ABOUT KNEE PAIN TREATMENT
Knee pain is the most common joint pain complaint around the world, in all age groups.
Ultrasound is a sensitive diagnostic tool for the diagnosis of ligament sprains, tendon problems, muscle tears, knee joint swelling, synovitis, inflammation, arthritic conditions, bakers cyst, bursitis, and ganglion cysts.
A diagnostic ultrasound at our clinic can diagnose the following common problems and treat with ultrasound-guided injections either with steroid/corticosteroid, hyaluronic acid (viscosupplementation/gel or lubrication) injections or Platelet-rich plasma injections can be when conservative treatment fails.
If you are experiencing painful joints, muscles, tendons or ligaments please get in touch for a diagnostic scan and or treatment
Common Causes of knee pain
Knee injuries are common in sports, such as skiing, hockey, rugby, football, basketball, running, jogging, walking, cricket, squash and any other sports that require a sudden change in the pace and direction. The following are some of the routinely diagnosed and treated knee conditions in the clinic.
Ligament Injuries: anterior cruciate ligament (ACL) is the most common ligament to injure among the other knee ligaments (posterior cruciate ligament (PCL), Medial Collateral Ligament(MCL) and Lateral Collateral Ligament(LCL). Sports such as football, squash, tennis, basketball and other similar sports that require the frequent and sudden change in the direction is prone to
Meniscal Damage: Meniscus is a tough cartilage situated between the tibia and femur and acts as a shock absorber. The meniscus is prone to insure with sports that require sudden twisting and turning on the knee when the knee is planted on the ground.
Tendinitis: Tendinitis is inflammation of the tendon. Patellar tendinitis is the most common tendinitis seen in the knee. The patellar tendon connects the quadriceps to the shin bone on the tibia. Sports such as running, skiing, cycling, jumping are prone to develop patellar tendinitis. PRP, Steroid, and viscosupplementation (gel) injections are the popular treatment options along with the rehabilitation.
Bursitis: Bursa is a thin sac that acts as a cushion between the two different structures to minimize friction. Bursitis is an inflammation of the bursa. There are several bursas around the knee. Common bursae prone to inflammation are prepatellar bursa (in front of the patella), infra-patellar bursa. Ultrasound can diagnose the bursa and aspirate the fluid under ultrasound guidance.
Iliotibial band syndrome: This occurs when the iliotibial band becomes tight and causes friction over the outer side of the femur, which can cause snapping on the femoral condyle. If untreated can also lead to adventitious bursitis.
Poor posture: Misalignment or untreated foot and/or hip pain can change the way you walk to avoid strain on the painful joints. This altered gait leads to excessive stress on the knee joint.
Several different types of arthritic conditions exist. Following are the different common arthritic conditions seen in the knee :
Osteoarthritis: Degenerative arthritis is a result of wearing of cartilage, loss of normal bony smooth contours, development of bony spurs.
Following symptoms are common :
• Parts of the knee is tender to touch.
• Pain with weight-bearing activities.
• Morning stiffness or after prolonged rest.
• Hard lumps are felt, as a result of overgrown bony spurs.
• You may feel and/or hear crepitus/grating sensation when walking/climbing.
Gouty Arthritis: Gouty arthritis is an inflammatory condition where synovial proliferation, bony erosions, and the presence of the uric acid crystals are the hallmark of the condition. Ultrasound is sensitive to diagnose the above. Ultrasound color flow/Doppler activity can detect the active or inactive state of the condition. The most common joint to affect is the toe. It can also affect the knee joint.
Under ultrasound guidance, joint effusion is aspirated and steroid is injected for pain relief.
Rheumatoid Arthritis (RA): Though RA is commonly seen in the hands and feet, this most debilitating condition can also affect the knees. Synovial proliferation, bony erosions, and pannus formation are the hallmarks. Ultrasound is sensitive to diagnose these.
"My name is Richard Kilty, I am the current captain of the British athletics team. World 60m champion, double European 60m champion & European 4x100m relay record holder. I have been using Ram Rachaputi for many years now. I have used many of his different treatments for my performance, injuries & general training recovery. I have always had huge success after seeing ram. He is truly world class at what he does. I will continue to work with ram all the way throughout my career and will be forever grateful for his precise and incredible work"
FREQUENTLY ASKED QUESTIONS ABOUT ULTRASOUND GUIDED INJECTIONS
How long does an ultrasound guided injection take?
This will vary dependant on the area and other factors, but an assessment, scan & ultrasound-guided injection will generally take around 60 minutes. Ultrasound guided injection alone is done in a few seconds. Injection alone is carried out in few seconds.
