Types of joint injections

Unfortunately, lots of patients suffer from painful joints. Pain in weight bearing joints like hips and knees is extremely common and may prove to be quite debilitating.

Joint pain often necessitates the need for clinical assessment and imaging studies (X-rays and/or MRI scans). Arthritis (wear and tear) of these joints is the commonest cause of joint pain. Other reasons for joint pain include inflammatory conditions, previous injury, ligament/tendon inflammation, etc.

Initial management of most of these conditions includes pain management, activity modification and exercises. If these fail to give any substantial benefit, joint injections have a role to play. Book an appointment at our clinic if you want to take any joint injections.

Joint injection has a role in a variety of situations including

Mild to moderate arthritis
Severe arthritis in young patient
To delay the need for any major surgical intervention
For short term benefit for important life events
For early recovery following sports injuries

Different types of injection therapies are available and their use is tailored based on the clinical indication. These include:

Corticosteroid injection – These injections help to reduce inflammation and provide pain relief. They are commonly used for arthritis.
Visco-supplementation injection (lubricant injection to replenish the joint fluid) – These injections generally help with joint lubrication, joint movement and reduce pain.
PRP injection (Platelet rich plasma injection) – PRP injections use the patient’s own blood platelets to promote heading and reduce inflammation.
Hydrogel (Arthrosamid injection – for long lasting pain relief) – This type of injection helps as a cushion and lubricant within the joint and thereby helps with pain relief.

Indications for the different types of injections vary and I generally help patient decide, which is likely to be most useful based on individual requirements.

Ready to take the next step toward better joint health? Book an appointment with Dr. Kuntal Patel today.

Frequently Asked Questions

1. What is the most common joint injection?

Corticosteroid injections are the most common joint injections. They are often used to relieve inflammation and pain in joints affected by arthritis, especially in knees, shoulders, hips, and smaller joints.

2. Which injection is used for joint pain?

Steroid (corticosteroid) injections are widely used to treat joint pain. They reduce inflammation and provide temporary relief for conditions like osteoarthritis, rheumatoid arthritis, or bursitis. Relief may last weeks to months.

3. What is the best anti-inflammatory injection?

Corticosteroid injections are considered the best anti-inflammatory option for joint issues. They quickly reduce inflammation and pain in affected joints, offering relief from conditions like arthritis, tendonitis, and bursitis.

4. What is best for joint pain?

Treatment depends on the cause, but a combination of physical therapy, NSAIDs, corticosteroid injections, and lifestyle changes is effective. For severe pain, injections or surgery may be considered after medical evaluation.

Advances in Knee Replacement

Total knee replacement is generally a very successful operation. Approximately 3.6 million knee replacements are carried out annually worldwide! Modern-day knee replacement surgery has transformed the lives of millions of people around the world.

Total knee replacement is typically performed for patients with arthritis of the knee. It can also be performed for patients with knee injury, post-traumatic arthritis, inflammatory conditions, etc.

Knee replacement surgery has seen significant advances over the years, improving patient outcomes and recovery times. Here are some key developments:

Minimally Invasive Techniques: Surgeons now use smaller incisions and advanced surgical techniques to reduce tissue damage and speed up recovery. This approach often results in less pain and shorter hospital stays. I routinely use this in my practice and find that the post-operative recovery is much less painful with reasonably quick return to normal life.
Improved Prosthesis: Modern knee implants are made from durable materials like highly engineered metal alloys, which offer better wear resistance and longevity. These materials help reduce the risk of implant failure and the need for revision surgery. The polyethylene bearing has also seen significant improvement in technology due to cross linking and gamma irradiation, improving the longevity. Data from joint registries around the world show that the average survivorship of knee replacement is now in excess of 18-20 years.
Robotic-Assisted Surgery: The use of robotic systems in knee replacement surgery allows for greater precision in implant placement. This technology helps surgeons achieve optimal alignment and positioning, leading to better functional outcomes.
Enhanced Rehabilitation Protocols: Advances in rehabilitation techniques and protocols have improved post-surgery recovery. Patients now benefit from tailored exercise programs and physical therapy that promote faster healing and return to normal activities. In my practice, patients are encouraged to mobilize full weight bearing on the day of the surgery and are generally able to walk with walking aids as well as manage stairs from the next day.
Pain Management: New pain management strategies, including regional anaesthesia and multimodal pain relief, have significantly reduced post-operative pain and discomfort. This allows patients to mobilize sooner and participate in rehabilitation activities.

These advancements have contributed to better overall outcomes for knee replacement patients, making the procedure safer and more effective. In my practice, the overall success rate following total knee replacement using modern techniques is more than 95%.

Concerned about your hip or knee? Schedule a consultation with Dr. Kuntal Patel at the Lancashire Hip & Knee Clinic.

Frequently Asked Questions

1. What type of knee replacement is most successful?
Cemented total knee replacement is the most commonly used and successful type, offering strong fixation, excellent outcomes, and durability for most patients across various age groups and activity levels. Book an appointment with Lancashire Hip and Knee Clinic and forget about your knee pain.

2. Are there any advances in knee replacement surgery?
Yes, recent advances include robotic-assisted surgery, patient-specific implants, minimally invasive techniques, and improved biomaterials that enhance precision, reduce recovery time, and increase implant longevity.

3. What is the lifespan of a knee replacement?
Most modern knee replacements last 15 to 20 years or more, depending on factors like activity level, weight, and implant type, with many patients enjoying long-term pain relief and mobility.

4. What is a smart knee replacement?
A smart knee replacement includes a sensor-enabled implant that collects data on motion, load, and activity, helping doctors monitor recovery and optimize outcomes through real-time insights.

