Bahasa: EN | 中文 | BM |

Clinical relationships between lower back pain and knee osteoarthritis

Knee osteoarthritis (OA), also known as degenerative joint disease of the knee, is typically the result of wear and tear and progressive loss of articular cartilage.

Osteoarthritis is typically a progressive disease that may eventually lead to disability. The intensity of the clinical symptoms may vary for each individual.


knee-oad303b269ca4e6c2ea63cff00001f8f43


 

Osteoarthritis (OA) and lower back pain (LBP) are the most common health problems that lead to pain and disability worldwide. OA is a major form of arthritis causing pain and disability.


Some patients with knee OA may not respond well to the recommended knee exercises. This may be due to the possibility of additional concurrent conditions affecting knee OA, such as LBP.It is a common complaint in individuals with knee OA and concurrent LBP was reported in 57.4% of patients with KOA

 

Aetiology 

  1. Alignment of lumbar-pelvic and lower extremities - The lumbar spine serves as the primary source of compensation, while hip flexion and pelvic anteversion increase for further compensation.
  2. Greater pelvic anterior tilt: study showed greater pelvic anterior tilt (44.68°) angle was found in the patients with knee OA of both the LBP and non-LBP groups compared to healthy people.
  3. Pelvic retroversion causing hip external rotation and varus knee deformity - Pelvic retroversion is related to standing position. Varus knee alignment increases the medial tibiofemoral load and is associated with knee osteoarthritis. Thus, sagittal lumbo-pelvic malalignment, especially pelvic retroversion, could lead to the progression of OA
 

References
 

  • Amarasinghe, P., Wadugodapitiya, S., & Weerasekara, I. (2023). Biomechanical and clinical relationships between lower back pain and knee osteoarthritis: a systematic review. Systematic reviews12(1), 28. https://doi.org/10.1186/s13643-022-02164-3
  • Suri P, Morgenroth DC, Kwoh CK, Bean JF, Kalichman L, Hunter DJ. Low back pain and other musculoskeletal pain comorbidities in individuals with symptomatic osteoarthritis of the knee: data from the osteoarthritis initiative. Arthritis Care Res. 2010;62:1715–1723. doi: 10.1002/acr.20324.
  • Yasuda T, Togawa D, Hasegawa T, Yamato Y, Kobayashi S, Yoshida G, et al. Relationship between knee osteoarthritis and spinopelvic sagittal alignment in volunteers over 50 years of age. Asian Spine J. 2020;14:495–501. doi: 10.31616/asj.2018.0266.
     

We understand how back pain, neck pain, shoulder pain, knee pain, arthritis, or sports injuries like tennis elbow, golfer's elbow, and hamstring strains can take a toll on your life. These pains can make even the simplest daily activities feel like a struggle and rob you of the joy in your favorite hobbies. At Benphysio, we’re dedicated to changing that.

Imagine living without constant pain. Imagine getting back to the things you love without hesitation. Our expert physiotherapists at Benphysio combine manual therapy, exercise, and education to address the root causes of your pain and prevent it from coming back.

Don’t let the pain control your life. At Benphysio, we’re here to help you overcome pain and reclaim your health, so you can live life to the fullest.

Ready to say goodbye to pain and embrace a healthier, happier you? Visit Benphysio for expert physiotherapy services designed to transform your life.

BENPHYSIO @ OVAL DAMANSARA
Unit 2-1 & 2-2, 2nd floor, Oval Damansara, Jalan Damansara, 60000 Kuala Lumpur, Kuala Lumpur, Malaysia.

Tel: +6016-390 2015

BENPHYSIO @ BANGSAR
17, Persiaran Ara Kiri, Lucky Garden, Bangsar, 59100 Kuala Lumpur, Malaysia.
Tel: +6010-263 2015

BENPHYSIO @ PUCHONG
40-G, Jalan Puteri 1/2, Bandar Puteri 47100 Puchong, Selangor, Malaysia.
Tel: +6010-253 2015
 

BENPHYSIO @ KL
Lot G.09, Ground Floor, The Grange @ Ampwalk, 218, Jalan Ampang, 55000 Kuala Lumpur, Malaysia.
Tel: +6010-283 2015
 

BENPHYSIO @ SHAH ALAM
Ground Floor, Mercu PICORP, Lot 10, Jalan Astaka U8/84, Bukit Jelutong Business & Technology Centre, 40150 Shah Alam, Selangor, Malaysia.
Tel: +6016-240 2015
 

BENPHYSIO @ CHERAS
Ground Floor, 213 Jalan Sarjana, Taman Connaught, 56000 Kuala Lumpur, Malaysia.
Tel: +6010-287 2015
 

BENPHYSIO @ KOTA DAMANSARA
C-11-G, Sunway Giza Mall, Jalan PJU 5/17, Dataran Sunway, 47810 Kota Damansara, Petaling Jaya, Selangor, Malaysia.
Tel: +016-439 2015

18 Sep 2024