Treatment of the knee joint in Moscow

Therapeutic blockades of large and small joints are used for pain syndromes associated with inflammatory or degenerative processes in them. The introduction of anesthetic or anti-inflammatory drugs into the joint capsule can relieve pain, break the vicious circle of pain and improve the patient's condition. The effectiveness of the procedure has been proven - often it completely eliminates pain, and in advanced cases it significantly reduces it and is an addition to the main method of therapy. Many joints have a complex anatomical structure, covered on top by various muscle groups, which makes access to the joint cavity difficult. In this regard, in the Pain Clinic, joint blockades are carried out only by experienced specialists and using the latest equipment.

• Achieving an effect by administering the drug to the source of pain
• Low risk of side effects due to local administration of drugs
• Reducing the inflammatory reaction, swelling in the area of ​​pain

• The cost of intra-articular blockade is 5,000 - 8,000 rubles.
• Duration of the procedure – 15 minutes
• Precise injection of the drug into the source of pain

How does the blockade work?

Putting a blockade means temporarily “turning off” one of the links in the path of pain development. The neurologist makes injections at certain points on the back - into the periarticular tissues, the canals where the nerves pass. The administered drugs suppress the excitability of the receptors and, as a result, block the conduction of impulses along the nerves.

Advantages of blockades:

• Rapid analgesic effect due to the fact that the drug is injected directly into the area of ​​localization of the pain syndrome.
• The risk of side effects is minimal if the technique is followed: the medicine first enters the site of pain, and then in small quantities into the general bloodstream.
• The ability to be used multiple times - as a rule, one injection is enough, but to achieve the desired effect, up to 10 - 15 procedures are prescribed with a break of 4 - 6 days.
• Wide spectrum of action. Such injections not only relieve pain, but also provide a complex therapeutic effect: they restore damaged trophism of neighboring tissues and normalize reflex processes at all levels of the central nervous system.

Therapeutic blockade

Therapeutic blockade is an effective method of pain relief, which consists of injecting an anesthetic directly into the pathological area responsible for the occurrence of pain. The goal of the procedure is to eliminate pain and improve the patient’s quality of life. The peculiarity of the technique is the high speed of achieving an analgesic effect, minimal adverse reactions, and low material costs for the procedure.

Depending on the method of implementation, there are:

• local therapeutic blockade, in which the injection is given directly into the affected area (periarticularly - into the periarticular tissue, perineurally - into the canals with nerves);
• segmental therapeutic blockade with the introduction of a drug into one or another paravertebral zone.

Main indications

Among the indications, first of all, it is necessary to highlight pain sensations that limit a person’s motor activity and undermine his psycho-emotional state. The appearance of pain is usually caused by osteochondrosis of various parts of the spine, neuralgia, plexopathy, and postoperative complications.

Also, therapeutic blockades are indicated for:

• myotonia;
• tunnel syndrome;
• trophic disorders of the limbs;
• Minière's syndrome.

Sometimes manipulation helps the doctor confirm the diagnosis, since during its course the development mechanism, the path of pain formation are established, and the source of damage is clearly identified. Pain can be caused by changes in the structure of the intervertebral disc, ligaments, vascular bundles, spinal roots, meninges, muscles, bones.

There are also contraindications: hyperthermia (fever); pathology of the blood coagulation system (hypocoagulation, hemorrhagic syndrome); infectious inflammation in the place where the injection was supposed to be given; decompensated cardiac pathology; severe renal, liver failure; allergy to local anesthetics; uncontrolled central nervous system diseases.

How to prepare for the procedure

No special preparation is required. The manipulation is carried out on an outpatient basis. The patient needs to tell the doctor about the nature of the pain, its localization, the presence of irradiation, as well as allergic reactions and concomitant pathologies.

Features of the procedure

The treatment procedure is performed after treating the skin with an antiseptic solution. For pain relief, local anesthetics are used, for example, lidocaine, bupivacaine. To reduce the inflammatory process, hormonal agents are used. The selection of medications is carried out on the basis of clinical symptoms, localization of the pathological focus, and the study of possible allergic reactions.

The advantages of the procedure include the following points.

Rapid analgesic effect. It is caused by a decrease in the increased conductivity of pain impulses along slow nerve fibers. During physiotherapeutic procedures, for example, electrical neurostimulation, the impulse slows down along fast fibers.

