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Injections in the knee for arthrosis

17 Jul 18

Injections into the knee joint for arthrosis: how to choose drugs and give injections

Destruction and deformation of the knee joint, accompanied by pain when loading and bending the limb, is almost certainly arthrosis of the knee.

This is a chronic disease, drug therapy for which is usually aimed at avoiding exacerbation. In the later stages of the disease, experts recommend injections of medications into the knee joint. This achieves a maximum analgesic effect and an increase in the period of remission.

Benefits of joint injections

Why are intra-articular injections popular among orthopedic doctors and surgeons? Injecting the drug directly into the lesion helps to extinguish the inflammatory process faster.

At the same time, the consumption of the drug is reduced and the accuracy of the effect is increased. Another plus is the ability to avoid side effects: the stomach mucosa suffers from the tablets, intramuscular injections affect soft tissues.

Intra-articular injections can be used as an ambulance for exacerbations. And also in the form of long-term therapy to maintain the functionality of the knee joint and restore cartilage. Patients note that knee injections are easily tolerated and, when placed correctly, are rarely painful.

The therapeutic effect depends on the group of drugs administered and their purpose. Patients who receive intra-articular injections regularly note their positive aspects:

  • the medicine begins to act immediately from the moment of administration;
  • pain when moving decreases;
  • swelling subsides in a short time;
  • The mobility of the knee joint is normalized.
  • It makes sense to take a course of injections into the knee joint even at a late stage of arthrosis, since tissue regeneration is possible thanks to the direct effect of the drug. Sometimes pain can only be reduced with intra-articular injections.

    Intra-articular injections: review of drugs

    The doctor may supplement the treatment of knee arthrosis with injections into the joint if traditional therapy does not have a positive effect.

    Medicines are selected in accordance with the patient’s condition and the individual characteristics of the patient’s body. Not only the degree of damage to the joint matters, but also the period of the disease.

    In case of exacerbation, therapy with hormonal drugs is recommended. During the period of remission, it is desirable to stimulate the regenerative properties of cartilage with injections of chondroprotectors.

    Glucocorticosteroids

    The acute inflammatory process in the knee joint with arthrosis can be relieved with the help of injections of hormonal drugs. The goal of using steroid injections for joints is to reduce swelling and pain. Pros of hormonal injections:

    • high rate of pain suppression;
    • significant reduction in swelling;
    • normalization of temperature in the lesion;
    • elimination of the inflammatory process.
    • In order for treatment to have the maximum positive effect, you need to inject corticosteroids correctly. Already the first injection should relieve pain. If this does not happen, the drug must be replaced or the injection site changed.

      It is advisable to carry out the procedure once every 10-14 days, not more often. The therapy uses the cumulative principle. In total, no more than five injections can be performed to avoid side effects: destruction of cartilage tissue at the puncture sites, muscle dystrophy, narrowing of blood vessels, addiction to maintenance hormonal therapy.

      Is your knee joint developing an infection? The use of corticosteroid drugs is contraindicated. In addition, local hormonal therapy is not prescribed:

    • with thinning bone tissue;
    • hypertensive patients, patients with diabetes mellitus, HIV-infected;
    • if there is a skin infection on the knee;
    • if the patient is under 5 years of age;
    • patients with renal and heart failure.
    • The hormone is administered with an anesthetic: lidocaine, procaine. The most popular hormonal drugs for intra-articular injections in the knee:

      Chondroprotectors are the most popular among modern doctors. They are based on chondroitin sulfate and/or glucosamine. These drugs are used beyond the stage of inflammation of the joint capsule. Effect of injection:

    • rapid pain relief;
    • regeneration of cartilage tissue;
    • joint nutrition;
    • stimulation of the production of intra-articular fluid;
    • reduction of periods of exacerbation;
    • normalization of motor activity.
    • To obtain a long period of remission, chondroprotectors must be injected into the joint in long courses, repeated periodically.

      The drugs have an accumulating effect. There is a chance to completely get rid of arthrosis by starting treatment with chondroprotectors at the initial stage of the disease.

      Injected into the knee joint:

      Chondroprotectors should not be injected if the patient has been diagnosed with an infectious lesion of the skin of the knee. In addition, there are contraindications to the use of chondroitin and glucosamine:

      • if the patient has a tendency to bleed;
      • Knee injections should not be given to pregnant and lactating women;
      • if an allergy to drugs is diagnosed, the injection is canceled;
      • if a person develops sepsis.
      • Injections of chondroprotectors into joints for arthrosis will give a positive effect with long-term use. Repeated courses will help avoid exacerbation and get rid of pain for a long time.

        Hyaluronic acid injections

        To restore the level of synovial fluid in case of arthrosis, experts recommend injecting hyaluronic acid preparations into the knee joint. These medications have virtually no contraindications (use is not advisable only during pregnancy and breastfeeding).

