Knee Arthritis Treatment in Singapore

Non-Surgical Treatment

Non-surgical treatments are often the first approach for managing knee arthritis symptoms and can provide relief for many patients.

• Physiotherapy: A structured exercise programme can help strengthen the muscles around your knee, improve flexibility, and reduce pain.
• Steroid injections: Corticosteroid injections directly into your knee joint can provide temporary pain relief and reduce inflammation. These injections can be particularly helpful during flare-ups of symptoms.

Surgical Treatment

Surgical options may be considered when non-surgical treatments no longer provide adequate symptom relief or when arthritis significantly limits your daily activities.

• Knee arthroscopy: This minimally invasive procedure uses a small camera to examine and treat problems inside your knee joint. Damaged cartilage or loose fragments can be removed to reduce pain and catching sensations.
• Partial knee replacement: This procedure replaces only the damaged portion of your knee joint while preserving healthy cartilage and bone. It’s suitable when arthritis affects only one compartment of your knee.
• Total knee replacement: This surgery replaces the entire knee joint with artificial components made of metal and plastic. It’s typically recommended for advanced arthritis when other treatments haven’t provided sufficient relief.
• High tibial osteotomy: This procedure involves cutting and repositioning the shin bone to shift weight away from the damaged part of your knee. It may be suitable for younger patients with arthritis affecting only one side of the knee.

Osteoarthritis

This is the most common type, often called “wear-and-tear” arthritis. It occurs when the cartilage gradually breaks down over time due to normal use and ageing.

Rheumatoid arthritis

This is an autoimmune condition where your body’s immune system mistakenly attacks the lining of your joints. It typically affects both knees and often involves other joints throughout your body.

Post-traumatic arthritis

This type develops following a knee injury, such as a fracture, ligament tear, or meniscus damage. The arthritis may appear months or years after the original injury occurred.

How quickly does knee arthritis progress?

The progression of knee arthritis varies greatly between individuals, with some people experiencing gradual changes over many years while others may notice more rapid deterioration. Factors such as your age, activity level, weight, and the type of arthritis all influence how quickly the condition advances.

Can I still exercise with knee arthritis?

Yes, appropriate exercise is actually beneficial for knee arthritis as it helps maintain joint mobility and strengthens supporting muscles. Low-impact activities like swimming, cycling, and walking are generally well-tolerated, though you should avoid high-impact sports or activities that cause significant pain.

When should I consider surgery for my knee arthritis in Singapore?

Surgery is typically considered when your pain significantly interferes with daily activities, sleep, or quality of life, and when non-surgical treatments no longer provide adequate relief. The decision also depends on your overall health, age, and personal goals for activity level.

Will my knee arthritis affect both knees?

Knee arthritis can affect just one knee or both knees, depending on the underlying cause. Osteoarthritis may develop differently in each knee based on factors like previous injuries or how you use your legs, while rheumatoid arthritis typically affects joints symmetrically.