Injections into the knee joint with osteoarthritis. Formulations hyaluronan Fermatron. Prices, reviews

Injections into the knee joint at present is one of the most effective available treatment methods for osteoarthritis. Specialist drugs are selected individually, are taken into account characteristics of the organism, the degree of neglect of the disease and other nuances. To achieve a pronounced therapeutic effect, all manipulations must be carried out correctly.

When I needed injections into the knee joint arthrosis

Osteoarthritis of the knee joint in medicine is called gonarthrosis. The disease is a condition in which the developing degenerative-dystrophic changes in the compound, namely in cartilage, accompanied by a gradual thinning and their destruction.

The disease can affect patients of middle and old age, it is sometimes observed in young people. The patient's condition deteriorates gradually or rapidly, so the treatment regimen is different. Injections into the knee joint is necessary for patients who have undergone several courses of treatment with tablets, gels and ointments, but did not feel improvement.

Often injections are shown in the case where the patient suffers from a disease of the digestive tract, so the absorption of drugs components broken.

In addition, in some patients, the disease progresses very quickly, which makes it impossible for the treatment of oral medications. Then the doctor prescribes injections. Sometimes the movement of the joint is broken immediately after the first signs of gonarthrosis, so injections help restore it.

What injections return joint mobility

Injections into the knee joint arthrosis (drugs the doctor always selects individually) are necessary not only to relieve inflammation and slowing down the process of complete destruction of cartilage, but also to restore the mobility of the compound and facilitate the general condition person.

There are several groups of drugs that perform these functions:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) are aimed at slowing down the development of the inflammatory process and elimination of acute pain, the local temperature decrease in the lesion. After several injections of the patient to move more freely diseased limb.
• Action chondroprotectors sent directly to the restoration of cartilage cells, they usually It contains glucosamine and chondroitin, which allows you to restore mobility in the affected joint.
• Substitutes joint shell are almost always composed of hyaluronic acid, which is contained in the synovium compound. The substance has a pronounced healing properties and helps normalize the functioning of the joint.

Such tools when used correctly help to avoid deterioration, reduced motility, stimulates the regeneration of tissues.

Advantages and disadvantages of injections in osteoarthritis of the knee

Injection directly into the joint capsule has many advantages over other treatment options gonarthrosis. However, there are some drawbacks. The main advantage is the high efficiency of the procedure at any stage of the disease. Sometimes manipulation helps the patient to return to normal life.

An additional advantage is considered rapid achievement of improvement, as opposed to traditional methods of treatment. Some patients classical scheme is not suitable for various reasons, only one injection becomes.

Injections are also not adversely affect the internal organs, especially the digestive system, such as occurs by ingestion of capsules or tablets. In some cases, the use of injections a patient can significantly reduce the dose of pain medication or even reject them, which is also a positive impact on the body.

Many drugs for introduction into the joint capsule have a long-term effect, lasts for several months or even a year. Despite the advantages of the method has drawbacks. The main is the inability to perform self-manipulation. This will have to visit the hospital.

In addition, the injection is prohibited in case of serious violations of the blood system, diabetes, obesity, when the doctor just does not have the possibility to test the knee, to find the desired point. Injections into the knee joint with osteoarthritis, for which preparations are selected individually, are not intended to daily administration, as well as strictly contraindicated with the appearance of signs of inflammation, formation of purulent focus.

In addition, many hormonal treatments for frequent use only accelerate cartilage destruction process, although temporarily improve the condition of the patient. Medicines for intra-articular administration are generally potent, so have many contraindications to use.

The rules of the injections

The procedure is performed only in a hospital by an experienced doctor. Any attempts at self-introduction is strictly prohibited.

