Life style
Understanding knee pain, with Dr. Harindu Wijesinghe
Dr. Harindu Wijesinghe is a physician in sports medicine and rheumatology. He works as a consultant in rheumatology and a specialist in sports medicine at Nawaloka hospital. He has extensive training and experience in the field of Rheumatology and Sports Medicine both in Sri Lanka and Australia.
An old boy of Royal College, he is also the Consultant in charge of the Nawaloka Pain Management Centre. He is actively involved in improving sports medicine in Sri Lanka. He was formerly the President of the Sri Lanka Sports Medicine Association and has held this post for the last four years. He served on the Medical Advisory panel of Sri Lanka cricket from 20002 20023 and has treated Sri Lanka’s premier cricketers such as Angelo Mathews and Rangana Herath. He has publications in both international and local journals. He is also the author of two books regarding arthritis published in Sri Lanka
Why are knee problems so common today among both men and women?
To understand why knee problems are so common, it is important to first understand the structure of the knee.
The knee is a weight-bearing joint where two main bones meet — the thigh bone (femur) and the leg bone (tibia) — with the kneecap (patella) sitting in front. Between these bones is cartilage, a soft, rubbery tissue that allows smooth movement and helps absorb shock.
Bone is a very hard structure and can heal if damaged. Cartilage, however, does not heal well. Once it starts to wear away, the damage is usually permanent. As we grow older, cartilage naturally loses water content and elasticity, making it more prone to wear and tear.
People are also living longer, meaning the knees are exposed to more years of loading. Weight gain places additional stress on the knee, and weak thigh muscles due to reduced physical activity fail to protect the joint. Long hours of standing, incorrect exercise, sudden increases in activity, and untreated old injuries also contribute. This is why knee problems are now seen more frequently and at younger ages.
What are the most common knee problems you see in your clinic?
The most common knee problem is wear-and-tear arthritis, including patellofemoral pain (wear behind the kneecap). Pain typically worsens toward evening, with activity, and may progress to swelling or knee buckling.
The second group includes meniscal and ligament injuries due to sports or falls. These patients usually have a clear history of trauma and may develop rapid swelling.
The third category is inflammatory arthritis such as rheumatoid or psoriatic arthritis, where the immune system attacks the joint. These patients experience early morning stiffness, swelling, and often involvement of other joints.
Are knee issues different between women and men?
Yes. Women often get knee pain earlier because of:
Wider pelvis — different knee alignment
Hormonal changes affecting ligaments
Lower muscle mass in thighs
• Higher rate of patellofemoral pain
Men tend to present with injuries related to sports, gym work, or heavy occupational strain.
What early warning signs should people never ignore?
Sudden knee swelling with redness, warmth, and fever is a medical emergency and may indicate infection. Immediate medical attention is required.
Persistent swelling with early morning stiffness, especially with involvement of other joints, suggests inflammatory arthritis and should be assessed early.
Other warning signs include knee giving way, inability to fully straighten the knee, recurrent swelling, or locking of the joint.
Many people think knee pain is just age catching up. Is that true?
Not really. Age contributes, but most knee problems are lifestyle-related, not age-related.
We see arthritis in people in their 30s and 40s now — something we never saw 20 years ago.
Lack of muscle strength, obesity, previous sports injuries, and poor activity habits play a much bigger role than age alone.
How much does body weight affect the knee?
Weight is one of the biggest factors.
Every 1 kg of excess body weight puts 4-6 kg of extra pressure on the knee with each step.
So, losing even 5-7 kg can dramatically reduce pain and slow arthritis.
For some patients, weight loss is more effective than any injection or tablet.
What treatments are available today?
Treatment depends on accurate diagnosis through history, examination, and investigations such as X-rays or blood tests.
For wear-and-tear arthritis, conservative measures include knee strengthening, weight reduction, activity modification, painkillers, steroid injections, PRP, or viscosupplementation.
For inflammatory arthritis, immune-modulating drugs known as DMARDs are required.
For ligament or meniscal injuries, conservative treatment is tried first, with surgery considered based on age, activity level, and severity.
Surgery is reserved for advanced cases where daily function is severely affected. Most patients can be managed without surgery.
What simple lifestyle changes can help the knee?
Maintain a healthy body weight and strengthen quadriceps and hip muscles.
Walking is beneficial but should be done on flat surfaces, preferably on alternate days. Avoid long distances initially and increase gradually. Seek medical advice before starting if knee pain exists.
Avoid stairs, slopes, floor sitting, and wear supportive footwear. High-impact exercises like jumping or running should be avoided initially. Start all exercise programs slowly.
Is knee replacement the only option for knee pain?
No. Knee replacement is the final option.
It is considered only after all other treatments have failed and when pain severely affects daily activities. A simple guide is when a patient cannot comfortably get out of bed and walk to the dining table.
