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      Interventional Techniques for the Management of Knee Osteoarthritis: A Literature Review

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          Abstract

          Osteoarthritis of the knee is a prevalent condition that causes pain, discomfort, and disability that can severely impact the quality of life. This literature review aims to review the various interventional pain management techniques available to treat knee osteoarthritis. It analyzes the efficacy of various interventions such as intra-articular corticosteroids, prolotherapy, viscosupplementation, platelet-rich plasma, and genicular nerve blocks with radiofrequency ablation or cryoneurolysis. We searched databases for studies published in the past 20 years. A total of 37 articles were included. The literature supports the idea that a comprehensive treatment plan consisting of the various aforementioned techniques can provide relief for patients while delaying or avoiding joint replacement surgery.

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          Most cited references37

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          Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee Osteoarthritis: A Randomized Clinical Trial.

          Synovitis is common and is associated with progression of structural characteristics of knee osteoarthritis. Intra-articular corticosteroids could reduce cartilage damage associated with synovitis but might have adverse effects on cartilage and periarticular bone.
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            Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee

            Both physical therapy and intraarticular injections of glucocorticoids have been shown to confer clinical benefit with respect to osteoarthritis of the knee. Whether the short-term and long-term effectiveness for relieving pain and improving physical function differ between these two therapies is uncertain.
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              Platelet-Rich Plasma for the Management of Hip and Knee Osteoarthritis.

              Knee and hip osteoarthritis (OA) are major public health problems worldwide causing pain, disability and impaired quality of life. This narrative paper discusses platelet-rich plasma (PRP) as a treatment for hip and knee OA, with a focus on evidence from randomised controlled trials (RCTs).
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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                16 October 2023
                October 2023
                : 15
                : 10
                : e47133
                Affiliations
                [1 ] Physical Medicine and Rehabilitation, Casa Colina Hospital, Pomona, USA
                [2 ] Pain Management, Western University of Health Sciences, Pomona, USA
                Author notes
                Article
                10.7759/cureus.47133
                10650933
                90bd2271-b9ae-468a-836b-c0ef236ddfa4
                Copyright © 2023, Malik et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 14 October 2023
                Categories
                Pain Management
                Physical Medicine & Rehabilitation
                Orthopedics

                platelet-rich plasma therapy for joints,intra-articular platelet-rich plasma,intra-articular steroids,cryoneurolysis,visco-supplementation,dextrose prolotherapy,interventional pain medicine,osteoarthritis knee

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