Shoulder Pain & Joint Pain Treatment in Mumbai — Pain Clinic of India

The Shoulder

• Most movable joint in the body.
• An unstable joint — as it has to allow the range of motion needed.
• 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 the shoulder.

Pain character — localised or referred around the shoulder or to the arm.

Knee Pain

Knee pain can affect 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 require 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 ligaments, popping or crunching noise, and inability to fully straighten the knee.

When you should meet our pain physician — when you see the above symptoms and you have difficulty in weight-bearing or restricted range of movement, you must visit our clinic.

Management of Knee and Shoulder Pain at Pain Clinic of India

Investigations — X-rays, MRI, arthrogram.

Treatment — intra-articular, peri-articular, intrabursal injection of viscosupplements, steroid or prolotherapy / Bone Marrow Concentrate (BMC) regenerative agents are some of the very effective options.

What is the Viscosupplement (Synovial Fluid Replacement) product?

Viscosupplement (synovial fluid replacement) is a gel-like mixture that comes in a syringe containing 6 mL (1½ teaspoons) and is injected into your knee or shoulder.

Indications — the FDA-approved indication for viscosupplement (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.

Viscosupplement (synovial fluid replacement) injection — your doctor will inject the viscosupplement into your knee under USG guidance.

Contraindications —

• Any prior allergic reactions to the viscosupplement.

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, NSAIDs or opioids.
• Steroid injection in the knee.

Advanced Non-surgical Treatment Options

• Shoulder — RF ablation of the suprascapular nerve; cooled RF ablation of the articular nerve branches around the shoulder.
• Knee — genicular nerve cooled RF.
• Regenerative therapy — autologous platelet-rich plasma (PRP) therapy injection.
• Regenerative therapy — autologous bone marrow concentrate MSC injection.
• Regenerative therapy — autologous adipose tissue MSC injection.

Contact us for more information.