Synovitis/Gout of the Knee
What is Synovitis/Gout of the Knee?
Synovitis of the knee refers to inflammation of the synovial membrane, and when associated with gout, it results from urate crystal deposition leading to acute joint inflammation.
- Inflammation of the synovium
- Severe joint pain and swelling, often with redness
Overview of the Condition
Gout is a metabolic disorder that leads to recurrent attacks of inflammatory arthritis, and the knee can be one of the affected joints.
Symptoms
- Intense knee pain and swelling
- Redness and warmth over the joint
- Limited joint mobility during flare-ups
Causes
Gout is caused by high levels of uric acid in the blood, leading to crystal deposition in joints and triggering an inflammatory response. Synovitis may occur secondary to this process.
Diagnosis
Diagnosis is confirmed by joint aspiration demonstrating urate crystals, along with clinical examination and imaging as needed.
Treatment Options
- NSAIDs, colchicine, and corticosteroids for acute flare-ups
- Long-term urate-lowering therapy
- Joint aspiration to relieve pressure in severe cases
Conservative Management
Management focuses on anti-inflammatory medications, lifestyle changes, and dietary modifications to reduce uric acid levels.
Rehabilitation Exercises
- Gentle range-of-motion exercises once inflammation subsides
- Strengthening exercises for overall joint support
- Low-impact aerobic exercise to improve overall health
Surgical Options
Surgical intervention is rarely indicated unless there is joint destruction or to manage refractory cases.
Anatomy Overview
The knee joint is lined by a synovial membrane that can become inflamed during gout attacks.
Affected Areas
- Knee joint synovium
- Adjacent cartilage and bone structures
Frequently Asked Questions
QuestionAnswerIs gout only a knee problem?Gout can affect any joint, but the knee is one of the commonly involved sites.How are acute attacks managed?Acute attacks are managed with NSAIDs, colchicine, and sometimes corticosteroids.
Prevention Strategies
- Follow a low-purine diet
- Maintain a healthy weight
- Stay well-hydrated and limit alcohol consumption
Related Conditions
- Osteoarthritis
- Rheumatoid arthritis
Additional Treatments
Long-term management with urate-lowering agents is important to prevent recurrent gout attacks.
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