intraartiular knee injection

Knee InjectionHyaluronic acid injection

Dr. A.MOHAN KRISHNA

M.S.ORTHO, MCh ORTH(U.K)Consultant Orthopaedic surgeon ,Trauma, Arthroscopy, Arthroplasty Surgeon Apollo hospitals, Hyderabad

Consultant Orthopaedic Surgeon at

www.healthyjointclub.comwww.bonesandjointsclinic.comwww.drmohankrishna.com

DISCLAIMER

This presentation is solely for educational purpose. The material included in the presentation represents educational material for the patients and not intended for any treatment purpose

As you Age

Problem Knee joint?What causes it?

Osteoarthritis

Injury to the joint

Rheumatoid

arthritis

Infections

Worn-out cartilage

Who is at risk?

More common in women.

Obese people (more body weight).

When the muscles of the knee joint are weak.

Normal knee

Arthitic knee

Wearing of cartilage lining

Exposure of underlying bone

Swelling of joint lining

Bone at edges of joint grows outwards

forming osteophytes

Normal knee

Knee cartilage lesions

Grade I Ostearthritis

Grade II Osteoarthritis

Grade III & IV

Osteoarthritis

As the degeneration progresses

NORMAL KNEE ARTHRITIC KNEE

Complaints

Complaints

Get stuck at times

Can’t go up the steps

Can’t walk for a small distance

Joint giving way- Fear of

falling

Bow legs

Knock knees

Can’t sleep at night

Joint pain &

Stiffness

INTEGRATED APPROACH OF HEALTHY JOINT CLUB

Weight Reduction

Pain Killers

Tablets/ local gels

Nutritional Supplements

Glucosamine

Physiotherapy

Knee strengthening

exercises

STAGE I & IIInitial stages: To lose weight if heavy Joint exercises - PHYSIOTHERAPY

(Stretching/Strengthening)

STAGE I & II•Anti Inflammatory drugs initial couple of days.•Mild analgesics and local gels•NUTRACEUTICALS: Glucosamine chondroitin MSM Collagen peptide JOINT INJECTIONS: Intraarticular steroids lubricant injections

Hyaluronic acid injection

It is a viscosupplementation injection that lubricates and cushions your joint.

Can provide pain relief

upto 9 months

Beneficial effects of injection

Lubricating ability

Stimulate natural joint lining –natural joint fluid

Reduces pain by coating damaged joint surfaces

Anti inflammatory action

When to consider for Hyaluronic acid injection?

Patients with Osteoarthritis Knee not getting pain relief

from

Medications Exercises

Diet

Technique

Intra-articular route • Directly into the joint

Out patient procedure• Few minutes

Resume normal activities

Injection technique

Appointment with Doctor for injection

Doctor cleans site of injection with

BetadineDoctor gives

injection into the joint

Will the injection be painful?

Painful

Given through small needle, May feel needle prick

Sometimes a local injection is given before giving injection

What happens after injection?

Can return to normal activities after the injection

Avoid strenuous activities like jogging sports for first 48 hours

Following months intensity of arthritic pain settles down

Benefits of injection can last from 9 months to 2 years.

Can the injection be repeated ?

Injection can be safely repeated

Contraindications

Infected knee joint

Skin disease or skin infection on the knee joint

Allergic reactions Hyaluronan products / prior reaction to similar injections

Side effects

Mild pain

Swelling

Stiffness

CONTACT

Dr.A.MOHAN KRISHNAM.S.Ortho., MCh Ortho(U.K).,Consultant Orthopaedic Surgeon,Apollo Hospitals,Hyderabad.Appointments: Secretary : 09247258989 0944118459008332936085 www.drmohankrishna.comwww.healthyjointclub.comwww.bonesandjointsclinic.comEmail:bonesandjointsclinic@gmail.com