Injections at knee joint atrosa: drugs, instructions

Types of pricks with arthrosis of the knee joint

Gonarthrosis is characterized by deformation and destructive processes in the cartilaginous tissue with chronic course. In this case, the mobility of the patient is violated, which leads to the limitation of his ability to work.

Injections with arthrosis of the knee joint help remove the pain syndrome and restore the affected tissue.

In the phase of remission, it is very important to normalize the lifestyle and nutrition in order to prolong this period for many years.

What happens to cartilage with arthrosis?

All joints have a surface covered with cartilaginous tissue. They are located in the synovial bag, where they are wetted and fed by synovial fluid. In a normal state the hyaline cartilage is smooth and supple.

When the metabolism is broken or other provoking factors arise, for example, excessive stress on the legs, the joint is subjected to degenerative changes. Due to a lack of nutrients, self-regeneration starts with a temporary delay, which slows the recovery of damaged tissues.

The layer of cartilage gradually becomes thinner, the secretion of synovial fluid decreases, which causes increased friction. Cartilage tissue is destroyed, replaced by a connective tissue. There is a significant limitation of mobility, and with time and complete paralysis of the joint.

When to see a doctor?

Osteoarthritis of the knee joint develops in stages. Each period has its own symptoms due to various changes in the structure of the cartilage. Degrees of disease:

• At the first stage there is a characteristic crunch and discomfort during movement. The condition is normalized at rest.
• The second stage is characterized by pain syndrome, mobility restriction, tissue deformation begins, osteophytes appear. Sometimes the synovial fluid accumulates.
• At the third stage, the pain is permanent. The articulation gap disappears. At visual inspection changes of a knee joint are visible. The patient experiences severe difficulties during movement, full ossification of the affected area may occur.

Important!With the reference to the doctor it is better not to pull. When the first symptoms of the disease appear, consult a specialist, since arthrosis is successfully treated only in the first two stages.

What injections regain joint mobility?

In the treatment of arthrosis use a variety of drugs in the form of ointments, gels, tablets. But the most effective method is the use of injections. Many people ask doctors about what injections are done and how they differ.

It should be noted that two types are distinguished:

• Intramuscular injection.
• Intra-articular injection.

Unlike preparations in tableted form, liquid is not so aggressive on the digestive tract and almost completely absorbed. External ointments and gels almost do not penetrate into the joint structure, and with direct administration of the drug, the medication acts directly in the affected area.

Intramuscular injections

A group of drugs is used to relieve inflammation and swelling. This includes:

• NSAIDs: Aspirin, Ketonal, Diclofenac, Piroxicam, Ibuprofen.
• SPSAs, for example, gel Ambene.
• Analgesics: Analgin, Baralgin.
• Spasmolytics: Midokalm, Baclofen.
• Vitamin complexes, vitamins of group B: Milgamma, Neurorubin.

NSAIDs

Nonsteroidal anti-inflammatory drugs relieve inflammation, quickly remove pain and swelling. They are assigned a short course. The disadvantage is a significant negative impact on the gastrointestinal tract.

Therapy is contraindicated in cases of gastritis and ulcers, since NSAIDs provoke the formation of erosions on the mucous membranes of the stomach. They are not prescribed for liver and gallbladder pathologies.

If the duration of therapy exceeds 5-7 days, it is necessary to take in the complex therapy Maalox, Fosfalugel, vitamins B.

Steroid preparations

The appointment occurs when the NSAID does not cope with its task or the joint is severely damaged.

Any preparation of this group well anesthetizes and relieves inflammation.

The disadvantage is that, after such injections, the cartilaginous tissue loses its ability to produce new cells.

Analgesics

Are indicated for the removal of severe pain. Do not have a restoring effect. The course of treatment lasts one week.

Spasmolytics

Preparations of this group relax the muscle fibers, relieve spasm. Thus, an anesthetic of the affected area occurs.

Vitamin Complexes

Injections of vitamins B1, B6 and B12 normalize metabolic processes, nutrition of tissues, improve the conductivity of nerve impulses. Such treatment reduces the pain syndrome.

Direct injection into the joint

The advantage of such injections is that they quickly anesthetize and stop the inflammatory process. This method is considered the best in the treatment of knee arthrosis.

The injection is performed directly in the problem area, which allows the drug to be activated in the first minutes, without affecting the cardiovascular system and the gastrointestinal tract. Intra-articular injections help restore cartilaginous tissue.