Minimal risk of undesirable consequences. This is due to the direct entry of the drug into the pathological focus, as a result of which only a small amount penetrates into the bloodstream. When taking medications orally, the active substance first enters the blood and then accumulates in the lesion.

Possibility of using blockades if necessary. The injected analgesic provides pain relief only temporarily, so it requires repeated administration. However, when the manipulation is performed several times, the analgesic effect becomes longer, which significantly improves the patient’s quality of life.

When are injections effective?

The patient is advised to place a therapeutic blockade for acute or chronic pain in the back and neck caused by:

• osteochondrosis;
• disc protrusion;
• hernia;
• neuritis and neuralgia, including intercostal;
• myositis;
• spondyloarthrosis.

Blockades are not placed:

• during feverish conditions;
• hemorrhagic syndrome;
• infectious lesion of the area in which the injection needs to be given;
• cardiovascular, hepatic, renal failure;
• some diseases that may worsen due to the administration of drugs (diabetes mellitus, open stomach ulcer, etc.);
• severe diseases of the central nervous system;
• pregnancy;
• bleeding tendency, hemophilia;
• drug intolerance.

Treatment of the knee joint in Moscow

Among the most common causes of knee joint diseases is injury. It could be a blow, a bruise, a wound. Most often, damage occurs to the menisci of the knee joint, ligaments, joint capsule, and tendon muscles. In addition to severe pain, swelling, hematoma, hemorrhage in the joint tissue, and difficulties with movement appear.

The development of diseases of the knee joint is characterized by damage and destruction of cartilage and bone tissue. Painful sensations appear gradually, the development of the pathological process occurs over a long period of time.

Diseases of the knee joint develop under the influence of such factors:

• regular intense loads on the musculoskeletal system;
• excess weight, obesity;
• injury or damage;
• arthritis;
• vascular pathologies in which blood microcirculation and access to the lower extremities are disrupted;
• disturbance of innervation in the lower limb;
• deterioration of metabolic processes;
• presence of autoimmune diseases.

Diseases of the knee joint most often develop due to age-related changes in the joint. In people over 50 years of age, the ability to regenerate cartilage tissue decreases. Injuries and damage occur more often, and the joint recovers very slowly. Another reason is obesity. In this case, the load on the joint apparatus increases, and the risk of damage and injury increases. With atherosclerosis, there is also a high probability of developing diseases of the knee joint. Other provoking factors are diabetes mellitus and hormonal imbalances.

Genetic predisposition is of no small importance in the development of joint pathologies. If one or both parents have musculoskeletal diseases, the likelihood of their children developing them increases. The age factor influences the development of diseases.

Professional athletes, especially those who play football, tennis, basketball, and running, have a high likelihood of developing knee diseases. To protect the knee, athletes must wear special devices called orthoses. Increased load negatively affects the bone and joint apparatus. Concomitant diseases affect the development of osteoarthritis and gonarthrosis. Most often, these pathologies develop in people who suffer from rheumatism, metabolic disorders, hemophilia..

If you have any symptoms, we advise you to seek advice from a specialist as soon as possible. Diagnostics will allow you to begin timely treatment of the knee joint, which will avoid the risk of developing serious pathologies and allow you to forget about pain.

Need specialist advice?

Do you have questions and want to get expert advice? Leave your contact details and we will contact you!

Where to do in Moscow

Therapeutic blockade is a procedure that requires precision from the doctor, perfect knowledge of the anatomy and topography of the spine, as well as extensive experience.
Failure to follow the rules here is fraught with the development of complications in the form of damage to the soft tissues of the back, meninges, etc.

To avoid them, come to a specialized clinic with a good reputation. The medical center employs qualified neurologists who will conduct diagnostics, make sure that the procedure is necessary, select appropriate medications, and only after that will invite you to undergo a spinal block. Injections are placed in the cervical, thoracic and lumbar spine, joints and the facial nerve canal (for neuropathy of the facial nerve).

Blockades

Price

Appointment (examination, consultation) with a chiropractor (initial)
RUB 1,800

Appointment (examination, consultation) with a neurologist (primary)

1800 rub.

Pararectal blockade

1150 rub.

