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Musculoskeletal Pain

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Genicular Nerve Ablation

As a newly emerging treatment for knee pain, GNA is gaining recognition in the realm of nonoperative approaches to knee arthritis. It involves the targeted inactivation of three nerve branches responsible for transmitting pain signals from the knee to the brain. When these specific nerves are inactivated, the majority of patients experience pain relief that can last, on average, about six months without adverse effects. Currently, the treatment is still considered experimental, and the available studies exhibit some inconsistencies and bias in experimental design. Nonetheless, a significant number of patients have demonstrated an enhanced quality of life due to improved knee function. Consult with your orthopedic doctor for more information.

Corticosteroid Injection

Commonly referred to as a “Steroid” or “Cortisone” injection, the administration of corticosteroids to treat arthritis and tendinitis throughout the body has been a mainstay of orthopedic treatment for many decades. Its effectiveness has been demonstrated in scientific studies. Unfortunately, the effects are often relatively short-lived, typically lasting about three months on average. It is best utilized as one component of a comprehensive treatment regimen, which usually includes physical therapy, weight management, and the use of anti-inflammatory medications. Ultimately, your orthopedic doctor will help you determine whether a corticosteroid shot will be a beneficial addition to your treatment plan.

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Hyaluronic Acid Injections

Commonly known as a “gel injection,” Hyaluronic Acid was initially approved by the US Food and Drug Administration in 1997 as an injectable substance to alleviate arthritis-related knee pain. It is believed to function by temporarily lubricating the joint and reducing inflammation. While many patients report benefits, scientific studies have not universally confirmed its effectiveness. Nevertheless, hyaluronic acid remains available as an alternative for treating osteoarthritis without resorting to surgery when other interventions prove inadequate. A discussion with your doctor can help determine whether hyaluronic acid injections are a suitable option for you.

Platelet Rich Plasma Injections

PRP is emerging as a promising new option for pain control in the context of arthritis and tendinitis. The procedure involves drawing a small amount of blood from the patient and extracting the plasma portion for injection into the arthritic joint or around an inflamed tendon. Early studies have shown promise, establishing the procedure as safe and effective for the majority of individuals. However, the number of studies demonstrating these results is relatively small, with other studies presenting mixed results. The exact formulation of the plasma, the number of injections, and the method of delivery are still under investigation. While this treatment is considered experimental, it has already proven helpful for many patients seeking to avoid surgery. Your orthopedist can guide you through various treatment options to help you determine what is right for you.

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