Representatives of the species are:

• Glucocorticoid preparations.
• Chondroprotectors.
• Hyaluronic acid.
• Plasmolifting.
• Homeopathy.
• Novocaine blockades.

The doctor selects the type of preparation, dosage and course of treatment individually, depending on the patient's complaints, the stage of the disease, the presence of complications. Independent procedures are contraindicated, as this can lead to disability of the patient.

Important!When synovitis drugs are prescribed only after a preliminary puncture of the accumulated contents.

Glucocorticoid Injections

Hormonal anti-inflammatory drugs help to stop inflammation, swelling and quickly relieve pain. Effective are:

• Flosteron.
• Hydrocortisone.
• Kenalog.
• Celeston.
• Diprospan.

The first injection in the knee joint is a trial. If he does not bring relief to the patient, then the drug is replaced by an analog.

Dosage is selected separately for each patient. Frequency of administration: 1-2 injections in 14 days, no more than 5 injections per course.

At the first injection, the maximum dose is applied, after which the volume is reduced.

Side effects are observed with prolonged use of drugs. They are caused by the destruction of cartilage tissue due to structural punctures, vessel constriction, muscle dystrophy, the emergence of addiction, the body can get used to constant support.

Corticosteroid is contraindicated in:

• Thinning of the bone structure.
• Infectious lesions.
• Children under 5 years.
• Such diseases of internal organs, as diabetes, hypertension, cardiovascular ailments, kidney failure, HIV.

Chondroprotectors

Injections from gonarthrosis are done with drugs aimed at restoring the structure of the damaged joint.

The main active ingredients are chondroitin and glucosamine.

Since their composition resembles the components of the joint, the human body takes them as native resources, activating the regeneration of tissues.

The patient improves motor activity due to the normalization of tissue nutrition and the formation of synovial fluid.

The disadvantage of chondroprotectors is their high cost, which limits the range of consumers of this medication. Another disadvantage is that the method is appropriate when the patient has 1 or 2 degrees of arthrosis. Injections when running will not bring the desired effect.

The most famous representatives of the class:

• Chondrolon.
• Noltrex.
• Elbon.
• Alflutop.
• Adelon.

Contraindication is the situation when:

• The knee has infectious foci.
• The patient is prone to bleeding.
• A woman is nurturing or nurturing a child.
• Individual intolerance of drugs of this class has been revealed.
• There is a sepsis.

Treatment with hyaluronic acid

When there is insufficient amount of lubricant in the joint, injections of hyaluronic acid are shown. The product replaces the intra-articular fluid, which serves to alleviate friction.

The substance envelops the cartilage, creating a film on its surface, which restores the elasticity and elasticity of the tissues. The injections are most effective at the initial stage of the pathological process.

Usually 4-5 introductions are enough.

Indications for use are 2 and 1 degree of gonarthrosis and coxarthrosis. Stage 3 of the stage is followed by only a minor relief of the condition.

The disadvantage is the high cost of drugs. Side effects include blood thinning, temporary swelling and soreness.

Contraindications include egg protein intolerance, pregnancy and lactation.

Usually, the doctor appoints:

• Fermatron.
• Suplazin.
• Synwisk.
• Ostenil.
• Gyuralan.

Plasmolifting

This method has not yet had time to get widespread, nevertheless it is quite effective and has almost no contraindications and side effects.

Treatment consists in the introduction of blood plasma into the affected joint.

To do this, the patient is feted venous blood, then using laboratory methods to clean and saturate her with platelets. The finished material is administered to the patient.

This procedure allows a natural way to start the restoration of cartilage tissue and other body structures.

Homeopathy

After the removal of the inflammation, injections of homeopathic remedies are recommended. The most popular are Traumeel C and the Purpose of T.

They help relieve pain and inflammation, strengthen immunity, trigger regenerative processes in the body. They are prescribed for coxarthrosis, osteoarthritis.

Contraindication is the individual intolerance of drugs.

Blockade Novocaine

Manipulation is carried out for the relief of pain syndrome with a strong joint destruction. There is removal of puffiness and restoration of mobility. With infectious arthrosis, Novocaine is combined with antibacterial agents.

Contraindication is deforming osteoarthritis. One injection is enough for a period of 7 to 30 days, when the action stops, you can re-introduce.

