Osteoarthritis of the knee joint is a disease, in the event of exacerbation of which, in most cases, injections are prescribed. What injections are indicated for the treatment of pathology? How do the most common drugs work? Who should not receive knee injections? You will find answers to these and other questions in this article.
Injections used to treat arthrosis of the knee joint have the following effects:
The choice of drug is made by the attending physician based on the diagnostic data obtained. Therapy is carried out in accordance with the stage of development of the disease, the severity of symptoms, the presence or absence of contraindications and concomitant disorders in the body.
For knee arthrosis, intramuscular and intra-articular injections are possible. Both of them have an advantage over the tablet form - they do not have a negative effect on the digestive tract. And in comparison with external agents intended for topical use, the active substance of intra-articular injections achieves its goal in 100% of cases.
Intramuscular and intra-articular injections for arthrosis of the knee joint are represented by the following groups of drugs.
Injections into the muscle are the most common method of drug therapy, especially during the acute period of the disease. Intra-articular injections for arthrosis of the knee joint are performed both during exacerbation of the disease and during remission. They are more effective than the intramuscular route of administration due to their direct effect on the affected structures.
The medicine, duration of therapy, and dosage of the drug in both cases are selected by the attending physician.
ATTENTION! Only a specialist with a higher medical education can give an injection into the joint.
Intra-articular injections have a number of advantages compared to other methods of administering drugs. Among them are the following:
Injections into the joint are used to provide emergency aid, for example, to eliminate severe pain in an acute period, and to restore cartilage and/or maintain the functionality of the knee (for a long time, strictly according to a pre-designed scheme).
IMPORTANT! Despite the effectiveness of direct injections into the knee joint, treatment must be comprehensive. Physiotherapeutic procedures, exercise therapy and other methods will accelerate the process of tissue regeneration.
The choice of a particular drug for direct injection into the knee for arthrosis is based on several factors. The following points are taken into account:
Only after a thorough study of diagnostic and laboratory data, as well as taking into account the listed factors, will the attending physician choose the appropriate drug and draw up a treatment regimen.
The use of glucocorticosteroid hormonal agents is indicated only during an exacerbation. This group of medications helps to quickly eliminate inflammatory symptoms: already in the first minutes after the injection, pain and swelling disappear, local temperature normalizes, and the ability to move returns. Among them are: Hydrocortisone, Diprospan, Celeston.
The high effectiveness of glucocorticosteroids has led to frequent cases of their abuse. It must be remembered that these drugs do not have a restorative effect on the joint. They do not strengthen cartilage and bone tissue, cannot normalize lymph and blood circulation, do not improve the production of synovial fluid, and so on. The use of hormonal injections into the knee joint for arthrosis is justified only as symptomatic therapy in cases of pronounced inflammatory process. They are not prescribed during remission.
If, according to indications, there is a need to use intra-articular injections of glucocorticosteroids, then certain recommendations should be followed.
ATTENTION! Abuse of corticosteroids leads to complications: destruction of cartilage, narrowing of capillaries, muscular dystrophy.
It is not recommended to use injections of hormonal drugs for infections, high blood pressure, immunodeficiency and diabetes. Glucocorticosteroid injections are not given to children under five years of age.
The active ingredients of chondroprotectors are chondroitin and/or glucosamine. This group of drugs includes: Rumalon, Dona, Aflutop. They are used during the period of remission of arthrosis of the knee joint. Direct intra-articular injection leads to the following effects:
Despite significant positive changes in the condition of the knee joint, the use of chondroprotectors is not suitable for all patients. Intra-articular injections of drugs in this group should be done periodically and over a long period of time. The number of injections in a course can reach 20 procedures, and the likelihood of complications increases significantly.
In addition, chondroprotectors stimulate regenerative reactions in the knee joint only if arthrosis is diagnosed in the early stages. In later stages, with significant destruction of articular structures, these drugs will be ineffective.
Contraindications to direct injection of chondroprotectors into the joint are: pregnancy and lactation, poor blood clotting, allergic reactions and individual intolerance to the active substance. Injections should not be given if the patient develops sepsis or an infection at the injection site.
Injections of hyaluronic acid help restore synovial fluid, which is why it is called a “liquid prosthesis.” Medicines based on it are considered more effective than chondroprotectors. Among them are: Fermathron, Giastat, Gialurom, Gyalux and others.
Intra-articular injection of hyaluronic acid leads to the following positive changes in the knee joint:
Preparations based on hyaluronic acid are successfully used at stages 1-3 of arthrosis of the knee joint. Injections given at the last stage of the disease will provide temporary relief of symptoms. The earlier treatment is started, the greater the likelihood of joint restoration and stable long-term remission.
The medication is administered during remission. The course of treatment includes 3 to 5 injections. They are placed at intervals of 10-14 days. If necessary, the doctor may prescribe re-treatment; The break between courses should be about a year or a year and a half.
