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KMID : 0948920040030020104
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Clinical Pain
2004 Volume.3 No. 2 p.104 ~ p.110
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Injection Therapy for the Patient with Knee Joint Pain
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Kim Don-Kyu
Seo Kyung-Mook
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Abstract
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The injection of therapeutic agents such as corticosteroids, hyaluronic acid, and proliferants into the knee joint and surrounding structures is most frequently done in the outpatient clinic as well as a part of inpatient care. Although there is some controversy concerning the long term effects of steroid injection, low dose intra-articular steroid injection is recommended for painful inflamed knee osteoarthritis. However, its frequency is limited to less than 3 or 4 times a year. Hyaluronic acid is a component in synovial fluid and cellular matrix. Its supplementation in osteoarthritis patients is now a very important treatment modality but is still in the development and investigational stage. Ligaments and muscles are important not only in maintaining normal joint function but also in the development of pathological or painful conditions. Among large portion of patients with knee pain, the dysfunction of fibro-osseous junction (ligament attatched site to bone) and teno-osseous junction (tendon insertion site to bone) could be found. Prolotherapy is a method of injection treatment designed to stimulate healing, various proliferant solutions including dextrose and sodium morrhuate are injected into the ligament, tendons and joint to encourage repair or strengthening of degenerative tissue. Prolotherapy maybe beneficial for many patients complaining of chronic knee pain, particularly when a history of trauma can be elicited.
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KEYWORD
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Corticosteroid, Hyaluronic acid, Prolotherapy, Knee, Injection
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