Important. Novokainovye injections cause less complications under the cover of vitamin therapy. They can be performed both in the joint cavity and in the soft tissues of the articulation.

Popular drugs

The most effective intraarticular injections. Intramuscularly injected drugs that have almost no therapeutic effect, but only reduce the symptoms.

Exceptions are vitamin complexes, normalizing metabolic processes and nutrition of tissues.

The list shows the names of injections for joints and their brief description:

Glucocorticoid preparations

• Hydrocortisone is indicated for the removal of pain due to arresting the sensitivity of neurons. 1 ampoule contains 2 ml of the drug.
• Flosteron - a synthetic substitute for adrenal hormones, the active ingredient is Betamethasone. The ampoule holds 1 ml.
• Betaspan has anti-rheumatic, anti-allergic and anti-inflammatory effects.
• Ketorolac has an analgesic and anti-inflammatory effect.

Chondroprotectors: List

• Alflutope, whose active ingredient is a bioactive concentrate from small marine fishes. Promotes the restoration of cartilage, normalizes metabolism, relieves edema and inflammation.
• Don helps the body to produce synovial fluid on its own, normalizes the nutrition of the joint.
• Elbona helps restore cartilage tissue, relieves inflammation.

Hyaluronic acid

• Viskosil is shown in a state of exacerbation of the disease. In neglected situations it is ineffective.
• A syncope, the active substance of which is represented by sodium hyaluronate. Effective for chronic inflammation in the joints.
• Fermatron Plus - an expensive English drug. It relieves inflammation and pain, quickly restores mobility.

Homeopathy

• Traumeel S. The active ingredients are represented by a complex of substances of mineral and vegetable origin. Has reparative, analgesic, anti-inflammatory, antiexudative and immunocorrecting action.

The injections in the joint help normalize the cartilage nutrition and restore the mobility of the damaged area. The main condition is the implementation of the introduction by an experienced specialist on the recommendation of a doctor.

A source: http://vsekosti.ru/sustavy/artroz/ukoli-v-koleno-pri-gonartroze.html

Injections in the knee joint: fermatron, hyaluronic acid, diprospan and other drugs for arthrosis and other diseases

The most convenient and quick way to stop severe pain is an injection. The procedure itself, if it is performed correctly, is painless, but when it comes to the knee joint, unpleasant sensations go off scale.

Despite this, most people suffering from intolerable pain in the knee joint are prepared to tolerate such injections.

Further we will consider, in what cases nyxes in a knee are pertinent, a technique of carrying out, and also what preparations are carried out (we shall offer names of the most effective trade marks).

Indications for the appointment of injections in the knee joint

The role of the knee joint is difficult to overestimate. His mobility allows a person to perform a lot of movements, which most people have on the machine.

The person begins to feel the joint only when an inflammatory process occurs in it. Strong, restraining pain, makes simple movements impossible.

This largely prevents living a normal life, and painful feelings are also tortured morally.

Diseases of joints that provoke severe pain syndrome and are eliminated by injections of blockers are as follows:
• rheumatoid arthritis;
• gout;
• bursitis;
• osteoarthritis.

More oftensimilar diseases accompany elderly people, which is characterized by wear of the joint, against which puffiness and inflammation develops.

The effectiveness of injections in the knee is incredibly high, as the drug comes directly to the focus of pain, quickly removing acute symptoms. Taking the same drugs intramuscularly, intravenously or orally, the effectiveness of the drug and the rate of its activation is significantly reduced.

Also, injections have other advantages:
• remove swelling and swelling of muscle fibers;
• increase the mobility of the joint;
• improve microcirculation of connective tissue of the joint;
• stimulate the joint;
• strengthen the periarticular muscles.

Types of injections

Not all medicines can stop the soreness of the knee joint.

There are 3 groups of drugs that make it easier to relieve the condition of the knee joint and relieve acute pain:

1. Corticosteroids- instantly stop the pain, but do not eliminate its true cause;
2. Hyaluronic acid- ideal in the case when the joint shows a lack of synovial fluid responsible for the mobility of the knee;
3. Chondroprotectors- provide a full-value feeding cartilage, normalizing and activating its performance.

Let's consider in more detail each category of injections with a detailed indication of medicines.

Corticosteroid articular injection

Corticosteroids - this is an emergency aid for the patient joint. They in a few minutes stop the pain and help reduce swelling.

However, their use does not imply full treatment, because theirthe key task is the elimination of pain.

