Intra-articular corticosteroid injection and genicular nerve block under ultrasound guidance in pain control of knee osteoarthritis

Ragab, Abdel Rahman; Hegab, S.E.; Elnemr, Rehab; Abdel-Kerim, Amr

doi:10.1186/s43055-021-00577-z

Cited by 3 publications

(2 citation statements)

References 25 publications

(23 reference statements)

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“…The benefit of RFA is that it can precisely heat small tissue portions (less than 1 mm), which will be in direct contact with the ablation electrode (between 45 and 50 °C) during the procedure. RF therapy can enhance joint performance and reduce discomfort [21][22][23]. Most research shows that RFA is a safe and efficient treatment for lowering knee pain and enhancing function within 3-12 months.…”

Section: Figure 1: An Illustration Of Ultrasound-guided Knee Injectio...mentioning

confidence: 99%

Current Non-surgical Management of Knee Osteoarthritis

Mintarjo,

Poerwanto,

Tedyanto

2023

Cureus

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Osteoarthritis (OA) is a common chronic degenerative disease. The prevalence tends to increase with age and is influenced by underlying risk factors such as gender, obesity, joint injuries (work/sports activities), and geographic region. OA has a distinctive picture, namely, damage to the joint cartilage and the formation of new bone at the edges of the bones, also called osteophytes, due to biochemical, metabolic, physiological, and pathological changes in the joint cartilage and subchondral bone. Symptoms that can be caused include joint pain, inhibition of joint movement, crepitus, deformity, asymmetrical swelling of the joints, signs of inflammation, and changes in gait. Currently, there are various methods of managing OA in terms of reducing pain, including regeneration and non-regeneration therapy. Non-regeneration treatments include physiotherapy (exercise, biomechanical intervention, electrotherapy, diathermy), pharmacology, intra-articular injections (corticosteroids, hyaluronic acid, geniculate nerve blocks), extra-articular injections, and radiofrequency. In comparison, regeneration management includes laser and intra-articular injection (prolotherapy and PRP).

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Section: Figure 1: An Illustration Of Ultrasound-guided Knee Injectio...mentioning

confidence: 99%

Current Non-surgical Management of Knee Osteoarthritis

Mintarjo,

Poerwanto,

Tedyanto

2023

Cureus

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“…Medication also increases the risk of gastrointestinal disorders. Other modality which has not been explored thoroughly is adductor canal block (ACB) and genicular nerve block (GNB) in chronic knee pain [4], [5].…”

Section: Introductionmentioning

confidence: 99%

VAS Scores, Pain-Free Duration, Range of Motion, and IL-6 Levels are Better in Adductor Canal Block Compared to Genicular Nerve Block in Patients with Chronic Pain of Degenerative Disease of the Knee Joint

Prasada

Dusak

Aryana

et al. 2023

EJMED

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Introduction: Chronic knee pain is the leading cause of functional limitations in the older age group and accounts for many visits to health care providers. This degenerative condition is progressive with functional impairment and a severe decrease in quality of life. Pain management with Adductor Canal Block (ACB) and Genicular Nerve Block (GNB) can be an alternative treatment option for chronic knee pain. This study aims to analyze the difference between clinical & laboratory outcomes of the ACB and GNB groups. Material & Methods: An experimental study with consecutive sampling was conducted on 34 patients with chronic knee pain divided into 2 groups of ACB and GNB procedures. The parameters measured were VAS score, pain-free duration, range of motion, and interleukin-6 (IL-6) levels. Results: Predominance of chronic knee pain patients found in older women. Based on statistical analysis, there was an improvement in VAS scores (p<0,05), a similar pain-free duration (p>0,05), an improvement in the range of motion (p<0,05), and a decrease in IL-6 levels (p<0,05) significantly in the ACB group compared to GNB. Conclusion: ACB can be used as an effective therapy in treating chronic knee pain.

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Genicular Nerve Block for Knee Osteoarthritis

Vilchez-Cavazos,

Gamboa Alonso,

Simental-Mendía

et al. 2024

The Clinical Journal of Pain

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Objectives: Genicular nerve block (GNB) has emerged as novel non-surgical therapy for symptomatic knee osteoarthritis (OA). The objective was to evaluate GNB versus placebo and other intraarticular (IA) therapies. Methods: The Medline, Embase, and Scopus databases were searched from their inception to January 2021. Only randomized controlled trials (RCTs) were included. A random-effects model and the generic inverse variance method were used for quantitative data synthesis. Heterogeneity was tested with the I2 index. Results: Regarding pain a statistically significant scores were demonstrated at 1 and 3 months overall total effect of 1.43 [95% CI, 0.86, 1.99]; P=0.00001; I2=85%). Similarly, for knee function a total effect of 0.71 [95% CI, 0.35, 1.06]; P=0.00001; I2=69%) at 1 and 3 months, statistically significant. The minimal clinical important difference regarding pain was achieved at 1 and 3 months. Discussion: Nevertheless, GNB achieved the MCID for knee OA pain and statistically significant results for knee functions. We cannot recommend its routine use besides being a safe procedure so far, evidence is fair on GNB for primary knee OA due to study heterogeneity and limited follow-up.

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Intra-articular corticosteroid injection and genicular nerve block under ultrasound guidance in pain control of knee osteoarthritis

Cited by 3 publications

References 25 publications

Current Non-surgical Management of Knee Osteoarthritis

Current Non-surgical Management of Knee Osteoarthritis

VAS Scores, Pain-Free Duration, Range of Motion, and IL-6 Levels are Better in Adductor Canal Block Compared to Genicular Nerve Block in Patients with Chronic Pain of Degenerative Disease of the Knee Joint

Genicular Nerve Block for Knee Osteoarthritis

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