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Papers of the Week


2020 Jul 15


Rev Med Suisse


16


700

[Interventional pain management for knee pain.]

Authors

Choffat C, Chung P C S, Cachemaille M
Rev Med Suisse. 2020 Jul 15; 16(700):1342-1347.
PMID: 32672011.

Abstract

Arthritis is the main cause of knee pain among adults over 50 years old. Prosthetic surgery is the ultimate treatment, however percutaneous interventional pain management is a good alternative treatment for patients who are not eligible for an operation or for those who experiment persistent pain after surgery. Intra-articular corticosteroids or hyaluronic acid injections have a mild effect which is limited in time. Nerve ablation treatment using radiofrequency or cryotherapy may have longer lasting analgesic effects superior than 6 months. Finally, regenerative medicine, meaning platelet-rich plasma or mesenchymal stem cells, seems a very promising treatment by improving pain and mobility for a longer period.