Preparations of this group are well combined with other medicines used in the complex treatment of arthritis and arthrosis.

Among the most effective and commonly available corticosteroids, the following drugs can be distinguished:

Hydrocortisone- inhibits neural sensitivity, which helps to relieve pain;

Flosteron- used in cases of frequent pain attacks, but has a lot of adverse reactions;

Ketorolac- Analog Ketanov quickly eliminates pain and discomfort, but has a negative impact on the cardiovascular system;

Diprospan- has a lot of contraindications (diabetes mellitus, peptic ulcer disease, trophic tissue changes), so it is often replaced with Betaspan.

Lauracorte- do not use more than 2-3 times a month, because the drug is able to exert a strong influence on the nervous and vascular systems.

Despite the fact that corticosteroids are indispensable, their use should have clear limitations. There are a number of adverse reactions that can aggravate the course of arthritis.

They include:
• narrowing of small vessels, which leads to their fragility;
• contribute to the development of trophic processes in tissues;
• affect all organs and systems.

Consequently,Corticosteroids should be used only at the initial stage of treatmentdiseases of the knee joint, combining injections with other therapeutic methods of treatment.

Injections of hyaluronic acid

Similar injections of natural substanceallow to carry out a full treatment of a sick joint. The liquid injected covers the joints of the bones with a film that facilitates the motor activity and makes it painless.

The injections with hyaluronic acid have a lot of advantages:
• protection of cartilage from damage with bone tissue;
• preservation of water balance in the joint;
• feeding cartilage tissue with essential trace elements;
• giving the cartilage elasticity.

Since the preparation is natural, it is practicallyhas no contraindications and adverse reactions. This fact allows using hyaluronic acid in treatment for a long time without fear of consequences.

Its only drawback is the sky-high cost.

The most popular drugs, which are based on hyaluronic acid, are:

Ostanenil- is the most affordable remedy, but is not used in the presence of chronic liver and kidney diseases, as well as severe nervous disorders of the psyche;

Synocrome- irreplaceable in the preventive treatment of chronic inflammatory processes of the knee joint;

Fermatron Plus- An expensive drug produced in the UK not only helps in the treatment, but also has an analgesic effect;

Viscosil- is not used in advanced stages of arthritis and arthrosis, since its effectiveness is noted only in acute stages;

Hyalux- the drug is able to have adverse reactions in the form of skin rashes, but its effectiveness and reasonable price smooth this defect.

These drugs contain only a certain part of the active substance, so their price is more acceptable than hyaluronic acid in its pure form.

Chondroprotectors- chondroitin

The basis of drugs chondroprotectors liesnatural substance - chondroitin, which takes a direct part in the formation of the cartilaginous tissue of the body. Also, the injection solution contains glucosamine, without which the first component is not fully digested.

Preparations of this group have a mass of positive sides:
• direct nutrition of the cartilage;
• stimulation of the natural process of regeneration;
• strengthening cartilage tissue.

Chondroprotectors are effective only if swelling and inflammation are removed.

The injections are carried out with a course of 3 to 15 injections, which is quite enough for the normalization of the joint.

Do not use in the third stage of knee diseases, since fully depleted and affected cartilage is easier to implant, rather than restored with the help of injections.

The most popular and proven drugs chondroprotectors are the following:

Chondrolon- do not use for infections of the skin;

Alflutop- helps quickly restore cartilage nutrition, however long-term use can cause side reactions;

Elbona- not only struggles with the problem of friability cartilage tissue of the knee joint, but also has anti-inflammatory complex action;

Don- a foreign preparation that does not have analogues, which allows to restore cartilage nutrition in the shortest possible time and normalize the production of synovial fluid;

Teraflex Plus- quite expensive drug, but it has maximum efficiency.

Since chondroprotectors are created on the basis of plant and animal extracts, their cost as well as that of hyaluronic acid is considerable.

Which injections are more effective?

It should be understood that preparations of different groups have different effects on the knee joint, so their use is appropriate only in exceptional situations.

It is worth noting thathyaluronic acid injections and chondroprotectors putonly in case that,when the phase of pain syndrome passed, with which the drugs of the group of corticosteroids successfully cope. There is no point in pricking an expensive prick when the inflammatory process in the active phase and is accompanied by severe puffiness, since there is a risk of infection of nearby tissues and cartilage with its piercing the needle.

