intraartiular knee injection
DESCRIPTION
This is a short presentation on intraarticular knee injection. This presentation gives brief idea about hyaluronic acid injection used for management of osteoarthritic pain. Hyaluronic acid is substance similar to the synovial fluid which is present in our knees. It is a viscosupplementation injection that lubricates and helps to cushion the joint. The mechanism of action of the injection is it stimulates the natural lining of the joint to produce natural joint fluid, reduces joint pain by coating the damaged joint lining and by its anti inflammatory action.TRANSCRIPT
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:[email protected]