{"id":695,"date":"2019-06-26T17:53:18","date_gmt":"2019-06-26T15:53:18","guid":{"rendered":"http:\/\/167.71.32.174\/?p=695"},"modified":"2025-02-19T17:28:31","modified_gmt":"2025-02-19T16:28:31","slug":"knorpel-und-arthrose","status":"publish","type":"post","link":"https:\/\/sportambulatorium.wien\/en\/knorpel-und-arthrose\/","title":{"rendered":"Damaged Cartilage and Osteoarthritis of the Knee: Pain Relief and Therapy"},"content":{"rendered":"<h2><strong>Damaged Cartilage and Osteoarthritis of the Knee: Pain Relief and Therapy<\/strong><\/h2>\n\n\n\n<p class=\" translation-block\">Pain when walking down stairs or hills\u2026 pain after exercise\u2026 pain when getting up after long periods of sitting: Knee pain is a typical symptom of cartilage damage or osteoarthritis of the knee.<\/p>\n\n\n\n<p class=\" translation-block\">In this article, Dr. G\u00e4bler from the SPORTambulatorium Wien summarizes various osteoarthritis therapies and explains why early treatment is so important when there is wear and tear on the joints.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1920\" height=\"1440\" src=\"http:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-scaled.jpg\" alt=\"Schmerzen beim Bergabgehen, nach Belastung oder sogenannte Anlaufschmerzen beim Aufstehen nach l\u00e4ngerem Sitzen: Knieschmerzen sind typische Symptome f\u00fcr Knorpelsch\u00e4den oder eine Arthrose im Knie. \" class=\"wp-image-4252\" srcset=\"https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-scaled.jpg 1920w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-300x225.jpg 300w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-1024x768.jpg 1024w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-768x576.jpg 768w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-1536x1152.jpg 1536w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-2048x1537.jpg 2048w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-16x12.jpg 16w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-100x75.jpg 100w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-862x647.jpg 862w, https:\/\/sportambulatorium.wien\/wp-content\/uploads\/2021\/11\/pexels-amine-msiouri-2108845-5-edited-1200x900.jpg 1200w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/figure>\n\n\n\n<h3>Table of Contents<\/h3>\n\n\n\n<ol>\n<li><strong><a href=\"#h2-1\">What is osteoarthritis of the knee?<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"#h2-2\">Osteoarthritis of the knee: Diagnosis and therapy<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"#h2-3\">Types of cartilage damage and means of therapy<\/a><\/strong>\n<ol>\n<li><strong><a href=\"https:\/\/sportambulatorium.wien\/en\/chondropathia-patellae-knorpelerkrankung-der-kniescheibe\/\">Chondromalacia patellae (softening and deterioration of kneecap cartilage)<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/sportambulatorium.wien\/en\/gelenksflachen-der-oberschenkelrollen\/\">Articular surfaces of the femoral condyles<\/a><\/strong>\n<ol>\n<li><a href=\"https:\/\/sportambulatorium.wien\/en\/gelenksflachen-der-oberschenkelrollen\/\">Microfractures<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/sportambulatorium.wien\/en\/gelenksflachen-der-oberschenkelrollen\/\">Mosaicplasty<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/sportambulatorium.wien\/en\/gelenksflachen-der-oberschenkelrollen\/\">Knorpeltransplantat (MACT)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/sportambulatorium.wien\/en\/gelenksflachen-der-oberschenkelrollen\/\">AutoCart Knorpeltransplantat (MINCED CARTILAGE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/sportambulatorium.wien\/en\/gelenksflachen-der-oberschenkelrollen\/\">Cartilage