Most people have had a minor knee problem at one time or another. Knee joints serve a vital role holding up bodyweight and are put through even more pressure when we walk, run or jump. Knee pain is caused by everyday wear and tear, overuse, or injury. Most commonly osteoarthritis of the knee i.e. damage to the cartilage of knee joint is the reason, people have pan in the knee joint. It can be local or diffuse pain in the knee. Swollen or torn ligaments (anterior cruciate ligament or ACL), meniscus or cartilage tears, Tendinitis, Bursitis & impingement of soft tissues in & around are some of the common causes of knee pain.
Treatment for knee pain
Treatment will depend on the type and severity of the injury. Many knee injuries will get better on their own. Avoid putting weight on the injured knee as much as possible. Raise the leg with cushions and use an ice pack or bag of frozen veg wrapped in a towel held to the knee. Painkillers such as ibuprofen can help with pain and swelling.
You may need to seek medical advice with Pain Specialist if:
→ No weight can be put on the injured knee
→ Severe pain when no weight is put on the knee
→ The knee locks, clicks painfully or gives way
→ The knee looks deformed
→ There is extensive swelling, heat around knee.
→ The calf beneath the injured knee is painful, swollen, numb or tingling
→ Pain is still there after three days of home care treatment
Pain Specialist will carry out a physical examination of the injured knee and may arrange some extra tests, including blood tests, an X-ray or MRI scan.
Depending on knee osteoarthritis grade, the treatment can be: Physiotherapy to strengthen quadriceps and supporting muscles to prevent further deterioration of OA knee.
Intra articular knee Synvisc Injection:
FDA approved Hylan is gel like lubricant or mixture that is injected in the knee joint. It gives good pain relief for 6 months to 1 year in grade II OA or knee which has failed to respond to adequate conservative treatment. Can be repeated once the pain reappears. It acts as a lubricant and a shock absorber. It is done as OPD basis or Day care procedure.
Genicular nerve Radio frequency ablation
RFA of small genicular nerves or saphenous nerve gives further long term relief in knee OA grade II, III and IV. It should be performed only with experience trained hands and give good relief for 1 year up to 3 years. Usually done under x ray guidance or USG guidance and can be repeated. Our team of experts has done more than 300 RFA of knee joints pain with good to excellent results. It is a day care procedure done under local anaesthesia and patient is usually discharged to home after 3 to 4 hour of hospital stay.
Injecting Platelet Rich Plasma (PRP) in the knee joint is very good and effective treatment options for meniscus tear related pain and pain due to cartilage damage. It can be done under USG or Fluroscopy guidance. PRP cells stimulate damaged cartilage to repair and regenerate resulting in healing and restoration of knee intra articular space. It gives good pain relief for 6 months to 1 year.
Intra articular Botox Injection
Botox 50 units to 75 units in injected in the painful knee joint to give pain relief.
Spinal Cord Stimulator:
This expensive technique is done in very less well selected patients with failed surgical or minimally invasive pain interventions patients. So if You are suffering from Knee pain due to various reasons, consult our experts to diagnose the cause of knee pain and then accordingly you can undergo these minimally invasive pain interventions done under local anaesthesia to get relief from your knee pain.
FAQ about knee Pain
Q: What are the causes of knee pain?
Answer: Causes of knee pain include injury, degeneration, arthritis, and infrequently infection. Factors that contribute to the pain include swelling within the joint, the amount of heat or redness present, or damage that has occurred within the joint.
Q: Why it is important to treat knee pain?
Answer: It is mandatory to treat the pain in early stage rather than to wait for pain to become a disease, which is hard to treat. So if you are suffering from pain, consult your doctor to improve the quality of life.
Q: Is surgery needed for every knee pain?
Answer: In 90% of cases, knee pain can be treated without surgery. Surgery is needed in only advanced stage of Osteoarthritis and in cases of fracture or tumor. Patients can avoid knee surgery, by multidisciplinary pain management with consultation from pain specialist.
Q: How can pain specialist help to treat knee pain?
Answer: The effectiveness of different treatments varies from person to person. Patients can take advantage of a wide range of treatment options ranging from lifestyle modifications, exercise, anti-inflammatory medications, visco-supplement injection, radiofrequency ablation, prolotherapy.
Q: What is prolotherapy and radio frequency ablation?
Answer: A regenerative medicine treatment that stimulates repair and pain relief for arthritic joints, sports injuries, and other painful conditions. Prolotherapy heals and promote the repair of torn cruciate ligaments, torn medial collateral ligaments, and injured meniscus. Prolotherapy is also successful for the person who experiences suboptimal results from knee surgery. Radio frequency ablation is heating the nerve by special cannula similar to laser, so as to stop the painful signals from the nerve causing knee pain.
Q: Do I need to go for surgery if I have meniscus injury or osteoarthritis?
Answer: Good news. If you don't like or want knee surgery for most arthritis or meniscus injury, you don't have to have it. There are a number of ways, patients can avoid knee surgery.
Q: Is there any side effects or complication from these nonsurgical methods for knee pain?
Answer: There are no long term side effects from these therapies. In western countries like USA, UK, Australia, this practice of pain management to control knee pain is well established and scientifically proven.
Q: How these pain procedures are done?
Answer: These pain interventions are done under sterile conditions under X ray guidance to provide better accuracy and more safety. With interventional pain techniques, surgeries can be avoided. All these injections therapy are done on day care basis. There is no need for regular admission. Patients can go to work on same day.
Q: Who can do all these pain interventions?
Answer: A qualified trained Pain specialist, who has done international training for performing these interventions, can do these procedures. Patients have every right to ask for evidence for these pain interventions. Things you can do to manage arthritis pain
→ Eat a healthy diet and weight control
→ Get 6 to 8 hours of sleep at night.
→ Keep a daily diary of pain and mood changes to share with your physician.
→ Choose a caring physician.
→ Stay informed about new research on managing arthritis pain.
Our team of experts has treated thousands of patients in Singapore, USA and India with knee pain with these minimally invasive interventional pain techniques.