis, tendinitis, rheumatoid arthritis and the inevitable wear and tear due to age.
While you can’t reverse the effects of knee damage or arthritis, you can slow them down. You may even stave off surgery forever, and save yourself thousands of dollars. The best time to do it is now — before the pain gets so bad you no longer can play with your grandkids. Here’s how:
1. Head to the doctor. If your knee hurts, make an appointment right away with your primary care physician, recommends White. The sooner you discover the cause of the pain, the sooner you can treat it and get relief.
The best thing your doc can do is refer you to a physical therapist, who will give you specific strengthening exercises. “The earlier you can come in and build strength in your knees, the better chance you have of avoiding surgery,” says Robert Agosto, DPT, director of physical therapy at the Sports and Spine Rehab Clinic in Rockville, Md.
In fact, a recent study in the New England Journal of Medicine found that physical therapy was as good at easing pain and improving range of motion as knee surgery for people suffering from OA or a torn cartilage. And while a third of the 351 patients (all over 45) did eventually get surgery, the study showed that physical therapy is a good first option. And a cheaper one too.
3. Target key muscles. The key to preventing wear and tear is building up the muscles in the front and back of your thighs — the quadriceps and hamstrings. Agosto recommends you warm up first by walking around the house or on a treadmill and then try these exercises:
- Short arc quad This one’s easy, but great for people who need to ease into knee exercises. Lie on your back with your knee resting on a rolled towel. Tighten your thigh muscles while lifting and straightening your knee slightly. Hold for five seconds. Repeat with the other leg. To see how short arc quads are done, click here.
- Wall slides: Using a wall can be a gentler, safer way to build up your quadriceps. For slides, press your spine against the wall and slide into a sitting position as far down as you can comfortably go. Hold for a few seconds, then slide back up. Work up to longer holds and more reps. To see how wall slides are done, click here.
- Bridge: This exercise boosts hamstring strength (as well as strengthening your core and butt). Lie on your back with your feet flat on the ground, and knees over the heels. Lift your pelvis off the ground. The aim is to make a straight line between your knees and your shoulders. To see how the bridge is done, click here.
4. Be gentler when you exercise. Running on roads can jar your knees, while a jog through a wooded trail carries the risk of falls and twists to knees and ankles. A better way to run is on a treadmill or track, or alternate jogging with walking, White suggests. Biking doesn’t put as much strain on your knees, but it can cause pain if you ratchet up the resistance too high on a stationary bike or the saddle is pushed back too far or is too low.
If you bike a lot outdoors, you might want to spring for a professional bike fitting, which can help you with seat and handlebar height and pedal strokes. Whatever exercise you do, just remember to warm up. You lose muscle strength as you get older — especially if you sit at a desk most days — and that just increases your chances of injury when you head out to exercise.
7. Try supplements. Two supplements that promised pain relief to people with osteoarthritis have gotten mixed reviews from observational studies — glucosamine, found naturally in shellfish and animal bones, and chondroitin, made from animal cartilage. Both seem to benefit some people with OA and not others. “I don’t have any trouble with people trying either, especially if they help. But if they don’t, save your money,” says Reardon.
Instead, check out Zyflamend, a blend of anti-inflammatory spices like rosemary, green tea, ginger, tumeric, and Chinese herbs. The OTC supplement has been found to relieve pain in people with OA. “We should be eating more of those foods, but if you don’t then that’s one supplement I would recommend anybody take,” Reardon adds. The reported side effects: A bad taste in your mouth, heartburn, and diarrhea.
8. Keep a food journal. In some people with OA, eating foods like eggplant, tomatoes, and citrus can cause painful flare-ups, while others get a reprieve from their symptoms, explains Reardon. That’s why it pays to keep a record of what you eat and how you feel each day, she suggests. Or you can experiment with various foods. Eliminate tomatoes, potatoes, eggplant, and peppers for three weeks, and record your symptoms. Do the same with citrus. Then add each food back gradually and see if the pain worsens.