Smoothing<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/sportambulatorium.wien\/en\/gelenksflachen-der-oberschenkelrollen\/\">Eigenblut Infiltrationen (ACP)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/sportambulatorium.wien\/en\/gelenksflachen-der-oberschenkelrollen\/\">Cingal Gel Spritze &#8211; Hochvernetzte Hyalurons\u00e4ure<\/a><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n\n\n\n<li><strong><a href=\"#medikamentoese-therapie\">Medication for joint pain and damaged knee cartilage<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"#nahrungsergaenzung\">Other dietary supplements for osteoarthritis therapy<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"#fazit\">Osteoarthritis of the knee: Reducing pain with early treatment&nbsp;<\/a><\/strong><\/li>\n<\/ol>\n\n\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style>\n\n\n\n<h3 id=\"h2-1\">What is osteoarthritis of the knee?<\/h3>\n\n\n\n<p class=\" translation-block\">Osteoarthritis of the knee can be very painful. It occurs when the joint cartilage is irreparably damaged.<\/p>\n\n\n\n<p class=\" translation-block\">Cartilage damage can occur due to an acute event or through chronic stress and is a common cause of persistent pain, especially during initial exertion. Cartilage damage often begins with a softening of the cartilage (chondromalacia). Over time, this type of pain is even present after prolonged sitting. When cartilage damage or wear becomes widespread, it is called osteoarthritis. Left untreated, cartilage becomes brittle and can fray or break off. Once cartilage has broken off and the bone surface is exposed, patients usually experience severe pain during knee exertion.<\/p>\n\n\n\n<h3 id=\"h2-2\"><strong>Osteoarthritis of the knee: Diagnosis and therapy<\/strong><\/h3>\n\n\n\n<p class=\" translation-block\">Cartilage damage can occur on the kneecap or on the joint surfaces (femoral condyles, upper extremity of the tibia). Depending on the cause and extent of cartilage damage, there are two basic therapeutic approaches:<\/p>\n\n\n\n<p><strong>1) Eliminate the cause<\/strong><\/p>\n\n\n\n<ul>\n<li>Insoles&nbsp;<\/li>\n\n\n\n<li>Physical therapy<\/li>\n\n\n\n<li>Repositioning surgery&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\" translation-block\"><strong>2) Treat the <\/strong><a href=\"http:\/\/sportambulatorium.wien\/knie\" target=\"_self\"><strong>knee joint<\/strong><\/a> <strong>directly<\/strong><\/p>\n\n\n\n<ul>\n<li>Dietary supplements<\/li>\n\n\n\n<li>Platelet-rich plasma (PRP) or hyaluronic acid injections<\/li>\n\n\n\n<li>Microfractures<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h2-3\">H\u00e4ufige Probleme:<\/h3>\n\n\n\n<div class=\"hand-card-wrapper\">\n  <a href=\"https:\/\/sportambulatorium.wien\/en\/chondropathia-patellae-knorpelerkrankung-der-kniescheibe\/\" class=\"hand-card\">CHONDROPATHIA PATELLAE (KNORPELERKRANKUNG DER KNIESCHEIBE)<\/a>\n  <a href=\"https:\/\/sportambulatorium.wien\/en\/gelenksflachen-der-oberschenkelrollen\/\" class=\"hand-card\">GELENKSFL\u00c4CHEN DER OBERSCHENKELROLLEN<\/a>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<h3 id=\"medikamentoese-therapie\"><strong>PHARMACEUTICAL TREATMENT OF JOINT PAIN AND DAMAGED KNEE CARTILAGE&nbsp;<\/strong><\/h3>\n\n\n\n<p class=\" translation-block\">Please note that the nutritional supplements and medication listed here may or may not help relieve your symptoms. A good rule is: Try and see. Current research indicates that all of these substances are harmless.