![]() Viscosupplementation was first used in Europe and Asia, and was approved by the U.S. Although some patients report pain relief with the procedure, some people are not helped by the injections. The most recent research, however, has not found viscosupplementation to be effective at significantly reducing pain or improving function. The theory is that adding hyaluronic acid to the arthritic joint will facilitate movement and reduce pain. People with osteoarthritis have a lower-than-normal concentration of hyaluronic acid in their joints. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. ![]() Hyaluronic acid is a naturally occurring substance found in the synovial fluid surrounding joints. In this procedure, a gel-like fluid called hyaluronic acid is injected into the knee joint. If you have tried all other nonsurgical treatment methods and your pain continues to limit your activities, viscosupplementation may be an option. Pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofenĪnother treatment option is a procedure called viscosupplementation.Your doctor may recommend a range of treatments, including: ![]() In its early stages, arthritis of the knee is treated with nonsurgical methods. Although there is no cure for osteoarthritis, there are many treatment options available to help people manage pain and stay active. It develops slowly and the pain it causes worsens over time. Sometimes more than one injection may be needed to achieve better pain relief.Osteoarthritis of the knee is one of the leading causes of disability in the United States. Other injections in this category are Stem cell injections (either from bone marrow or fat cells) and nStride. A large concentration of these chemicals can lead to healing of damaged tissue and provide long lasting pain relief. The platelets produce specific chemicals that are essential for body’s natural healing process. This is then injected back into the patient’s knee joint. The patient’s own blood is removed and specially prepared to extract plasma with platelets. The most common type is the PRP (Platelet Rich Plasma) injection. In general, it involves injecting a biologically active (live) substance into the joint to treat the pain and achieve some tissue healing to repair any damage. There are numerous injections that fall into this category. Synvisc and Ostenil are the most common injections used. Viscosupplement injections are usually used in conditions where the knee joint is painful but still reasonably healthy from inside, such as early stage arthritis and knee pain following injury or surgery. ![]() Hyaluronic acid is a natural chemical that is present in all joints to provide lubrication to the cartilage and allow smooth, painfree movements. Viscosupplement (Hyaluronic Acid - HA) injection Cortisone and corticosteroids are strong anti-inflammatory medicines that helps to reduce pain and swelling in the knee joint. Local anaesthetic is used to numb the area and then the drugs, ususally Depomedrone or Tramcinolone, are administered via injection. This is the most common joint injection and is used to treat conditions such as osteoathritis. There are three types of injections that can be used in the knee joint: Steroid (Cortisone) injection Knee pain can also be as a result of mal-alignment of the patella (knee cap) and trauma. Knee injections can be used in less severe cases or in patients with persistent pain following surgery. Treatment depends of the severity of injury and may result in surgery. It is caused by damage to one or more of the supporting structures of the knee, such as ligaments and meniscus (shock absorber cartilage disc). Knee pain in young adults is usually from an injury or accident (most often sports related). It varies between pain killers, physiotherapy, knee supports, different injections, key hole cleaning (arthroscopy) and finally a knee replacement. Treatment very much depends on the amount of arthritis present in the knee. Sometimes, a simple trauma or twist may start the pain especially at early stage of the disease. It is usually a ‘wear and tear’ process that starts as an occasional ache and proceeds to persistent pain that affects all aspects of daily living including sleep. Osteoarthritis is by far the commonest cause of knee pain in the middle aged and elderly. The underlying cause for knee pain varies according to different age groups.
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