Knee pain: on bending, at rest and at night [causes+medications].

The knee is a modified hinge joint, meaning it can perform movements of extension and flexion and rotation. It is made up of dozens of structures. All it takes is for one of them to get damaged and the knee starts to hurt.

We have places in our body that can be compared to the greatest achievements of engineering and mechanics - these are the joints. They enable us to move in virtually all dimensions: from simple walking and bending to the complex and precise movement sequences of ballet dancers or neurosurgeons.

One of the most important parts of our body is our joints.

One of the most important joints is the knee. And we usually become convinced of this when it starts to hurt.

The knee is one of the most important joints.

See also:

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• What is gonarthrosis
• Home remedies for knee pain
• Knee crunch - causes and treatment
• Tennis elbow
• Golfer's elbow
• Rheumatoid arthritis (RA)
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• Grandmother's ways for joints
• What gives collagen for joints
• What gives collagen for tendons
• What collagen does for bones

Knee joint structure and knee pain

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Wanting to describe the structure of the knee joint in the simplest possible way, we can say that it is the mobile junction between the femur and the tibia. This junction is secured by a number of ligaments and is further supported from the front by the patella. In turn, the surfaces of the bones at the point of contact are covered with cartilage and joint lubricant, which facilitates movement and prevents frictionand.

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And getting into the details, there we have: the femoral condyles, the lateral and medial menisci (the real black characters, but about that in a moment), the anterior and posterior cruciate ligaments, the fibular and tibial collateral ligaments, the patella, the patellar ligament... Phew, and that's just the front of the knee! We'd better leave the anatomy to the doctors.

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I'm sure you know this: the more technically advanced the equipment, the easier it can break down (because it has more parts that can start to fail). It's the same with the knee joint. Disease or damage to any component can result in pain and even make it difficult to function normally. So it is time to look at the causes of degeneration of knee joint structures.

Causes of knee pain

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Causes of knee pain include trauma (contusions, sprains, ligament tears, bone fractures), inflammation of the joints and synovial bursa, chondromalacia of the patella, osteoarthritis, congenital and acquired postural defects, overloading and even some autoimmune diseases (e.g. RA)and.

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In young people, the most common causes of knee pain are injuries and strainsand:

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• knee joint sprain,
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• bruises (with severe ones, fluid may collect in the knee),
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• joint tears and ligament ruptures (the most serious involve the cruciate ligaments),
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• fractures and fractures of the distal end of the femur and tibia,
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• patellofemoral band syndrome (so-called runner's knee),
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• inflammatory conditions of the structures of the knee joint,
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Additionally, knee pain in people at a young age can also be caused by postural defects, e.g. knee scoliosis or valgus.

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The causes of knee pain in people over 50-60 are usually related to disease and degenerationand:

• chondromalisation of the patella,
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• decreased production of synovial fluid,
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• degradation of articular cartilage,
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• degeneration of the knee joint,
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• rheumatic diseases,
• progressive gout,
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• progressive gout,
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As you can see, the causes of knee pain can be many, and in order to accurately determine their origin, it is necessary to visit an orthopaedist. The doctor will take a history with you and perform a manual examination of the knee.

The doctor may also order an examination of the knee.

He may also order additional imaging tests such as an X-ray (radiograph), ultrasound (ultrasound), CT scan or MRI (magnetic resonance imaging). Sometimes he will also refer the patient to see a rheumatologist, who will send the patient for blood tests for rheumatic diseases.

Depending on the cause of your knee pain, your orthopaedic surgeon may later refer you to a physiotherapist with whom you will undergo rehabilitation. This is often a necessary step to permanently and completely cure your painful knee problems.

The following is a good place to start.

Knee pain area

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One of the key pieces of information for the doctor is where in the knee joint you are experiencing the most pain. It is also worth mentioning that the knee can hurt in many ways. Most patients complain of:

• running knee pain,
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• stretching knee pain,
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• stabbing knee pain,
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• stabbing knee pain,
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What type of pain we are dealing with is also valuable information to help with diagnosis.