Are ultrasound guided injections painful?
Discomfort from the needle insertion can be minimised by using the local anaesthesia using a very fine small needle. Ram is an experienced and carried out more than 30,000 Ultrasound guided injections sofar. He routinely treats complex patients and patients with needle phobia, through the technique he developed through his experience.
What is an ultrasound guided cortisone / Steroid / Corticosteroid injection?
Cortisone injection is also known as Corticosteroid injection or steroid injection. This is a strong anti-inflammatory medication is used for many of the inflammatory and arthritis conditions to control pain, swelling, stiffness and improve function. Corticosteroid injections are NOT the same used by body builders use. Corticosteroid injections do not cause weight gain. To find out more please visit our ultrasound-guided steroid injections page from the 'Types of Guided injection' menu on the top.
Always, consider having the Steroid injections under ultrasound guidance for accuracy.
What is an ultrasound guided hyaluronic acid (HA) injection?
HA injection is also known as Gel injection or Lubricant injection. This viscosupplementation injection is a natural component of synovial fluid. This tends to increase joint fluid viscosity and restores the joint lubrication. Hence, acts as a shock absorber to control the joint /tendon symptoms. Limits the further damage to the joint and delays or avoids the need for the surgery. Aslo, helps to enjoy your daily activities or your preferred hobbies. To find out more please visit our GUIDED ULTRASOUND HYALURONIC ACID INJECTIONS page from the 'Types of Guided injection' menu on the top.
These injections are very popular, especially for knee joint pain. Any number of injections can be taken in a given period, due to minimal or no side effects from these injections. Usually a course of 3 Injections are preferred, though some may do well just with an injection per year 9 we have patients managing just with 1/year.
What is an ultrasound guided PRP injection?
Platelet Rich Plasma (PRP) injections are rich in growth factors ( helps in repairing the cell and its growth) and prepared from the patient's own blood. Separated growth factors from the patients blood is injected back into the affected area of the same patient. Due to PRP's ability to heal and even regenerate injured or aging tendons, ligaments and joints, providing some patients with an alternative to surgery. PRP therapy may reduce the required healing time for the injuries ( especially for sports injuries and early Arthritis ); otherwise athletes/ sports professionals may require longer periods of rest from their sports related activities. To read more please visit our Ultrasound Guided PRP page.
Always, consider having the PRP injections under ultrasound guidance for accuracy.
can i drive after an injection
You will not be able to drive immediately after the procedure. Bring someone with you Or use other form of transport to return home. This is mainly due to your driving licence policy, rather injection efficacy. Majority of the motor insurance policies will not allow you to drive for 3-5 hours after the injection with Local Anesthesia.
What should i expect after an injection?
After the injection, you may feel pain-free for a couple of hours due to Local anaesthesia. However, pain returns after 2 hours, you may even feel more pain for a couple of days due to bruising pain. Usually, you should start feeling better from the third day onwards. Pain relief from the steroid injection may take 1 to 2 weeks.
How to manage bruising pain?
Discomfort from the needle insertion can be minimised by using an ice pack ( wrapped in a towel, to minimise the risk of frostbite from a direct skin contact) to the area of treatment. 3-4 times a day and 10-15 minutes at each time
Will i always feel 100% pain free?
We can accurately inject the treatment area. However, pain relief depends on several factors, such as severity of the problem, body response to the steroid injection, rest period following an injection, rehabilitation and exposing to the risk factors.
how many injections can i receive?
corticosteroid Injections: 3 or 4 per treatment area/year.
Hyaluronic Acid: no limit as long as you are benefiting.
Platelet Rich Plasma (PRP) a course of 3, you can repeat as you like.
What conditions can be treated?
Arthritis, Tendinopathies, Ligament, Muscle and Nerve related problems. We also offer trigger point injections for persistent pain ( usually a course of 2-5 are effective).
How long the injection effect lasts?
It is hard to determine without an assessment. It may be possible to estimate after assessing the patient. Usually, lasts up to 3 months. There are many patients who benefited for more than a year to 2 years.
AREAS COVERED FOR KNEE PAIN TREATMENT
We cover a wide area throughout Warwickshire and surrounds, either by home visit or clinics in the following areas: Rugby, Warwick, Aylesbury, Milton Keynes, Coventry, Leicester, Nuneaton, Birmingham and Solihull. We also have a clinic in Newcastle covering the North East.
If you do not see your area listed please still get in touch as we may be able to refer you to another practitioner in your area.