Among the corticosteroids, the most effective drugs are Prednisolone and Hydrocortisone.

Corticosteroids are not intended for prolonged use, therefore such injections should be used only in the most critical cases.

Hyaluronic acid in its pure form has an incredible ability to restore the joint in the shortest possible time. However, the high cost makes the course of treatment inaccessible to most patients, forcing to use cheaper preparations based on hyaluronic acid.

Chondroprotectorsalso used in certain cases, when the treatment of arthrosis involvesrestoration of cartilaginous tissue. The most effective are injections of Chondrolon and Alflutop.

Contraindications

• Do not use nyxes for arthrosis when the patient has the following indicators:
• infectious skin lesions of an episodic or chronic nature;
• individual intolerance to components that cause allergies;
• the presence of viral and microbial infections;
• diagnosed oncological neoplasms;
• pronounced joint deformity, in which it is impossible to place the needle correctly in the intra-articular cleft without injuring nearby tissues;
• presence of hemophilia.

In the event that injections do not bring the desired result (especially in the case of neglected stages of arthrosis), it is better to cancel them, giving preference to radical methods of treatment.

Rules for the implementation of injections

1. Injections are performed exclusively by an experienced specialist, who must be convinced of their own skills, and also as solutions for injections.
2. Before the beginning of treatment a sample is made, due to which it is possible to determine the presence or absence of an allergic reaction to the drug.
3. Also the doctor should be convinced of absence of contraindications for carrying out of such method of treatment of an arthrosis.

These three key rules allow you to get the maximum effect from injections.

To achieve a good result, injections of hyaluronic acid and chondroprotectors are stitched by a course of 10-20 injections. This is enough to allow the body to start natural regeneration processes.

How is the procedure performed?

The doctor dials into the special syringe a solution with active ingredients and injects into the gap between the bones of the joint. For convenience, the patient is offered to slightly bend the leg in the knee.

This will facilitate the process of getting the needle in the right place, and also reduce the risk of injury.

The depth of the puncture and the dosage of the drug is determined on an individual basis, based on the age of the patient and the severity of the ailment.

Injection is rather painful only in the case when there is a strong inflammatory process.

In order to avoid pain intensification, as well as impulse limb movements, local anesthesia is used in some cases.

Also, the soreness of the sensations directly depends on the quality and composition of the drug, as well as on the severity of the course of the disease and the presence of chronic diseases.

Before the injection, the doctor picks up the accumulated fluid from the joint and sends it for analysis to the laboratory. Only after this, you can put an injection in the knee joint, pre-treated with alcohol the puncture site of the skin.

In that case,When the joint has a modification of the structure, the needle can be inserted under the control of the ultrasound apparatus. It will help to more accurately determine the location of the joint gap, which will protect the patient from unwanted punctures.

Cost of the procedure

Corticosteroids are the cheapestfrom intraarticular injections. Their cost does not exceed 25-30 rubles per 1 ampoule.

Hyaluronic acid in its pure form costs about , 00 rubles per shot.

The entire course of treatment requires a minimum of 15 injections, which in total exceeds 6, 00 rubles.

The cheaper analogs, containing only a small fraction of hyaluronic acid, will cost patients between 300 and 800 rubles per ampoule.

Chondroprotectors, especially of animal origin, are also expensive from 1500 rubles per injection. The course of treatment is sufficient for 25 injections, which can greatly accelerate the regeneration of cartilaginous tissue.

In this way,intraarticular injections are the best and most effective way to combat arthrosisand other diseases of the knee joint.

For this purpose cheaper preparations of analogues, performing the same functions are selected.

A source: http://zdorovya-spine.ru/preparaty-i-lekarstva/ukoly-v-koleno.html

Injections in the knee joint with arthrosis - which drugs to choose

Pain in the knees, due to arthrosis, indicates the destruction of cartilaginous tissue - a serious problem that requires urgent solutions.

Depending on the cause of pain in the knee joint, which patients usually complain of with arthrosis, for treatment doctors usually prescribe a comprehensive therapy that includes physiotherapy, massages, taking medications and injections.

Why do pricks with knee arthrosis?

The reasons for the development of arthrosis of the knees are many, but they all lead to aching pain and discomfort, which does not give the patient a rest.

To prevent serious consequences, it is necessary to prick a special gel for arthrosis. Injections relieve pain syndrome, remove inflammation and fight with degenerative-dystrophic lesions.

Puffiness quickly disappears and the structure of the cartilage improves.

Unlike ointments and tablets, you can count on a quick result without side effects on other organs. Doctors prescribe to patients for treatment different pricks with arthrosis, reviews about which are very different.

Intra-articular preparations for pricks with arthrosis of the knee joint

Introduced injections for arthrosis have several advantages. They act almost instantly, removing soreness and swelling.

Active substances activate the supply of nutrients to the affected area, stimulate blood circulation and strengthen the surrounding muscles.

The mobility of the leg is restored fairly quickly.

Corticosteroids

The most common corticosteroid injections in the knees are Hydrocortisone, Celeston, Kenalog and Diprospan. They in a few minutes remove pain and inflammation.

Unfortunately, these drugs do not cure diseases and do not repair affected cartilage tissues. In addition, they create micro-trauma and increase the likelihood of infection.

Hyaluronic acid

The gel in the knee joint in the preparation containing hyaluronic acid is an artificial substitute for synovial fluid. On the surface of the joint, the thinnest film is created, lubricating and protecting the cartilage from friction and mechanical damage.

Hyaluronic acid, part of the drugs, creates nutritional and moisturizing effects, preventing from drying out.

Cartilage tissues acquire elasticity and elasticity, and the limb acquires normal mobility.

The main means with this acid are Crespin, Ostenil and Fermatron. When a special gel gets inside, it acts as a natural synovial fluid, triggering regenerative processes.

Crespine

The most popular is the gel for the knee joint from Germany is Crespin, the instruction for which is very simple.

Usually, three or four injections are given during the year.

Especially noticeable is a positive result in the first and second stages of the disease, and in the third stage the gel with hyaluronic acid creates a temporary effect.

Crespin gel reviews are mostly positive, since it is enough to do one injection once every few months.

Patients mark this feature as an important advantage, as this procedure is not a pleasant one.

The result is kept long enough, therefore it is not necessary to additionally use ointments or drink tablets. At Crespin gel the price is not the lowest, but it is compensated by a long-lasting effect.

Chondroprotectors

Doctors usually prescribe the introduction of chondroprotectors after the removal of the inflammatory process. They nourish cartilaginous tissues and accelerate recovery.

The most popular are:

• Adelon;
• Alflutop;
• Noltrex;
• Elbon;
• Chondrolon.

They contain chondroitin and sometimes glucosamine (depending on the manufacturer), which are similar in composition to natural cartilage tissues. Active components stimulate the healing of damaged tissues, but a positive result does not occur immediately, but after a long course.

Intramuscular injections for arthrosis

There are gels for intramuscular injection. They are selected taking into account the course of the disease, the age of the patient and the extent of the lesion. They come in different types, which we will consider later.

NSAIDs

Nonsteroidal anti-inflammatory drugs in the form of injections are needed to relieve inflammation in the cartilage of the knees. They also remove soreness and swelling. The main advantages include a quick result.

Among the disadvantages are the harmful effects on the digestive organs. The injections provoke ulcers on the walls of the stomach, disrupt the functioning of the gallbladder and liver.

Usually NSAIDs in joints are prescribed with advanced forms of arthrosis and exceptionally short courses. After them, the patient should take a vitamin complex with Group B vitamins.

The best medicines from this group are Ibuprofen, Piroxicam and Diclofenac.

Analgesics

Analgesic gels for the knee joints are needed to relieve the pain that worries the patient.

Sometimes the pain syndrome is so strong that a normal way of life is impossible without a prick.

Note that such remedies do not restore damaged cartilage, but only relieve symptoms. Usually Baclofen and Midokalm are used, which are injected with a weekly course.

Steroidal group

When the knee joint is significantly damaged, the doctor can prescribe for intramuscular injections with arthrosis a special steroid gel from arthrosis.

The most popular is Ambien, the effectiveness of which has been confirmed by many specialists and ordinary people who have undergone a course of treatment. It removes pain, reduces inflammation and promotes regeneration.

Prescribing steroid drugs doctors in extreme cases, as they contribute to the withdrawal of cartilage tissue to the ability to create new cells.

An important role in the treatment of knees is played by injections of vitamin complexes, including B1, B6 and B12. The best of them are considered Copigam B, Kombilipen, Milgamma and Neurorubin. Vitamins help relieve pain and reduce conduction of nerve impulses that irritate the affected joint.

