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Dr. Pablo Gelberالعربية

Patient question

How can I protect my knee cartilage from further damage?

Dr. Pablo GelberOrthopaedic Knee Surgeon

Quick answer

Cartilage cannot be made to regrow on its own, but you can usually slow further damage by keeping the thigh and hip muscles strong, managing body weight, building up sport gradually and treating instability, a torn meniscus or poor alignment early, explains Doha knee surgeon Dr. Pablo Gelber at Aman Hospital.

Why prevention matters for cartilage

Joint cartilage has almost no blood supply, so once it is damaged it heals poorly. The aim is to reduce the repeated overload that makes a small defect grow, and to fix the mechanical problems that concentrate stress on one area of the joint.

Things you can do yourself

  • Strengthen the quadriceps, hamstrings and hip muscles two to three times a week; strong muscles absorb load that would otherwise reach the cartilage
  • Keep moving: cycling, swimming and walking on even ground feed the cartilage with joint fluid
  • If you are carrying extra weight, even a modest loss reduces the force through the knee on every step and stair
  • Increase running, padel or gym loads gradually rather than in sudden jumps
  • Warm up properly, and in Qatar's summer train indoors or in the cooler hours so fatigue does not ruin your technique
  • Respect swelling: a knee that swells after activity is telling you the load was too much

Problems a surgeon may need to correct

Some causes of progressive cartilage wear are mechanical. A knee that keeps giving way from an old ACL tear, a meniscus that has been torn or removed, a kneecap that tracks poorly, or bow legs that push weight onto the inner side can all speed up cartilage loss. Treating these at the right time, sometimes with ligament surgery, meniscus repair or an osteotomy, is often the most effective protection for the cartilage that remains.

When to have it checked

Book an assessment if your knee keeps swelling, catches or locks, gives way, or if pain is steadily limiting walking or sport. At Aman Hospital in Doha, Dr. Gelber examines stability and alignment and reviews X-rays and MRI to see whether something correctable is driving the damage.

Frequently asked questions

Should I stop running to save my cartilage?

Not necessarily. Many people with cartilage damage keep running with adjusted distance, softer surfaces and strength work. Whether it suits your knee depends on where the damage is and how the knee responds, which is judged after an examination.

Do knee sleeves or braces protect cartilage?

A sleeve can make the knee feel more comfortable and confident, and an unloader brace may reduce pressure on one side in selected patients. Neither replaces muscle strength or treatment of instability.

Related

Medically reviewed by Dr. Pablo Gelber · Last updated

This page is general information and not a substitute for a medical consultation. Treatment decisions depend on an individual examination.