Cartilage Lesions

What are cartilage lesions?

Cartilage lesions refer to damage or injury to the cartilage, a flexible and smooth connective tissue that cushions the ends of bones in joints. Cartilage provides a smooth surface for joint movement and helps absorb shock during activities. When this cartilage becomes damaged due to trauma, wear and tear, or certain medical conditions, it can lead to cartilage lesions. These lesions can vary in severity from minor surface wear to deep tears or loss of cartilage, potentially affecting the function and health of the joint.

 

Cartilage lesions symptoms

The symptoms of cartilage lesions can vary depending on the location and extent of the damage. Common symptoms include:

 

  • Joint pain: Persistent pain in the affected joint, often worsening with activity and improving with rest.
  • Swelling: Inflammation and swelling around the joint, which may be visible or felt as a sensation of tightness.
  • Stiffness: Reduced range of motion and stiffness in the joint, especially after periods of inactivity or upon waking.
  • Locking or catching: The joint may feel like it is catching or locking, which can be a sign of loose cartilage fragments.
  • Weakness: A feeling of weakness or instability in the joint, making it difficult to perform certain movements or bear weight.

 

How does Dr Abramson treat cartilage lesions?

Dr Michael Abramson employs a range of tailored treatment options to address cartilage lesions, focusing on alleviating symptoms, restoring joint function, and preventing further damage. For non-surgical management, he may recommend physical therapy to strengthen the muscles surrounding the joint, improve flexibility, and reduce pain. Medications, including anti-inflammatory drugs or pain relievers, are used to manage symptoms and decrease inflammation. Additionally, joint injections with corticosteroids or hyaluronic acid can provide relief by reducing inflammation and lubricating the joint.

When non-surgical treatments are insufficient, or the damage is severe, Dr Abramson may opt for surgical interventions.

Arthroscopic debridement is a minimally invasive procedure that involves using an arthroscope to remove damaged cartilage and debris from the joint, thereby improving function and reducing pain. Microfracture surgery, another option, stimulates the growth of new cartilage by creating small fractures in the underlying bone. For more advanced cases, Dr Abramson might use osteochondral autograft transplantation, which involves transplanting healthy cartilage and bone from one part of the joint to the damaged area, or autologous chondrocyte implantation, a two-step procedure that regenerates healthy cartilage using the patient’s own cells.

FAQs

How long is the recovery period after cartilage lesion surgery?
Recovery time varies depending on the type of surgery performed and the patient’s overall health. Most patients can expect to return to light activities within a few weeks, but full recovery, including return to sports or strenuous activities, can take several months. Dr Abramson will provide a personalized rehabilitation plan to ensure optimal recovery.
Can cartilage lesion treatment prevent arthritis?
Treating cartilage lesions early can help prevent further joint deterioration and reduce the risk of developing arthritis. By addressing the damage before it progresses, treatment can preserve joint health and function, potentially delaying or avoiding more significant joint problems later on.
Will I need physical therapy after treatment for cartilage lesions?
Yes, physical therapy is often an essential part of the recovery process after cartilage lesion treatment. It helps restore joint mobility, strengthen surrounding muscles, and improve overall function. Dr Abramson works closely with physical therapists to develop individualized rehabilitation plans for each patient.