Wednesday, May 31, 2023

Fluid On The Knee Removal

You Are Told To Have A Cortisone Injection

MoraMD: My Knee Fluid Removal Technique. It does not have to hurt.

In this video

  • The difference between Prolotherapy and Cortisone is extensive.
  • Cortisone when injected into the joint can successfully mask pain. Many people have very successful treatments with Cortisone. We typically see patients who have a long history of Cortisone injection and these injections are no longer effective for them.
  • Cortisone has been shown, in many studies, to accelerate degenerative osteoarthritis through cartilage breakdown.
  • Over the years we have seen many patients who have received corticosteroid injections for joint pain. Unfortunately for many, excessive cortisone treatments lead to a worsening of chronic pain. Again, while some people do benefit from cortisone in the short term the evidence however points to cortisone causing more problems than it helps.

In our article Alternatives to Cortisone, we discuss some of this research including a new study from October 2019 which suggests cortisone leads to the greater need for knee or hip replacement.

Corticosteroid damaged knee cartilage and provided no significant pain relief after two years.

  • In the International Journal of Clinical Rheumatology, researchers wrote: Corticosteroid therapy, as well as NSAIDs, can lead to the destruction of cartilage, suggesting that a positive effect on joint pain may also be associated with accelerated joint destruction, which is an extremely important factor in a chronic, long-term condition such as osteoarthritis.
  • Cortisone disrupts and hurts native stem cells

    How Does Arthrocentesis Work

    Fluid buildup in joints puts pressure on the joint. Excess fluid causes pain and swelling. You may find it difficult to bend and move the joint.

    Your healthcare provider may drain the fluid and send a sample to a lab. Tests can determine the cause of the fluid buildup.

    As a treatment, joint aspiration eases swelling and joint pressure. You should have less pain and find it easier to move after this procedure. Excess fluid often comes back. You may need joint aspiration again.

    Healthcare providers typically use arthrocentesis on the:

    • Hips, knees, ankles and feet.
    • Elbows, shoulders, wrists and hands.

    How Does Synovial Fluid Replacement Work

    The treatment is usually repeated once a week for three to five weeks, depending on the severity of Osteoarthritis and the brand of Hylauronic Acid injection being used. It has been shown to stop and even reverse the degenerating process of Osteoarthritis.

    The treatment is not painful and has very few side-effects. The fact that the Hylauronic Acid is derived from chickens means that the treatment is unsuitable for people with an intolerance to chicken and/or eggs. But, this apart, Synovial Fluid Replacement is proving to be an effective and safe treatment for Osteoarthritis.

    It also has a role to play in promoting recovery from arthroscopic knee surgery.

    In this case doctors replace the bodys own synovial fluid with a synthetic version to reduce pain and swelling. Traditionally, local anaesthetic is injected into the joint to bring down pain and swelling but this can damage cartilage. Replacing the synovial fluid has been found to have similar effects but without the harmful side-effects.

    More research is needed in this area but early indications suggest that synovial fluid whether natural or synthetic has a key role to play in restoring joint function and enabling people to lead a full and active life post-knee surgery.

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    That Being Said You Can Basically Group Effusions Into 2 Kinds:

    Small and large.

    According to a study, small joint effusions dont show any symptoms, can happen to anyone, and typically resolve on their own.

    Large effusions, on the other hand, are what you have to watch out for because theyre clear giveaways that something is wrong, which brings us to the next part of our discussion.

    How Can I Prevent Fluid On The Knee


    One of the best ways to prevent this condition is to take care of your joints.

    Maintain a healthy weight, and practice exercises to keep the surrounding muscles strong, flexible, and supportive.

    Consider low-impact activities such as cycling, swimming, or moderately challenging walking avoid steep hills. Make sure you use the correct form with any exercises to protect your knees and other joints.

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    What Is Joint Aspiration

    Joint aspiration is a procedure to remove fluid from the space around ajoint using a needle and syringe. This is usually done under a localanesthetic to relieve swelling and/or to obtain fluid for analysis todiagnose a joint disorder or problem.

