Tag: knee inflammation

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Knee Osteoarthritis

Side Effects and Risks of Corticosteroid Injections

Corticosteroid and hyaluronic acid injections can help to relieve osteoarthritis knee pain, however, it is temporary.

Corticosteroid or hyaluronic acid injections can help to relieve knee pain, however, it is temporary.

Not only is the relief temporary but there is ample evidence to support that exercise can be just as effective, and so can a simple injection with plain old saline solution (which is often used as the placebo in clinical trials).

Again and again, exercise, in order to treat knee osteoarthritis pain, is recommended over knee injections. One reason is that knee injections come with many more risks than exercise.

One of the biggest risks of knee injections is infections of the knee joint. This is especially true of corticosteroids.

If there are germs on the needle that is used for corticosteroid injections, an infection can happen.

Though joint infections are rare, they do happen. And when they do, they can cause serious problems. Therefore it is critical that these knee injections and performed by experienced doctors that follow hygiene standards such as properly disinfecting the skin before the injection.

The risk of infection is slightly higher with corticosteroid injections than with hyaluronic acid, because of the effect that steroids can have on the immune response of the joint.

In fact, repeated steroid injections over a long period of time can weaken the joint cartilage as well, furthering this risk.

Other possible side effects of steroid knee injections include pain and swelling at the injection site. This is especially true in the days after treatment when the muscles and ligaments may be slightly weakened.

There is also the risk that, for those getting treated with multiple steroid injections, the skin at the injection sight can become permanently discolored.

Some of the other potential side effects of steroid knee injections are:

–  osteoporosis of nearby bone tissue

–  osteonecrosis, which is the death of bone tissue

–  a temporary flare of pain and inflammation in the joint

–  joint infection

–  nerve damage

–  thinning or lightening of the skin and soft tissue around the injection site

–  allergic reaction

–  elevated blood sugar levels in some people with diabetes

 

There is also evidence to suggest that cortisone injections come with not only the risk of infection post-injection but that when administered in the time period before knee surgery, these injections can lead to a much greater post-surgical infection risk.

Even when corticosteroids are effective, according to a research study published by an independent group of scientists from the Cochrane Collaboration, these injections might reduce osteoarthritis symptoms for several weeks in roughly 10 out of 100 people.

 

The Bottom Line: Though there was a time when corticosteroid injections were considered to be some sort of miracle cure for knee pain, in more recent years, research has shown that this isn’t entirely true.

In fact, several studies have found that corticosteroid knee injections provided no significant pain relief after two years. And, some studies have even shown that cortisone can make the situation worse by thinning out the meniscus, causing more bone on bone in the knee.

In our next article, we will take a look at the effectiveness of hyaluronic acid injections, as well as the potential side effects and risks.

Categories
Knee Osteoarthritis

Hyaluronic Acid Injection for Osteoarthritis

A type of knee injection that is used to temporarily reduce knee pain,  is a Hyaluronic Acid Injection, also known as viscosupplementation.

Another type of knee injection that is used to temporarily reduce knee pain, is a Hyaluronic Acid Injection, also known as viscosupplementation.

Hyaluronic acid is a gel-like substance that occurs naturally in the body as part of the synovial lining that coats the joints. Hyaluronic acid is also present in other areas of the body such as the skin and eyes, where it helps retain moisture and keep these areas lubricated.

When it comes to relieving osteoarthritis knee pain, hyaluronic acid can be injected into the knee to help provide cushioning and lubrication.

The injection of this lubricating fluid into the knee joint can sometimes result in temporary lubrication that may help to decrease knee pain and inflammation, as well as improve knee function.

However, unfortunately, just like with corticosteroid knee injections, the relief experienced as a result of hyaluronic acid injections is temporary.

That being said, though hyaluronic injections are temporary solutions, and will not cure knee conditions, they can be effective at relieving knee pain, in some cases, for up to six months.

The process of getting a hyaluronic knee injection is done through what is known as an intra-articular injection. This injection is usually administered by a nurse or trained healthcare professional, who should first check to make sure that this type of injection is suitable for you.

Typically hyaluronic knee injections are between one and five injections, usually a week apart depending on the brand of hyaluronic acid your healthcare professional uses.

The recovery period, post-injection typically involves avoiding jogging, high-impact sports, or being overly active for at least a few days following the injections. It is also recommended to avoid carrying heavy items or standing for long periods post injections.

For some, hyaluronic injections can provide immediate relief. While for others, it can take several weeks for the inflammation and pain to subside.

In fact, several clinical studies have investigated the effectiveness of hyaluronic acid injections in treating knee osteoarthritis. And one of their findings was that the average time it takes to experience pain relief is around 4 weeks post-injection.

Studies have also found that the duration of relief periods can vary from 2 months to up to 6 months. With the most effective period, on average, being between weeks 5 and 13.

