Minimally Invasive Interventional Management of Osteoarthritic Chronic Knee Pain

Author:

Jones Mark1,Patel Riki2,Adamian Leena2,Seifert Danica2,Thompson William3,Viswanath Omar456,Urits Ivan1

Affiliation:

1. Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts

2. Department of Anesthesiology, Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, Arizona

3. Division of Pain, Valley Anesthesiology and Pain Consultants, Phoenix, Arizona

4. Department of Anesthesiology and Pain Medicine, Valley Anesthesiology and Pain Consultants, Phoenix, Arizona

5. Department of Anesthesiology, University of Arizona College of Medicine Phoenix, Phoenix, Arizona

6. Department of Anesthesiology, Creighton University School of Medicine, Omaha, Nebraska

Abstract

AbstractChronic knee pain is a widely prevalent issue that can have a significant impact on a patient's quality of life. One of the leading causes of chronic knee pain is osteoarthritis. Total knee replacement is often the last and definitive resort for patients with severe symptomatic osteoarthritis after trial of less invasive interventions with failure to achieve symptomatic relief. Intra-articular injections are a mainstay of adjunctive conservative management and have demonstrated efficacy in reducing pain. Radiofrequency treatment is a viable option for poor surgical candidates, or for patients having persistent, chronic pain following knee surgery. Extracorporeal shockwave therapy is another modality growing in use that may offer short-term symptomatic relief. In this review, we will discuss widely used minimally invasive interventional options for the symptomatic management of osteoarthritic chronic knee pain.

Publisher

Georg Thieme Verlag KG

Subject

Orthopedics and Sports Medicine,Surgery

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