ULTRASOUND-GUIDED TREATMENT OF CHRONIC KNEE PAIN DUE TO OSTEOARTHRITIS: DIAGNOSTIC AND THERAPEUTIC APPROACH BASED ON THE TYPE OF PAIN
PDF (Portuguese)
PDF (Portuguese)
HTML

Keywords

osteoarthritis; knee; ultrasonography; genicular block; joint injection; chronic pain.

How to Cite

Hayak Pereira Lopes, M. . (2025). ULTRASOUND-GUIDED TREATMENT OF CHRONIC KNEE PAIN DUE TO OSTEOARTHRITIS: DIAGNOSTIC AND THERAPEUTIC APPROACH BASED ON THE TYPE OF PAIN. Health and Society, 5(04), 229-236. https://doi.org/10.51249/hs.v5i04.2617

Abstract

Knee osteoarthritis (OA) is a prevalent cause of chronic pain and disability. Pain phenotyping (inflammatory, mechanical, and neuropathic) guides more effective interventions. Ultrasound (USG) allows diagnostic stratification (synovitis, effusion, periarticular changes) and accurately guides intra-articular injections (corticosteroid, local anesthetic, hyaluronic acid), genicular nerve blocks, and Valeix injections. This review summarizes the diagnostic basis, technique, and pharmacological choices guided by USG, discussing evidence and practical applications.

PDF (Portuguese)
PDF (Portuguese)
HTML

References

Hunter DJ, Bierma‑Zeinstra S. Osteoarthritis. Lancet. 2019;393(10182):1745–59.

Cross M, Smith E, Hoy D, et al. The global burden of hip and knee osteoarthritis: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014;73(7):1323–30.

Hochberg MC, Altman RD, April KT, et al. ACR 2012 recommendations for nonpharmacologic and pharmacologic therapy in knee osteoarthritis. Arthritis Care Res. 2012;64(4):465–74.

Bannuru RR, Osani MC, Vaysbrot EE, et al. OARSI guidelines for the non‑surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2019;27(11):1578–89.

Jevsevar DS. Treatment of osteoarthritis of the knee: evidence‑based guideline, 2nd ed. J Am Acad Orthop Surg. 2013;21(9):571–6.

Filardo G, Di Matteo B, Kon E, et al. Platelet‑rich plasma in chronic knee osteoarthritis: an evidence‑based evaluation. Am J Sports Med. 2015;43(5):1231–40.

Rabago D, Nourani B. Prolotherapy for osteoarthritis and tendinopathy: a pragmatic review. Clin Med Insights Arthritis Musculoskelet Disord. 2017;10:1179544116688899.

El‑Hakeim EH, Kamel EZ, Abdel Aziz AA. Ultrasound‑guided genicular nerve block versus intra‑articular injection for knee osteoarthritis pain: randomized controlled trial. Egypt Rheumatol. 2018;40(4):237–41.

Bouhassira D, Attal N, Alchaar H, et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain. 2005;114(1–2):29–36.

Finlayson RJ, Tran DQ. Ultrasound‑guided peripheral nerve blocks for chronic pain. Pain Manag. 2012;2(6):567–78.

Freynhagen R, Baron R, Gockel U, Tölle TR. painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin. 2006;22(10):1911–20.

Neal JM, Barrington MJ, Brull R, et al. The third ASRA practice advisory on neurologic complications associated with regional anesthesia and pain medicine. Reg Anesth Pain Med. 2018;43(2):113–23.

Valeix B. Traitement des points douloureux péri‑articulaires du genou par injections locales. Presse Med. 1948;56:1143–4.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2025 Maykon Hayak Pereira Lopes