Medical practitioner Kacper Nihalani explains what other valuable information is worth telling your doctor:

• Time - when the pain started and whether the discomfort occurred suddenly or progressed over weeks/months/years.
• Prompted by the pain, it is important to know what you are experiencing.
• Radiation - do you experience pain in one area or does it radiate to other parts of your body. 

• Pain-related symptoms - e.g. loss of sensation and whether there are any factors that make the pain more or less intense (e.g. cold weather or certain leg movements).
• Changes in pain in relation to the time of day - e.g. does the pain always intensify in the evening, or perhaps only in the morning when you get out of bed?

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• Effect of pain on functioning - it is also important to know how distressing the pain is for the patient, e.g. on a scale of 1-10 (where 1 is an intensity of discomfort that is almost imperceptible and 10 is unimaginable pain).

Front knee pain

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Pain in the front of the knee is most commonly associated with complaints of the patella. The patella is a movable bone that is the terminal point of attachment of the quadriceps muscle and also the initial point of attachment of the patellar ligament. On its sides, its movement is stabilised by structures known affectionately as trocarsand.

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A mechanical imbalance between these four adhesions usually leads to anteriorly located knee pain. The most common type of this disorder is lateralization of the patellaand.

Another disorder associated with the patella is patellar bursitis. It manifests as a collection of fluid at the front of the knee just above the patella. It is often the result of prolonged standing on the knees, so people who are involved in activities such as laying flooringand can suffer from it.

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Back knee pain

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Back knee pain is most often due to three main causes :

• injury to the posterior horn of the lateral or medial meniscus,
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• Baker's cyst,
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• injury to the biceps femoris or popliteus muscles,
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Muscle and meniscus injuries most commonly occur as a result of trauma, whereas a Baker's cyst forms spontaneously.

Lateral knee pain

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Knee pain located on the side of the knee can have extra- or intra-articular causes. This means that both joint-forming and periarticular structures (i.e. muscles, for example) can be degraded - and these usually heal much betterand.

But to determine exactly which condition you are dealing with, you need to check whether your knee hurts on the inside or outside.

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Knee pain on the inside

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Specialists say this is the most common type of knee pain. In old age, this pain can be related to the progressive process of gonarthrosis (a difficult word, and it simply means degeneration), which is what primarily affects the inside of the knee. This is due to the fact that the knees are slightly staggered (and this is their correct position, not a defect), i.e. positioned gently outwardsand.

This positioning results in increased pressure on the internal structures of the knee joint. The cartilage in this area wears down more quickly and can cause pain and discomfort when moving .

The same reason is behind the faster wear medial meniscus, but pain from it is most often related to injury, as it gets injured much more often than its lateral colleague. Such injuries are very common in skiers.

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External knee pain

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A common cause of pain on the outside of the knee is inflammation of the patellofemoral band. A ganglion can also form on the side of the knee. When this happens, in addition to pain, a small thickening can be seen and felt, which often enlarges after exerciseand.

Although a ganglion is harmless (nothing to do with cancerous lesions), it can be very bothersome and cause discomfort, putting pressure on the tissues .

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One of the causes of pain on the outside of the knee is also an injury to the lateral meniscus. This can occur when you violently twist your bent knee . If you're thinking about skiers again, you're right. The meniscus does not like the sport.

Knee pain at rest

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Another important piece of information for an orthopaedic surgeon is when you feel pain and whether it depends on movement or exercise. Most often the knees hurt when walking, running, climbing stairs or squatting or kneeling. However, there are also times when you may feel pain at rest, such as lying down or sitting.

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Knee pain at night

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Resting knee pain (i.e. the kind that can torment you at night when you are lying quietly under the duvet), can be caused by three reasonsand:

• arthritic changes (usually in older people),
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• swelling of the knee joint (post-traumatic or associated with rheumatic diseases),
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• bone tumours,
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Well, the internet has spoken: it's cancer! All orthopaedists do facepalm. So let me clarify straight away: rest assured, primary bone tumours are really rare - they account for just 0.2% of all malignant tumours and mainly affect people under 20 and over 70and.

Knee pain when sitting

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When it comes to knee pain with sitting, it will have exactly the same causes as described in the previous section. Sitting is a lack of movement and therefore rest, so...see above.

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The only difference is if the pain occurs, for example, when getting up from a chair. In that case it could indicate either patella or meniscus problemsand.

