Connect with us

Life style

Understanding knee pain, with Dr. Harindu Wijesinghe

Published

on

Dr. Harindu Wijesinghe Consultant Rheumatologist

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.



Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Life style

Salman Faiz leads with vision and legacy

Published

on

At the helm - blending heritage with vision

Salman Faiz has turned his family legacy into a modern sensory empire. Educated in London, he returned to Sri Lanka with a global perspective and a refined vision, transforming the family legacy into a modern sensory powerhouse blending flavours,colours and fragrances to craft immersive sensory experiences from elegant fine fragrances to natural essential oils and offering brand offerings in Sri Lanka. Growing up in a world perfumed with possibility, Aromatic Laboratories (Pvt) Limited founded by his father he has immersed himself from an early age in the delicate alchemy of fragrances, flavours and essential oils.

Salman Faiz did not step into Aromatic Laboratories Pvt ­Limited, he stepped into a world already alive with fragrance, precision and quiet ambition. Long before he became the Chairman of this large enterprise, founded by his father M. A. Faiz and uncle M.R. Mansoor his inheritance was being shaped in laboratories perfumed with possibility and in conversations that stretched from Colombo to outside the shores of Sri Lanka, where his father forged early international ties, with the world of fine fragrance.

Growing up amidst raw materials sourced from the world’s most respected fragrance houses, Salman Faiz absorbed the discipline of formulation and the poetry of aroma almost by instinct. When Salman stepped into the role of Chairman, he expanded the company’s scope from a trusted supplier into a fully integrated sensory solution provider. The scope of operations included manufacturing of flavours, fragrances, food colours and ingredients, essential oils and bespoke formulations including cosmetic ingredients. They are also leading supplier of premium fragrances for the cosmetic,personal care and wellness sectors Soon the business boomed, and the company strengthened its international sourcing, introduced contemporary product lines and extended its footprint beyond Sri Lanka’s borders.

Where raw materials transform into refined fragrance

Salman Faiz -carrying forward a legacy

Today, Aromatic Laboratories stands as a rare example of a second generation. Sri Lankan enterprise that has retained its soul while embracing scale and sophistication. Under Salman Faiz’s leadership, the company continues to honour his father’s founding philosophy that every scent and flavour carries a memory, or story,and a human touch. He imbibed his father’s policy that success was measured not by profit alone but the care taken in creation, the relationships matured with suppliers and the trust earned by clients.

“We are one of the leading companies manufacturing fragrances, dealing with imports,exports in Sri Lanka. We customise fragrances to suit specific applications. We also source our raw materials from leading French company Roberte’t in Grasse

Following his father, for Salman even in moments of challenge, he insisted on grace over haste, quality over conveniences and long term vision over immediate reward under Salman Faiz’s stewardship the business has evolved from a trusted family enterprise into a modern sensory powerhouse.

Now the company exports globally to France, Germany, the UK, the UAE, the Maldives and collaborates with several international perfumes and introduces contemporary products that reflect both sophistication and tradition.

We are one of the leading companies. We are one of the leading companies manufacturing fine and industrial fragrance in Sri Lanka. We customise fragrances to suit specific applications said Faiz

‘We also source our raw materials from renowned companies, in Germany, France, Dubai,Germany and many others.Our connection with Robertet, a leading French parfume House in Grasse, France runs deep, my father has been working closely with the iconic French company for years, laying the foundation for the partnership, We continue even today says Faiz”

Today this business stands as a rare example of second generation Sri Lankan entrepreneurship that retains its souls while embracing scale and modernity. Every aroma, every colour and every flavour is imbued with the care, discipline, and vision passed down from father to son – a living legacy perfected under Salmon Faiz’s guidance.

By Zanita Careem

Continue Reading

Life style

Home coming with a vision

Published

on

Uruwela Estate team

Harini and Chanaka cultivating change

When Harini and Chanaka Mallikarachchi returned to Sri Lanka after more than ten years in the United States, it wasn’t nostalgia alone that they brought home . It was purpose.Beneath the polished resumes and strong computer science backgrounds lay something far more personal- longing to reconnect with the land, and to give back to the country that shaped their memories. From that quiet but powerful decision was born Agri Vision not just an agricultural venture but a community driven movement grounded in sustainability ,empowerment and heritage. They transform agriculture through a software product developed by Avya Technologies (Pvt Limited) Combining global expertise with a deep love for their homeland, they created a pioneering platform that empowers local farmers and introduce innovative, sustainable solutions to the country’s agri sector.

After living for many years building lives and careers in theUnited States, Harini and Chanaka felt a powerful pull back to their roots. With impressive careers in the computer and IT sector, gaining global experience and expertise yet, despite their success abroad, their hearts remained tied to Sri Lanka – connection that inspired their return where they now channel their technological know-how to advance local agriculture.