The goal is to restore quality of life, not just reduce pain.
Can knee pain be prevented completely?
No, knee pain cannot be completely prevented. However, correct preventive measures can delay or reduce its severity.
For those with existing knee pain, these measures can control symptoms and prevent progression. Early attention and proper management make a significant difference.
Is surgery the last option?
Yes. Surgery is always the last option.
We first attempt non-surgical treatments. When surgery is done properly, at the right time, for the right patient, it gives excellent results. Surgery is recommended only when truly necessary.
Life style
From Vanishing Sea Snakes to DNA in a Bottle
Dr. Ruchira Somaweera on Rethinking Conservation
What happens when one of the world’s richest marine biodiversity hotspots collapses almost overnight — and no one knows why?
That was the question facing Australian authorities in the early 2000s when Ashmore Reef, a remote marine reserve in the Timor Sea, suddenly lost what once made it globally unique: its extraordinary diversity and abundance of sea snakes.
“At one point, this place had more species of sea snakes and more individuals than anywhere else on Earth,” recalled Dr. Ruchira Somaweera, one of the world’s leading reptile biologists. “Then, within a few years, everything collapsed.”
Speaking at a packed Wildlife and Nature Protection Society (WNPS) Monthly Lecture, sponsored by Nations Trust Bank and held at the BMICH, Dr. Somaweera described how the mysterious disappearance triggered a major federal investigation.
“At the time, I was a federal government scientist,” he said. “We were sent to find out what went wrong — but it wasn’t obvious at all.”
Ashmore Reef, a protected area managed by Parks Australia, was still teeming with turtles, sharks and pelagic birds. Yet the sea snakes — once recorded at rates of up to 60 individuals per hour — had virtually vanished.
The breakthrough came not from the water, but from policy.
For decades, traditional Indonesian fishers from Roti Island had been permitted to harvest sharks at Ashmore under a bilateral agreement. When Australia banned shark fishing around 2000, shark numbers rebounded rapidly.
“And sharks are the main predators of sea snakes,” Dr. Somaweera explained. “What we realised is that what we thought was ‘normal’ may actually have been an imbalance.”
In other words, sea snakes had flourished during an unusual window when their top predators were suppressed. Once sharks returned, the ecosystem corrected itself — with dramatic consequences.
“It was a powerful lesson,” he said. “Sometimes collapse isn’t caused by pollution or climate change, but by ecosystems returning to balance.”
The mystery didn’t end there. Some sea snake species once known only from Ashmore were now feared extinct. But instead of accepting that conclusion, Dr. Somaweera and colleagues took a different approach — one that combined science with local knowledge.
“Scientists often fail by not talking to the people who live with these animals,” he said. “Fishermen have decades of experience. That knowledge matters.”
Using museum records, fisher interviews and species distribution modelling, the team predicted where these snakes might still exist. The models suggested vast new areas — some the size of Sri Lanka — had never been properly surveyed.
When researchers finally reached these sites, often involving helicopters, research vessels and enormous logistical costs, they made a startling discovery.
“We found populations of species we thought were gone,” he said. “They were there all along. We were just looking in the wrong place.”
Even more surprising was where they were found — far deeper than expected.
Traditional sea snake surveys rely on night-time spotlighting, assuming snakes surface to breathe and rest. But footage from deep-sea remotely operated vehicles (ROVs) revealed that many species live in the mesophotic zone, where light fades and surveys rarely reach.
“Some of these snakes are deep divers,” Dr. Somaweera said. “They don’t behave the way we assumed.”
That insight led to one of his most remarkable discoveries — coordinated, communal hunting in the Irabu sea krait off Indonesia.
“At 40 metres deep, on the slope of an extinct volcano, we found them hunting in groups,” he said. “They take turns flushing fish and feeding. That level of cooperation was never known in snakes.”
Beyond discovery, Dr. Somaweera’s work increasingly focuses on how conservation itself must evolve.
One of the most transformative tools, he said, is environmental DNA (eDNA) — the ability to detect species from genetic traces left in water, soil or even air.
“You no longer need to see the animal,” he explained. “A bottle of water can tell you what lives there.”
His team now uses eDNA to detect critically endangered snakes, turtles and sea snakes in some of Australia’s most remote regions. In one project, even children were able to collect samples.
“A 10-year-old can do it,” he said. “That’s how accessible this technology has become.”
The implications for countries like Sri Lanka are profound. From snakebite management to marine conservation, eDNA offers a low-impact, cost-effective way to monitor biodiversity — especially in hard-to-reach areas.
Dr. Somaweera ended his lecture with a message aimed squarely at young scientists.
“We already have a lot of data. What we lack is the next question,” he said. “So what? That’s the question that turns knowledge into action.”
After nearly two decades of research across continents, his message was clear: conservation cannot rely on assumptions, tradition or good intentions alone.
