Knee Osteoarthritis Treatment

Knee Osteoarthritis (OA) Treatment

Osteoarthritis is a degenerative form of arthritis or “wear-and-tear arthritis”.  While there may be a genetic component that makes certain individuals more susceptible to that wear-and-tear than others, this is not part of a systemic process in the way that other forms of arthritis are, i.e. rheumatoid arthritis.  The knee is one of the most common places in the body effected by osteoarthritis.  There is a spectrum of ways to manage knee osteoarthritis that range from conservative to aggressive.   The best treatment plan is different for everyone and depends on many factors including the severity of your arthritis, your response to various types of treatment trialed, your level of activity and your personal goals.  All treatment options have pros and cons and usually carry some risks which have to be balanced with the potential benefits.  It is important to know that some options fall into the most time-proven methods with more reliable outcomes and others are on the cutting edge of medical innovation.  At Denver Back Pain Specialists we can lay out the full range of treatment options and work with you to devise the best treatment plan for you.  Although we are not surgeons, if surgery is indicated we can help guide surgical timing and can readily connect you with the right surgical specialist.

Your treatment program may include physical therapy, home exercises[1], activity modification, oral or topical medications, weight loss, nutrition, or injections into the joint. Radiofrequency ablation of the genicular nerves of the knee can also relieve knee pain related to OA[2].

Injections may include hyaluronic acid, or HA, (e.g. Euflexxa[3], http://www.euflexxa.com/physician/moa -video on action of HA), corticosteroids, or PRP.[4]

More information on platelet-rich plasma (PRP) injections can be found on our website (Regenerative Medicine – PRP) and the injection process is also described in a PRP video/brochure.

Call Denver Back Pain Specialists at 303-327-5511 for an appointment to develop your treatment plan.

 

1.                  Uthman, O.A., et al., Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis. BMJ, 2013. 347: p. f5555.

2.                  Choi, W.J., et al., Radiofrequency treatment relieves chronic knee osteoarthritis pain: a double-blind randomized controlled trial. Pain, 2011. 152(3): p. 481-7.

3.                  Kirchner, M. and D. Marshall, A double-blind randomized controlled trial comparing alternate forms of high molecular weight hyaluronan for the treatment of osteoarthritis of the knee. Osteoarthritis Cartilage, 2006. 14(2): p. 154-62.

4.                  Rodriguez-Merchan, E.C., Intra-articular Injections of Hyaluronic Acid and Other Drugs in the Knee Joint. HSS J, 2013. 9(2): p. 180-182.