    Joint aspiration is most often done on the knee. However, fluid can also beremoved from other joints, such as the hip, ankle, shoulder, elbow, orwrist.

    Other related procedures that may be used to help diagnose joint problemsinclude X-ray, bone scan, magnetic resonance imaging , computedtomography , arthroscopy, and arthrography. Please see theseprocedures for additional information.

    Key Points About Baker Cysts

    • A Baker cyst is a fluid-filled sac that forms behind the knee. They usually don’t cause major problems.
    • A Baker cyst is usually the result of some other problem with the knee. It may be caused by osteoarthritis or a tear of the knees cartilage.
    • Many people with Baker cysts dont have any symptoms. You might have some pain behind the knee.
    • Your healthcare provider will try to treat any underlying conditions. You may also need fluid removed from the knee joint space or the cyst.
    • Surgery isn’t usually needed for a Baker cyst.
    • In rare cases, a Baker cyst can rupture. This can cause serious complications. See your provider right away if your leg is red and swollen.

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    Why Does Fluid Gather In The Knee Joint

    A swollen knee might be an indication that excessive fluid is present in the joint. In some cases, you may even be able to feel the liquid when you lightly press on the swollen area.

    Like other problems associated with knee pain and swelling, trauma may have caused the fluid to build up in the knee joint. The knees response to trauma is to protect itself. The body will produce fluid that invades the space where the trauma occurred. This is often referred to as edema, to describe swelling that has resulted from fluid buildup.

    One of the most common reasons for fluid build up is an arthritic joint. Rheumatoid arthritis is especially hard on knee joints, but can be successfully treated when properly diagnosed. Although medical science hasnt defined the cause for rheumatoid arthritis, the symptoms have been defined and can include water on the knee.

    Knee osteoarthritis is quite painful and can cause water on the knee. Osteoarthritis occurs when cartilage in the knee wears down over time, resulting in bone on bone friction. There is no cure for osteoarthritis, but the symptoms can be addressed.

    If you have water on the knee that is accompanied with pain, stiffness, and fatigue, and the knee is warm to the touch, you might have rheumatoid arthritis. Rheumatoid arthritis and osteoarthritis are just two origins, but there are others.

    Why Nothing Is Helping Your Knee Swelling


    There may be two reasons that you are reading this article. You did a casual search to see what you can do for your recent knee swelling event, perhaps you worked the long shift in the warehouse, decided to play 27 holes instead of 18, or did something to aggravate your knee beyond normal everyday function. Then you may have landed here because your knee swelling has been going on for years and you have tried everything.

    Lets see some stories from the emails we get from people who have tried everything.

    I want to return to activities without pain and swelling and tightness and sleep without pain.

    Here is a story, probably sounds like many of yours: I want to return to activities without pain and swelling and tightness and sleep without pain. My right knee has been causing me pain for the last five years. It all started with some minor sprains and tears. First was to MCL, then the meniscus had a small tear. I had an MRI and X-rays and the surgeon recommended I get a cortisone shot before considering arthroscopic surgery. The surgery is to clean up some debris.

    The cortisone injection did not help. I was prescribed physical therapy which made my knee worse. I was not sleeping so I scheduled the surgery. I am waiting for the surgery now.

    The Bakers cyst

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    When Should I See A Doctor

    If you ask me, its always best to see a doctor or other reputable health and wellness professionals if youre experiencing anything thats out of the ordinary.

    However, I also understand that hiring these wellness professionals is expensive. I dont even follow my own advice because of financial constraints if Im being honest.

    So, below is a list of what research considers red flags. If you experience any of them, be sure to get your symptoms reviewed by medically trained folk you trust.

    • Losing pulse below your knee
    • Partially or fully losing sensation below the knee
    • Losing the ability to bear weight on your lef

    To add, you should also seek your physicians help if neither of the home remedies and OTC meds works.

    How To Care For A Swollen Knee

    When does a swollen knee require medical care, and when can it be treated at home? Mild to moderate knee swelling and knee effusionsometimes called water on the kneecan usually be treated at home. Medical attention is recommended if the knee is persistently swollen or accompanied by severe pain or other serious symptoms.