“It has to be evidence-based,” he said. “Because only action — informed by science — actually saves species.”
By Ifham Nizam ✍️
Life style
Driving the vision of Colombo Fashion Week
Fazeena Rajabdeen
Fazeena Rajabdeen stands at the forefront of Sri Lanka’s fashion evolution as the Executive Director of Colombo Fashion Week.
With a visionary approach that bridges local talent with global opportunities, Fazeena has been instrumental in elevating Colombo Fashion Week into a sought-after platform for designers, buyers and industry innovators. In this interview, she shares insights on the growth of Sri Lanka’s fashion landscape, the challenges and triumphs of steering a major fashion event, and her aspirations for the future of the industry.
(Q) As Executive Director of Colombo Fashion Week, how do you define CFW’s role in shaping Sri Lanka’s fashion identity?
(A) CFW is fundamentally the backbone of Sri Lanka’s fashion industry. Over 23 years, we’ve built more than a platform, we’ve crafted an entire fashion ecosystem that didn’t exist before.
What I’m most proud of is that over 80% of the designers you see in Sri Lanka today have come through our development system. That’s not accidental, it’s the result of building infrastructure, including partnerships, brand development support, retail insights, and international networks. We’ve essentially created the conditions for a Sri Lankan fashion industry to emerge organically, rooted in our heritage but completely contemporary in its expression. This has resulted in the creation of few design education schools, fashion retailers, model academies.
CFW has given Sri Lankan fashion an identity that carries weight, one that speaks to craftsmanship, sustainability, and creative integrity. That’s the legacy we continue to build upon.
(Q) What has been your personal vision in steering Colombo Fashion Week over the years?
(A) My vision has always been about scale and sustainability, taking what was a seasonal event and building it into a year-round business ecosystem. My key focus was on developing the next generation through structured programs like emerging designers and CFW Accelerate, embedding responsibility into fashion through tools like the Responsible Meter, and expanding our reach with new editions and International partnerships.
We’ve moved from showcasing fashion to building the infrastructure that makes sustainable, commercially viable fashion careers possible in Sri Lanka. Another mission was to expand the platform so Sri Lankan designers aren’t just showing collections, they’re building brands that compete regionally, especially within South Asia.
(Q) Fashion Weeks globally are evolving. How has CFW adapted while staying true to its roots?
(A) The role of fashion platforms has evolved, as the development of fashion, the consumption of fashion and choices fashion consumers make has changed. At the core Fashion is an emotional choice hence engagement with fashion consumers remains high priority. CFW as a platform that leads the fashion industry, creates formats that effectively engage consumers with the fashion creators and with that open opportunities in Sri Lanka and internationally through BRICS, South Asia and Beyond. There are interesting new projects planned to push this forward.
(Q) How does CFW contribute to positioning Colombo as a regional fashion and lifestyle capital?
(A) CFW is known as a renowned South Asian Fashion Week and serves as a regional hub with its longstanding influence of 23 years in the region. That longevity alone has made us a reference point for South Asian fashion and we’ve become first-in-mind when people think of fashion here.
But it’s more than just presence. CFW has positioned the city with its synonymous brand name and interaction with influential people within the region as a lifestyle destination, not a peripheral market. That sustained visibility and the calibre of what we produce has put Colombo on the map as a regional capital where fashion, craft, and commerce intersect.
(Q) Sustainability and craftsmanship are growing conversations—How are those reflected in designer collections?
(A) Responsibility in fashion has been our cornerstone from the beginning. We’ve always championed Batik and traditional craft, and we’ve backed that with real resources through our craft funds.
What we’ve done differently is make sustainability measurable. The Responsible Meter we developed is a transparent scoring system that shows the environmental and social impact of each garment. Designers now build collections with accountability baked in from the start, not as an afterthought. This process is included in all emerging designer development processes.
(Q) Colombo Fashion Week has been a launch pad for many designers. What do you look for when curating talent?
(A) Above all—passion and drive. You can teach technique, refine a collection, connect someone to the right resources. But that hunger to build something, to push through the hard parts of turning creativity into a viable business That has to come from them.
We look for designers who understand that fashion is both art and commerce. They need a point of view, yes, but also the discipline to execute it consistently. The ones who succeed through CFW are the ones who see the platform as a starting point, not the finish line—they’re ready to put in the work to build a real brand, not just show a collection and continue with us in building that brand.
(Q) What role does CFW play in connecting Sri Lankan designers to global markets?
(A) CFW set out on a designer exchange programme through the BRICS International Fashion Federation, showcasing Sri Lankan talent at BRICS fashion weeks while welcoming international designers to Colombo. The platform positions Sri Lanka within the global fashion landscape while attracting international buyers and media. We have partnerships with the commonwealth countries and relevant fashion weeks. The interaction with global designers we invite during fashion week is primarily to focus on such interactions with Sri Lankan designers, opening doors for learnings and opportunities.