<\/p>\n\n\n\n<p><strong>Knorpelpr\u00e4parat Sportambulatorium<\/strong><\/p>\n\n\n\n<p>T\u00e4glich sehen wir PatientInnen, die an Arthrose bedingten Gelenkbeschwerden leiden. Die betroffenen Gelenke sind in ihrer Beweglichkeit und Belastbarkeit eingeschr\u00e4nkt. Eine Operation ist hier oft nicht erforderlich, denn eine konservative Behandlung kann durchwegs auch zu einer Verbesserung der Schmerzsymptomatik f\u00fchren. Neben Physiotherapie, einer Ern\u00e4hrungsumstellung und gelenkschonender Aktivit\u00e4t gibt es ern\u00e4hrungserg\u00e4nzende Pr\u00e4parate, die nachgewiesenerweise Gelenkprobleme deutlich verbessern k\u00f6nnen. <br><\/p>\n\n\n\n<p>Es gibt zahlreiche Substanzen am Markt. Da wir aber mit dem Angebot nicht vorbehaltlos gl\u00fccklich sind, bietet das Sportambulatorium ab sofort neu- und weiterentwickelte Knorpelaufbauprodukte und Vitaminpr\u00e4parate f\u00fcr seine PatientInnen an.<\/p>\n\n\n\n<p><strong>Kollagen Typ II &amp; Natriumhyaluronats\u00e4ure &amp; Ascorbins\u00e4ure &amp; Kupfergluconat Pr\u00e4parat<\/strong><\/p>\n\n\n\n<p>Das Kombinationspr\u00e4parat aus Kollagen Typ II und Natriumhyalurons\u00e4ure unterst\u00fctzt die Regenerierung des Knorpels. Neueste Studien zeigen, dass sich hochdosiertes Kollagen Typ II bei Knorpeldefekten im Knorpel einbaut, es dadurch zu einer Versiegelung des Knorpels kommt und sich eine verbesserte Oberfl\u00e4che bildet.<\/p>\n\n\n\n<p>Der zweite wichtige Bestandteil in diesem Pr\u00e4parat ist die Hyalurons\u00e4ure. Dabei handelt es sich um eine Substanz, die die Gleitf\u00e4higkeit der Gelenke verbessert. Meist wird die Hyalurons\u00e4ure in das Gelenk gespritzt. Die orale Einnahme ist allerdings eine perfekte Alternative. Obwohl es etwas l\u00e4nger dauert, bis die Wirkung einsetzt, hat man den Vorteil, dass die Hyalurons\u00e4ure in allen Gelenken wirkt, nicht nur z.B. in dem infiltrierten Knie. Au\u00dferdem vermeidet man m\u00f6gliche Komplikationen, die im Rahmen einer Infiltration auftreten k\u00f6nnen.<\/p>\n\n\n\n<p><strong>Glucosaminsulfat &amp; Chondroitinsulfat &amp; MSM Pr\u00e4parat<\/strong><\/p>\n\n\n\n<p>Bei Glucosaminsulfat und Chondroitinsulfat handelt es sich um Substanzen, die nachgewiesenerweise zur Stabilisierung der Grundsubstanz des Knorpels und zur Knorpelregeneration f\u00fchren. Die Substanz MSM hilft vor allem bei Patienten mit beginnender, aber auch fortgeschrittener Arthrose ausgezeichnet. MSM hat eine entz\u00fcndungshemmende Wirkung und kann dadurch fortschreitende Arthrose verlangsamen respektive stoppen.&nbsp;<\/p>\n\n\n\n<p><strong>Was unterscheidet uns von anderen Produkten am Markt?<\/strong><\/p>\n\n\n\n<p>Die jahrelange Erfahrung von Prof. Dr. G\u00e4bler, sowie das Einbringen neuester wissenschaftlicher Erkenntnisse, f\u00fchrten zu einer weitaus verbesserten Zusammensetzung unserer Pr\u00e4parate. Unsere Knorpelaufbaupr\u00e4parate enthalten die wichtigsten Substanzen, die der Knorpel zur Regeneration ben\u00f6tigt, in einer sehr reinen und hochdosierten Form. Da viele Patienten Brauseprodukte weniger gut vertragen, sind all unsere Pr\u00e4parate in Kapselform erh\u00e4ltlich.<\/p>\n\n\n\n<h3 id=\"nahrungsergaenzung\"><strong>Other dietary supplements for osteoarthritis therapy<\/strong><\/h3>\n\n\n\n<p><strong>CONDROSULF (chondroitin sulfate)<\/strong><\/p>\n\n\n\n<p class=\" translation-block\">In order to ensure an effective protective glide between your bones, cartilage contains many different substances. It consists of cells and a basic matrix produced by the cartilage cells. One of the primary components of the cartilage matrix is chondroitin sulfate, which inhibits the activity of proteins (enzymes) that break down cartilage.