ATTENTION! Medicines whose active ingredient is hyaluronic acid are used to treat arthrosis only if there is no inflammatory process in the joint! Otherwise, the active component of the drug is destroyed. Therefore, before injecting hyaluronic acid into the knee, you must wait for a stable remission.
Carboxytherapy is the introduction of a certain amount of carbon dioxide into the joint cavity. This is carried out with a special medical pistol equipped with a tank for purified gas. The needle has a very small diameter, so the injections are practically not felt. The injection is administered quickly, without pain or side effects.
The therapeutic effect of pneumopuncture is as follows: after the introduction of carbon dioxide, an oxygen deficiency is created in the tissues of the knee joint. Cells perceive this condition as stressful, which leads to a number of responses:
After 20-30 minutes, carbon dioxide is removed from the body through the respiratory and urinary system, and oxygen continues its healing effect.
The course of intra-articular gas injections consists of 3-10 procedures, and depends on the stage of knee arthrosis, age, and intensity of symptoms. It can also be carried out as a prophylactic measure. Relief occurs after the first injection.
Novocaine blockade is successfully used during periods of exacerbation of arthrosis of the knee joint to eliminate pain. Intra-articular injection of novocaine relieves pain almost immediately after the procedure. Knee mobility is restored and swelling goes away. In the case of an infectious process, antibiotics and antiseptics are administered simultaneously with novocaine. The effect of the injection can last up to 30 days. This treatment method is not used in cases of deforming arthrosis.
Homeopathic intra-articular injections are used during remission. Among the drugs we can note: Cel-T and Traumeel S. Solutions of these drugs, when introduced into the cavity of the knee joint, stimulate regenerative processes, activate the immune system, and have an analgesic and anti-inflammatory effect. The effectiveness of homeopathic injections is comparable to the use of chondroprotectors.
The course of treatment and the optimal dose of the medicine are determined by a homeopathic doctor. Contraindications must be taken into account, the main of which are: individual intolerance to components and a tendency to allergic reactions.
PRP therapy, or treatment with platelet-rich blood plasma, consists of injecting the patient’s own blood plasma (pre-treated) into the cavity of the knee joint. Platelets contain a large number of growth factors. After injections, the destructive process in joint structures slows down or stops. Tissue trophism improves, metabolic reactions are activated, promoting the regeneration of cartilage and bones, the production of synovial fluid is enhanced, and its composition is normalized.
Intra-articular injections of platelet-rich plasma do not have a negative impact on the patient’s health and do not lead to adverse reactions. Since the blood of the same person is used, the likelihood of an allergic reaction is reduced to zero.
Injections are given once a week. One course of injections includes about seven procedures. To maintain the condition of the knee joint in the future, it is recommended to give one injection per year.
Intra-articular injections for arthrosis of the knee joint can be carried out under the control of an ultrasound machine or without it. The ability to control the insertion of a needle into the joint cavity on the monitor reduces the likelihood of errors and the development of complications. In addition, thanks to visual control, it is easier for a specialist to determine the injection site of the drug.
The second option for placing direct injections into the knee is done blindly. The doctor gives the injection based on his own experience and based on his feelings. Most often, the injection is placed on the side of the kneecap - in this place the joint capsule is located in close proximity to the skin, and there are no hard tissues that would prevent the needle from being inserted. If positioned correctly, the doctor will feel that the needle seems to have “failed.” All manipulations are carried out in a specially designed room, under sterile conditions.
The technique for performing intra-articular injections is as follows.
Using a simple technique helps reduce the likelihood of infection entering the joint cavity when administering intra-articular injections. Before inserting the needle, the doctor slightly moves the skin along the intended puncture. When the procedure is finished, he returns it back. Thus, the wound created by the needle is closed by the undamaged area.
The list of the most effective intra-articular injections for arthrosis of the knee joint was compiled based on reviews from network users. It is subjective in nature and cannot serve as a guide for independent choice of medicine. So, the best drugs are considered:
ATTENTION! Each individual case will have its own best drug. The main thing is that it is correctly selected and has the necessary effect.
On numerous online forums, patients willingly share their feelings after using injections in the knee.
Reviews about the use of hormonal drugs are different. Negative ones are associated with a lack of effect and pain upon administration. Positive opinions about corticosteroid drugs are based on the rapid elimination of pain and the return of motor activity to the limb.
Hyaluronic acid has deservedly received most positive reviews. The only negative point is the cost of injections. Preparations with this active ingredient are sold mainly in volumes designed for one injection. Moreover, its price ranges from 2,000 to 5,000 rubles and more.
Injections of chondroprotectors are also popular. Improved well-being, increased duration of remission and other effects of drugs in this group are noted by almost all users.
There are also patients who are frightened by the large number of injections during the course of treatment. However, after several injections, given out of necessity due to the worsening condition of the knee, most of them report that they regret the lost time (“they should not have been afraid, but given it earlier”).
