According to the American Academy of Orthopaedic Surgeons, osteoarthritis is the most common form of knee arthritis. Arthritis is an inflammatory condition that mainly affects the joints of the body. Osteoarthritis is divided into primary osteoarthritis, which is related to age and genetics and secondary arthritis, which is associated with joint injury. As a marathon runner, you may be at risk for developing osteoarthritis as a result of trauma or overuse of the joints.
Causes
Osteoarthritis is usually a progressive degenerative disease in which the joint cartilage gradually wears away. The research on whether or not a marathon runner is more likely to develop osteoarthritis is conflicting. The National Academy of Sports Medicine states that people exhibiting osteoarthritis have a decrease in strength and proprioception, which is another name for balance. Both strength and balance are a major component in running, so a problem with either one or both could have a negative effect on the ability of a marathon runner to perform.
Exercises
Strength training is an important component to preventing and improving osteoarthritis of the knee. As the thigh muscles get stronger, the cartilage becomes thicker and healthier. Strength training exercises focused on the legs and hips can help increase the range of motion and flexibility within the knee. Balance training is essential because it helps improve joint stabilization during movement, such as running. Stretching exercises are another way to improve your balance.
Treatments
Lifestyle changes may include switching from high-impact activities such as running to low-impact activities such as swimming or cycling. Minimizing activities that aggravate your knee is important in preventing pain and discomfort. Wearing a supportive knee brace or knee sleeve can be helpful. Knee braces are especially helpful if the osteoarthritis is centered on one side of the knee.
Drug Treatments
Over the counter anti-inflammatory medications will help reduce pain and swelling in the joints. Glucosamine and chondroitin are two large molecules found in the cartilage of your joints. Oral supplements containing glucosamine and chondroitin can be helpful in reducing swelling as well as improving function and mobility, especially in the early stages of osteoarthritis. For more severe pain and swelling, corticosteroids are powerful anti-inflammatory drugs that are injected into the joint.
References
- American Academy of Orthopaedic Surgeons: Arthritis of the Knee
- The Journal of the American Osteopathic Association: Does Long Distance Running Cause Osteoarthritis?
- "NASM Essentials of Personal Fitness Training"; Michael A. Clark, Scott Lucett, Rodney J. Corn; 2008



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