        Positive effect of injections:

      • the level of joint fluid is normalized;
      • the surface of the joint is sufficiently wetted and is less destroyed;
      • friction of joint parts is reduced;
      • motor function returns to normal;
      • the elasticity and firmness of cartilage tissue is restored.
      • The use of drugs of this group is recommended for the development of gonarthrosis, coxarthrosis of I, II degrees at the stage of remission. In total, 3-5 injections are given in one course.

        There should be 1-2 weeks between injections. A repeated course is prescribed by a doctor depending on the type of disease.

        Hyaluronic acid is contained in medicines:

        Ideally, to obtain a stable, long-term period of remission, treatment for knee arthrosis should begin as early as possible. If the patient is diagnosed with stage III of the disease, injections of hyaluronic acid will bring short-term relief.

        Drug blockade of the knee joint is carried out in case of inflammation, severe pain, or significant damage to the cartilage.

        Injecting novocaine directly into the lesion helps to get rid of pain in an instant. In addition, patients note that after an injection of novocaine, inflammation goes away and joint mobility is normalized.

        Novocaine blockade is indicated for infectious arthrosis. Antibacterial and antiseptic drugs are administered along with the pain reliever. For deforming osteoarthritis, drug blockades are not performed.

        When administered correctly, the effect of the injection lasts for some time: from one day to a month.

        Another type of joint injections is offered by homeopaths, as one of the points of complex homeopathic therapy. For administration, solutions of drugs are used:

        Indications for use: development of osteoarthrosis and coxarthrosis in the joint. It is advisable to carry out injections after the acute inflammatory process in the knee joint has been relieved. Frequency – once every three days. The duration of the course and dosage of the drug is determined by a homeopathic physician.

        There is a high regenerative and immunostimulating effect of the drugs, a pronounced analgesic and anti-inflammatory effect. The solutions have chondroprotective properties. Contraindication to periarticular administration is the development of allergic reactions to the components of homeopathic medicines.

        10 best joint injections for the treatment of arthrosis

        The most popular drugs for injections in the knee for arthrosis:

        A list of the best drugs can only be roughly compiled. Since the action of corticosteroids is aimed at relieving the inflammatory process, and chondroprotectors have a long-lasting effect. Therefore, the use of such drugs is most effective in combination.

        The effectiveness of injections in practice

        How effective injections in the knee for arthrosis can be judged by studying reviews.

        About hormone therapy

        My knee is terribly swollen. I also had difficulty going down the stairs, the pain was terrible. And she smeared the knee and warmed it, took pills, smeared comfrey, Ketoprofen, Diclofenac injected. At the appointment, the surgeon suggested injecting Kenalog directly into the leg.

        It was scary to prick my knee, but the pain became simply unbearable, the joint was literally burning. I made up my mind, bought Kenalog 40 and the doctor gave an injection, only once! Relief came literally within an hour. And the next day the swelling went away. The surgeon said that there was no need to inject anymore.

        Application of hyaluronic acid

        At first I injected Gialgan into my knee, it left a feeling of swelling for a long time, but for six months I forgot about the pain in my leg. This year I tried Fermatron, one injection into the knee joint per week.

        Three injections were enough, the knee began to hurt less, and a month after treatment there was no more aching pain. The doctor advised to repeat the course in a year.

        Injections of chondroprotectors for joints

        For five years now, my mother has been injecting Alflutop once every six months - 5 injections per course. She had arthrosis of the knee for a long time; she did not go to the doctor until it became difficult to walk even on a flat road. I'm also overweight.

        With Alflutop, my mother was finally able to move, and her knee began to hurt less. There are no unpleasant sensations during the injection and no bruises appear.

        Is it possible to treat arthrosis of the knee joint with intra-articular injections? Yes, if complex therapy is prescribed. In addition, the patient needs to completely change his lifestyle, lose excess weight and perform special physical therapy exercises.

        Injections into the knee joint for arthrosis: medications. Selection, description, instructions

        The great ancient Greek scientist and philosopher Aristotle said: “Movement is life.” But, unfortunately, not all people can fully enjoy it. Every tenth person on the planet experiences pain after physical activity, cracking in the joints and internal stiffness of movement, which significantly worsens the quality of life. This is how the first signs of arthrosis appear. The article discusses when it is necessary to give injections into the knee joint for arthrosis, and the medications necessary for these procedures.

        What is arthrosis and its causes

        Arthrosis is a chronic disease that manifests itself as the gradual destruction of intra-articular cartilage. As a rule, the disease manifests itself in older people as a result of the natural aging process of body tissues, but recently this disease has been increasingly diagnosed in men and women over forty years of age.

        This is due to the fact that the physical activity of the population has decreased significantly: sedentary work, the use of public transport and personal cars, unbalanced abundant nutrition - as a result, excess weight, which increases the load on the joints. As a treatment, doctors offer injections into the knee joint. For arthrosis, drugs are administered mainly inside the joint.

