Spine Centre
For Emergencies: +91-141-2600991
Neuro-spine centre

Avoid Knee Replacement-nonsurgical options


If you, a friend, or a loved one is seeking relief from pain caused by osteoarthritis, you’ve come to the right place. Review the information below and schedule an appointment today to meet with one of our pain doctors in your area. Osteoarthritis will only worsen over time – find a non-surgical treatment that’s right for you today.HOW & WHY DOES OSTEOARTHRITIS DEVELOP?Osteoarthritis will occur from either inflammation or injury. This damages cartilage tissue within the joint and will cause swelling, deformity and pain. Cartilage covers the bones and protects them when rubbing against each other. It is a firm, rubbery-like material and is made up of primarily proteins and water. The cartilage acts as a shock absorbing surface. Osteoarthritis generally progresses slowly over the years from constant use. There are 2 types of osteoarthritis:Primary or the “wear and tear” osteoarthritis which generally affects the thumbs, fingers, spine, hips and kneesSecondary osteoarthritis occurs after an injury or inflammation of the joint

 

Radio frequency treatment- knee pain

 

 A CONDITION OF PAIN AND INFLAMMATION IN A JOINT WHICH LEADS TO RESTRICTED JOINT MOVEMENTS.IT IS PERCEIVED TO BE DISEASE OF THE OLD, BUT CAN AFFECT PEOPLE OF ALL AGES. THERE ARE TWO TYPES OF ARTHRITIS – OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS. THE SYMPTOMS OF ARTHRITIS ARE JOINT PAIN, STIFFNESS AND TENDERNESS.
 AMONG OTHER ARTHRITIS SYMPTOMS ARE WEAKNESS, MUSCLE WASTING AND RED SKIN OVER THE AFFECTED JOINT. AS OF NOW, THERE IS NO ARTHRITIS CURE. SO, THE TREATMENT OF ARTHRITIS FOCUSES ON SLOWING DOWN THE CONDITION.
PAINKILLERS AND ANTI-INFLAMMATORY DRUGS ARE ADVISED FOR EASING THE COMPLICATION OF ARTHRITIS. MOST OFTENLY PATIENTS KEEP ON TRYING SWITCHING FROM ONE MEDICINE TO ANOTHER IN HOPE OF COMPLETE CURE,BUT AS ARTHRITIS IS CHRONIC DISEASE,REMISSION ARE INEVITABLE.

non surgical treatment-

it is common in practice that after a long trial with medicine or other available treatment ,patients are advised to adopt for surgical intervention[knee replacement]but radio frequency ablation now a best non surgical option to avoid untimely,unwanted knee replacement surgery in people,who are not medically fit,or unaffordable.
  • genicular radio frequency neurotomy

GENICULAR NEUROTOMY  IS A ADVANCE NEW, INNOVATIVE OPTION FOR TREATING ANY KIND OF KNEE PAIN WITHOUT  OPEN SURGERY. THAT AVOID REPLACEMENT SURGERY IN MOST OF KNEE PAIN CASES FOR LIMITED DURATION,THIS HIGHLY ADVANCED PROCEDURE IS ON THE ABSOLUTE CUTTING EDGE OF MEDICINE. BY SELECTIVELY APPLYING A SOPHISTICATED TYPE OF RADIO FREQUENCY WAVE TO THE NERVES SURROUNDING THE KNEE (THE GENICULAR NERVES),BECAUSE MOST OF KNEE JOINT STRUCTURE SUPPLY BY GENICULAR NERVES. ONE CAN EFFECTIVELY RELIEVE PAIN IN THE KNEE FROM DIFFERENT ETIOLOGY.

what are Indications ?Perhaps the greatest advantage of genicular neurotomy is the fact that the entire procedure is performed OUTSIDE the knee capsule. This is what allows it to succeed where other procedures like cortisone injections, hyaluronic acid injections, and even surgery fail. In fact, this procedure can be done up to one month before knee surgery and even after surgery.

Genicular neurotomy is indicated for a variety of conditions:
Osteoarthritis (OA)Chronic Knee PainDegenerative Joint DiseaseTotal Knee Replacement (before or after)Partial Knee Replacement (before or after)Patients unfit for knee replacement
PATIENTS WHO WANT TO AVOID A #KNEE REPLACEMENT #NEUROTOMY IS ADVANCE PROCEDURE,WITHOUT ANY  ATTEMPT TO OPEN SURGERY,THROUGH A GUIDED RF CANULA UNDER LOCAL ANAESTHESIA ,WITHOUT GIVING ANY STEROID OR OTHER INJECTION,THAT DETRIMENTAL TO OUR HEALTH.WITHOUT AFFECTING ANY JOINT STRUCTURE,OR ANY SIDE EFFECTS.ITS ONE OF NOBLE APPROACH TO RELIEVE YOUR PAINFUL KNEE.

While surgery is considered to be the accepted treatment option for patients with advanced joint disease, many individuals have comorbidities that may prevent them from being an appropriate surgical candidate. Others may simply want to avoid surgery, as they may be unable to take off the necessary time from work for the procedure and post-operative recovery period. In these cases, radiofrequency neurotomy of the genicular nerves is a safe, potential alternative to joint replacement for pain.

How Does It Work?

The procedure uses a breakthrough advance technology called Radiofrequency Ablation (RFA) to slowdown the painful nerves and prevent the signals from reaching the brain. This amazing technology has been used for decades with excellent success, traditionally to treat pain in the neck and back. The nerves grow back over time which makes the procedure reversible if necessary.after few weeks to month nerves get regrow again

RFA harnesses the energy of radio waves to treat pain at the source, without the need for incisions of any kind.  The most appealing aspect of RFA is that there is no need for steroid or cortisone injections, making it ideal for patients with high blood pressure and Diabetes.any patients who supposed to be fit by your surgeon for surgery,can be consider for procedure.

This procedure is performed in two steps:

  • Diagnostic Genicular Nerve Block – This procedure consists of placing a small amount of a local anesthetic, like2% Lidocaine or Bupivacaine, on the genicular nerves to test the patient’s response  like sensory or motor and see if there is sufficient enough relief in the knee to justify performing a therapeutic neurotomy.watch for few hours to days .
  • Genicular Nerve Ablation – This is the therapeutic portion of the treatment whereby the physician will perform a radiofrequency ablation (RFA) of the genicular nerves, thus alleviating pain to the knee and restoring function.

Both portions of the procedure are performed as an outpatient under direct fluoroscopic guidance or ultrasound guided depending on modalities available to centre or expertise of treating doctor

treatment comparison-

 

Procedure

RadioFrequencyAblation

Joint’s Replacement

Risk Association

absolutely not

Yes like revise surgery,infection

Hospital Stay

No Need,same day discharge

Yes[days-weeks]

Pain

No pain,under local anaesthesia

yes after surgery some patients having painful knee.

Incision/Scar/Cut

 

invisible

Yes,big scar

Blood

No blood loss

Yes,blood loss and transfusion required

Anesthesia

Only local Anesthesis with Xylocaine 2%

From general Anesthesia to combined spinal spidusal Anesthesia

Acceptablity to Patient

Easy due to cheaper cost & no side effect

not acceptable in general, 

Return to work

assume normal activities 
depending on type of surgery