Novocaine blockades

Sometimes doctors prescribe a subcutaneous injection of novocaine for patients. This need arises with acute pain accompanying destructive processes in the knee. Blockades are introduced into the affected area, surrounding muscles and tendons no more than three times a month.

Reviews

On the Internet, a lot of reviews about stitches from arthrosis, which leave people passing or undergoing treatment of the disease.

Most people note that it is necessary to begin treatment as early as possible to restrict chondroprotectors or medicines with hyaluronic acid, which do not have serious side effects effects.

An excellent result gives Crespin gel in the knee joint, reviews of which are mostly positive. He is injected to prevent the development of the disease and the early restoration of cartilaginous tissues.

Also, former and current patients advise not to forget about vitamin preparations that exclude the adverse side effects of essential medicines, especially steroid and corticosteroid.

A source: http://www.sportobzor.ru/zabolevaniya-oporno-dvigatelnogo-apparata/ukoly-pri-artroze-kolennogo-sustava.html

Injections for knee joint

Injections into the knee joint can be made:

• With a curative purpose,when a special drug is injected into the joint;
• With a diagnostic purpose,when it is necessary to determine the cause of joint inflammation - the intra-articular fluid is taken for analysis.
  In the liquid, the cellular composition is determined, the presence of antibodies and immune complexes, possibly a bacterial component of inflammation is detected;
• Blockade - anesthesia of the knee jointby splitting it with solutions with anesthetics: lidocaine 2% or novocaine, 5%;
• Cavity washingthe knee joint;
• Removing surplusesfluid in the joint cavity.

How do pricks in the knee joint?

Intra-articular injection is a rather painful procedure, despite local anesthesia.

Manipulation occurs in several stages:

1. In the beginning the doctor clearly determines the place of injection:

• The position of the patient is determined:if the patient's condition allows to straighten the knee, it is better to inject in the supine position on the back with the leg most straightened in the knee joint; if the pain syndrome is so pronounced that the patient can not straighten the leg, then a small cushion is placed under the knee, allowing the knee to be relaxed as much as possible joint;
• Then place the needle insertion point:can be injected both on the medial and lateral side of the joint.
  The simpler method is with the medial, in this area the gap between the joint and the patella is wider and the room for manipulation is larger. A method of introducing a needle 2 cm above the upper edge of the patella is known;

1. Skin over the surface of the jointcarefully treated with solutions of betadine or alcohol, the doctor should use sterile gloves;
2. Then you need to anesthetize the joint:To do this, either sprinkle with a special spray-anesthetic, or in the old manner, we layer by layer the solution of anesthetic (lidocaine2% or novocaine, 5%) layerwise pushing the needle inside;
3. The needle is inserted into the gap between the patella, the tibia and the femur.The smaller the needle cut, the less painful the procedure, 21 gauge calibers with a cylinder length of 35-38 mm are usually used, and syringes of 2 or 5 cubes in volume. It is recommended to carry out the injection under the supervision of ultrasound;
4. The patella is fixed by the 1st and 2nd fingers, it is necessary to perform pendulum movements of the patellaup and down, thereby stretching the capsule of the joint and reducing pain;
5. If you get into the intra-articular capsule,the doctor should feel a sense of "failure as if the needle is in "emptiness and nothing prevents the progress of it even further;
6. Recommended before administration of the drugaspirate surplus fluid from the joint.
7. After injection superimposed tightimmobilizing bandage on the joint. For the most effective action of the drug it is necessary to give the leg a full rest for 2-3 days.

When getting into the bone, the patient experiences severe pain

Diseases that make injections in the knee joint

There are many indications for injections into the knee joint:

• With rheumatoid arthritis;
• With osteoarthritis;
• Periarticular synovitis (inflammation of the sinus membrane), bursitis (inflammation of the periarticular bag), and tendonitis (inflammation of the ligamentous apparatus of the joint);
• To diagnose bacterial and autoimmune processes in the joint;
• With osteoarthorosis;
• For lavage of the joints;
• For removal of blood with hemarthritis;
• To remove excess synovial fluid, which by stretching the joint capsule causes pain and discomfort during movement;
• In order to prevent exacerbations of chronic inflammatory processes in the joint;
• As an emergency aid for intolerable pain;
• With gout;
• If the cartilage is damaged.