        The causes of secondary arthrosis can be traumatic lesions (bruises, dislocations, fractures), too high loads in athletes and workers whose field of activity involves heavy physical labor. In addition, the prerequisites for the development of the disease can be created by other factors, such as autoimmune diseases, previous infectious and inflammatory processes, genetic predisposition, diseases of the endocrine system, processes of metabolic disorders and others.

        How cartilage is destroyed

        All joints in the human body have an almost identical structure - two or more articular surfaces lined with cartilage tissue, enclosed in a synovial bursa containing synovial fluid. Hyaline cartilage has a smooth and elastic structure, which reduces friction during movement. The joint is nourished through synovial fluid, since it does not have its own blood vessels.

        It is this property that makes cartilage vulnerable. Due to a failure of metabolic processes or too much articular load, hyaline cartilage can undergo degenerative changes, and in the absence or insufficient nutritional supply, its restoration and regeneration occurs extremely slowly. The thinning of the layer of hyaline cartilage leads to increased friction in the joint during movements, which leads to accelerated destruction of cartilage and contributes to the development of inflammatory processes. In people, this process manifests itself as pain, stiffness, and limited mobility. At this stage, injections into the knee joint can come to the rescue. Reviews from specialists and patients about these procedures indicate their effectiveness.

        At the final step of this pathological process, the cartilage is destroyed and rough connective tissue grows in its place. As a result of such changes, the joint is deformed and can no longer perform its functions. To prevent this from happening, chondroprotectors are used. Their price is low and allows them to be used quite widely.

        Unfortunately, they act only in the initial stages of destruction of cartilage tissue and may not produce the expected effect in the case of an advanced process. In addition, such drugs must be taken for a long time, for three to six months, and in some individual cases up to one and a half years, because cartilage tissue regenerates extremely slowly. The duration of the course, the regimen of administration, what injections into the knee joint and in what dosages to give - all this is determined and prescribed by the doctor to each patient individually, based on the initial condition and observing changes during treatment.

        Methods and methods of treatment

        Treatment of arthrosis can be medicinal and surgical. Surgical treatment involves joint replacement - endoprosthetics.

        The main goal of drug therapy for arthrosis is to stop further destruction of cartilage tissue and preserve joint function.

        For treatment to give good results, it must be aimed at relieving inflammation, pain and restoring cartilage tissue. For this use:

      • anti-inflammatory non-steroidal drugs;
      • intra-articular drug injections;
      • local warming agents to improve blood flow in the affected area (in the form of ointments, gels and creams);
      • chondroprotectors.
      • Anti-inflammatory nonsteroidal drugs

        Medicines of this type relieve inflammation, swelling, and have an antipyretic and analgesic effect.

        In terms of the severity of the analgesic effect, the strongest are: “Ibuprofen”, “Diclofenac sodium” (“Voltaren”). NSAIDs do not cause euphoria, drowsiness, addiction, or drug dependence, but their long-term use has a detrimental effect on the gastric mucosa. Therefore, Diclofenac (injections) is prescribed to relieve acute pain. The price of five ampoules per package is about two hundred rubles. Application: intramuscularly for two to five days, and then transfer to the tablet form of taking the drug (if necessary).

        It is also possible to use “Ketonal” - injections intramuscularly or intravenously, as well as injection forms of “Flamax”, “Artrosilene”. When administered intravenously, the intervals between procedures should be at least 8 hours.

        Hormonal corticosteroids and chondroprotectors

        The price becomes less important if the pain overcomes, and ointments or creams are no longer effective. When arthrosis reaches the acute stage, it becomes advisable to take hormonal corticosteroids. These drugs help to quickly and effectively suppress the inflammatory process, but with prolonged use they lead to joint destruction and often cause adverse reactions.

        Therefore, from GCS, doctors prescribe intra-articular drugs “Diprospan”, “Kenalog”, “Hydrocortisone” in the form of injections, which reduces the likelihood that undesirable consequences will occur to a minimum.

        Chondroprotectors are drugs and preparations that promote the formation of completely new structural elements of cartilage tissue. They regenerate it and prevent further destruction.

        Chondroprotectors include two key components: glucosamine and chondroitin sulfate. It is these substances that are required for the formation of synovial fluid, and the human body normally produces them itself.

        Currently, pharmaceutical companies produce chondroitin and glucosamine preparations in the following forms:

      • solutions for injections;
      • creams, ointments, gels;
      • capsules, powders for oral administration, tablets.
      • There are three generations of chondroprotectors:

      • The first is of animal origin. Usually well tolerated, the effect occurs quickly, but can lead to allergies. This type includes drugs such as Rumalon and Alflutop.
      • The second is synthetic preparations of chondroitin sulfate (Chondroxid, Structum, Chondrolon, Mucosat), glucosamine (Dona, Elbona, Sustilak) and hyaluronic acid (Fermatron, Sinvisk, "Hyaluron", "Gialgan")
      • Third , complex (combined) medicinal substances that contain various combinations of chondroitin and glucosamine (“Arthra”, “Teraflex”).
      • Classification by route of administration