Knee pain when bending and walking

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If your knee hurts when bending and walking, the already well-known meniscus and patella become the main suspects. Meniscus problems are characterised by the fact that the greater the flexion, the more severe the pain. In extreme cases, meniscus damage can even prevent you from straightening your legand. Ouch.

Knee pain after running and cycling

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Knee pain after running and cycling can have exactly the same causes as described above - relating to discomfort when bending.

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Additionally, they can also be related to overloading of the knee joint (especially in runners). Excessive fatigue of the knee often ends in inflammation.

It is also worth mentioning at this point injuries, which are the most common cause of pain knee in young, physically active people. What happens most often during uncontrollable falls, trips and impacts?

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• Bone fractures and breaks.
• Bone fractures.
• Fracture of ligaments.
• Damage to ligaments.
• Damage to the (notorious) meniscus.
• Damage to the meniscus.

Knee joint injuries can occur, for example, during a sudden change of direction in running, an attempt to brake suddenly and a loss of balance, which often results in a fall.

The knee joint can be injured in the following ways.

Surgent knee pain without injury

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Sudden knee pain that is not related to an injury means that the cause must have developed previously. Such pain may be related to overload, developing inflammation or degenerative changes.

How to treat knee pain?

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Treatment methods for knee pain are almost as numerous as its possible causes. The most common are drugs with analgesic and anti-inflammatory effects (oral or in ointment form), various types of injections and physiotherapy. In some cases, surgeryand may also be necessary.

Knee injury treatment

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The range of options here is really wide: if the injury ends in a bruise and a little swelling, a simple ice pack and ibuprofen may be all that is needed. At the other extreme is the operating table - when there has been a rupture of ligaments or a complex fracture.

Between these extreme options is standard orthopaedic management, i.e. pharmacotherapy with second-generation NSAIDs (those gentler on the stomach) and physiotherapyand.

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Physiotherapist we mainly associate with a person who selects and shows us how to do the right exercises or, possibly, performs a therapeutic massage. However, it is worth knowing that this field of science contains much more - it is a great variety of treatments to improve health.

Treatment of health conditions

Knee inflammation treatment

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Inflammation in the knee is treated as standard by using oral anti-inflammatory drugs, such as those based on nimesulide, diclofenac and ibuprofen. If such therapy does not work, steroids can be included on an ad hoc basis, which are usually administered by injectionand.

Knee osteoarthritis treatment

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How knee osteoarthritis is treated depends on the progression of tissue degeneration. With severely damaged joint surfaces, it may be necessary to implant a knee replacementand.

Otherwise, physiotherapy is used, aimed at strengthening the quadriceps muscle of the thigh, relaxing the muscles and fascia and reducing pain. Cryotherapy and iontophoresisand.

have had good results here.

Some patients may also benefit from injections of hyaluronic acid, which moisturises joint surfaces and reduces frictionand.

Treatment of rheumatic diseases

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This is where the issue becomes more complicated. Rheumatic diseases are categorised as autoimmune disorders, i.e. disorders in which the patient's immune system acts in an abnormal way - attacking the patient's body.

Treatment of these diseases is a very complex matter.

Treatment of these diseases is aimed at quieting the immune response. Immunosuppressive drugs are used for this purpose, for example methotrexate, which is often used in the treatment of rheumatoid arthritis (RA)and.

Treatment is also possible.

Biological treatment is also possible, but it is not yet reimbursed in Poland for patients with rheumatic diseases. Free access to it is only available to those covered by clinical trial programmes, for which it is not easy to qualify.

Collagen for knee pain

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Collagen is a protein present in our bodies that plays a key role in maintaining healthy joints. Its supplementation can help relieve knee pain in both physically active people and those suffering from arthritisand.

When you are active, your joints are under constant pressure. Collagen helps to produce joint lubricant and rebuild cartilage, which in turn increases its flexibility and ability to cushion. As a result, it can reduce the discomfort and pain that often accompanies intense workoutsand.

If you suffer from arthritis, collagen may also help. Studies show that collagen supplementation can slow the progression of this disease by promoting the production of new cartilage. As a result, this may help to reduce pain and improve mobilityand.

