Knee pain is a common issue among individuals aged 60 and above, often leading to the need for knee replacement surgery. The primary cause of chronic knee pain in seniors is osteoarthritis, a degenerative joint disease where the protective cartilage that cushions the ends of bones wears down over time. The knee joint consists of bones, cartilage, ligaments, and synovial fluid, all working together to provide smooth movement. When the cartilage deteriorates, bones begin to rub against each other, causing inflammation, stiffness, and sharp, shooting pain. Other contributing factors include rheumatoid arthritis, previous injuries, obesity, and genetic predisposition. As the cartilage gap narrows, mobility becomes restricted, making even simple activities like walking or climbing stairs painful.
The structure of the knee plays a crucial role in understanding why pain occurs. The joint is supported by the femur, tibia, and patella, with menisci acting as shock absorbers between them. Over time, wear and tear reduce the thickness of these menisci, leading to bone-on-bone contact. Synovial fluid, which lubricates the joint, also decreases with age, further exacerbating friction. This mechanical stress results in inflammation, swelling, and chronic discomfort. In severe cases, bone spurs develop, worsening the pain. When conservative treatments like painkillers, physical therapy, and injections no longer provide relief, knee replacement surgery becomes necessary. The procedure involves replacing the damaged joint with an artificial implant, restoring mobility and reducing pain.
Preventing knee pain in old age requires proactive measures starting in middle age. Maintaining a healthy weight reduces stress on the knee joints, slowing cartilage degeneration. Regular low-impact exercises such as swimming, cycling, and walking strengthen the muscles around the knee, providing better support. Strength training focusing on quadriceps and hamstrings improves joint stability, while flexibility exercises like yoga prevent stiffness. Avoiding high-impact activities that strain the knees, such as running on hard surfaces or excessive squatting, can also help. A diet rich in anti-inflammatory foods, including omega-3 fatty acids, leafy greens, and nuts, supports joint health. Additionally, wearing proper footwear with good arch support minimizes unnecessary pressure on the knees.
For those already experiencing knee pain, early intervention can delay or prevent the need for surgery. Physical therapy improves range of motion and reduces discomfort, while assistive devices like braces or canes alleviate pressure. Over-the-counter pain relievers and corticosteroid injections offer temporary relief, but long-term solutions involve lifestyle adjustments. If surgery becomes inevitable, modern advancements in knee replacement ensure high success rates with faster recovery times. Post-surgery rehabilitation is critical, involving guided exercises to restore strength and flexibility. While knee replacement is a viable solution for severe arthritis, preventive care in earlier years remains the most effective way to maintain joint health and mobility in old age.