        The classification of chondroprotectors is based on various methods of administration:

      • Intra-articular injections are the most effective method, since the effect develops quickly and lasts quite a long time. Such manipulations need to be repeated only a few times a year. This is suitable for preparations that contain hyaluronic acid, such as Gialgan, Fermatron. The disadvantages of this method include the fact that injections into the joints are a medical procedure and are carried out in a hospital setting. Most often, chondroprotectors are administered to the knee joints.
      • Intramuscular injections are a convenient and widespread method of administering chondroprotectors. Alflutop, Chondrolone, Artradol, Chondroguard and many other intramuscular drugs are administered in this way. Suitable for patients who, for various reasons, are unable to swallow a tablet or capsule or have severe kidney disease.
      • Capsules and tablets are the most used and widespread method of drug administration. Does not require aseptic conditions or intervention of specially trained personnel, suitable for independent use. However, this method also has disadvantages: a long course of treatment, a large drug load on the liver and kidneys.
      • External use in the form of creams, ointments or gels is a good addition to the oral route of administration, but not as monotherapy. Preparations of hyaluronic acid and chondroitin practically do not penetrate the skin into the joint, but in combination with physiotherapeutic methods, the permeability of these substances can increase. Diclofenac (injections) can be used as a pain reliever. The price for external use drugs is in the range of 200-600 rubles.
      • The most effective drugs

        Alflutop (SC Biotehnos, SA; Romania) is considered the most effective remedy. The basis of the drug is an extract from four species of marine organisms. The fat-free concentrate is cleared of foreign impurities and proteins. The main effect of the drug is aimed at regulating metabolic processes in cartilage tissues.

        Drugs such as Chondroxide, Chondrolone, Structum, and Dona have a similar effect. Application: intramuscularly, deeply, 1 ml every day for three weeks.

        When large joints are involved in the process, one or two milliliters are administered intra-articularly into each diseased joint once every three to four days (the total number is five to six injections), and then intramuscular injections are carried out for twenty days. The course must be repeated after six months.

        The products can be supplied in packages of ten one-millimeter ampoules or five two-ml ampoules.

        The approximate price in pharmacies is 3,300 rubles per package.

        Rumalon (ZAO Bryntsalov A, Russia) is recognized as another effective drug. It contains extracts of the brain and tracheal cartilage of calves.

        Application: only for deep intramuscular injections. For adults, the dose is 1 ml three times a week or 2 ml twice a week. The positive effects of this therapy become noticeable after just a couple of weeks of treatment. The full course of treatment includes 25 injections of 1 ml each or 15, but 2 ml each (over 6–8 weeks). Courses of injections should be repeated twice a year at least or up to four times a year in case of a complicated course of the disease over several years.

        Available in packs of ten ampoules containing one milliliter of the finished solution.

        The approximate price in pharmacies is from 1100 rubles per package.

        Preparations with glucosamine and chondroitin

        The following are classic and widely used:

      • “Dona” is a glucosamine preparation, it is a powder for oral administration and a ready-made solution in ampoules for injection. Produced by the Italian company Rottapharm. Package price from 900 to 1600 rubles.
      • "Artradol" is a chondroitin preparation for intramuscular administration produced by the Russian company Trivium. The package can contain 10 or 5 ampoules of 2 ml each. The price is about 700-1000 rubles per package.
      • "Chondrolone" is a solution of chondroitin sulfate in ampoules of Russian production. One package priced from 1000 to 1300 rubles contains ten ampoules.
      • “Structum” is a chondroitin sulfate preparation in capsules, produced by the French company Pierre Fabre Medicament Production. Available in two dosages - 500 and 250 mg. The price in pharmacies is approximately 700 - 1500 rubles per package.
      • Combinations of chondroitin and glucosamine

        Combined medications:

      • "Arthra" - tablets. Produced by the American company UNIPHARM. They contain glucosamine hydrochloride in a dosage of 500 mg and chondroitin sulfate sodium 500 mg, and have virtually no side effects. Release form: tablets, 30-120 pcs. per package, the price varies from 500 to 1900 rubles depending on their quantity.
      • “Teraflex” is a complex drug from the American company Sagmel, contains 400 mg of chondroitin and 500 mg of glucosamine, available in the form of cream and capsules. One package contains 30-120 capsules, the price, depending on the number of capsules, is 550-1850 rubles.
      • There is also an enhanced formula of the drug - “Teraflex Advance” . It differs from the classic one by the presence of a non-steroidal anti-inflammatory drug - ibuprofen. Together with oral administration of capsules, it is recommended to use preparations of chondroitin and glucosamine externally (Teraflex in the form of a cream).
      • Injections into the knee joint for arthrosis: hyaluronic acid preparations

        The most common hyaluronic acid preparations in pharmacies at present are:

      • "Ostenil", "Sinokrom" and "Sinokrom Forte" - from Austria and Germany, "Fermatron" - from the UK, "Suplazin" - from Ireland.
      • Not so often, but still there are such drugs as “Viskosil” (Germany) and “ViscoPlus” (Sweden), Italian “Gialgan”, “Hyalux” (South Korea), American “Synvisk” and “Duralan SJ”.
      • Russian-made drugs include Intraject Gialuform (Tuscany, Moscow) and Giastat (Tula).
      • Hyaluronic acid preparations for injection into the joint are available ready-made in disposable syringes, which is very convenient for use.