Therefore, if you are struggling with knee pain, it is worth considering collagen supplementation. Choose a high quality product with a pure formulation and an effective dose (at least 2.5g per day, and ideally 5-10g per daily serving) and a well-absorbed formula collagen hydrolysate.

Best for joints

Natu.Care Collagen Premium 10000 mg, cherry

5.0

• Collagen content: 10,000 mg of hydrolyzed bovine collagen
• Additional active ingredients: vitamin C, low molecular weight hyaluronic acid, glucosamine, chondroitin, extract of Indian frankincense resin (boswellia serrata)
• Form: powder sachets for drinking
• Serving: 1 sachet per day
• Lasts for: 30 days

See price

Product description

One of the strongest collagens on the market, providing as much as 10,000 mg per daily serving. This product can effectively support the condition of joints, skin, hair, and nails.

With this supplement, you will support your skeletal and joint system as well as your beauty, helping you visually halt the aging process and feel rejuvenated!

Pros and cons

Pros:

• The daily portion of collagen is very large – as much as 10,000 mg.
• Proven collagen formula – COLLinstant, whose effectiveness has been confirmed in clinical studies.
• Effective dose of hyaluronic acid, which additionally moisturizes the skin and positively affects joint health.
• Vitamin C supports the body's natural collagen production.
• Glucosamine is a fundamental building block of compounds found in joint cartilage and a component of collagen that gives elasticity to connective tissue in tendons.
• Chondroitin is a natural component found in the human body, mainly in cartilage. This large molecule (mucopolysaccharide) has the ability to absorb water, which helps maintain the elasticity and resilience of cartilage.
• Frankincense resin extract supports blood circulation and joint mobility and reduces their stiffness. It may help alleviate inflammatory conditions.
• The composition has been tested by the independent and accredited J.S. Hamilton laboratory.

Cons:

• None.

Additional information

Users praise Natu.Care Collagen Premium for the easy dissolving of the powder.

Best overall

Natu.Care Collagen Premium 5000 mg, mango & passion fruit

5.0

• Collagen content: 5000 mg marine collagen hydrolysate
• Additional active ingredients: vitamin C, low molecular weight hyaluronic acid (and L-theanine and coenzyme Q10 in cocoa flavoured collagen or vitamin A and vitamin E in mango–passion fruit flavoured collagen)
• Form: powder sachets
• Dose: 1 sachet per day
• Sufficient for: 30 days

See price

Product description

Fish collagen from the Natu.Care brand in a dose of 5000 mg, based on certified ingredients of the best quality. Regular supplementation will positively influence the appearance of the skinóry, hairów and nails – they will be rebuilt and strengthened from the inside.

In addition to collagen, which is valuable for health and beauty, it also offers other active ingredients that help to maintain a youthful complexion, shiny hair and strong nails.

The formula contains a sufficient portion of the active ingredient to positively affect joints, the musculoskeletal system and immunity.

Natu.Care Premium Collagen is available in two flavours – Cacao Bloom and Rise&Shine. Both formulas are based on the following active ingredients: marine collagen hydrolysate, wild roseóbud extract and hyaluronic acid.

Additionally, Cacao Bloom contains natural L-theanine, coenzyme Q10 and defatted Dutch cacao. Rise&Shine instead contains vitamin E and vitamin A.

These are the best collagens in the world.

These best fish collagens on the market also rós taste – Cacao Bloom is a treat for chocolate lovers. Rise&Shine will appeal to those whoólike the refreshing taste of mangoófruit and passion fruit.

Pros and cons

Pros:

• Vitamin C supports the body's collagen production, enhancing its effectiveness.
• An effective dose of hyaluronic acid, which additionally supports skin hydration and joint health.
• Fish collagen absorbs 50% better. Additionally, the manufacturer specifies the fish species it is sourced from (Atlantic cod).
• The composition has been tested by the independent and accredited J.S. Hamilton laboratory.
• MSC (Marine Stewardship Council) quality certification, which confirms that the collagen source supports sustainable fishing practices.

Cons:

• None.

Additional information

Natu.Care's fish collagen receives praise for its delicious taste. You won't find the fishy aftertaste that often comes through in other collagens. Plus, you have two tasty flavors to choose from: cocoa and mango-passionfruit.