Injections of various drugs

Glucocorticosteroids

These are hormonal drugs, the main effect of which is the reduction of inflammation and the suppression of autoimmune processes. They are used for degenerative-dystrophic processes in the knee joint, as well as for inflammation.

Mainly used:

• Hydrocortisone;
• Diprospan;
• Flosteron;
• Betaspan.

Injections of these drugs also improve the state of cartilage, as normalize the composition of intraarticular fluid, soften the ossified areas and reduce pathological growths in the joint

Usually introduced 2 ml, the frequency of administration once every 5-7 days. Steroid drugs have many contraindications and side effects. The intensity of side effects and the frequency of their occurrence are much lower with their local application than with the systemic one.

However, you can observe such undesirable effects:

• "Streroid arthropathy" - the joint of Charcot and osteonecrosis;
• Lipodystrophy, calcification, atrophy, fatty tissue necrosis;
• Subcapsular posterior cataract;
• Increased sweating, redness of the face, headache;
• Increased blood pressure;
• "Postinjection exacerbation
• Manifestations of Cushing's disease.

Hyaluronic acid

A substance that is one of the main components of the joint fluid. Responsible for the amortization ability of the joint: prevents friction between the articular surfaces of the bones, filling the space between them, so they "slip" through that substance.

Hyaluronic acid also stimulates the production of collagen, thereby maintaining the elasticity of the cartilaginous tissue.

Indications for the introduction of hyaluronic acid are:

• Rehabilitation after invasiveinterventions on the joint (arthroscopic operations, knee joint injuries);
• Osteoarthritis;
• Alternative minimally invasivetherapy to improve the function of the knee joint.

Introduction is recommended not more than once a week and not more than 3-5 pricks per course. Break between courses from several months to six months

Side effectsmanifest themselves as local reactions and are limited to a minor allergic reaction at the site of the injection, accompanied by itching and burning, as well as a hematoma on the skin or a hemorrhage into the joint bag if it gets in during injection into the vessel.

Chondroprotectors (preparations with glucosamine and chondroitin)

Preparations of this groupare aimed at protecting and restoring cartilage tissue. They contain substances such as glucosaminoglycans, hyaluronic acid or chondroitin sulfate, as well as combinations thereof.

These drugs require long-term use.

The greatest effect they have if you get to the initial stage of degenerative joint disease, while the cartilaginous tissue not completely destroyed, since they can not completely restore the cartilage, but only prevent its further damage

The drugs of this group include:

• Elbon;
• Don:
• Arthra;
• Chondroitin complex;
• Chondrolon;
• Structum;
• Teraflex and others.

The course is 5-7 injections with a frequency of 1 time per week, a break between the courses 3-6 months.

Treatment should be carried out in conjunction with non-steroidal anti-inflammatory therapy, normalization of metabolic processes in the body, physiotherapy exercises and physiotherapy methods.

Which injections are more effective?

It is necessary to consider what the injections are for. If for the removal of pain, the most effective glucocorticosteroid injection, due to their pronounced anti-inflammatory effect.

The effect is observed after the first injection.The patient experiences a significant improvement in the condition. But drugs have much more side effects and contraindications, and therefore are not suitable for treatment to all.

If it is necessary to improve the function of the knee joint: increase the amplitude of movements, reduce pain when walking, restore the joint injury field or operative interventions, then the preparations of the group of chondroprotectors and hyaluronic acid.

Relief comes after the course,and not after the first injection, as it was in the previous group, but the effect lasts much longer. In addition, there are no systemic side effects like hormonal drugs.

Contraindications

For the introduction of glucocorticosteroids:

• Infectious bacterial, protozoal and mycosis processes in the joint;
• Hemarthroses (possibly with hemophilia, trauma, tumors);
• Osteochondropathies, chronic osteoarthritis with severe tissue destruction;
• Intra-articular fractures;
• Concomitant viral pathology;
• Hypertonic disease;
• Caution when used in patients with sugar dabet and metabolic syndrome;
• Lactation and pregnancy - it is undesirable;
• Stomach ulcer.

For the introduction of chondroprotectors and hyaluronic acid:

• Allergic reactions to the components of these drugs;
• A rise in body temperature in general, and locally in the joint;
• Lactation and pregnancy;
• Children under 18;
• Inflammation of the joint in the acute stage;
• Violation of the integrity of the integument of the skin or dermatologic changes in the location of the needle.

A source: http://prosustavi.com/lechenie/preparaty/ukol-dlya-kolena.html