        Intra-articular injections into the knee joint for arthrosis, preparations based on hyaluronate affect the diseased organ in three directions:

      • reduce friction and increase shock absorption by increasing the amount of synovial fluid and its viscosity;
      • intensively nourish cartilage tissue cells, thus stimulating the regeneration of hyaline cartilage;
      • prevent inflammatory processes and reduce the severity of their manifestations.
      • It can be stated that an injection of hyaluronic acid into the knee joint is a modern means for treating diseases associated with the musculoskeletal system. In the initial stages, the drug has an amazing effect and allows you to forget about the manifestations of arthrosis for a long time. This safe liquid implant significantly reduces the load on the joint, supplies the cartilage with nutrients and forms a natural (natural) prosthesis, which is very similar in composition to human synovial fluid.

        Also effective are drugs containing chondroitin and glucosamine.

        Intra-articular administration of these drugs has a rapid and long-lasting effect.

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        Injections for arthrosis of the knee joint

        Pain in the knee joint most often indicates the destruction of cartilage tissue. Such degenerative processes are caused by a disease such as arthrosis. To treat this disease, complex therapy is used, which includes taking medications, injections, physiotherapy and therapeutic exercises. It is injections for arthrosis of the knee joint that play a huge role in restoring lost knee functions.

        The effectiveness of therapeutic injections

        Age-related changes, weight gain, prolonged walking in high heels, professional sports, as well as low consumption of B vitamins are the main reasons for the development of arthrosis of the knee joint. The destruction of cartilage tissue, accompanied by constant aching pain, can not only deprive a person of sleep and rest, but also make him disabled.

        Injections for arthrosis will help to avoid the serious consequences of the disease. Therapeutic blockade using medications is designed to reduce pain and relieve inflammatory and degenerative-dystrophic lesions of the knee joint. The injections also perfectly relieve swelling, improve the structure of cartilage and increase the amount of synovial fluid. Compared to tablets and ointments, injection blockade allows you to achieve immediate results without side effects on other organs of the body.

        For arthrosis of the knee joint, a specialist may prescribe several types of injections:

        As the practice of treating arthrosis shows, it is almost impossible to achieve complete recovery without the use of injections. Therefore, the only way to preserve the ability of a sick person to work remains an integrated approach with the mandatory inclusion of an injection blockade.

        Intramuscular drugs

        For intramuscular administration during degenerative-dystrophic processes in the knee joint, specialists usually prescribe a number of medications, which are selected based on the course of the disease, the patient’s age and the degree of damage to the knee joint.

        Nonsteroidal anti-inflammatory drugs

        Injections using nonsteroidal anti-inflammatory drugs are designed to reduce inflammatory processes in the cartilage tissue of the knee joint. In addition, they effectively relieve pain and relieve swelling from the affected area. The main advantage of this type of injection is the speed of response.

        The disadvantages of non-steroidal drugs include the negative impact they have on the functioning of the gastrointestinal tract. NP injections cause ulcers on the gastric mucosa, and the functioning of the liver and gallbladder worsens.

        For this reason, injections are prescribed for a process that has an advanced form of the disease and only in short courses in a dose strictly determined by the doctor. After completing the course, the patient must take a vitamin course with a high content of vitamins B1, B6.

        The following NP injections for arthrosis are widely known today:

        Analgesics, antispasmodics

        The prescription of analgesics (analgin, baralgin) for arthrosis is necessary to relieve pain, since when the cartilage tissue in the knee joint is destroyed, they bother the patient quite a lot. Sometimes the pain is so severe that without an injection of an analgesic he cannot lead his usual lifestyle. However, like previous drugs, analgesics only reduce the symptoms of the disease, and they do not restore cartilage tissue in the knee joint.

        Very often there is a need to relieve spasm of muscle tissue, which inevitably appears with arthrosis. In this case, it is recommended to use Mydocalm, Baclofen, Sirdalud. The course of treatment is about a week. There are practically no contraindications, with the exception of pregnancy, lactation and an allergic reaction to the components of the drug.

        Steroid drugs

        If the knee joint is severely damaged, in some cases a specialist may prescribe steroid injections. The most famous and frequently used drug today is Ambene. Its effectiveness is manifested in the rapid relief of pain in the knee, reduction of the inflammatory process and restoration of the joint.