There are some rules that must be followed precisely:

• Before the procedure, a specialist examines the patient and the affected joint, measure blood pressure, pulse.
• It is important to exclude the likelihood of developing an allergy to the medication. To do this, the doctor inquires about the presence of negative reactions to any funds.
• During manipulation of the patient may be in a lying or sitting position. The second option is used much more often.
• If the patient has a low pain threshold, before the introduction of the drug the doctor uses a local anesthetic.
• Maintenance is performed using a conventional syringe with a long needle or a special, wherein the drug is already present.
• Typically one dose is divided into two injections, which are introduced on both sides of the kneecap. Injection site necessarily disinfected with alcohol 70% and 5% iodine.
• injection sites after administration of the drug taped over small pieces of the patch that eliminates the chance of infection in the joint capsule.
• After the procedure, the patient should be for 2-4 hours in a horizontal position. As it is not recommended to load the affected limb for the next few days.
• Some patients absolutely contraindicated serious exercise even after a full course. Typically, these recommendations provide elderly patients.

It is worth noting that the introduction of the next dose of the drug may only be 10-14 days after the previous procedure. The maximum number of shots is determined individually, often enough 2-4 procedures.

drug group for injections in the knee

Injections into the knee joint when osteoarthritis, for which preparations are highly effective, are assigned individually. Some patients show one group of funds, others - several groups simultaneously.

Group	Act
glucocorticosteroids	Are highly effective, stop inflammation, relieve even severe pain in the advanced stages of gonarthrosis
chondroprotectors	Due glucosamine content, chondroitin and other components influence the production of collagen and articular reconnection, namely cartilage cells. In exchange you use can significantly improve the patient's condition and stop the progression of the disease
Drugs with a content of hyaluronic acid	Stimulates and accelerates the recovery process synovium, normalize metabolic processes in the tissues resume mobility

Funds from the group of non-steroidal anti-inflammatory and is used for intra-articular administration, but they usually have a short-term action and are not able to completely defeat the symptoms gonarthrosis.

corticosteroid hormones

Drugs in this group are composed of different hormones of the adrenal cortex, therefore, have a therapeutic effect on articular joints. However, it is worth remembering that they do not improve the condition of the tissue, but only eliminate the pain when other means are ineffective.

hydrocortisone acetate

The drug for intraarticular administration, produced in the form of a slurry. The composition contains hydrocortisone acetate, anti-inflammatory, analgesic, anti-edema effect. Medication prevents the development of allergies and has immunosuppressive properties.

A single dosage of medication for direct administration into the joint is 2 ml. If necessary, increase the dose of a specialist, if he considers that 1 mg is not enough. The procedure is carried out by the standard procedure, the number of injections - from 2 to 5.

Contraindications include pregnancy and lactation, fungal infections in the acute stage, the age of 14 years, intolerance means components. Before manipulation of examination by a doctor is necessary. Price money - about 200 rubles. 5 vials.

Tseleston

Means a group of glucocorticoids, available as a solution for injection into the joint or muscle. As the active substance in the composition is present betamethasone. Component reduces swelling, relieves pain and stiffness in the joints, helping to stop the spread of the inflammation process.

Single dose for injection into the joint is 2 ml. Sometimes a 1 ml if the patient is weak and has a low weight. The number of procedures is determined individually, an injection is made at intervals of 7-10 days.

Contraindication for the use of the drug will be allergic to its components, renal and hepatic failure, fungal infection of the internal organs. Price drugs - about 200 rubles. 1 vial. The drug is not registered in the territory of Russia, but in the pharmacies of Ukraine it is possible to find.

Depo-Medrol

Injections into the knee joint arthrosis (preparations mainly on prescription) of corticosteroids groups may contain as part of methylprednisolone. Depo-Medrol has a therapeutic effect due to the presence of this particular component. The drug has anti-edematous, action fights inflammation. When introduced into the joint capsule medication quickly relieves the patient.

For the procedure will need a 1 ampoule with 1 ml of the drug solution. The course of treatment usually involves administration of an agent to 5 times at intervals of 10-14 days.

The medicine is not used if you are allergic to its components, pregnancy breastfeeding, childhood, if you have symptoms of acute diseases of internal organs. The price of the drug is different in different regions of the country with an average of 100 rubles. 1 vial.

chondroprotective agents

Medicines of this group of experts used quite often. They are especially needed in the early stages, when it is possible to restore the cartilage in the joint.

Alflutop

Chondroprotector, which included present bioactive concentrates of several species of rare marine fish. The drug is highly effective, increases the amount of synovial fluid, stimulates tissue repair and cartilage cells, improves mobility of the limb in the joint, reduce pain during movements.