It’s important to note that not all studies conducted to test the effectiveness of hyaluronic acid injections in treating knee osteoarthritis have reported positive results. For this reason, some doctors may not recommend this treatment. Research also shows that these injections may not work in overweight people due to the narrowing of joint space in the knee.

More recently, other types of injections are emerging, though they are still in the experimental stage, and are not FDA-approved at this time. These include using platelet-rich plasma or stem cells to help relieve pain and potentially encourage the healing of damaged soft tissues. Some people have found that these injections can provide long-term relief and help them to remain active, but they may not be suitable for all.

The bottom line when it comes to hyaluronic knee injections is that they do not treat osteoarthritis or the knees themselves. However, they can provide temporary relief.

This temporary relief can be best put to use by using it as a time to begin physical therapy and exercises to help strengthen the muscles that support the knee. It’s also a potential treatment to help relieve the pain in the weeks leading up to surgery or genicular artery embolization, which will provide long-term pain relief.

In our next article, we will take a look at some of the side effects and risks associated with corticosteroid and hyaluronic acid injections. As well as dive deeper into what the research says about these temporary solutions to osteoarthritis knee pain.

Categories
Knee Osteoarthritis

Pain from Soda?

Soda, diet soda, and its many flavors and brands are not only unhealthy, but they can cause increased knee pain.

Most of us know that soda, diet soda, and the many flavors and brands of it, are not considered to be a part of a healthy diet. In fact, far from it. And, for those of us with knee osteoarthritis, it may be best to avoid it altogether.

If you’ve read some of our previous articles that took a look at the connection between being overweight and knee osteoarthritis, you may think that the issue with soda is the potential for weight gain.

Yes, that is true, as sodas a packed full of sugar- and when consumed in excess it can lead to obesity, diabetes, and even osteoporosis- however, there is more to it than that.

According to a recent study conducted at Harvard University, drinking too much soda can increase knee pain, especially in men. Researchers kept track of the soft drink consumption of more than 2,000 men who had a diagnosis of knee osteoarthritis. These men were asked to come in regularly over a four-year period, where the researchers studied the progression of their knee osteoarthritis and measured their cartilage in order to check for any changes in thickness. Upon analyzing all of the data collected, the study found that the men with the fastest progression of knee osteoarthritis were indeed those who drank the most soda.

This information probably isn’t too surprising. It makes sense that men who drink a lot of soda are more likely to do so along with a not-so-healthy diet. In the western fast food diet, soda tends to pair well with foods that are high in trans fats, red meat, and sugar- Think of a McDonald’s value meal.

So yes, that makes sense. However, believe it or not, that wasn’t what the research found. In fact, the men who were the heaviest did not have the most knee arthritis. Those with the greatest progression of knee osteoarthritis were the soda drinkers that were thin.

What??

You read that right.

The study found that the impact of soda intake on knee osteoarthritis is independent of the wear and tear on the joints that are caused by simply being overweight. So what is causing it then? What is it about soda that could increase the progression of knee osteoarthritis in men?

Inflammation.

When a soda, which is high in refined sugar, is consumed this causes a major spike in blood sugar, which creates stress on the body and triggers inflammation. Add up that response to drinking soda several times a day, and you’re looking at a case of chronic inflammation and of course, increased knee pain and injury.

So does this mean that men with knee osteoarthritis can never drink soda again?

Though that would be a great idea, it’s not entirely necessary as long as your soda intake is very limited and is only an occasional part of an overall healthy diet and lifestyle. That being said, when it comes to your knee health, you may want to think twice before popping that can of soda and opt for a nice cool glass of water instead.

Categories
Knee Osteoarthritis

Alcohol Use and Knee Osteoarthritis

When consumed too often, or in excess, alcoholic beverages can have serious effects on your brain, your overall health, and...your knees.

When consumed in moderation, a glass of wine with a nice meal or an ice-cold margarita on the beach can be an enjoyable treat. However, when consumed too often, or in excess, alcoholic beverages can have serious effects on your brain, your overall health, and…your knees.

Yes. You read that right. Too much alcohol can adversely impact your knees, especially in those of us already diagnosed with knee osteoarthritis.

The problem with alcohol is that it can trigger an inflammatory response in the body which can aggravate joint pain caused by osteoarthritis. Too much alcohol can also adversely affect immune function, which can inhibit the joints from healing.

In 2019 a study at the University of California took a deeper look at the link between alcohol consumption and knee osteoarthritis. The researchers measured the effect that a 12-month period of alcohol consumption had on the knees of 2,061 participants.

Using MRI imaging, and T2 mapping- which provides more sensitive information on the cartilage including its collagen fiber orientation, the scientists were able to determine that there is indeed a connection between alcohol consumption and knee issues.

In fact, they found that those participants that consumed 1-7 drinks per week, on average, had worse cartilage biochemical composition. And, in addition to that, they found that alcohol use was also negatively associated with cartilage and meniscus joint morphology.

