Knee Care | Carolina Regional Orthopaedics

DO YOU NEED KNEE PAIN TREATMENT IN THE ROCKY MOUNT AREA?

Your knee joint is made up of bone, cartilage, ligaments, and fluid. Muscles and tendons help your knee joint move. When any of these structures is hurt or diseased, you have knee problems that can cause pain and difficulty walking. You might experience pain in a particular location only, such as the inner or outer knee, or behind the knee.

Knee problems are very common, and anyone can have them. Mechanical knee problems are caused by a direct blow or sudden movement that strains the knee, or osteoarthritis, resulting from wear and tear on the parts. Inflammatory knee problems can result from certain rheumatic diseases, such as rheumatoid arthritis and systemic lupus erythematosus (lupus). These diseases cause swelling that can damage the knees permanently.

Dr. Bernard Kemker.jpg

Dr. Bernard P. Kemker, III

Director of Hip & Knee Services

TREATING KNEE PAIN

A sore knee is common and typically not a sign of anything serious. There are many possible causes, which can range from a simple muscle strain or tendonitis to arthritis. Knee pain becomes more common with aging. You’re also more at risk of getting knee pain if you are overweight. Knee pain may sometimes be the result of a sports or other injury.

TOTAL KNEE REPLACEMENT

Total knee replacement, also called total knee arthroplasty, is a surgical procedure in which the worn out or damaged surfaces of the knee joint is removed and replaced with an artificial prosthesis.

PARTIAL KNEE REPLACEMENT

Partial knee replacement surgery removes damaged tissue and bone in the knee joint. It is done when arthritis is present in only part of the knee. The areas are replaced with an artificial implant, called a prosthetic. The rest of your knee is preserved.

WHAT OUR PATIENTS ARE SAYING?

J.W.

My mom saw Dr. Kemker for knee replacement problems (15+yr later) on both knees. He and ALL staff were extremely pleasant. Dr. Kemker was very thorough in his examination. He didn't hesitate to answer any questions I had for my mom. I certainly appreciate Dr. Kemker and his staff.

R.H.

My first visit with Dr. Kemker was great. He was very personable, very knowledgeable of my knee situation, very thorough. We started on a plan that I'm very excited about! I highly recommend Dr. Kemker!

Thankful to be referred to him!

 COMMON QUESTIONS ABOUT ORTHOPAEDIC KNEE TREATMENT

WILL YOU NEED ORTHOPEDIC KNEE SURGERY?

Depending on the location of your pain and injuries, your CRO Doctor may recommend various diagnostics such as a knee arthroscopy - also called knee scoping - a minor surgical procedure used for both diagnosing and treating the knee. Other possible treatment options include physical therapy and rest. However, if you're suffering from painful symptoms associated with soft tissue or cartilage damage, orthopedic surgery may be recommended. Treatment will depend on the severity of your condition. Severe damage to a knee may require a combined surgical reconstruction.

WILL YOU NEED A FULL KNEE REPLACEMENT?

To determine if you need a total knee replacement, your CRO doctor will need to examine the affected area.  A partial replacement involves resurfacing only a part of the knee and does not include ligament balancing. Unlike a full knee replacement, a partial replacement is less invasive and often heals faster. A partial knee replacement may be appropriate if one compartment is affected by arthritis. In some cases, a full replacement may be necessary to treat severe bone deformity.

Get knee pain relief. Give our team a call today.

STEM CELL THERAPY FOR KNEES

More than a third of Americans experience severe joint pain. According to the CDC in 2021, 58.5 million people in the United States, or one in four people, were suffering from some form of arthritis. More than half of these people are of working age, with about 8 million people reporting that it impacts their work productivity. If you suffer from severe pain in your knees, stem cell therapy may be able to help you. Stem cells are a part of the human body that are capable of regenerating damaged tissue and reducing inflammation. This treatment can help people with various knee ailments, including arthritis, cartilage damage, and other problems with damaged tissue.

Many people suffering from arthritis experience chronic pain in their knees. Swelling and inflammation are typical symptoms of arthritis. Painful bone rubbing against bone may be another symptom of arthritis. Traditional knee repairs may not be able to help patients suffering from these problems. Knee replacement surgery is an extreme option that is not suitable for every patient. If this is the case, a stem cell alternative to knee replacement may be the best option. The best way to know for sure which treatment is best for your particular case is to schedule a consultation with your CRO doctor.

COMMON KNEE INJURIES AND CONDITIONS

CHONDROMALACIA PATELLA

Chondromalacia patella (also called patellofemoral syndrome): Irritation of the cartilage on the underside of the kneecap (patella), causing knee pain. This is a common cause of knee pain in young people.

 
 

GOUT

Gout is a painful form of inflammatory arthritis that usually affects the big toe but can develop in any joint, including one or both of the knees. It forms when your body has high levels of uric acid. This acid forms sharp crystals that cause sudden bouts of pain, swelling, and tenderness.