Active ingredients like coenzyme Q10, hyaluronic acid, and natural L-theanine provide anti-inflammatory and antioxidant benefits while slowing down aging processes.

User review

Super, after about 6 weeks of use, the skin on my face became noticeably firmer. Wonderful taste.

Best overall

Natu.Care Collagen Premium 5000 mg, cocoa

5.0

• Collagen content: 5000 mg marine collagen hydrolysate
• .
• Additional active ingredients: vitamin C, low molecular weight hyaluronic acid (and L-theanine and coenzyme Q10 in cocoa flavoured collagen or vitamin A and vitamin E in mango–passion fruit flavoured collagen)
• .
• Form: powder sachets
• .
• Dose: 1 sachet per day
• .
• Sufficient for: 30 days
• .

See price

Product description

Fish collagen from the Natu.Care brand in a dose of 5000 mg, based on certified ingredients of the best quality. Regular supplementation will positively influence the appearance of the skinóry, hairów and nails – they will be rebuilt and strengthened from the inside.

In addition to collagen, which is valuable for health and beauty, it also offers other active ingredients that help to maintain a youthful complexion, shiny hair and strong nails.

The formula contains a sufficient portion of the active ingredient to positively affect joints, the musculoskeletal system and immunity.

Natu.Care Premium Collagen is available in two – Cacao Bloom and Rise&Shine flavours. Both formulas are based on the following active ingredients: marine collagen hydrolysate, wild róve bud extract and hyaluronic acid.

Additionally, Cacao Bloom contains natural L-theanine, coenzyme Q10 and defatted Dutch cacao. Rise&Shine instead contains vitamin E and vitamin A.

These are the best collagens in the world.

These best fish collagens on the market also rós taste – Cacao Bloom is a treat for chocolate lovers. Rise&Shine will appeal to those whoólike the refreshing taste of mangoófruit and passion fruit.

Pros and cons

Fish collagen from the Natu.Care brand in a dose of 5000 mg, based on certified ingredients of the best quality. Regular supplementation will positively influence the appearance of the skinóry, hairów and nails – they will be rebuilt and strengthened from the inside.

In addition to collagen, which is valuable for health and beauty, it also offers other active ingredients that help to maintain a youthful complexion, shiny hair and strong nails.

The formula contains a sufficient portion of the active ingredient to positively affect joints, the musculoskeletal system and immunity.

Natu.Care Premium Collagen is available in two – Cacao Bloom and Rise&Shine flavours. Both formulas are based on the following active ingredients: marine collagen hydrolysate, wild róve bud extract and hyaluronic acid.

Additionally, Cacao Bloom contains natural L-theanine, coenzyme Q10 and defatted Dutch cacao. Rise&Shine instead contains vitamin E and vitamin A.

These are the best collagens in the world.

These best fish collagens on the market also rós taste – Cacao Bloom is a treat for chocolate lovers. Rise&Shine will appeal to those whoólike the refreshing taste of mangoófruit and passion fruit.

Additional information

Fish collagen from the Natu.Care brand in a dose of 5000 mg, based on certified ingredients of the best quality. Regular supplementation will positively influence the appearance of the skinóry, hairów and nails – they will be rebuilt and strengthened from the inside.

In addition to collagen, which is valuable for health and beauty, it also offers other active ingredients that help to maintain a youthful complexion, shiny hair and strong nails.

The formula contains a sufficient portion of the active ingredient to positively affect joints, the musculoskeletal system and immunity.

Natu.Care Premium Collagen is available in two – Cacao Bloom and Rise&Shine flavours. Both formulas are based on the following active ingredients: marine collagen hydrolysate, wild róve bud extract and hyaluronic acid.

Additionally, Cacao Bloom contains natural L-theanine, coenzyme Q10 and defatted Dutch cacao. Rise&Shine instead contains vitamin E and vitamin A.

These are the best collagens in the world.

These best fish collagens on the market also rós taste – Cacao Bloom is a treat for chocolate lovers. Rise&Shine will appeal to those whoólike the refreshing taste of mangoófruit and passion fruit.