Though this and other studies back the claim that alcohol use has a negative effect on knee health, the predominant information available to us seems to say the opposite. Even the American Heart Association has stated that “drinking alcohol in moderation is associated with a reduced rate of heart disease-related mortality in some patients”. This claim has led many people with various ailments including osteoarthritis, to think that drinking alcohol will actually help them. Especially drinking red wine.

We’ve all heard the many health benefits of antioxidant, reservatol, and flavonoid-rich red wine. We’ve heard that it’s “heart healthy” and can reduce inflammation, lower bad cholesterol, and even help reduce the risk of certain cancers. However, the reality is, for many of us, the risks associated with consuming alcohol, even red wine, may outweigh the benefits.

Some of the most common adverse effects of excessive alcohol consumption include, but are not limited to:

Accidents, violence, and suicide
Certain types of cancer
Heart failure
High blood pressure
Liver and pancreas diseases
Stroke
Weight gain and obesity

Alcohol can also interact with many medications that are used to treat and reduce knee osteoarthritis pain. These interactions can not only inhibit the efficacy of the medicine but can also cause serious, even life-threatening health complications as well.

The Bottom Line: Though consuming alcohol, particularly red wine in limited amounts may have its health benefits, it is not a recommended part of any treatment plan for knee osteoarthritis or any medical condition for that matter.

Consuming even a moderate amount of alcohol can have an inflammatory effect that can aggravate degenerative joint pain and autoimmune conditions such as rheumatoid arthritis. Alcohol can also inhibit healing in the body, and, in particular, the knees.

Therefore, if you do choose to drink alcohol it should be done so as a very small and occasional part of a healthy diet, and a healthy lifestyle.

Categories
Knee Osteoarthritis

The Connection Between Diet and Knee Pain

Losing weight through proper dieting and exercise can decrease knee pain, and increase your quality of life.

Losing weight through proper dieting and exercise can decrease knee pain, and increase your quality of life.

In previous articles, we’ve taken a look at helpful knee-safe exercises, as well as stressed the importance of having a healthy diet. Today we are going to take a look at the connection between dietary choices and inflammation, which can increase osteoarthritis pain and decrease knee mobility.

Researchers have been studying the relationship between nutrition and osteoarthritis for quite some time. A study published in The American Journal of Clinical Nutrition is just one of many that have found a connection between following a western diet and increased progression of osteoarthritis. In this particular study, a “western diet” was defined as a diet high in red meat, sugar, salt, fat, and refined grains.

So let’s take a look at this western diet, and see what it is about these foods that are problematic when it comes to osteoarthritis of the knee.

Red Meat

Though lean red meat on occasion can be beneficial for our health, eating too much red meat can make arthritis symptoms worse.
The problem is that animal products contain saturated fats that can actually increase inflammation. So when it comes to eating red meat, it’s best to choose leaner cuts and limit the amount consumed.

Sugar

Though every diet involves limiting your sugar intake- when it comes to those diagnosed with osteoarthritis- this is a must.

Research has shown that there is a relationship between excessive sugar intake and increased knee osteoarthritic inflammation. In fact, according to a recent study,  researchers found that it only takes 40 grams of sugar, which is roughly the amount found in one can of soda, to trigger this response. Not only that, but too much sugar can also increase the likelihood of weight gain, which can be extremely detrimental to your joints.

Salt

Studies have found that cutting back on salt is a good choice for people with osteoarthritis. Research has shown that a high salt diet can increase the severity of osteoarthritis, and contributes to cartilage breakdown and bone destruction. There is also a link between a high-sodium diet and an increased risk of developing an autoimmune disease.

Though salt is a necessary part of our diet, as it helps the body to function properly- too much salt can cause swelling and water retention which will worsen the symptoms of osteoarthritis.

Fat

There are good fats, like omega-3 fatty acids found in fish and avocadoes, and there are bad fats, such as trans fats found in processed foods and saturated fats found in animal products.

These “bad fats” can increase inflammation and contribute to a slew of other health problems such as heart disease and an increased risk of stroke.

Refined Carbohydrates

Refined carbohydrates are grains that are processed in order to remove their natural nutrients and fiber. This process decreases their nutritional value and makes them more easily digestible. It also makes it easy for them to be absorbed into the bloodstream which causes a spike in blood sugar.

These foods, such as baked goods, breakfast cereals, pasta, and snacks with added sugar, salt, and fat- all greatly contribute to osteoarthritis pain, by triggering inflammation as well as weight gain.

The Bottom Line: By simply avoiding or at least limiting your intake of these foods, you can decrease the amount of inflammation in your body, and as a result, decrease osteoarthritic knee pain.

In our next article, we will look at some common beverages that should be limited or altogether avoided because they can increase inflammation and knee pain.