When gout affects the knee, it can make everyday movements, such as walking or standing, painful or uncomfortable. While there’s no cure for gout, there are several treatments that can help to prevent flare-ups and control painful symptoms.

There’s no cure for gout, but a combination of medications and home treatments can help to manage knee pain and reduce the number of flare-ups you have.

  • over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil)

  • prescription-strength NSAIDs, such as celecoxib (Celebrex)

  • corticosteroids, which may be taken orally or injected into your knee joint to help ease pain and inflammation

  • prescription-strength NSAIDs, such as celecoxib (Celebrex)

KNEE ARTHRITIS

Osteoarthritis, commonly known as wear-and-tear arthritis, is a condition in which the natural cushioning between joints cartilage wears away. When this happens, the bones of the joints rub more closely against one another with less of the shock-absorbing benefits of cartilage. The rubbing results in pain, swelling, stiffness, decreased ability to move, and, sometimes, the formation of bone spurs.

The most common cause of osteoarthritis of the knee is age. Almost everyone will eventually develop some degree of osteoarthritis. However, several factors increase the risk of developing significant arthritis at an earlier age.

 

KNEE BURSITIS

Knee bursitis is inflammation of a small fluid-filled sac (bursa) situated near your knee joint. Bursae reduce friction and cushion pressure points between your bones and the tendons, muscles, and skin near your joints.

Any of the bursa in your knee can become inflamed, but knee bursitis most commonly occurs over the kneecap or on the inner side of your knee below the joint.

Knee bursitis causes pain and can limit your mobility. Treatment for knee bursitis often includes a combination of self-care practices and doctor-administered treatments to alleviate pain and inflammation.

 

KNEE EFFUSION

Swollen joints happen when there's an increase of fluid in the tissues that surround the joints. Joint swelling is common with different types of arthritis, infections, and injuries. A swollen joint is a symptom of the following health conditions: Osteoarthritis, Rheumatoid arthritis, and gout.

 
 

KNEE FRACTURE

A patellar fracture is a break in the patella, or kneecap, the small bone that sits at the front of your knee. Because the patella acts as a shield for your knee joint, it is vulnerable to fracture if you fall directly onto your knee or hit it against the dashboard in a vehicle collision. A patellar fracture is a serious injury that can make it difficult or even impossible to straighten your knee or walk.

A fractured patella should always be promptly evaluated by a physician. A simple knee fracture may heal on its own, although a cast may be necessary to keep the pieces from moving around. A more complex fracture, on the other hand, might require surgery to secure the bones back into place and restore stability to the knee. An orthopedic physician who specializes in diagnosing and treating knee injuries can provide a tailored treatment recommendation.

If you’ve recently injured your knee and think you may be dealing with a fracture, you can turn to Advanced Orthopaedics & Sports Medicine for prompt diagnosis and treatment. We offer comprehensive on-site imaging services, as well as surgical and nonsurgical treatments. From custom braces and physical therapy to medication management and laparoscopic surgery, we offer the latest therapies for common and complex knee injuries. To have your knee evaluated by one of our orthopedic physicians, contact us today.

 

LIGAMENT TEAR (ACL/PCL/MCL)

ACL (anterior cruciate ligament) strain or tear: The ACL is responsible for a large part of the knee’s stability. An ACL tear often leads to the knee “giving out,” and may require surgical repair.

PCL (posterior cruciate ligament) strain or tear: PCL tears can cause pain, swelling, and knee instability. These injuries are less common than ACL tears, and physical therapy (rather than surgery) is usually the best option.

Conservative treatments — such as rest, ice, and physical therapy — sometimes are all that's needed to recover from a rotator cuff injury. If your injury is severe, you might need surgery.

 

MENISCAL TEAR

A meniscus tear occurs in the rubbery knee cartilage that cushions the shinbone from the thighbone. The meniscus can tear with forceful twisting or rotation of the knee.

Treatment includes rest, ice, pain relievers, and physiotherapy. Less commonly, surgery may be required.

 

PATELLAR SUBLUXATION

Patellar subluxation is a partial dislocation of the kneecap (patella). It's also known as patellar instability or kneecap instability. The kneecap is a small protective bone that attaches near the bottom of your thigh bone (femur).

Nonsurgical treatment is recommended for the majority of people with a first-time patellar subluxation or dislocation. This includes RICE, NSAID medications, Physical therapy, crutches or cane, cast or splint, and specialized footwear to decrease knee cap pressure.

 

PATELLAR TENDONITIS

The patellar tendon helps the muscles extend the knee. This injury is most common in athletes who frequently jump, such as when playing basketball and volleyball. Knee pain, swelling, and stiffness are common symptoms. Treatment usually begins with physiotherapy and pain relief.