J Knee Surg 2019; 32(01): 072-079
DOI: 10.1055/s-0038-1676071
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Minimally Invasive Interventional Management of Osteoarthritic Chronic Knee Pain

Ivan Urits
1  Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts
,
Mark Jones
1  Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts
,
Riki Patel
2  Department of Anesthesiology, Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, Arizona
,
Leena Adamian
2  Department of Anesthesiology, Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, Arizona
,
Danica Seifert
2  Department of Anesthesiology, Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, Arizona
,
William Thompson IV
3  Division of Pain, Valley Anesthesiology and Pain Consultants, Phoenix, Arizona
,
Omar Viswanath
4  Department of Anesthesiology and Pain Medicine, Valley Anesthesiology and Pain Consultants, Phoenix, Arizona
5  Department of Anesthesiology, University of Arizona College of Medicine Phoenix, Phoenix, Arizona
6  Department of Anesthesiology, Creighton University School of Medicine, Omaha, Nebraska
› Author Affiliations
Further Information

Publication History

04 September 2018

15 October 2018

Publication Date:
30 November 2018 (eFirst)

Abstract

Chronic knee pain is a widely prevalent issue that can have a significant impact on a patient's quality of life. One of the leading causes of chronic knee pain is osteoarthritis. Total knee replacement is often the last and definitive resort for patients with severe symptomatic osteoarthritis after trial of less invasive interventions with failure to achieve symptomatic relief. Intra-articular injections are a mainstay of adjunctive conservative management and have demonstrated efficacy in reducing pain. Radiofrequency treatment is a viable option for poor surgical candidates, or for patients having persistent, chronic pain following knee surgery. Extracorporeal shockwave therapy is another modality growing in use that may offer short-term symptomatic relief. In this review, we will discuss widely used minimally invasive interventional options for the symptomatic management of osteoarthritic chronic knee pain.