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Non-surgical treatment For Knee Arthritis In Gopalapuram

Genicular nerve radiofrequency ablation (GNRFA)—including conventional, cooled, and pulsed techniques—is an emerging treatment for managing symptomatic knee osteoarthritis (OA). This minimally invasive approach offers the potential to significantly reduce pain while enhancing joint function and overall quality of life in selected patients.

Ideal Candidates for Genicular Nerve Radiofrequency Ablation (GNRFA):

  • Patients with persistent, symptomatic knee osteoarthritis (OA) who haven’t responded well to conservative treatments and may be considering or have undergone surgery (typically moderate to severe OA).
  • Patients with unexplained pain after total knee arthroplasty (TKA) without a clear mechanical or surgical cause.
  • Patients unsuitable for surgery due to medical conditions or high BMI.
  • Patients who prefer non-surgical pain relief options.
  • Patients who previously benefited from GNRFA and have recurring pain.
Trigger point injections to relieve muscle knots

Lubricant Injection In Knee In Gopalapuram

Viscosupplementation is a treatment for knee osteoarthritis where a gel-like substance, 

hyaluronic acid (HA), is injected into the knee joint.

How it works:

HA is a natural component of synovial fluid, which lubricates and cushions the knee joint. In osteoarthritis, the cartilage in the knee breaks down, leading to reduced HA and pain and stiffness.
Viscosupplementation aims to replace this lost HA, restoring lubrication and shock absorption. The effects of viscosupplementation may not be immediate, and pain relief may take several weeks or months.
The number of injections required varies depending on the specific product and the individual’s condition

Arthritis Knee Pain Injection In Gopalapuram

Platelet-rich plasma (PRP) is an autologous concentrate of platelets and growth factors obtained through centrifugation of the patient’s blood. It has been shown to stimulate chondrocytes, promoting cartilage regeneration and enhancing the biosynthesis of collagen and proteoglycans. Intra-articular PRP injections not only offer pain relief but may also play a role in slowing the progression of osteoarthritis (OA). The growth factors released from activated platelets encourage the proliferation of chondrocytes and mesenchymal stem cells, thereby supporting the synthesis of type II collagen. Additionally, PRP exerts anti-inflammatory and analgesic effects by suppressing pro-inflammatory mediators such as interleukin-1 (IL-1) and reducing nociceptor activation. Meta-analyses have consistently shown that PRP provides superior clinical outcomes compared to other intra-articular therapies. Treatment protocols typically involve one to three injections. Optimal results have been reported in patients aged 51–65 years, those with a lower mechanical axis angle, and individuals with Kellgren–Lawrence (K/L) grade 2 osteoarthritis. Studies also indicate that administering PRP at a concentration of 10 billion platelets in 8 ml volume improves joint function and helps preserve articular cartilage in knee OA patients.

HA Injection In Knee Joint In Gopalapuram

Genicular nerve ablation (GNA) is a safe and effective option for people with knee pain who haven’t found relief from treatments like weight loss, exercise, or medications, and who either can’t have surgery or want to avoid it. This procedure can reduce pain, improve daily function, and boost overall quality of life, with minimal risk of serious side effects.
The process begins with a simple test called a diagnostic block, where a small amount of local anesthetic (lidocaine) is injected near three specific nerves around the knee using X-ray or ultrasound guidance. If this injection gives at least 50% pain relief for 24 hours, the person is considered a good candidate for the actual nerve ablation.
trigger point injection in T Nagar

The treatment can be done in a doctor’s office with just a local anesthetic, or under mild sedation if the patient is anxious. There is no need for full anesthesia. The procedure is usually done by specialists in pain management.

Unlike other treatments that work inside the knee joint (like injections or surgery), GNA works by gently heating and deactivating the three main sensory nerves that carry pain signals from the arthritic knee to the brain. The heat is applied using a special needle tip and is carefully controlled. Since the treatment is done outside the joint, it avoids the risks associated with invasive procedures. There are two types of RFA used, one is conventional RFA, where the temperature used is 70-90deg C for 90s, with smaller area of lesion whereas the other type if Cooled RFA, where 60deg C is used for 150s, with larger size of lesion and more chances of involving the genicular nerve. Cooled RFA can provide long-lasting pain relief, with some studies showing benefits lasting up to two years.

Frequently Asked Questions

How many PRP therapy sessions are typically needed for knee arthritis?

The number of PRP sessions required depend on the age of the patient, the basal platelet count, the severity of Osteoarthritis. It is variable from person to person based on the above factors. Most patients may require 2-3 sessions, 4 weeks apart, as they show up only in OA grade 2-3. 

With 9-10 billion count of platelet dose, some patients may require just one session per year

What treatment options are available for knee osteoarthritis?

Is there any preparation needed before an arthritis knee pain injection?

Preparation before PRP injection

  • Clinical and Radiological investigations to find the actual status of your knee joint
  • Basic blood tests will be done to get a picture of your general health condition, along with basal platelet count which is very important for the PRP dose.
  • To rule out any chronic diseases, underlying cancerous/serious conditions
  • To get hold of all records of medications the patient has been taking
  • Patient will be advised to stop anti-inflammatory medications (like ibuprofen), pain killers, tablets like aspirin, a few days prior, as they can interfere with the effectiveness of PRP
  • patient ll be advised good hydration, to consume healthy food and to avoid processed and junk foods atleast one week prior to PRP procedure
  • An informed consent will be obtained before the procedure.