Therapeutic blockade of the piriformis muscle (Novocaine, Lidocaine, Dexamethasone, B vitamins)

1668 RUR

Therapeutic blockade of the piriformis muscle (“Diprospan”)

1898 RUR

Therapeutic blockade of trigger points (without the cost of medications)

1553 RUR

Therapeutic drug blockade is an effective method of pain relief. The medical procedure involves the introduction of medicinal compounds into the painful area in order to relieve swelling, inflammation, eliminate adhesions, and restore the functionality of bone, joint, and muscle tissue. Carrying out blockades can be performed as an independent procedure and in combination with

Indications for the procedure

The key advantages of this procedure are rapid pain relief, minimal side effects, and the possibility of repeated use. Drug blockade is indicated to relieve pain attacks in the following pathologies:

• intervertebral hernia;
• pathologists, spinal and joint deformities;
• pain in the back and neck of unknown etiology;
• dystrophy of the cervical spine;
• frequent headaches, migraines;
• compression, pinching of nerve endings;
• postoperative pain;
• “phantom” pain sensations;
• facial pain;
• neuralgic disorders;
• tunnel syndrome.

It is advisable to make a blockade with painkillers in case of severe pain in the area of ​​the knee joint, lumbosacral region, cervical area, thoracic region. The method of pain-relieving injections is also effective for osteochondrosis, rheumatism, osteoarthrosis, periarthrosis, and protrusions.

Contraindications

Therapeutic blockade is contraindicated for the following health problems:

• individual intolerance to drug components;
• HIV, sexually transmitted diseases;
• autoimmune disorders;
• serious deformations of the musculoskeletal system;
• allergic rashes, inflammatory processes, ulcers in the area of ​​drug administration;
• high temperature, fever;
• endocrine pathologies, in particular diabetes mellitus;
• poor blood clotting, pathologies of the cardiovascular system;
• blood pressure surges;
• renal, liver failure.

Types of blockades

In medical practice, the following types of drug injection anesthesia are most often used:

• Novocaine blockade
  is the injection of an anesthetic into the area of ​​severe pain. The advantage of this method is a powerful and rapid pain-relieving effect. Preparations of the novocaine group are effective in the treatment of osteochondrosis, intervertebral hernia, radiculitis in the acute stage. These diseases are accompanied by muscle spasms, which greatly increases pain. Novocaine injections can relieve the patient from pain in a matter of minutes. In addition, novocaine blockade on the lumbar spine, chest, and cervical area activates metabolic processes at the cellular level, relieves spasm and swelling, and normalizes blood microcirculation;
• paravertebral blockade
  is the general name for injection manipulations in the spine. Depending on the location of the source of pain, this type of blockade is often performed in the lumbosacral area. Paravertebral anesthesia is effective in the treatment of diseases such as compaction of intervertebral discs, proliferation of connective tissue in the spine, changes in nerve endings and membranes, and pathologies of peripheral nerves. Depending on the nature and location of the pain, the doctor determines the technique for administering the painkiller and selects medical instruments for the procedure;
• intra-articular blockade
  – involves the administration of drugs directly into the diseased joint. The analgesic effect occurs much faster than with injections into periarticular tissues. The intra-articular technique allows you to quickly relieve pain, normalize joint mobility, and relieve inflammation. Used for the treatment of osteochondrosis, arthritis, as a rehabilitation measure after injuries to the knees, pelvis, elbows, shoulders;
• epidural pain relief
  - involves drug treatment by introducing drugs into the epidural space (sacral area). This is a rather dangerous technique that requires a highly qualified doctor. Since injections are made into an area filled with nerve endings, meninges, and plexuses of veins, incorrect technique can lead to irreversible consequences (paralysis). This type of anesthetic injection is used to combat lesions of the nerve endings of the lumbar zone, reactive epiduritis.

The dosage of medications, the number of procedures, and the technique of administering painkillers are determined by the attending physician depending on the medical history, the nature of the disease, the severity of the pain syndrome, and the results of hardware and laboratory examinations.

Therapeutic blockade at SMK

Med offers the services of experienced chiropractors to carry out therapeutic blockades in Moscow. Our specialists have been practicing the use of various pain blocking techniques for many years. We offer effective drugs, high-quality procedures, polite service, confidentiality and reasonable prices. If you are experiencing severe pain and need the help of experienced specialists, immediately call the SMK clinic or leave a request on the website!

Share on social media networks:

DOCTORS OF THE Blockade DEPARTMENT

ZakirovMarat Vilovich

Sports medicine and physical therapy doctor, chiropractor.

Sign up More details