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There are several factors that make a difference inside the knee joint and the reasons varied, to clarify these reasons, we are trying to divide into the primary factors and secondary factors.
Primary factors
- Because of a congenital defect in the joint, or because of exposure to osteoporosis at an early age in children (lack of vitamin D) formerly it was called rickets disease.
- This fragility at an early age if not addressed properly lead to curvature in both articular knees, and with age being the knee joint to more friction in the inner section of it, which leads to make a gradual change in the cartilage and the inner notably from him, making early bird torn, which in turn converts it to a foreign body inside the knee joint.
- Then exposed articular surfaces of each of the femur and the drought and the gradual increase in the proportion of friction with age tibia and weight gain.
- This younger age group constitute a hinge friction that may require a change to the affected joint (35 -55 years).
Secondary factors
A direct factors:
- Is the exposure while walking or movement which has been or sports injury in the knee joint, leading to the injury of any part of the joint (internally) fraction in a detailed parts, or injury to the cartilage, whether internal or external, with no treatment Compounding bring about the reasons for change within the joint.
(B) indirect factors:
- Which is often not mentioned, such as pain in the injured knee joint thing.
- Produces when you sit down on the ground, squared, squat, prostration.
- Often in this situation, what internal cartilage exposed particularly during quadrature to enter inside the knee joint, and with the length of sitting time Eetmoda between bony leg and thigh status between both ends of pliers, and when you attempt to advancement is not due to put ordinary course of the previous quickly, leading to injury gradually Pthtk with repeat sit, or repeat the movement.
- It develops when Angras cartilage; the parts which had been ruptured become more solid cartilage proper objects than turning it strange objects inside the joint prone detailed to friction and it detailed deviated gradually begins to exhibit the articular surfaces for more curvature updated change in the lift with the change in the muscle forces that are exposed angle in turn, the more power that can not tolerate the presence of the weight factor, too.
We Oshbna mention the indirect factors; because most of the patients who are exposed to direct hits were reviewing doctors and receiving treatment at the time, unlike indirect, in which the patient is trying to receive any treatment away the pain and who enters the maze.
From here indirect causes are to be the biggest reason for detailed a particularly knee (enters the social factors and the customs and traditions); where he observed scientifically that social habits, for example, in Western society (sitting on the seats) are exposed frequently to infection in the hip as the reason indirectly; that East communities sit heavily on the ground thus exposing to the injury of more in the knee joint.

Water in knee

The water in the knee and the presence of liquid Flocked around the knee joint. It is not a private medical condition itself. Valsail on the knee caused by several factors, some of them endangered. Among the causes as Health Mad Journal of Medicine says the occurrence of a knee injury, such as:
-tmzk Knee during exercise: If you have torn ligaments or cartilage in the knee during exercise, especially while changing the direction of your movement abruptly, the knee may swell consists result, the concentration of fluid in the knee joint and if you've torn a ligament, the tumor will be shown during the six hours from injury
-If I heard the voice of refraction followed by severe pain and difficulty in putting any weight on the knee. In this case the water comes from the fluid that seeps from damaged blood vessels.
-han Torn cartilage or cartilage crescent, you can hear the voice of refraction also especially if the injury is, but in other cases is growing symptoms gradually with increasing knee pain and increased swelling may be a pain, severe knee This makes D leg fully difficult it may be difficult to Alqrvsh person
There are other problems that may occur to the knee and cause them to be water in the absence of any injury. Often the water is the cause of arthritis and usually one feels Ptibs accompanied by knee pain, especially in the morning
There are also other types of arthritis, such as rheumatic arthritis, which can cause swelling of the knees accompanied by pain.
There is another reason to make up the water in the knee while infected with rheumatoid cavity marsupial in. This often affects carpenters and people who spend a lot of time reclining on their passengers. And helps cavity vacuum to provide support interstitial between the bone and the link which reduces the friction between the parts and allows for both sliding without harming any of them. When inflamed fluid accumulates around the knee and if not handled inflammation follicular cavity and cured, the doctor in this case outputs the fluid using a needle and syringe.
There are reasons less common cause in the form of water on the knee, such as gout, tumors and cysts form the membrane opposed named gout obsolescent.
In this case you should visit a doctor, especially if the tumor comes through your practice of sport or after injury. If you suspect a torn meniscus or ligament in the knee, it is necessary that you remain elevated knee put ice over it and then go directly to your doctor.

