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Knee pain is a common issue, with nearly 25% of the global population experiencing itat some point. Knee arthritis and chondral lesions are two leading causes, and understanding the difference between them is key to effective treatment. 

Dr. Brian Kelly, an expert orthopaedic surgeon in PA, specializes in diagnosing and treating knee conditions. With a patient-first approach and advanced treatments, he helps individuals regain mobility and improve quality of life. Whether your pain is from arthritis, a chondral defect, or another issue, Dr. Kelly and his team can create a personalized care plan to restore your comfort. Schedule an appointment today to start your recovery! 

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Understanding knee pain starts with exploring the differences between these two conditions.

Definitions and Causes of Each Condition 

KNEE ARTHRITIS

Osteoarthritis of the knee is a degenerative condition where cartilage breaks down, causing pain, stiffness, and reduced mobility. 

Causes of Knee Osteoarthritis 

  • Age: Cartilage naturally wears down over time. 
  • Repetitive Stress: Frequent kneeling, squatting, or heavy lifting can strain the joint. 
  • Past Injuries: Fractures or ligament tears can accelerate cartilage damage. 
  • Genetics: A family history of osteoarthritis increases risk. 

Understanding these causes helps in preventing and managing knee osteoarthritis. 

CHONDRAL LESIONS

Chondral defects refer to damage in the cartilage that cushions the knee joint, leading to pain, swelling, and limited mobility. 

Causes of Chondral Lesions 

  • Trauma: Direct injuries, such as falls or sports accidents, can damage cartilage. 
  • Overuse: Repeated high-impact activities can wear down cartilage over time. 
  • Chondral Fissures: Cracks in the cartilage caused by mechanical stress can worsen if untreated. 

Early recognition and proper care are crucial to prevent further damage and preserve joint function.

Symptoms Comparison 

Knee Arthritis Symptoms 

  • Gradual pain, stiffness, and swelling. 
  • Pain and stiffness worsen with activity. 
  • Swelling increases after prolonged use. 
  • Discomfort eases with rest but returns with movement. 

Chondral Lesions Symptoms 

  • Sharp, localized pain during specific movements. 
  • Swelling and possible catching, locking, or grinding in the knee. 

Imaging and Diagnostic Tools 

Distinguishing between arthritis and chondral lesions is key, as symptoms often overlap but treatments differ. Clinical exams, X-rays, MRIs, and medical history ensure accurate diagnosis. Proper evaluation helps guide effective treatment, prevent further joint damage, and improve patient outcomes.

Common Diagnostic Tools 

  • X-rays: Detect bone changes, joint space narrowing, or abnormalities. 
  • MRI: Offers detailed images of soft tissues, cartilage, and early joint damage. 
  • Arthroscopy: A minimally invasive procedure to inspect joint surfaces and cartilage. 

Specific Diagnostic Markers

  • Arthritis: Bone erosion, joint space narrowing, and inflammatory markers in blood tests. 
  • Chondral Lesions: Focal cartilage damage, visible as defects or thinning in imaging. 

Treatment Strategies for Both 

Knee Arthritis Treatment 

Chondral Fissure Knee Treatment 

  • Non-surgical options like activity modification and bracing. 
  • Surgical options, including cartilage repair or restoration.

Start Your Journey to Healthier Knees

Effective treatment for knee arthritis and chondral fissures is available, ranging from conservative approaches to advanced surgical options tailored to your needs. Dr. Brian Kelly is here to provide expert care and personalized solutions for your knee health. 

Contact our practice today to schedule an appointment and explore how we can help restore your mobility and reduce pain through state-of-the-art knee treatments. Don’t wait—start your journey to healthier knees now! 

REQUEST AN APPOINTMENT