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Dr Hitesh Patel is Consultant – Pain Management & Palliative Care he recieved his M.D. from B.J. Medical College Ahmedabad, Asia’s largest hospital, Civil Hospital, Ahmedabad. He earned his F.I.P.M. (Fellow In Pain Management) at Daradia Pain Hospital in Kolkata, which is affiliated with the Aesculap Academy in Germany. He received his C.C.P.P.M. (Certificate Course in Pain and Palliative Medicine) from Gujarat Cancer Research Institute Ahmedabad, the state’s largest cancer hospital.

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How does a normal knee work?

KNEE JOINT is where thigh bone (femur) and your shin bone (tibia) meet. It allows the bones to move freely but within limits. It is the one of largest joint in the body.

IN OSTEOARTHRITIS of the knee

The cartilage becomes rough and thin.
The bone at the edge of your joint grows outwards, forming bony spurs called osteophytes.
The synovium may swell causing the joint to swell – this is called an effusion.
The capsule and ligaments slowly thicken and contract.

SYMPTOMS OF OSTEOARTHRITIS of the knee

Pain
STIFFNESS
CREPITUS
HARD SWELLINGS
SOFT SWELLINGS

Risk Factors

The Late 40s or older
Woman
Overweight
Parents have had Osteoarthritis
Knee injury, Previous operation on your knee
Hard, repetitive activity or a physically demanding job
Another type of joint disease like Rheumatoid arthritis or gout

Treatment of OSTEOARTHRITIS of the knee

Tests for OSTEOARTHRITIS of the knee:

X-rays are the most useful tests to confirm a diagnosis of osteoarthritis and also the grading of osteoarthritis.
There’s no blood test for osteoarthritis but they can be used to rule out other conditions.

Interventions

INTRAARTICULAR PLATELET-RICH PLASMA (PRP) INJECTION

Platelet-rich plasma injections aim to promote cartilage repair and relieve osteoarthritic symptoms, potentially delaying the need for joint replacement surgery. Platelets produce growth factors that are thought to stimulate chondrocyte proliferation, leading to cartilage repair.

Intraarticular platelet-rich plasma (PRP) injection has emerged as a promising treatment for knee osteoarthritis. Studies to date, including multiple randomized controlled trials, have shown that PRP is a safe and effective treatment option for knee osteoarthritis. Intraarticular PRP is similar in efficacy to hyaluronic acid, and seems to be more effective than hyaluronic acid in younger, active patients with low-grade osteoarthritis.

INTRAARTICULAR HYALURONIDASE INJECTION

There are several types of hyaluronic acid injections, also called visco supplementation, that are used for knee osteoarthritis. They are made from either rooster or chicken combs, or are derived from bacteria, and are injected directly into the joint.

INTRAARTICULAR Ozone therapy

Intra Articular Ozone therapy – This therapy is used for moderate to severe osteoarthritis knee. Ozone is generated from medical grade oxygen using an ozone generator. The therapeutic effects of ozone is due to its anti-inflammatory effect. It is far superior than intra articular steroid or hylauronic acid injection. It is done under local anesthesia using live X-ray guidance. No hospitalisation is required for this procedure.

Radio frequency ablation

Radio frequency ablation of genicular branches of femur and Tibia is done to treat severe osteoarthritis knee pain. This injection is used for patients who are not fit for surgery or not willing for surgery. This procedure is used for grade 4 osteoarthritis knee. It is done under local anesthesia using live X-ray guidance. No hospitalization is required for this procedure. The effect last varies from 1-5 years.

Surgery

Surgery is reserved for patients with severe osteoarthritis knee with deformed knee and not relieved with injection.

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Service Recipient Says

Kinjal Patel

Dr Hitesh Patel is best doctor for knee pain. Positive atmosphere and spacious center for all pain management services.

kinjal

I have suffered from knee pain for over five years now and none of the doctors managed to figure out what the issue was. I was lucky that my friend recommended the Healthy Life Pain Management

Nidhi

I'm a runner and Healthy Life Pain Management provides me with the relief I need to run without pain. It has also helped my healing process after surgery. The foot and ankle pain is totally gone now and I can walk in complete comfort again.

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