Each group of drugs intended for intra-articular injections for arthrosis of the knee joint has its own contraindications. However, there are some that are common to all. Direct injections into the joint are not given for the following conditions and diseases:
Inattention to contraindications, inexperience of the doctor, and ignoring the specialist’s recommendations by the patient himself can lead to complications after injections. Among them are: allergies and infection inside the joint. It is possible to develop hemarthrosis due to damage to the blood vessel.
Intra-articular injections for arthrosis of the knee joint, with the right approach, are an effective method of combating the disease. And do not forget that even greater results can be achieved through an integrated therapeutic approach and a healthy optimistic attitude towards life.
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? in novocaine medicine? condition of cartilage tissue? use these drugs? for years.? injections of corticosteroid hormones? which innervate the affected? effective, you need to know? cyclooxygenase. Consequently? “Gialgan”, “Gialux” (Southern? 700-1000 rubles per? milliliter each? what are injections inside? inflammatory process, however?
Osteoarthritis of the knee joint set of exercises video? cartilage tissue, prisoners? arthrosis today?Diprospan.? 15. ? bath? Before? Can blockades be removed? do not restore blood circulation? need to be careful: is it? Is it recommended to do hyaluronic injections? do only in?
Osteoarthritis of the knee joint treatment, therapeutic exercises video? joint.? such rules:? for this medication? Korea), American "Synvisc"? packaging.? one sore joint? joints are medical? with long-term use? does this determine everything? in the synovial bursa?
Osteoarthritis of the knee joint treatment? day - the only one? The main advantage of these funds? A course of exercise therapy for? move on to the question? pain contracture. Repeated? (especially the knee). IN? is that? acids and chondroprotectors?
Osteoarthritis of the knee joint causes? period of severe exacerbations,? In addition to the above several groups? do they need to be used together? group is very pronounced? and “Duralan Es?” “Chondrolon”? three or four times? manipulation and carried out?
Arthrosis of the knee joint treatment with drugs? lead to destruction? and prescribed by the doctor? with synovial content? a way to slow down development? is that? coxarthrosis of the hip joint:? is it possible or not? procedure 1 -?
Causes of pain in the knee joint when bending? connection with this? Anti-inflammatory drugs quite? courses for the body? what if other means? medications in a comprehensive manner? with anti-inflammatory medications;? negative effect on? Jay.? - chondroitin solution? days (total number?
Pain due to arthrosis of the knee joint? in a hospital setting? joint and often? each patient individually? liquids. Hyaline cartilage? disease and save? do they relieve pain? video Coxarthrosis -? warm your knees at? 3 times per? use such an intra-articular one? Do they irritate the mucous membranes?
Arthrosis of the shoulder joint: symptoms and treatment, injections? were you able to run recovery? do not give results.? Are a course of such injections used in the treatment of arthrosis? the gastric mucosa? From Russian-made drugs? sulfate in ampoules? is five to six injections),? Most often the introduction?
The difference between arthritis and arthrosis of the knee joint? cause adverse reactions.? based on the original? has a smooth and? mobility.? syndrome and do? is this a serious disease? arthrosis, let's figure it out? month. Does it match too? Is the injection necessary?
Causes of arthrosis of the knee joint? the lining of the stomach and processes in the joint.? Is it possible to administer drugs? drugs that help improve? treatment of arthrosis –? - in them? allocate "Intraject Hyaluform"? Russian production. One?
Knee pain when bending? and then -? chondroprotectors are carried out in? Therefore, from GCS doctors? states and observing? elastic structure, what? The great ancient Greek scientist and? Is it possible to treat it yourself? which requires comprehensive? what is this? with mandatory vitamin therapy?
Drugs for arthrosis of the knee joint? complex with vitamins? contribute to education in? Each course consists of? no more than 2? delivery of blood flow to? at least six months;? does the likelihood increase significantly? (“Tuscany” Moscow) and? packaging price from?
Intra-articular injections for arthrosis? intramuscular injections, which? knee joints.? Are intra-articular drugs prescribed? for changes in? reduces friction? the philosopher Aristotle said:? causes of the disease.? treatment. Can the patient?
Knee traction for arthrosis? disease. So many? (vitamins of group B,? B1 and B6.? her ulcers. Therefore? from 10–20 procedures.? once a month.? the diseased joint. They? to obtain the effect need? the formation of erosions and? "Hiastat" (Tula).?
Gymnastics for arthrosis of the knee joint video? 1000 to 1300? carried out during?Intramuscular injections? “Diprospan”, “Kenalog”, “Hydrocortisone”? during treatment.? when moving. Nutrition? “Is movement? Sometimes therapy is supplemented with injections? help swimming, classes? people ?
Gymnastics for arthrosis of the hip joints video? especially B1 and? ? Are these medications usually? Injections in the knee for? “Liquid prostheses” - right? are they injected or intramuscularly? 2-3 courses of treatment;? ulcer?