Download - Intraartiular knee injection
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Knee InjectionHyaluronic acid injection
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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
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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
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As you Age
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Problem Knee joint?What causes it?
Osteoarthritis
Injury to the joint
Rheumatoid
arthritis
Infections
Worn-out cartilage
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Who is at risk?
More common in women.
Obese people (more body weight).
When the muscles of the knee joint are weak.
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Normal knee
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Arthitic knee
Wearing of cartilage lining
Exposure of underlying bone
Swelling of joint lining
Bone at edges of joint grows outwards
forming osteophytes
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Normal knee
Knee cartilage lesions
Grade I Ostearthritis
Grade II Osteoarthritis
Grade III & IV
Osteoarthritis
As the degeneration progresses
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NORMAL KNEE ARTHRITIC KNEE
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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
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INTEGRATED APPROACH OF HEALTHY JOINT CLUB
Weight Reduction
Pain Killers
Tablets/ local gels
Nutritional Supplements
Glucosamine
Physiotherapy
Knee strengthening
exercises
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STAGE I & IIInitial stages: To lose weight if heavy Joint exercises - PHYSIOTHERAPY
(Stretching/Strengthening)
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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
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Hyaluronic acid injection
It is a viscosupplementation injection that lubricates and cushions your joint.
Can provide pain relief
upto 9 months
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Beneficial effects of injection
Lubricating ability
Stimulate natural joint lining –natural joint fluid
Reduces pain by coating damaged joint surfaces
Anti inflammatory action
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When to consider for Hyaluronic acid injection?
Patients with Osteoarthritis Knee not getting pain relief
from
Medications Exercises
Diet
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Technique
Intra-articular route • Directly into the joint
Out patient procedure• Few minutes
Resume normal activities
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Injection technique
Appointment with Doctor for injection
Doctor cleans site of injection with
BetadineDoctor gives
injection into the joint
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Will the injection be painful?
Painful
Given through small needle, May feel needle prick
Sometimes a local injection is given before giving injection
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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.
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Can the injection be repeated ?
Injection can be safely repeated
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Contraindications
Infected knee joint
Skin disease or skin infection on the knee joint
Allergic reactions Hyaluronan products / prior reaction to similar injections
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Side effects
Mild pain
Swelling
Stiffness
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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:[email protected]