Injections for knee arthritis: explained

Written in association with: Mr Graeme Hopper
Published: | Updated: 07/06/2024
Edited by: Aoife Maguire

Knee arthritis can be a debilitating condition, affecting your ability to perform everyday activities. If you're considering injections as a treatment option, it's essential to understand what they involve, how they work, and their potential benefits and risks. Renowned consultant orthopaedic knee surgeon Mr Graeme Hopper explains the various injections available.

 

 

What is knee arthritis?

 

Knee arthritis is a condition where the cartilage in the knee joint wears down, leading to pain, swelling, and reduced mobility. Osteoarthritis is the most common form, typically affecting older adults. Rheumatoid arthritis, an autoimmune condition, can also affect the knees, causing inflammation and joint damage.

 

Types of injections

 

There are several types of injections available for treating knee arthritis. Each has different mechanisms and potential benefits.

 

Corticosteroid injections

 

Corticosteroids, commonly known as steroids, are powerful anti-inflammatory medications. These injections can provide quick pain relief by reducing inflammation in the knee joint. However, the effects are often temporary, and repeated use can lead to side effects such as weakening of the cartilage.

 

Hyaluronic acid injections

 

Hyaluronic acid is a substance naturally found in joint fluid, which helps lubricate and cushion the joint. Injections of hyaluronic acid can improve joint mobility and reduce pain for several months. This treatment is also known as viscosupplementation. It is often recommended for patients who do not respond well to other treatments.

 

Platelet-Rich Plasma (PRP) injections

 

PRP injections use a concentrated solution of platelets derived from your own blood. Platelets are components of blood that help with healing. These injections aim to promote the repair of damaged cartilage and reduce inflammation. While PRP is considered safe, its effectiveness varies, and more research is needed to establish its long-term benefits.

 

Stem cell injections

 

Stem cell therapy involves using cells that can develop into different types of tissues to promote healing and regeneration in the knee joint. These injections are often derived from bone marrow or fat tissue. While promising, stem cell therapy is still experimental, and more studies are required to determine its efficacy and safety.

 

Potential benefits and risks

 

Injections can offer significant relief from knee arthritis symptoms, potentially delaying the need for more invasive treatments like surgery. However, it is essential to be aware of the risks linked to such injections. Common side effects include pain at the injection site, swelling, and infection. Discussing your medical history and concerns with your healthcare provider is crucial in determining the most suitable treatment option for you.

 

Understanding the different types of injections available for knee arthritis can help you make an informed decision about your treatment options. Always consult with a medical professional to evaluate the best course of action based on your individual needs and medical condition.

 

 

If you would like to learn more about injections for knee arthritis, book a consultation with Mr Hopper via his Top Doctors profile today

By Mr Graeme Hopper
Orthopaedic surgery

Professor Graeme Hopper is a leading consultant orthopaedic knee surgeon based in Glasgow. He focuses principally on ACL reconstruction, meniscus repair and knee replacements, in particular partial knee replacements. He also addresses knee arthritis through non-operative methods including injection therapies (steroid, hyaluronic acid, PRP, Arthrosamid).
 
His practice at Ross Hall Hospital specialises exclusively in knee surgery with a focus on sports injuries. His expertise spans from treating amateur athletes to international professionals.
 
Professor Hopper graduated from the University of Glasgow in 2009, earning an MD in sports medicine for his thesis on ligament repair around the knee. He completed a fellowship with Dr Bertrand Sonnery-Cottet who is a world renowned sports knee injury surgeon at the FIFA Centre of Excellence in Lyon, France. He was also awarded the ESSKA-Chelsea FC Sports Trauma Fellowship which allowed him to work with Chelsea FC's medical team and Mr Andy Williams at the Fortius Clinic, London, who specialises in ligament reconstruction for top-tier football and rugby teams.
 
Furthermore. Professor Hopper has  received multiple prestigious travelling fellowships, including from BOSTAA, RCPSG, and the West of Scotland Orthopaedic Research Society, which enabled him to refine his skills at the Mayo Clinic, Midwest Orthopaedics at Rush, and Hamburg University Hospital.
 
An active researcher, Professor Hopper focuses on sports injuries and joint preservation, contributing to numerous publications. He is a member of the SANTI Study Group, collaborating with global knee surgeons to enhance knee injury treatments. He frequently presents at national and international conferences.
 
Professor Hopper emphasises a personalised approach, incorporating shared decision-making and the latest evidence-based treatments.

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