(Q) What can we expect from upcoming editions of CFW?
(A) Every edition has a unique focus to it and we work towards creating more expansion, more accessibility. We’re doubling down on our development programs, bringing in stronger international partnerships, deeper craft integration, and wider opportunities for designers at every stage.
We’re also looking at new formats and editions that create the Sri Lankan story in international markets.
We focus on being beyond a showcase; as the engine that drives Sri Lankan fashion forward regionally and globally. We’re building for scale and impact. The upcoming editions will reflect that ambition.
(Q) You have Co-founded the Ceylon Literary and Arts Festival, what inspired you to start and what was your original vision?
(A) It was a natural expansion, honestly. After years of building CFW and seeing the power of creative platforms, we realized there is space for the same thing for arts and literature, a space that celebrates Sri Lanka’s intellectual and cultural soft power.
The vision was simple: create a festival that puts Sri Lankan voices in conversation with regional and global thought leaders. Literature and the arts are incredible tools for cultural influence, and we weren’t leveraging that enough. Ceylon Literary and Arts Festival became that platform, a way to showcase our writers, artists, and thinkers while positioning Sri Lanka as a hub for meaningful cultural exchange.
It’s about soft power. Fashion opened doors, arts and literature deepened the conversation. Together, they tell a fuller story of who we are as a country.
(Q) What makes it unique in Sri Lanka’s cultural scene?
(A) It’s the ecosystem with its breadth and accessibility. We’ve built a festival that doesn’t silo creativity, it brings together literature, art, film, performing arts and music under one platform. That cross-pollination doesn’t really exist elsewhere in Sri Lanka at this scale.
What sets us apart is that we’ve made it deliberately accessible, students are free as our focus is the Youth. Projects and processes that empower the youth and foster creative talent from the grassroot.
(Q) What role does the festival play in promoting local writers, poets and literary talent?
(A) We platform both established names and emerging voices who haven’t had the visibility. The festival creates real dialogue and gives local talent stages they wouldn’t normally access.
We take the best of the world.
We’ve made it accessible, students get free entry, and we run a Children’s Festival for ages 5 to 11. It’s about building pathways early and giving Sri Lankan writers, poets, and creatives the exposure that launches careers.
Our winner of the first edition of the Future writers’ program, was recently awarded the acclaimed Gratiaen Award. We were happy we were able to mentor and pave the pathway for Savin and all future writers for the next generation.
(Q) What are the next dates to look out for?
(A) We have the HSBC Ceylon Literary and Arts Festival Edition 03 set to take place February 13th ,14th,15th 2026. This year’s Festival brings together creativity across all genres including the children’s festival, performing arts and Arts festival. We are proud to celebrate Sri Lankan and international Authors including the renowned author of the Bridgerton series Julia Quinn.
Following which the annual Summer edition of Colombo Fashion Week will take place in March 2026
This is for the start of 2026. looking forward to many exciting plans for the rest of the year.
Life style
The HALO Trust appoints Rishini Weeraratne as its Ambassador for Sri Lanka
The HALO Trust, the world’s largest humanitarian landmine clearance organization, has appointed Rishini Weeraratne as its Ambassador for Sri Lanka. In her new role, she will support HALO’s global mission by raising awareness of mine action, strengthening advocacy efforts, and championing initiatives to protect communities impacted by landmines and unexploded ordnance, particularly in Sri Lanka. She will also play a key role in HALO’s international engagement and communications initiatives.
HALO began working in Afghanistan in 1988. Today HALO operates in more than 30 countries and territories across Africa, Asia, Europe and Caucasus, Latin America, and the Middle East. Its teams work daily to clear landmines, deliver risk education and restore land for agriculture, homes and infrastructure. HALO gained international recognition after Diana, Princess of Wales, visited its work in Angola in 1997 which helped accelerate support for the Mine Ban Treaty. Sri Lanka is one of HALO’s longest standing programmes. HALO has been operational in the island since 2002 and has cleared more than 300,000 mines and over one million explosive remnants of war, enabling thousands of families to return home safely. HALO is the second largest employer in the Northern Province, and its workforce is 99 percent locally recruited. Women make up 42 percent of the demining teams, reflecting HALO’s commitment to local empowerment and employment in post conflict communities.
Rishini Weeraratne, Ambassador for Sri Lanka, The HALO Trust:
“It is a privilege to support The HALO Trust’s mission. Although Sri Lanka is my home country and close to my heart, I am also committed to advocating for HALO’s work around the world. Millions of people live with the daily risk of landmines and unexploded ordnance. By raising awareness and amplifying the voices of affected communities, I hope to contribute to a safer future for families everywhere.”
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