5. What age is best for total knee replacement?
The ideal age for total knee replacement is typically between 60 and 70 years, balancing the need for pain relief with implant longevity and minimizing the chance of requiring revision surgery later.

Recovery Time After Knee Arthroscopy

Knee arthroscopy is a common surgical procedure used to diagnose and treat problems in the knee joint. The recovery time after knee arthroscopy can vary depending on the individual and the specific procedure performed. This procedure is typically performed on a day case basis, which means you are allowed to go home the same day.

In most cases, you are allowed to fully weight bear soon after the surgery. Some patients may need some walking aids for up to few days.

Generally, most patients can expect to return to their normal activities within a few days. If you needed to use walking aids, you should be able to wean off these within a week or two in most cases. Most patients can return to driving and normal walking within a week or so.

In the first few days after surgery, it is important to rest and keep the knee elevated to reduce swelling. Ice packs and pain medication can help manage discomfort. Physiotherapy is often recommended to help restore strength and mobility in the knee. Most patients can begin light activities, such as walking, within a week or so, but more strenuous activities, such as running or sports, may take few weeks to resume.

It’s important to follow your doctor’s specific instructions and attend all follow-up appointments to ensure a smooth recovery. If you have any concerns or experience unusual symptoms, be sure to book an appointment with your orthopedic specialist and get treated as soon as possible.

Ready to take the next step toward better joint health? Book an appointment with Dr. Kuntal Patel today.

Frequently Asked Questions

1. How long after a knee arthroscopy can I walk?
Most patients can begin walking with assistance within 1–2 days after knee arthroscopy. Full weight-bearing might be possible in a few days, depending on the procedure. Always follow your surgeon’s advice regarding mobility, as recovery time can vary based on the individual and the surgery performed.

2. What is the recovery time for arthroscopic knee repair?
Recovery from arthroscopic knee repair typically takes 4–6 weeks. Minor procedures may heal faster, while more complex repairs like meniscus or ligament treatment could require up to 12 weeks or longer. Physical therapy and adherence to post-op care are crucial for optimal recovery and knee function.

3. How much time off work for knee arthroscopy?
Time off work after knee arthroscopy depends on your job type. Desk workers may return within a week, while those in physically demanding jobs may need 2–6 weeks or more. Your doctor will guide you based on the procedure’s complexity and your physical activity requirements at work.

4. What is the longest knee surgery recovery time?
The longest recovery time is usually after a total knee replacement, which can take up to 6–12 months for full healing and function. Complex surgeries involving multiple structures or revisions can extend recovery even further, especially when complications or underlying health conditions are present.

5. How many days rest is required after knee surgery?
Initial rest for the first 2–3 days is essential after knee surgery, followed by gradual mobility and physical therapy. Light activities usually resume within 1–2 weeks. However, full rest duration varies with the type of surgery, ranging from days to several weeks for more invasive procedures.

Driving After Joint Replacement
Driving after joint replacement surgery requires careful consideration and planning to ensure safety and comfort. Here are some key points to keep in mind:

General Recommendations

I generally suggest waiting at least six weeks before driving after hip or knee replacement surgery. This is to avoid being impaired by pain, medication, or reduced function. It’s important to test your ability to brake in an empty parking lot before driving.

Specific Tips for Knee Replacement

If you had surgery on your left knee, you might be able to drive after 2-3 weeks, as the left leg is used less while driving. However, if you had surgery on your right knee, it might take around 5-6 weeks before you can drive safely. Always consider getting medical clearance from your doctor before attempting to drive.

Car Transfers

Getting in and out of a car right after joint replacement surgery can be challenging. It’s recommended to choose suitable vehicles like SUVs, minivans, or full-size sedans over smaller cars. Preparing the passenger seat by moving it back and reclining it can facilitate easier entry. Using a walker and positioning the operated leg carefully can help in making the transfer smoother.

Legal and Moral Considerations

Driving while recovering from surgery can have legal and moral consequences if you get into an accident. It’s crucial to ensure that you are not impaired by medication and that your reaction time is not reduced. Please ensure that you are able to get in and out of the car without any walking aids and that your braking ability is not compromised.

Testing Your Ability

Before resuming normal driving, it’s advisable to test your ability to drive safely in an empty parking lot. This includes checking if you can walk steadily with minimal use of a cane and ensuring that you haven’t taken narcotic pain medicine within four to six hours before driving.

Remember, your recovery and readiness to drive will depend on various factors, including your strength, mobility, and individual healing rate. Always prioritize safety and consult with your healthcare provider at Lancashire Hip and Knee Clinic for personalized advice.

Concerned about your hip or knee? Schedule a consultation with Dr. Kuntal Patel at the Lancashire Hip & Knee Clinic.

Frequently Asked Questions

1. How soon after knee replacement surgery can you drive?
Most patients can resume driving 4–6 weeks after surgery, provided they regain strength, mobility, and can stop the car safely during an emergency.

2. Can I legally drive after knee replacement?
You can legally drive once you’re off pain medications, have adequate leg control, and your doctor clears you—usually around 6 weeks post-surgery.

3. Why do you have to wait 6 weeks after surgery to drive?
You need time to regain muscle control, reflexes, and flexibility to operate a vehicle safely and respond quickly in case of emergencies.

4. What is the maximum bend after knee replacement?
Most people achieve 120°–130° of knee bend after full recovery, enough for everyday activities like sitting, climbing stairs, or getting in a car.

5. How long after surgery can I drive?
Driving is typically safe 4-6 weeks after surgery, depending on which knee was replaced, your recovery progress, and your surgeon’s advice.

NEWS AND ANNOUNCEMENTS