The drug is available in the form of a solution in vials of 1 ml and 2, as well as in special syringes to 2.25 ml. It is the latter form is used for intra-articular administration. The procedure is performed under the classical scheme, almost does not provoke pain. To achieve a therapeutic effect should express at least 3 injections at intervals of 10-14 days.

Contraindication for the use of the drug is pregnancy and lactation, age under 18 years, intolerance means components propensity to allergies to seafood. Price means 10 ampoules of 1 ml starts with 1500 rubles. A syringe with a 2.25 ml solution is about 350 rubles.

The purpose of the T

Homeopathic medicine, of which consists of only natural ingredients, they include plant extracts, as well as the inclusion, extracted from the placenta of animals. agent used as a solution for intraarticular injection.

The medicament has chondroprotective, anti-inflammatory, anti-edema, regenerative properties, relieves pain. The single dose for administration to the joint capsule of 2.2 ml, i.e. 1 ampoule. The duration of treatment is determined individually.

Since homeopathic remedy refers to the need to more than 4-5 injections to achieve long-term therapeutic effect. Contraindications include allergic to components of the composition, lactation and pregnancy, age 18, severe renal or hepatic insufficiency. Price agent is 250-300 rubles. 1 vial.

Adgelon

The drug is available in the form of a solution for intraarticular administration in the ampoule 2 ml of product. The present composition adgelon substance, through which is carried and therapeutic effect. The solution has a regenerative, anti-inflammatory, chondroprotective properties, improves mobility of the joint, stimulates the metabolic processes in the tissues, reduces inflammation.

For the procedure required 2ml means. The course involves a minimum of 3 manipulations at intervals of 10 days. It is prohibited to use the drug during lactation and pregnancy, allergy to its components, as a child. The price of the drug starts from 2500 rub. 6 vials.

Hyaluronic acid

Injections into the knee joint should be good to restore not only the cartilage, but also the joint shell. In arthrosis, it also suffers, however effects of drugs directed to the rapid and effective recovery. Many means for hyaluronic acid-based possess similar properties.

Fermatron

A medicament available in the form of a solution for intraarticular administration. Packaged in syringes of 2 ml. As the active component of the active substance is present as sodium hyaluronate.

Means reduces inflammation in the joint, eliminates pain and swelling, prevents further progression of the disease, It increases the number and improves the composition of synovial fluid in the bag, which eliminates the probability of cartilage damage during friction. For administration into the joint will need 1 syringe. The number of procedures the doctor is always determined individually. Usually enough 3-4 times.

Contraindication for the use of the drug will be a period of lactation and pregnancy, allergies to ingredients means, infectious diseases in the acute stage, the risk of infection, inflammation, lesions in the place where you want to make puncture. Price drugs - 4000 rubles. 1 syringe.

ostenil Plus

Preparation based on sodium hyaluron, available as a viscous solution for introduction into the articular joint. Medication is considered to be very effective, improves and restores the fluid balance, listens to inflammation, pain, stimulates and improves blood circulation in the joint capsule, accelerates the recovery of cartilage.

Need for single administration of 2 ml solution which is packaged in disposable syringes. The course consists of 2-4 procedures. Contraindication for administration will be allergic to a drug, the age of 18 years, during breastfeeding and pregnancy. The price of medicines is high, it is 6,000 rubles. 1 syringe.

Synvisc

The medicament in the form of viscous solution, packaged in syringes of 2 ml. Hylan comprises as an active ingredient, a substitute for the synovial fluid increases its amount, reduces inflammation stimulates restoration of cartilage cells.

It is used to introduce into the cavity a compound in an amount of 2 ml, usually recommended to repeat the procedure after 10 days.

The course involves administering 3 doses at intervals of 7 days. Contraindication to drug intolerance, pregnancy, lactation, age of 18, infection of the joint of the patient, the disease in the veins of the affected limb. Price 1 syringe reaches 9000 rubles., It depends on the spread of the region.

Injections into the knee joint are a good alternative to other means of arthrosis. In some cases, the drugs help to fully restore mobility in the other - to improve the condition of the patient and prevent complications.

Video of a shot in the knee joint

Shot in the knee, "Live Healthy":