Knee pain the most common

"My knees hurt while using the stairs," what most of the complaints of all ages and both sexes, especially in a country like Jordan bomber Sea Gulf of Aqaba only, Sastgrb everyone linked to knee pain that there was no sea, and I will return to his explanation.

- Detailed pain kneecap (soap) local in our language is very common in our country, and complain about young enacted 14 and older, and even old age, and in females than in males, especially those under the age of forty, and most complaints are those who do not engage in any kind of sport.

- And so we know the cause of this pain must know:
1. The soap linked from its upper part of the thigh muscle Quartet, and actually made up of four muscles and their respective holding Balsabonh of different party.

2. The inner surface of the cap shaped like a triangle and vertically moving in a similar cavity him perfectly as a component of the end of the femur.

3. The movement of the soap in the middle of course depends on the balance of power of the thigh muscles of the Quartet and the most important muscle of Interior and Foreign Affairs.

4. The internal fast muscle atrophy, if it is not activated daily movement and is responsible for another 30 degrees from one individual knee.

- In short that the imbalance of power quartet thigh muscles leads to the movement of soap to the outer side; it leads to pain as a result of friction soap bone below it.

- Pain this juncture be around the knee and may be Imam and may be left behind or extends to the leg or a thigh or even the lower back, and times of this pain during elevate the stairs up or down, and while sitting tashahhud in prayer or while getting up from sitting the ground.

- The main cause of this pain is muscle weakness interior (associated Balsabonh of the medial).

- Rare occurrence patella joint pain in athletes who exercise or even any kind of sport, and also when practicing swimming; therefore, the seaside towns, residents do not suffer from this pain.

These cases can be diagnosed clinically and photographed using a simple beam.

Detailed treatment of knee pain
1. More than 90-95% of those who complain that the pain can be treated with simple means and is to strengthen internal muscle and can be done at home exercises.

2. Of course there are many other means of physical therapy for the most difficult cases and the use of corsetry or adhesive tapes.

3. The small number who do not respond to exercises and physiotherapy need a surgical procedure to amend the soap track mode.

Self-care for knee pain

- Follow these five instructions for the care of the affected joint or IM:
1. Protection: Protect the injured area of ​​the greatest damage, used a fake rubber or Buallaqa or splint or a stick or crutches.
2. Rest: Rest to help tissue to heal, and avoid actions that cause pain or armor or alarmed.
3. Cooling: refund the subject of the injury immediately, even if you are referring to the doctor, ice bags used for 15 minutes
Each time, and repeat the process every two or three hours when you are awake during the 48 to 72 hours after
Injury, where cooling to relieve pain, swelling and inflammation in muscles and joints and connective tissue work,
It would also be slow seepage in case of rupture of the muscle.
4. dressing: the bond of a rubber ligature injury until the swelling disappears, Chdh not so much that does not impede circulation.
Start Baltdmad from the far side of the heart, and chronicled Rabat that increased pain or numbness felt underneath or swelling of the back
Under Alamadmdh region.
5. Upload: Araf place of infection higher than the level of the heart, especially at night, because gravity is working on reducing swelling
Through the liquid discharge surplus.
6. Use hot compresses: If sandals tumor after 48 hours, The heat Thst blood flow and helps healing.
7. cold areas of pain after training even if they were not infected to prevent inflammation and swelling.

- Taking anti-inflammatory medication, remember that you may not feel pain Mahdhir infection after eating a dwelling.
- Ethan leg and rolled gently every day, and in fact you will find it difficult to move your knee on your own in the beginning, so you have someone help you with it, and try to keep it straightened outstretched.
- If you use the stick, holding it from the non-infected.
- Avoid stressful activities until healing knee, began light exercise activities slowly.
- Avoid squatting or kneeling (except at prayer if you can) or the rise and fall of the highlands.
- Train regularly to strengthen the muscles of your knee, and tune your knee more than 90 degrees during the practice, as it does not have to deepen the pagan knee.
- Use of the knee braces (rubber cover wraps the knee and has a slot above the bar of soap) after consulting your doctor.