<\/p>\n\n\n\n<p class=\" translation-block\">Taking chondroitin sulfate is said to promote the synthesis of a new cartilage matrix, making the cartilage more resistant. Chondroitin sulfate is a natural product and, like hyaluronic acid, is harvested from animal sources, either from fish (Condrosulf\u00ae) or poultry (Structum\u00ae).<\/p>\n\n\n\n<p class=\" translation-block\">Both supplements are usually taken over a period of about 3 months, once or twice a year. In order for treatment with chondroitin sulfate to be effective, there must be reactive cartilage present. For this reason, these supplements are primarily used in the early stages of osteoarthritis, as well as for growth-related knee pain in adolescents.<\/p>\n\n\n\n<p class=\" translation-block\">As the effects of chondroitin alone are usually minimal, it is important to choose a combination supplement that also contains glucosamine and collagen II.<\/p>\n\n\n\n<p><strong>HYDROLYZED COLLAGEN<\/strong><\/p>\n\n\n\n<p class=\" translation-block\">Healthy cartilage needs a dense network of collagen fibers for internal stabilization and nutrient transport as well as a dense matrix, which is mainly composed of glucosamines. Athletes, people in professions with high joint stress, and patients undergoing rehabilitation and regrowth all have an increased need for collagen.<\/p>\n\n\n\n<p class=\" translation-block\">Dietary collagen supplements should provide the body with the amino acids needed to build up collagen. In animal experiments, a study using radioactively marked hydrolyzed collagen found that collagen fragments were indeed actually incorporated into the cartilage.<\/p>\n\n\n\n<p class=\" translation-block\">Other studies found that patients with mild osteoarthritis who were treated with hydrolyzed collagen reported improved joint mobility and pain relief after about 4-6 weeks. However, these effects have not been scientifically proven in double-blind studies.<\/p>\n\n\n\n<p class=\" translation-block\">Dietary supplements with hydrolyzed collagen are available in drugstores and pharmacies in pill and powder form.<\/p>\n\n\n\n<p><strong>GLUCOSAMINE SULPHATE<\/strong><\/p>\n\n\n\n<p class=\" translation-block\">Glucosamine is an essential component of proteoglycans (glucosaminoglycans), proteins that bind water in cartilage tissue to ensure that impacts are minimized.<\/p>\n\n\n\n<p class=\" translation-block\">An important component of synovial fluid, glucosaminoglycans ensure viscosity, maintain the joints\u2019 gliding ability, support the supply of nutrients to joint tissue, and thus play an essential role in maintaining and regenerating cartilage tissue. Glucosaminoglycans also support the growth and structure of our connective tissue.<\/p>\n\n\n\n<p class=\" translation-block\">Glucosamine is taken in the form of glucosamine sulfate. There are now a number of combination supplements on the market that contain chondroitin sulfate and glucosamine sulfate, meaning that you only have to take one pill. Glucosamine can also be taken as green-lipped mussel extract instead of in pill form. (Young dogs are often given green-lipped mussel extract to build up their cartilage, but it is also highly valued by runners.)<\/p>\n\n\n\n<p><strong>GREEN-LIPPED MUSSEL EXTRACT<\/strong><\/p>\n\n\n\n<p class=\" translation-block\">How green-lipped mussel extract works: In addition to vitamins, minerals, and trace elements, green-lipped mussels also contain many amino acids and a high level of sugar-like substances called glucosaminoglycans (see above for more about their effects). In addition to maintaining and building up synovial fluid and connective tissue, there is another relevant aspect to the treatment of rheumatic diseases: the anti-inflammatory effects of the extract. This is attributed to the fact that green-lipped mussel extract contains omega-3 fatty acids, which inhibit the synthesis of prostaglandins from arachidonic acid, thus counteracting the inflammatory processes.