If knee pain bothers you If knee pain has made it impossible for you to take care of your daily tasks as you did in the past, read on. In this article, we will introduce one of the alternative and reducing treatments for knee pain.
Knee cartilage replacement gel.
If you have tried other methods of reducing knee pain and have not achieved results, we recommend that you read the following, get acquainted with standard gels that can facilitate knee function to some extent and reduce knee pain, go to them if necessary and with your doctor’s approval.
Osteoarthritis of the knee is one of the most common causes of knee pain, especially in the elderly, as well as people who do a lot of exercise, including jumping and running. In osteoarthritis of the knee, the structure of normal cartilage changes so that the height of the cartilage of the knee decreases and the adjacent bones change. One of these changes is the formation of bony appendages in the bones adjacent to the cartilage of the knee, which doctors call osteophytes.
These changes cause the bone surfaces on both sides of the knee to wear more apart, sometimes the osteophyte is pulled out and stuck between the bones, and the affected person’s knee becomes suddenly locked.
In the normal cartilage structure of our body there are proteins and fixed compounds, special type collagen, hyaluronic acid, chondroitin sulfate and other proteoglycans (protein compounds plus carbohydrates are called proteoglycans) and… are normal constituents of cartilage.
One of these compounds is called hyaluronic acid, which is responsible for the flexibility of cartilage and lubrication of the joint space so that the contact surfaces between the bones are lubricated and move smoothly and easily over each other.
When a person develops osteoarthritis of the knee joint, hyaluronic acid will decrease, so the wear of the bones adjacent to the knee joint will increase.
Injecting hyaluronic acid made in specialized and standard laboratories into the knee joint space can improve lubrication between the bones to some extent.
If you have osteoarthritis of the knee, your doctor will advise you to modify your lifestyle according to the principles and standard and valid protocol, in addition to observing these principles, they will ask you to use painkillers and anti-inflammatories of NSAIDs such as naproxen in the acute phases of inflammation and pain. And use ibuprofen according to the standard instructions and dose.
In the next steps, if the pain and discomfort continue, your doctor will prescribe drugs inside the joint space along with both of the above cases.
In the past, intra-articular injections of corticosteroids were the only option, but today, doctors use knee cartilage replacement gels made of hyaluronic acid, which have different commercial names, in order to restore some of the smoothness and softness of the knee joint.
Intra- articular knee injections will include corticosteroids, hyaluronic acid gels, and ozone.
In all of the above steps, physiotherapy exercises and exercises that strengthen the muscles around the knee are strongly recommended.
Injected gels cannot permanently replace cartilage and need to be renewed in certain sequences.
There is about 4 cc of joint fluid in the knee of an adult. Hyaluronic acid is an important component of this joint fluid.
Hyaluronic acid is like a gel that as we said it is normally present in the joint and cartilage of the knee. Doctors recognize hyaluronic acid as a lubricant that acts as a helper in the cartilage of the joint ,And it helps the bones around the joint to move easily and without wear in front of each other.
We said that the amount of hyaluronic acid in the knee cartilage of people with knee osteoarthritis decreases. Decreasing hyaluronic acid in addition to reducing the lubrication of bone movements will increase joint inflammation or arthritis.
By injecting hyaluronic acid gels into the knee joint, doctors actually add a lubricant between the joints, which can reduce inflammation and prevent the progression of arthritis and further cartilage damage.
How to use knee cartilage replacement gels
Your doctor will first examine your knee. If there is swelling in the knee, he or she may remove intra-articular fluid with a needle after local anesthesia.
He or she then injects the standard sterile gel into the joint space with his/her special needle. You will not have any pain after local anesthesia, so do not worry.
After injecting the knee gel, you should not put too much weight on the knee for a while, you should not run and you should not lift heavy objects.
What happens when you inject cartilage replacement gel into your knee?
- Knee pain decreases.
- The progression of arthritis slows down.
- The range of motion of the knee, which was less than normal, improves.
- Increased slippage of joint surfaces and decreased wear of bone surfaces around the knee joint.
- The pain will not go away completely with the injection of knee gel, but the pain and swelling will be greatly reduced so that you can do your job better than before with less knee pain.
- It is said that people with osteoarthritis of the knee get the most benefit from injecting knee gel and the amount and quality of their mobility is increased.
Familiarity with hyaluronic acid injection or knee gel
get more acquainted with injecting hyaluronic acid or knee gel:
Hyaluronic acid protects cartilage, absorbs pressure shocks and reduces pain and inflammation.
The types of compounds available in the market under the name of knee hyaluronic gels are:
- Hylan G-F20
- High cross match hyaluronic acid
- High molecular weight hyaluronan
- Sodium hyaluronate
If you are going to inject knee gel, what should we tell our doctor?
If you are going to inject knee gel, be sure to tell your doctor if you have any of the following:
- Algeria to specific proteins and any type of allergy in general
- Existence of an underlying disease
- Skin infection at the site
Knee or hyaluronic acid gel injection is done in a clinic or office in about a few minutes.
You lie on your back and your knees are straight or you bend about 20 to 30 degrees, the surface of your knee is cleansed with alcohol and betadine, the doctor asks you to relax your thigh muscles, the gel is injected into a small area of the knee joint space. Sometimes, with the help of ultrasound guides, the injection and the injection route are controlled and monitored.
After the injection, your doctor will ask you to bend and straighten the knee joint several times so that the gel spreads well around the joint.
Care after knee gel injection
You can stand on your own two feet and go home from the clinic yourself, but in the first forty eight hours it is better not to run and stand for a long time, and generally avoid anything that puts a lot of weight and pressure on the knee.
If you have dry, sore, and swollen knees, gel injections are a good option for you. The only possible side effect is a slight bruising and swelling at the injection site.
Types of commercial names of knee gels
Some of the commercial names of knee gels include: