Knee Pain

General

Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage, or very frequently the result of normal wear and tear that occurs with aging. Medical conditions, including arthritis, gout and infections, can also cause knee pain. Novocur offers options for knee pain that persists after total knee replacement has been performed as well.

Many types of minor knee pain respond well to self-care measures. Physical therapy and knee braces also can help relieve knee pain. In some cases, however, your knee may require pain management interventions to bring pain intensity down to a functional level.

Symptoms

The location and severity of knee pain may vary, depending on the cause of the problem. Signs and symptoms that sometimes accompany knee pain include:

  • Swelling and stiffness
  • Redness and warmth to the touch
  • Weakness or instability
  • Popping or crunching noises
  • Inability to fully straighten the knee
  • Inability to bear weight on your knee
  • Feel as if your knee "gives out"
  • Knee feels “locked” and cannot be straightened or flexed
  When to Call Novocur

Call Novocur if you:
  • Have pain primarily due to wear and tear arthritis (degenerative or osteoarthritis)
  • Have severe or “bone on bone” degenerative arthritis
  • You have been told you need knee replacement surgery, but need to delay this surgery or are unable to have the surgery due to heart or other health complications.
  • You have already had a total knee replacement, yet still have pain in the knee.
  • Failed viscosupplementation (i.e. Synvisc)
Treatment
  • Physical Therapy. Strengthening exercises focused upon quadriceps, hamstrings (biceps femoris), and hip musculature can help stabilize the knee and slow or prevent further degenerative changes. Bracing or orthotics may be fitted as well.
  • Pharmacological InterventionNSAIDs to reduce inflammation are often prescribed. Other drugs may be utilized to treat knee pain associated with Rheumatoid Arthritis or Gout.
  • Corticosteroid InjectionWhen knee pain is acute or flared-up, then an injection of a corticosteroid medication into the knee joint can often help provide pain relief.
  •  Knee Viscosupplementation. A thick and viscous fluid, similar to the fluid naturally found in the knee can be injected in one or a series of injections. This therapy is indicated for pain due to arthritic changes that are classified as mild to moderate. This therapy is not indicated for knee pain due to severe or “bone on bone” arthritis.
  • Radiofrequency Ablation (RFA).This therapy represents a dramatic improvement in technology available to treat severely arthritic knees, “bone on bone” knees, knees that require total knee replacement and sometimes knees that are still painful following total knee replacement surgery. Until now, there has been no good option available to treat these painful knees. Three nerves communicate pain signals from the knee joint to your spinal cord and then to the brain. Each of these nerves is heated using radiofrequency energy in an injectable type procedure. The result of this 90 second heat procedure, is that the three sensory pain nerves are left unable to transmit the pain signals from the knee to the brain. The pain relief benefit usually lasts 6-12 months. This procedure is currently only available at Novocur Pain Management Clinics in Arizona. Only a small handful of clinics outside of Arizona have qualified physicians, training and capability to deliver knee RFA.
  • Amniotic Allograft Injection. Amniotic tissue is an abundant source of collagen that provides an extracellular matrix to act as a natural scaffold for cellular attachment in the body. Collagen provides a structural tissue matrix that facilitates, among other things, cell migration and proliferation in living tissue. Novocur offers an amniotic product that was developed using a proprietary technique that morselizes the amnion tissue in an effort to preserve its structural properties in an injectable form. This ”micro-scaffold” created by the morselized tissue matrix includes the residual proteins, carbohydrates, hyaluronic acid, growth factors, and other chemical compounds naturally present in amniotic fluid and tissue to provide a liquid tissue matrix that is derived from those components designed for rapid fetal growth and development.
  • Bone Marrow Aspirate Concentrate. Amniotic allograft tissue provides wonderful growth factors for healing while BMAC provides the highest concentration and yield of Stem Cells. Concentrated bone marrow aspirate (BMA) is a biologic concentrate derived from a patient’s own bone marrow. Concentrated BMA is high in mesenchymal stem cells (MSCs) and hematopoietic stem cells (HSCs), which are known to be critical in biological processes such as tissue regeneration and bone formation.

Patient Inquiry Form

Contact a Novocur Pain Center using the form below