        However, the reviews you hear after using such products are far from the best. The presence of highly active aggressive components in the drug causes the cartilage to become unaccustomed to the ability to form new cells. Therefore, it is advisable to resort to prescribing steroid drugs in the most extreme cases.

        Vitamin preparations

        An indispensable preparation for restoring cartilage tissue in the knee joint is a vitamin complex containing vitamins B1, B6, B12. Typically, Combilipen, Neurorubin, Copligam B, Trigamma, Milgamma are used for intramuscular injections. The intake of a vitamin supplement reduces pain and improves impulse conduction along the nerve fibers innervating the affected joint.

        Intra-articular drugs

        Injecting a medicinal drug directly into the knee is the most effective method of treating arthrosis, since the substance reaches the affected area quickly enough and in a concentrated form. Injections into the knee joint are especially necessary at the first stage of degenerative processes.

        Blocking arthrosis in this way is the suppression of infection by introducing an antimicrobial drug (antibiotic, antiseptic) into the knee joint. Joint drainage may also be prescribed as an aid.

        It should be borne in mind that intra-articular injections for arthrosis are complex procedures and require some practice. Therefore, it is best to contact a qualified specialist who has experience injecting such drugs into the knee.

        Chondoprotectors are recognized as the most powerful drugs today. In composition, they are very close to the structure of the cartilage of the knee joint, which allows for very rapid healing and regeneration of damaged tissue. The components of the medicine are made on the basis of substances of animal origin: cartilage, tendons and ligaments.

        However, practice shows that it is very difficult to cure arthrosis with injections using only these drugs. Therefore, in order to get the maximum effect, they should be prescribed in combination with other drugs. Most often, chondoprotectors consist of several active components - glucosamine and chondrotin sulfate. And to obtain the desired result, it is advisable to add hyaluronic acid injections to the course of chondoprotectors as an adjuvant.

        The disadvantage of using such drugs is the duration of the course. To obtain a long-term, sustainable effect, it is necessary to inject the drug into the knee joint for six months. Considering the high cost of chondoprotectors, such treatment is considered an expensive undertaking and not every patient can afford it.

        How to choose a chondoprotector

        The peculiarity of the injections is the initial stage of the disease, in which small areas of cartilage tissue still remain in the knee joint, capable of synthesizing new cells and increasing synovial fluid in the joint capsule.

        Good reviews after using intra-articular injections were received for the following types of chondoprotectors:

      • alfputop. Usually prescribed 1-2 mg (1-2 ampoules) once every 3-4 days. The course of treatment is 5-6 injections;
      • don. The drug contains glucosamine. Prescribe 1 injection into the knee joint 3 times a week. The course of treatment is 12 injections with mandatory repetition after 4-6 months;
      • chondrolone. Chondroitin preparation. The course of treatment is about 20-25 injections.
      • Of the drugs described above, it is impossible to single out any one and say that it is the best. Each medicine has its own special components that have specific effects. Therefore, when choosing a chondoprotector for the knee joint, it is imperative to undergo diagnostics, after which the doctor determines which drug is suitable in this case.

        Corticosteroid hormones

        Drugs containing corticosteroid hormones have gained particular popularity for their rapid relief of pain and suppression of the inflammatory process. Immediately after the first session, the patient feels relief.

        However, this drug does not promote the synthesis of cartilage tissue and does not restore blood circulation; it only relieves inflammation in the affected areas. Therefore, it is usually prescribed in combination with B vitamins.

        For injection into the knee joint, it is recommended to use the following types of drugs:

        When administering injections containing corticosteroid hormones, you must adhere to certain rules:

      • such drugs should not be used more than 2 times a week, as the maximum effect appears after 10-14 days;
      • After the first injection, the patient should feel great relief. If this does not happen, hormonal injections are canceled, or another place for administering the drug is selected;
      • It is necessary to select the dosage of the drug very carefully, as negative consequences may occur if the drug is overdosed. There may be disturbances in the structure of the surrounding ligament muscles, which subsequently causes “looseness” of the knee joint.
      • Hyaluronic acid

        The introduction of hyaluronic acid preparations (sodium hyaluronate) can reduce dependence on painkillers and anti-inflammatory injections, while providing a longer lasting therapeutic effect. A similar effect is achieved due to the fact that the substance is a component of the synovial fluid of the joint capsule, as well as a structural component of cartilage tissue.

        One of the reasons that provokes the occurrence of arthrosis is a decrease in the concentration of this substance in the synovial fluid. Therefore, intra-articular injections have a positive effect on the metabolic processes occurring inside the joint. Hyaluronic acid promotes the formation of a protective film on the damaged joint and protects the cartilage from further destruction.

        Penetrating into the joint, the acid revitalizes the “dried up” cartilage, restoring its shock-absorbing properties and thereby improving its firmness and elasticity. As a result, pain and stiffness during movement disappear.

