But really the culprit might be tight hips or things like that.

Like for instance, I just turned 30 by the way, but I have the back of, like, a 70-year-old and deal with, like, sciatica and all these things. I just find it fascinating that one part of your body might be hurting a lot. The problem often starts within the synovium, which is the barrier that keeps the synovial fluid from the joint and ends up damaging the cartilage from a different direction. Or take for another instance, an autoimmune disease such as rheumatoid arthritis. This inflammation over the lateral hip is different pathology and can be treated much differently than pain from inside of the joint. For instance, the gluteal tendon, which provides critical hip function, can get irritated and inflamed. Sometimes the pain around a joint is not actually coming from inside the joint. The process can begin from multiple different directions. Finally, the irritated state of the knee can cause inflammation to the synovia, which can further increase pain within the joint. And if the pressure gets high enough for long enough, it can create additional spaces of fluids such as a ganglion cyst or a baker cyst.

This leads to an increase in pressure in the joint, which will lead to an effusion. When a joint is not working smoothly, the body compensates by increasing synovial fluid production, thinking that perhaps maybe more oil can solve the grinding problem within the joint. So what causes joint pain? Like why does it happen? And in between we see all kinds of derivations of joint pain, whether or not it’s sports injuries or some chronic lingering pain from osteoarthritis or some sort of tendonitis or rotator cuff injury. We see kids with elbow fractures all the way up through you know, your grandma with a hip fracture. I would imagine it’s pretty much everybody. So as we get started here, tell us just a little bit about Sanford Orthopedics and the types of patients that you see in your clinics.

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