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Obesity and Joint Health
Obesity and Joint Health

Relieve Knee Pain and Prevent Osteoarthritis with Bariatric Surgery

25/07/2024 21 Comments

Do You Suffer from Sharp Knee Pain?

Do you often feel sharp knee pain that just doesn’t go away? Is it a struggle to get up in the morning, with your knees feeling like they’re locked in place?

Maybe it’s painful to kneel down and pick up your daughter or granddaughter, or perhaps every step from your car to the grocery store feels like a marathon.

If this sounds familiar, you’re not alone. Many people experience this kind of knee pain, especially if they are overweight.

Why Obese People Experience Knee Pain

Knee pain can become a constant part of daily life for those who are overweight.

You might notice swelling and need to ice your knees every night, or you might worry that your knees might give out when you walk.

This pain can be isolating, causing you to miss social gatherings and activities you once loved.

Even if your situation isn’t this severe, being overweight increases the likelihood of knee pain and puts you at a high risk of developing knee osteoarthritis.

Understanding Osteoarthritis

So, what exactly is osteoarthritis? It’s a condition where the protective cartilage that cushions the ends of bones wears down over time.

This can affect any joint but is most common in the knees, hips, hands, and spine.

According to medical research, there’s a 36% increased risk of developing osteoarthritis with every 5 kg weight gain.

Let’s explore how obesity and a higher BMI contribute to this risk.

Mechanical Stress
Increased weight puts extra pressure on weight-bearing joints, especially the knees.
For every pound of weight gain, the force on the knee joint increases by 2-3 pounds when walking. This constant pressure leads to faster wear and tear of the cartilage in the joint.

Biochemical Changes

Adipose tissue (fat) is not just inert; it’s metabolically active and produces various substances, such as pro-inflammatory cytokines (e.g., TNF-α, IL-6) and adipokines (e.g., leptin, adiponectin).

These substances can promote low-grade systemic inflammation, which can damage cartilage and other joint tissues over time.

Metabolic Factors

Obesity is often associated with metabolic syndrome, which includes insulin resistance, elevated blood glucose levels, and abnormal lipid profiles.

These factors contribute to the degradation of cartilage and joint tissues.

Altered Biomechanics

Excess weight can change how a person walks, known as their gait.

This altered gait pattern can distribute weight unevenly across the joint, leading to localized areas of increased stress and further damage.

Accelerated Aging of Joint Tissues

The combination of mechanical stress and biochemical changes can accelerate the aging process of joint tissues.

The increased stress and inflammation associated with obesity impair the already limited repair ability of cartilage.

Reduced Physical Activity

Obese individuals may be less physically active due to the pain, leading to muscle weakness around the joint, reducing its stability and support.

This inactivity can contribute to more weight gain, perpetuating the cycle.

Breaking the Cycle with Bariatric Surgery

One effective way to break this cycle is through bariatric surgery.

Bariatric surgery can be a real game-changer, especially for those who are severely obese and looking to prevent osteoarthritis.

Here’s why this surgical intervention can make a significant difference:

Every kilogram of weight lost takes about 4 kilograms of pressure off your knees when you walk.

So, imagine if you lose 40 kilograms – that’s 160 kilograms less stress on your knees and hips! Bariatric surgery often leads to significant weight loss, typically around 60-80% of excess weight.

This reduction not only eases the pressure on your joints but also reduces the amount of inflammatory substances produced by fat tissue.

Less fat means less inflammation in your body, including your joints.

With less weight to carry around, you’ll find it easier to move.

This increased activity strengthens the muscles around your joints, providing better support and stability.

Moreover, bariatric surgery can improve conditions like diabetes and high blood pressure, both of which are linked to an increased risk of osteoarthritis.

The surgery can also affect hormones that play a role in joint health and inflammation.

Don’t let obesity control your life. Take a step towards better health today.

One of the best bariatric surgeons in India is Dr. Shashank Shah, who has performed over 10,000 bariatric procedures. Schedule your consultation here.

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Written by: obesityasia
Obesity and Joint Health

Morbid Obesity With Severe Osteoarthritis Of Knee Joints

03/07/2020 No Comments

Knee Clinic in Pune, Obesity and Knee Pain, Obesity impact on knee, obesity and knee pain relation, obesity and knee pain connection, obesity and joint pain, obesity and joint pain connection, obesity and join pain relation, bariatric surgery to reduce joint pain, obesity treatment to reduce joint pain

A dilemma for patients as well as clinicians!

Let us consider both the cases:

1. Knee replacement before weight loss surgery

Observations:

a) The knee pain would be resolved, and the patient will be able to walk without pain.

b) The benefits of walking as an exercise may be added, but post-operative physiotherapy is so difficult because of the huge excess weight at times.

c) There would be higher risks during anaesthesia due to the comorbidities, surgery may be more difficult due to the excess fat deposition around the knees and thighs. Special care may be needed to minimize wound infection or delayed healing since fat has poor healing properties.

d) The associated conditions in these patients like diabetes, blood pressure, breathing difficulty add to the difficulties before and after the joint replacement.

2. Weight loss surgery or bariatric surgery before the joint and knee replacement

Observations

a) Weight loss surgery adds distinct benefits like weight loss, reversal or control of diabetes, blood pressure and breathlessness.

b) Patient’s pain also reduces significantly because of the weight loss and less pressure on joints. In many patients, the pain totally disappears, and knee replacement can be deferred.

c) Post knee and joint surgery their movements on recommended physiotherapy exercises also turns easy

 

However, if a joint replacement is performed after the bariatric and obesity surgery, the surgery is easier and diabetes control reduces the chances of infection.

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Obesity and Joint Health

Genes do not control everything

03/07/2020 No Comments

Do genes play a role in obesity and weight management ? , genes and obesity , genes and weight loss , genes and weight gain

There has been a known association between genes and obesity.

There are over 50 genes studied which are strongly associated with obesity and there are many more which would be known after further studies. Certain genes are protective and ones with these genes maintain a near-normal weight. On the other hand, certain genes may make someone more prone to obesity. However, there is no need to be helpless. Genes can only predispose to obesity. The other environmental factors like lifestyle, dietary pattern, and choices, activity grade, etc. can add fuel to the genetic tendency and induce obesity.

It is known that there are some genetic syndromes that can lead to obesity due to the defect or absence of certain hormones. These are purely genetic forms of obesity and fortunately rare.

One example of a boy I witnessed had leptin deficiency. Those with leptin deficiency by birth have uncontrolled hunger because of the lack of the hormone and the child continues to demand food all the time and eventually succumbs to obesity. What can be learned from this is, if you have excess/ uncontrolled hunger, it could be because of the imbalance of certain hormones, known or unknown. Such a person should seek an opinion from a bariatric physician.

Those who have a history of obesity in families have a higher incidence of severe obesity as well as associated disorders like diabetes, heart disease, etc. Even though genes do play a role in this, they are not the primary or the only reason for this type of obesity. Fortunately, bariatric surgery and certain medications work well in such forms of obesity with strong family tendency.

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Dr Shashank Shah is an expert laparoscopic bariatric i.e. obesity surgeon in India. He is a director of Laparo Obeso Centre which is a centre for treatment for weight loss and weight-related metabolic diseases.

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