Inflammation of the hub

There are more than 150 images of the human body, and this works fine bags filled with fluid on Chiham and facilitate the movement of the pressure points in the bones, tendons and muscles near the joints.
((See picture below))
It helps to move without pain, but when they become inflamed navel movement or pressure Malim.
And it produces inflammation of the hub usually straining Lists or trauma or repeated or prolonged stress strikes, Kalrkua long time.
The result in some cases for infection or arthritis or gout.
And most often affects the shoulder joint facility or the hip situation, but it may arise Also following the foot and even in the big toe base.

Self-care hub of inflammation:
- Use a dwelling for the pain.
- Avoid pressure on the joint, and use a rubber bandage or ligamentous or filling spongy soft Hmlath even eliminated the tumor.
- Go away cases of inflammation of Statistics hub usually within two weeks, a flexible area of ​​injury on the movement gradually thereafter.

Prevention of inflammation of the hub:
- Strong muscles to help protect the joint, and begin a detailed workout infected with the hub to avoid future pain and inflammation.
- Sit back several times while you frequently work, stopping to rest or to do another job, even for a short time.
- Support the joint before the pressure on him (to kneel for example, or using fillings annex)

Medical Aid for inflammation of the hub:
I mean the doctor if you notice redness or hotter in the position of injury or lack of improvement or accompanied by a rise in Hraratk or a rash.

Inflammation of the tendon

Caused perhaps ride a bike or climbing stairs intensely, and the knee pain among runners is a type of inflammation of the tendons, causing this pain resulting from stress injury at the forefront of the knee, Vtlthb tendons and move the knee becomes painful.
The tendonitis causes pain near the joint, which is usually combined with a certain movement, Kalatabaq example,
And refers to the tendinitis is usually inflammation or small rupture in the tendon, resulting in tendon strain or a minor injury, the injury usually occurs around the shoulder and elbow and knee.
The pain may lead to a reduction of patient movement, so the rest is necessary, as well as maintaining Nzaq entire movement,
In case it is not the treatment of tendonitis well, you may Ttibs tendons and ligaments surrounding the dismissal gradually over several weeks, it becomes limited and difficult movement.

Self-care-inflammatory String:
- Follow the instructions for the care of five intramuscular or the affected joint ('ll find at the end of this article).
- Move the detailed gently across the entire range of motion four times a day, and in Orha Aside from that, it is useful to use a link or rubber bandage.

Prevention of inflammation String:
- March heating and tensile exercises.
- Put hot compresses on the place of the injury before exercise and cool compresses beyond.
- Do not rehearse every day that you initiate a new sports program.

Medical Aid for tendon inflammation:
I mean your doctor immediately if you experience fever or inflammation at the injury site,
Sometimes the doctor injects a drug in the surrounding tissue Balauter to relieve inflammation, inoculating cortisone ease inflammation and pain live quickly, but you should be careful when using these injections, because recurrence may weaken the tendon or succeeds side effects undesirable.

The causes of knee pain

Down the knee pain that results from the following:

First: Tmalsat and sprains caused by Altvavat or sudden blows to the knee.
The convolution is happening in the opposite side of the subject who had a strike, it may take days until the swelling completely made up.

Wriggled muscles when overgrowth could use:

Eludes muscle, torn and sometimes when it is stretched more than a habit, and suddenly, and this injury is often when the shrinking of muscle Suddenly strongly, Valanzlaq on ice or lift the load improperly may cause elusive intramuscularly.
The different units muscular evasion:
- Slightly: cause pain and stiff when movement and lasts for a few days.
- Average: causing a rupture intramuscularly small and result in pain and swelling and bruising to the largest, the pain of the day and lasts three days.
- Sharp: lead to a rupture of a muscle or apartment, resulting in bleeding, swelling and bruising around the muscle, and sometimes muscle may stop working completely, thus resort to the doctor.

Self-care to dodge muscle:
- Follow the instructions for the care of five intramuscular or the affected joint ('ll find at the end of this article).
- In the event of a muscle swelling a lot, used cold compresses several times a day during the healing.
- Do not put hot compresses on the place of infection as long as the swollen.
- Avoid motion that causes evasion during the healing muscle.
- Use The relievers (non-prescribed by a doctor) as needed, and avoid taking aspirin in the first hours after intramuscular wriggle as they make bleeding more than an extension, do not give aspirin to children.

Medical Aid to evade muscle:
Ga to the doctor if: -
- Swelling of the position of the injury quickly and was a sharp pain
- Pain, swelling and stiffness did not hide within two or three days.
- Questioned the occurrence of a muscle or broken bone rupture.