        Intra-articular injections are administered under the following conditions:

      • the disease has an active form of degenerative processes;
      • before administration, it is necessary to determine the most affected area where the drug should be delivered;
      • mandatory combination of drugs that have medicinal and analgesic properties;
      • Before prescribing, it is necessary to compare the benefits and harms of this method.
      • to contents ^

        Novocaine blockade

        In some cases, with arthrosis, it becomes necessary to use novocaine. This is due to very severe pain that accompanies degenerative processes in the knee joint. The drugs are injected into the area affected by arthrosis, as well as into the adjacent tendons and muscles no more than 3 times a month. Injections with novocaine must be combined with vitamin preparations, which reduce the negative effects of the drug on the body.

        Modern medical therapy has enough tools and experience to defeat arthrosis. However, to obtain a stable and long-lasting effect, treatment should only be carried out under the supervision of an experienced specialist.

      • unpleasant crunching, clicking not of your own accord;
      • pain during or after exercise;
      • causeless and sometimes unbearable aching pain in the joints.
      • No need to treat joints with pills!

        Have you ever experienced unbearable joint pain? Judging by the fact that you are reading this article, you or your loved ones are faced with this problem. And you know firsthand what it is:

      • inability to move easily and comfortably;
      • discomfort when going up and down stairs;
      • inflammation in the joints and swelling;
      • You've probably tried a bunch of medications, creams, ointments, injections, doctors, examinations, and, apparently, none of the above has helped you. And there is an explanation for this: it is simply not profitable for pharmacists to sell a working product, as they will lose customers! This is precisely what leading rheumatologists and orthopedists in Russia jointly opposed, presenting a long-known popularly effective remedy for JOINT PAIN, which REALLY TREATS, and not just relieves pain! Read more.

        The use of injections for arthrosis of the knee joint

        Pain in the legs becomes unbearable for a person; injections into the knee joint for arthrosis can stop this. Although modern medicine has made great progress in recent years, the disease affects a large number of people in Russia and the world.

        Irreversible and slowly progressive degenerative-dystrophic damage to the structures of the knee joint, during which the joint is completely destroyed, deformed or loses functionality, is called gonarthrosis.

        Not only older people, but even those aged 20–30 are at risk. It is impossible to get rid of gonarthrosis. It is impossible to restore the cartilage inside the joint. But with proper treatment, the pathology stops developing at stages 1–2.

        If its development is not prevented, the pain is constant and becomes unbearable, the joint loses its functions in full, which can only be restored with the help of knee replacement. Injections for arthrosis of the knee joint help eliminate pain.

        Cases when injections should be given

        Injections are given not only if a person has arthrosis manifestations. They are used if arthritic, adhesive-capsulitis or synovitis diseases develop, the joint is affected due to injury and for other reasons.

        When manifestations of arthrosis develop with severe pain and inflammation, various injections into the knee help. Effective relief of the patient’s suffering occurs literally within 3–4 days.

        Surgical intervention can be prevented with intramuscular injections. Treatment of the affected joints should be carried out immediately when the first signs of the disease appear. And only when it becomes clear that the disease is developing, intra-articular injections are used for arthrosis. These activities contribute to the complete cure of problems.

        Positive aspects of injections

        Injections for arthrosis of the knee joint have a number of advantages over other means of healing:

      • the effect of the drug begins immediately after the procedure;
      • if the drug is injected into the area of ​​inflammation, the development of the disease is eliminated faster than when the drugs are administered intramuscularly;
      • The effect of the drug occurs in the focal zone, and no side effects develop; a small amount of the drug is needed to achieve a therapeutic effect after administration.

      Elimination of arthrosis disease should be carried out in conjunction with physical therapy and physiotherapeutic measures, diet, medications and many others. But if they do not help, then a blockade of the knee joint is necessary for arthrosis.

      How are injections performed?

      Doctors prescribe ultrasound control for arthrocentesis of the knee joint (specialists gave the puncture this name). But research is possible without it. A professional visually controls the procedure if a puncture is performed, which significantly helps reduce the risk of developing an inflammatory process. If a puncture is not performed, then the doctor performs various manipulations blindly, according to his feelings and experience.

      Arthrocentesis procedures are performed by qualified medical professionals in the operating room. It is imperative that the procedure be carried out in a hospital setting, under sterile conditions. The patient should lie on his back, with his knees straightened and relaxed. They should lie on a small cushion. This is necessary to relax the muscle section and fix the leg in the desired position.

      Antiseptic solutions help in thoroughly cleaning the site where injections will be made into the knee joint. A specialist administers local anesthesia and injects lidocaine or another drug into the soft tissue area of ​​the knee.

      The puncture is performed using a syringe with a thin and long needle attached. An ultrasound helps the specialist determine the location where the puncture will be made. But the doctor can perform the procedure without the help of special equipment.

      The puncture site is selected by a specialist after an ultrasound examination. Most often, the doctor pierces the side of the knee. A puncture is indicated here because the joint is closest to the surface of the skin, which means the needle can easily enter the muscle area, cartilage discs, ligaments and tendons. When the needle enters the joints, a characteristic dip is felt, which can be seen on the monitor of the ultrasound machine.

