The most common place for a person with
hemophilia to bleed is the space inside his joints. Bleeding into joints or muscles causes the most long-lasting problems. This section tells how these problems arise. Fortunately, with the treatments we have today, long-lasting problems or crippling do not have to happen.
Certain kinds of joints are called synovial joints. A synovial joint is one that has a clear fluid inside of it called
synovial fluid. This fluid makes the ends of the bones slide over each other smoothly. By keeping the bone ends from rubbing against each other, the synovial fluid protects the bones from wear and tear. It is like the way oil in a car's engine keeps the pistons running smoothly.
Blood flowing into the space in the synovial joint causes damage to the joint. If this happens often enough, it causes crippling
arthritis. The person will not be able to use the joint without a lot of pain. To show how this happens, we will look at a normal knee joint and compare it to one that has bled over and over.
Safety Advice
Fluid on the knee can indicate a serious problem, and you should always see your doctor with any unexplained or persistent knee swelling.