Knee Osteoarthritis in many cases may be considered as part of the normal wear and tear process which affects many of our joints. Particularly affected are the large weight-bearing joints of our lower limbs such as the hips, knees and ankles.

Osteoarthritis (OA) of the knee typically presents with pain and stiffness after long periods without moving, such as first thing in the morning or after sitting for long periods. Patients often times describe ‘crepitus’ which is noise or clicking coming from the joint. Activities such as standing for long periods, going up and down stairs and bending the knee beyond 90° (right angles) such as when squatting or crouching down become most difficult. Osteoarthritis of the knees can be very debilitating and can have a severe impact on your enjoyment of activities and generally your quality of life, as activities of daily living like shopping and household chores can become very difficult.

Exercise strengthening of all the major muscle groups of lower limbs has been shown to be the most effective treatment. Also weight loss can be helpful by reducing the pressure on the knees. Footwear is another consideration and having well-fitting, comfortable, cushioned shoes also gives a significant reduction in the pain symptoms.

However, many people still find that with these measures in place they still experienced debilitating pain of the knees. Orthopaedic surgeons will often be reluctant to consider knee replacement until the patient is 65-70 years old. Also, many patients may be reluctant to consider joint replacement surgery or may have medical reasons preventing this course of treatment. Many patients, therefore, find that a steroid injection can provide a significant period of pain relief. This can be used as an opportunity to strengthen and improve function of the knee which in turn can help with the overall management of this condition.

Our expert clinicians are able to provide a full clinical and functional assessment as well as performing an ultrasound scan of evaluation to help decide if a corticosteroid injection is appropriate. Patients will always be screened for potential contraindications and advised of potential risks and precautions prior to the injection.

For further information please email injections@complete-physio.co.uk or call 02074823875 . We will be happy to answer your questions.

Research Articles of Interest

Tian, K., Cheng, H., Zhang, J. and Chen, K., 2018. Intra-articular injection of methylprednisolone for reducing pain in knee osteoarthritis: a systematic review and meta-analysis. Medicine97(15).