For Harini and Chanaka, the visionaries behind Agri Vision are redefining sustainable agriculture in Sri Lanka. With a passion for innovation and community impact, they have built Agri Vision into a hub for advanced agri solutions, blending global expertise with local insight.

In Sri Lanka’s evolving agricultural landscape, where sustainability and authenticity are no longer optional but essential. Harini and Chanaka are shaping a vision that is both rooted and forward looking. In the heart of Lanka’s countryside, Uruwela estate Harini and Chanaka alongside the ever inspiring sister Malathi, the trio drives Agri Vision an initiative that fuses cutting edge technology with age old agricultural wisdom. At the core of their agri philosophy lies two carefully nurtured brands artisan tea and pure cinnamon, each reflecting a commitment to quality, heritage and people.

Armed with global exposure and professional backgrounds in the technology sector,they chose to channel thier experiences into agriculture, believing that true progress begins at home.

But the story of Agri Vision is as much about relationships as it is about technology. Harini with her sharp analytical mind, ensures the operations runs seamlessly Chanaka, the strategist looks outward, connecting Agri Vision to globally best practices and Malathi is their wind behind the wings, ensures every project maintains a personal community focussed ethos. They cultivate hope, opportunity and a blueprint for a future where agriculture serves both the land and the people who depend on it .

For the trio, agriculture is not merely about cultivation, it is about connection. It is about understanding the rhythm of the land, respecting generations of farming knowledge, and that growth is shared by the communities that sustain it. This belief forms the backbone of Agro’s vision, one that places communities not only on the periphery, but at the very heart of every endeavour.

Artisan tea is a celebration of craft and origin sourced from selected growing regions and produced with meticulous attention to detail, the tea embodier purity, traceability and refinement, each leaf is carefully handled to preserve character and flavour, reflecting Sri Lanka’s enduring legacy as a world class tea origin while appealing to a new generation of conscious consumers complementing this is pure Cinnamon, a tribute to authentic Ceylon, Cinnamon. In a market saturated with substitutes, Agri vision’s commitment to genuine sourcing and ethical processing stands firm.

By working closely with cinnamon growers and adhering to traditional harvesting methods, the brands safeguards both quality and cultural heritage.

What truly distinguishes Harini and Chanake’s Agri Vision is their community approach. By building long term partnerships with smallholders. Farmers, the company ensures fair practises, skill development and sustainable livelihoods, These relationships foster trust and resilience, creating an ecosystem where farmers are valued stakeholders in the journey, not just suppliers.

Agri vision integrates sustainable practices and global quality standards without compromising authenticity. This harmony allows Artisan Tea and Pure Cinnamon to resonate beyond borders, carrying with them stories of land, people and purpose.

As the brands continue to grow Harini and Chanaka remain anchored in their founding belief that success of agriculture is by the strength of the communities nurtured along the way. In every leaf of tea and every quill of cinnamon lies a simple yet powerful vision – Agriculture with communities at heart.

By Zanita Careem

Continue Reading

Life style

Marriot new GM Suranga

Published

on

Suranga new G. M. at Mariott

Courtyard by Marriott Colombo has welcomed Suranga Peelikumbura as its new General Manager, ushering in a chapter defined by vision, warmth, and global sophistication.

Suranga’s story is one of both breadth and depth. Over two decades, he has carried the Marriott spirit across continents, from the shimmering luxury of The Ritz-Carlton in Doha to the refined hospitality of Ireland, and most recently to the helm of Resplendent Ceylon as Vice President of Operations. His journey reflects not only international mastery but also a devotion to Sri Lanka’s own hospitality narrative.

What distinguishes Suranga is not simply his credentials but the philosophy that guides him. “Relationships come first, whether with our associates, guests, partners, or vendors. Business may follow, but it is the strength of these connections that defines us.” It is this belief, rooted in both global perspective and local heart, that now shapes his leadership at Courtyard Colombo.

At a recent gathering of corporate leaders, travel partners, and media friends, Suranga paid tribute to outgoing General Manager Elton Hurtis, hon oring his vision and the opportunities he created for associates to flourish across the Marriott world. With deep respect for that legacy, Suranga now steps forward to elevate guest experiences, strengthen community ties, and continue the tradition of excellence that defines Courtyard Colombo.

From his beginnings at The Lanka Oberoi and Cinnamon Grand Colombo to his leadership roles at Weligama Bay Marriott and Resplendent Ceylon, Suranga’s career is a testament to both resilience and refinement. His return to Marriott is not merely a professional milestone, it is a homecoming.

Continue Reading

Trending