    Read on to learn when to contact a doctor, how to treat a swollen knee at home, and how doctors can remove fluid from a knee using a process called aspiration.

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    Knee Aspiration: Everything You Need To Know

    The knee can get affected in injuries, joint conditions or systemic illnesses, leading to pain and swelling of the knee joint. Knee swelling is mainly accumulation of fluid in or around the joint. Knee effusion or water on knee commonly occurs due to acute trauma, arthritis and other forms of joint disorders or infection.

    In such situations, knee joint aspiration, also known as arthrocentesis is performed for aspiration of excess fluid. It can be performed as a diagnostic as well as treatment modality.1

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    How Are Arthrocentesis And Joint Injections Performed

    Cross Section Biomedical Illustration Of Removing Synovial Fluid From ...

    Joint aspirations and injections take place in your healthcare providers office. Your provider may use images from an ultrasound or X-rays to guide procedures.

    First, your provider disinfects the skin. For smaller joints, your provider applies a numbing cream to the skin. You may need a local anesthetic to numb a bigger joint section like the hips or shoulders.

    During joint aspiration and injection, your provider:

  • Inserts a thin needle into the joint.
  • Attaches an empty syringe to the needle and draws fluid out of the joint . Your provider may need multiple syringes to remove all of the fluid.
  • Removes the syringe with the excess fluid and replaces it with a syringe that contains medication.
  • Uses the same needle and entry point to inject medication into the joint.
  • Places a bandage over the treatment area.
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    In This Case Excess Fluid In The Knee Is Essentially What Joint Effusion Is

    Research from the Journal of The Royal Society of Medicine says that knee effusion is more common than in any other joint because of 2 connected reasons:

    • You bear weight on it, but
    • Your knee joint isnt as congruent as your other weight-bearing joints

    Soft tissues such as the menisci right in the middle of the joint, as well as the ligaments and joint capsule that tie them all together, make up for the incongruency.

    Carmelo Anthony Finds Relief After Knee Drainage

    Most people are familiar with the traditional solution to a swollen knee: wrap some ice around it, rest, and allow the body to recover naturally. But what if this tried and true therapy fails? After a month-long struggle with swelling in his right knee, superstar forward for the New York Knicks, Carmelo Anthony, finally had his knee drained. Within 24 hours of the procedure, Anthony publicly expressed his regrets at not undergoing the knee drainage sooner.

    Fearing that his knee swelling was the result of cartilage or ligament damage, which could require surgery, Anthony postponed knee drainage for weeks while attempting to rest and gently rehabilitate his knee. He sat out six games and offered an underwhelming performance in two more before deciding to have the knee drained. The procedure revealed that the pain and stiffness were actually due to fluid from a strained hamstring draining down and putting pressure on the knee.

    Anthony has since returned to the court pain-free, helping the Knicks battle to maintain their seed for the upcoming NBA playoffs. If not for knee drainage, he might still be watching his team play from the sidelines. If you are experiencing pain or swelling in the knee and want to learn more about knee drainage, feel free to schedule a consultation with Dr. Millstein.

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    How To Get Rid Of Fluid On The Knee

    13th March 2021

    At some point in our lives we may be unfortunate enough to develop problems with our knee joints.

    Along with the pain fluid or swelling filling up the knee can be another side product of your knee pain.

    If youve suffered an injury to the knee, had surgery or have just been doing a little bit too much your knee can develop swelling and fluid.

    Whilst this is a natural reaction and your body will try and sort it out for you, sometimes it can hang around for a while and it can make the knee uncomfortable.

    Depending on how your knee has become swollen there may be some different options to help reduce the swelling.

    A good place to start understanding swelling of the knee is the anatomy

    The knee is comprised of 3 different bones.

    The femur which is also known as your thigh bone, the tibia which is your shin bone and the patella which is also known as your knee cap.

    The femur is the largest bone in the bone and it forms the top of the knee with two femoral condyles which are the 2 rounded parts at the end of the bone.