      The specialist then removes the fluid in the knee, freeing up space for injected medications. If necessary, the joint cavity is washed with antiseptic or antibacterial solutions, and then the required dosage of medication is administered.

      After administering medications, the needle is slowly removed, and the site where the injection was made is treated with antiseptic drugs, followed by application of a sterile bandage.

      To reduce the risk of infection of the joint cavity during the procedure, before inserting the needle, the specialist should move the skin that is located above the puncture. When the needle is removed, the skin is lowered and returned to its place.

      If injections into the knee joint occur in this way, the wound is covered with intact skin. This must be done so that infections do not directly enter the knee joints and arthrosis does not develop.

      Contraindications to the procedure

      It is often possible to develop unpleasant consequences for human health, sometimes leading to death, so it is worth knowing for whom injections for arthrosis are contraindicated. This will help prevent the development of the disease and help cope with the disease without problems. Injection blockade of the knee is contraindicated:

    • if there are problems with the patient’s blood clotting, since after the procedure a large amount of it may be lost;
    • if the skin is damaged or there is a rash in the area where the puncture was supposed to be done;
    • when fever occurs, regardless of the reasons for its development;
    • if the patient is in serious condition;
    • at the decompensation stage of psychosomatic dysfunction;
    • for mental problems;
    • children under 16 years of age;
    • when taking medications that thin the blood;
    • patients with diabetes mellitus;
    • patients with arterial hypertension.
    • Sometimes, after an injection is made into a joint for arthrosis, some complications may occur, including:

    • infection with subsequent development of purulent-arthritic disease;
    • if the vascular area is damaged, blood may bleed and hemarthrosis may develop;
    • development of allergic reactions and some others.
    • What kind of injections are given? This question interests many patients, so we need to dwell on it in more detail.

      Treatment with corticosteroids

      To eliminate inflammatory processes in the knee-joint area, injections into the knee joint are indicated using corticosteroid drugs, including Diprospan, Kenalog, Flosteron, Celeston. Such medications have a number of advantages. After using them:

    • the inflammatory process is effectively and quickly eliminated;
    • pain and swelling disappear;
    • the amplitude of motor function increases in full in a short period of time.
    • But such injections for arthrosis of the knee joint are given only during an exacerbation of the disease, expressed by an inflammatory process with reactive synovitis. Such drugs are used in combination with other treatment methods.

      It is worth following some rules when administering corticosteroids:

      1. Injections for gonarthrosis inside the same joint are given after a 2-week interval.
      2. If 1 procedure is ineffective, you should not re-inject for arthrosis.
      3. The course of treatment consists of 1–5 procedures. You should not increase the amount, as side effects may develop.
      4. Before using corticosteroids, you should consult a specialist to avoid various health consequences.

        Treatment with chondroprotective drugs

        Chondroprotectors are medications containing chondroitin sulfate and/or glucosamine, which help restore cartilage tissue. Drugs are prescribed in the modern world by many specialists, and patients leave only positive reviews after injections.

        Medicines should be used outside of the inflammatory process. And injections with these drugs help slow down the progression of arthrosis. Today there are a whole variety of chondroprotectors, but the most popular are injections with: Dona, Chondrolon, Alflutop, Rumalon, Chondrogard. These drugs are usually used at the initial stage of arthrosis disease.

        Treatment with hyaluronic acid

        Hyaluronic acid is most effective in eliminating arthrosis manifestations. In the modern world, this remedy is used as an innovative technique, since it is used only for a 5-7 year period. Hyaluronic acid is called a “liquid prosthesis” because, when administered orally, it replaces the liquid intra-articular environment that nourishes and protects the cartilage, reduces friction between the 2 joints and helps slow down the destructive process in the knee.

        With a hyaluronic injection into the knee joint, the depreciation of the cartilage tissue is restored, which means that the person stops feeling pain, the range of motion and partial knee functionality returns.

        To solve problems, drugs containing hyaluronic acid are very helpful, the most popular of which are injections with Synvisc, Giastat, Fermatron, Ostenil, Sinokrom, Viskosil, Suplazin, Adant. The course of treatment should not exceed a 2-week period, but similar injections in the knees should be repeated no more than after a year and a half interval.

        Treatment with “gas” injections

        An innovative method in modern medicine is carboxytherapy. Carbon dioxide is injected into the joint through a special injection-pistol device. But it is necessary to strictly monitor its level, since an excess amount is regarded as a lack of oxygen level.

        When the drug is administered, the blood flow becomes active, the delivery of oxygen to cellular structures increases, which means that cell nutrition improves and metabolism occurs quickly. Carbon dioxide is eliminated along with the blood.

        Before various injections for arthrosis manifestations, you should consult a specialist by contacting a medical institution.

        This will not only help prevent the development of arthrosis, but will also eliminate the unpleasant consequences for human health when self-medicating.

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