User review

Fish collagen from the Natu.Care brand in a dose of 5000 mg, based on certified ingredients of the best quality. Regular supplementation will positively influence the appearance of the skinóry, hairów and nails – they will be rebuilt and strengthened from the inside.

In addition to collagen, which is valuable for health and beauty, it also offers other active ingredients that help to maintain a youthful complexion, shiny hair and strong nails.

The formula contains a sufficient portion of the active ingredient to positively affect joints, the musculoskeletal system and immunity.

Natu.Care Premium Collagen is available in two – Cacao Bloom and Rise&Shine flavours. Both formulas are based on the following active ingredients: marine collagen hydrolysate, wild róve bud extract and hyaluronic acid.

Additionally, Cacao Bloom contains natural L-theanine, coenzyme Q10 and defatted Dutch cacao. Rise&Shine instead contains vitamin E and vitamin A.

These are the best collagens in the world.

These best fish collagens on the market also rós taste – Cacao Bloom is a treat for chocolate lovers. Rise&Shine will appeal to those whoólike the refreshing taste of mangoófruit and passion fruit.

Refreshing taste

Natu.Care Collagen 3000 mg, various flavours

4.7

• Collagen content: 3000 mg collagen hydrolysate fish
• Additional active ingredients: vitamin C
• Form: powder
• Dose: 1.5 scoops per day
• Sufficient for: 30 days
• Available flavours: orange, raspberry-cranberry, blackcurrant and flavourless variant (without added vitamin C)

See price

Product description

Dietary supplement in a highly bioavailable form of hydrolysed collagen SeaGarden fish®. This formula has high bioavailability– youróbody will use collagen faster and more efficiently where you need it most. 

A 3,000 mg serving of collagen benefits your hair, skinóhand and nails, as well as the functioning of your jointsómuscles and bones. The action of collagen is complemented by vitamin C, whichóra supports the natural production of the youth protein in the body and also helps with its absorption. It is also a great anti-ageing antioxidant.

Natu.Care's Collagen 3000 mg is available in three fruit flavours (orange, raspberry-cranberry, blackcurrant) and a flavourless variant. The powder dissolves very well, does not form lumps in the liquid and you can add it to your favourite yoghurt, oatmeal or smoothie.

Pros and cons

Pros:

• Fish collagen in the SeaGarden® formula is highly bioavailable, so your body absorbs and utilizes it faster and more effectively.
• Regular supplementation positively impacts skin, hair, and nails, and supports the musculoskeletal system.
• The composition has been tested by the independent and accredited J.S. Hamilton laboratory.
• The product is certified for sustainable fishing practices.
• Vitamin C in the formula supports the body’s natural collagen production, enhancing its effects.
• The collagen contains no unnecessary additives like artificial colorings or flavors. All ingredients are naturally sourced.
• Available in three refreshing, fruity flavors or a flavorless option.

Cons:

• None.

Additional information

The collagen powder has excellent solubility.

The collagen is sweetened with steviol glycosides from stevia, which are natural, safe, and suitable for diabetics.

Exercises for knee pain

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Did you know that strengthening one muscle can save you from most knee problems? I know, it sounds like the title of an article from a website with a not very good reputation. But... the orthopaedists will hate you if you do these exercises! Well, jokes aside.

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In fact, the orthopaedists will be thrilled if you work on strengthening the quadriceps muscle of the thigh. And quite seriously - it will make you forget about orthopaedic knee problems.

Strong quadriceps thigh muscle isand:

• relieving stress on the ligaments of the knee joint,
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• providing improved knee stability,
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• keeping the kneecap in the correct position,
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• improving cushioning of the joint,
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How to exercise the quadriceps muscle? If you enjoy cycling, place the saddle in such a position that full extension of the leg occurs during pedalling. And swim on two wheels for at least 3 hours a week.

And if you don't like cycling or it just happens to be winter, ice and snow, I have an equally good alternative for you using weights:

Place weights on your legs. Sit so that your knees are bent at 90°. Slowly straighten and bend your legs. Try to keep the movement smooth and active. You can do this exercise once with one leg and once with the other, but if you lift and lower both limbs together - it will exercise your abdominal muscles too.

Morale: never let go of leg day...

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