    These 2 condyles are covered in articular cartilage which gives the knee a smooth surface and helps to absorb shock and move without pain.

    The tibia is the shin and this is the platform of which the femur sits on to. On top of the tibia there are 2 discs of cartilage known as meniscus.

    Meniscus is a form of cartilage and again it helps the knee to move smoothly, with comfort and acts as a shock absorber.

    What Is Fluid On The Knee

    MoraMD: Knee Fluid Removal. It doesnt have to hurt.

    Fluid on the knee is a condition in which too much fluid builds up in or around the knee. The knee is one of the largest joints in the body. It is a hinge joint formed by three bonesthe thighbone , shinbone , and kneecap . The joint also consists of several ligaments, tendons, cartilage structures, and bursae, which are fluid-filled sacs. Joint fluidor synovial fluidbathes the joint structures to cushion them and reduce friction between them.

    Fluid on the knee can occur when there is too much synovial fluid or when blood or lymph fluid leaks into the joint. Excess fluid accumulates in the synovial cavity, which is the closed space enveloping the joint that holds synovial fluid. In cases of trauma or severe inflammation additional blood and fluid can accumulate within the surrounding soft tissues. Knee joint effusion is the medical name for the condition.

    When there is fluid on/in the knee, it can cause the knee to swell. Pain and joint stiffness can also occur. Trauma, including acute injuries and overuse injuries, and diseases, such as gout and arthritis, can cause fluid on the knee. Depending on the cause, the symptoms of swelling, pain and stiffness can develop slowly or immediately after an injury.

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    Understanding That Getting Rid Of Chronic Knee Swelling Is A Matter Of Addressing The Problem Of Degenerative Knee Disease

    Did the inflammation cause the swelling or did the swelling cause the inflammation? This is not a trick on words or some cute wordplay. Medical researchers in China teamed with doctors at Rush University Medical Center and Drexel University to publish a January 2020 study in which they suggest that synovitis, or inflammation of the knees synovial membrane, precedes and is associated with osteoarthritis. What the researchers suggest is that when you have a chronic or acute knee injury, enough to cause chronic or acute inflammation, osteoarthritis progression begins spontaneously. What does that mean? You twist your knee. Your knee swells. Osteoarthritis is occurring right before your eyes. The swelling needs to be addressed.

    Treatments For Swollen Knee

    • Your treatment will depend on whats causing your swollen knee and how painful it is. Your doctor will recommend the most appropriate treatment after diagnosing the underlying cause.

      In most cases, youll be advised to take painkillers. You can also apply ice and elevate your knee to help reduce the swelling. Sometimes removing some of the fluid in your knee helps reduce the pain and stiffness.

      Other treatments include:

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    How Do You Remove Fluid From Knee Joints Naturally

    Natural home remedies for removing fluid from knee joints include the RICE protocol for reducing swelling. Other treatments include herbal supplements and alternative forms of physical therapy, as stated by Healthline.

    Fluid builds in the knee as a result of several different factors. Injuries such as fractures, ligament or meniscus tears, and overuse trauma all draw fluid to the knee. Such conditions and diseases as osteoarthritis, rheumatoid arthritis, gout, infection, bursitis, bleeding disorders, tumors and cysts all lead to fluid gathering around and inside the knee joint, according to Mayo Clinic.

    When carrying out the RICE protocol, sitting on a couch, elevating the feet on a cushion, and applying a bag of ice or frozen small vegetables to the knee reduces swelling. Using a compression bandage while going about normal daily activities applies pressure to fluid, sending it out of the joint. Some natural supplements that help reduce knee swelling include ginger extract, willow bark, glucosamine and chondroitin sulfate. Ginger extract and willow bark reduce pain and inflammation, and chondroitin sulfate and glucosamine address more severe cases of pain and swelling. Tai chi is an alternative form of physical therapy that boosts flexibility and balance. It also increases range of motion, fighting the tendency to remain sedentary that accompanies pain and allows fluid to build as well, notes Healthline.

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