<\/p>\n\n\n\n<p class=\" translation-block\">Many runners swear by green-lipped mussel extract for nonspecific joint pain and diffuse cartilage damage. However, these effects have not been scientifically proven in double-blind studies.<\/p>\n\n\n\n<p><strong>HORSETAIL EXTRACT CONCENTRATE<\/strong><\/p>\n\n\n\n<p class=\" translation-block\">The abundant silica contained in this supplement supports both the body\u2019s own production of collagen and also matrix production (encouraging glucosamine formation). The combination of horsetail concentrate together with hydrolyzed collagen is said to be particularly successful. Here, too, effects have not been verified by double-blind studies.<\/p>\n\n\n\n<h3 id=\"fazit\"><strong>OSTEOARTHRITIS OF THE KNEE: REDUCING PAIN WITH EARLY TREATMENT&nbsp;<\/strong><\/h3>\n\n\n\n<p>Da die Regeneration eines bereits gesch\u00e4digten Kniegelenkknorpels nicht m\u00f6glich ist, kann eine Behandlung von Arthrose immer nur <strong>symptomatisch<\/strong> erfolgen. Gelenkerhaltenden Arthrose-Therapien wie Eigenblut-Infiltrationen oder die medikament\u00f6se Therapie mittels Nahrungserg\u00e4nzungsmitteln k\u00f6nnen die<strong> Kniefunktion erhalten<\/strong> oder verbessern sowie die <strong>Schmerzen am Knie minimieren<\/strong>.&nbsp;<\/p>\n\n\n\n<p class=\" translation-block\">If your knee osteoarthritis requires surgical treatment, your doctor will recommend the most suitable method for your specific case (cartilage regeneration, microfractures, Pridie drilling, mosaicplasty, cartilage transplantation, or MPFL reconstruction) following a personal discussion.<\/p>\n\n\n\n<p class=\" translation-block\">The knee specialists at the SPORTambulatorium Wien, directed by experienced knee surgeon Dr. G\u00e4bler, look forward to meeting you during your appointment, which can be <a href=\"\/en\/kontakt\/\" target=\"_self\">scheduled online<\/a> or by phone at <a href=\"tel:014021000\">01 4021000<\/a>.<\/p>\n\n\n\n<p><strong>More information on knee osteoarthritis<\/strong><\/p>\n\n\n\n<p><a href=\"http:\/\/vielgesundheit.at\/fachmediathek\/menschen-in-der-medizin\/univ.-prof.-dr.-christian-gaebler\">&gt;&gt; Interview with Dr. G\u00e4bler on osteoarthritis | vielgesundheit.at (German only)<\/a><\/p>\n\n\n\n<p><a href=\"http:\/\/sportambulatorium.wien\/wp-content\/uploads\/2019\/06\/Kurier_2010.pdf\">&gt;&gt; Dr. G\u00e4bler on the topic of knee injuries in sports | Kurier article 08\/2010 (German only)<\/a><\/p>\n\n\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style>","protected":false},"excerpt":{"rendered":"<p>Cartilage damage can occur acutely or chronically and is a common cause of persistent pain. It often begins... <\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Kniearthrose | Univ.Prof. Dr. G\u00e4bler SPORTambulatorium<\/title>\n<meta name=\"description\" content=\"Knorpelsch\u00e4den &amp; Kniearthrose behandeln \u27a4 Schmerzlinderung \u27a4 Diagnose &amp; Therapie | Jetzt Termin in Wien vereinbaren.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sportambulatorium.wien\/en\/knorpel-und-arthrose\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kniearthrose | Univ.Prof. Dr. G\u00e4bler SPORTambulatorium\" \/>\n<meta property=\"og:description\" content=\"Knorpelsch\u00e4den &amp; 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