Knee / Shoulder Joint Pain

The shoulder

• Most movable joint in the body
• An unstable joint - As it has to allow the range of motion allowed
• easy to get injured as the ball of the joint is larger than the socket which holds it
• Stability is achieved by strong muscles, tendons and ligaments 
• Damage to these tissues can be because of injury, overuse or underuse of the shoulder.
• A degenerative process can also cause shoulder pain
• Inflammation - Tendinitis, Bursitis & Impingement of soft tissues in & around shoulder

Pain character - localized or referred around the shoulder or to the arm.

Knee Pain

Can affects people of all ages.The cause may be an injury causing a ruptured ligament or torn cartilage. Some other causes are arthritis, gout and infections.

Most knee pain can be treated with simple home remedies. Some required medical and conservative treatments.Few patients will require knee surgery. 

Presentation - you may have swelling and stiffness, redness, warmth, weakness or instability of muscles and ligament, Popping or crunching noise, inability to fully straighten the knee. 

When you should meet our pain physician - 

When you see above symptoms and you have difficulty in weight bearing restricted range of movement, you must visit our clinic.

Overview of Management of Knee and shoulder pain 

Investigations - X-rays, MRI, arthrogram 

Treatment - Intra-articular, peri-articular, intrabursal injection of Viscosupplements, steroid or prolotherapy / regenerative agents are some of the very effective.

What is the Visco supplement (Synovial fluid replacement) product?

Visco supplement (Synovial fluid replacement) is a gel-like mixture that comes in a syringe containing 6 mL (1 ½ teaspoon) and is injected into your knee or shoulder. 

How is the Visco supplement (Synovial fluid replacement) product used? (Indications)

The FDA-approved indication for Visco supplement (Synovial fluid replacement) is: 

• pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative non-pharmacologic therapy and simple analgesics 

How is the Visco supplement (Synovial fluid replacement)product given?

Your doctor will inject Visco supplement (Synovial fluid replacement) into your knee either blindly or under USG guidance.

Are there any reasons why I should not receive a Visco supplement (Synovial fluid replacement)injection? (Contraindications)

• any prior allergic reactions to Visco supplement

What other treatments are available for OA?

• Non-drug treatments
• Avoiding activities that cause knee pain
• Exercise or physical therapy
• Weight loss
• Removal of excess fluid from your knee
• Drug therapy
• Pain medications - Paracetamol, NSAID or opioids
• Steroids injection in the knee

Advanced non-surgical treatment options 

• Shoulder - RF ablation of suprascapular nerve, Cooled RF ablation of articular nerves branches around the shoulder
• Knee - Genicular nerve cooled RF