How to treat effusion in osteoarthritis?

Written by Guan Jing Tao
Orthopedics
Updated on September 05, 2024
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General treatment methods are mainly divided into two categories. First, conservative treatment, which is non-surgical and includes rest, immobilization, localized physical therapy such as heat application, acupuncture, etc. Physical therapy includes techniques like spectrum therapy, infrared, and diathermy. For some patients with mild osteoarthritis and minor effusions, these can gradually be absorbed over one to two weeks, and symptoms of pain and swelling can be alleviated. This can be combined with oral intake of non-steroidal anti-inflammatory drugs (NSAIDs), such as celecoxib or ibuprofen. For patients with recurrent episodes, or those who are middle-aged and above with severe osteoarthritis and degeneration, and have substantial effusion, conservative treatments are generally not very effective. Therefore, we can try aspirating the effusion in the knee joint and appropriately administer intra-articular sodium hyaluronate injections to promote the recovery of osteoarthritis and delay the degeneration of bone proliferation. If conservative treatment still does not bring significant relief, then arthroscopic debridement and corresponding surgical treatments for the knee joint may be considered.

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Written by Guan Jing Tao
Orthopedics
33sec home-news-image

Is physiotherapy good for osteoarthritis?

The answer is affirmative. For osteoarthritis, especially that caused by chronic diseases, local physiotherapy helps promote the dissipation of inflammation, the reduction of joint effusion, and the improvement of local tissue inflammation. Moreover, for some patients with osteophyte formation, consistent daily physiotherapy also aids in improving local pain and swelling, joint effusion, and other symptoms. It helps in promoting regional recovery and alleviating the further aggravation of local effusion and swelling.

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Written by Li Jie
Orthopedics
39sec home-news-image

What foods are eaten for osteoarthritis?

First, it should be clear that food does not play a significant role in the treatment of osteoarthritis. It neither has particularly good effects nor particularly bad effects, so the goal should be to maintain a balanced diet. For some elderly men, it is important to maintain a healthy, balanced diet and avoid being overweight. For elderly women, osteoarthritis patients often also suffer from osteoporosis; in such cases, it is necessary to pay attention to calcium supplementation in the diet to prevent osteoporosis. These measures are feasible, but relying on any specific food to treat osteoarthritis is not very realistic.

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Written by Cheng Bin
Orthopedics
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Osteoarthritis complications

In clinical practice, there are many complications associated with osteoarthritis, mainly reflected in the following aspects. First, the presence of osteoarthritis causes the joints to exhibit obvious symptoms of swelling and pain. Often due to the pain and swelling, patients are reluctant to move, and prolonged inactivity can lead to joint stiffness and significant muscle atrophy in the affected areas. Second, osteoarthritis often leads to the extensive detachment of joint cartilage, making it easy for free bodies to form within the joint. Third, the presence of osteoarthritis may lead to the development of bursitis in patients. Fourth, osteoarthritis can also cause damage to the meniscus.

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Written by Li Jie
Orthopedics
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What foods should be eaten for osteoarthritis?

Osteoarthritis in Traditional Chinese Medicine (TCM) is generally divided into two main categories. The first category is liver and kidney deficiency, commonly seen in older adults. For this condition, it is advocated to consume foods that nourish the liver and kidney. Black foods are considered to benefit the kidneys, such as black rice, black beans, black goat, and black pork. Other foods like He Shou Wu (Polygonum multiflorum), Rehmannia glutinosa, Coix seed, and Chinese yam also help nourish the liver and kidney and can be beneficial for the condition. The second category is Qi stagnation and blood stasis type, where it is recommended to eat foods that promote blood circulation and remove blood stasis. In Western medicine, there are no specific dietary recommendations for treating osteoarthritis, except for general advice for elderly women to consume calcium-rich foods to prevent bone-related issues. Foods recommended include milk, eggs, and lean meat, which are rich in protein and calcium, and it is encouraged to consume more of these.

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Written by Wang Cheng Lin
Orthopedics
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Differences between Osteoarthritis and Rheumatoid Arthritis

Osteoarthritis is commonly seen in middle-aged and elderly people, primarily due to long-term joint wear, leading to degeneration of the cartilage in the joints, causing symptoms of pain, swelling, and discomfort in movement. In contrast, rheumatoid arthritis often begins in younger individuals and is linked to genetics and viral infections, primarily being an autoimmune disease. It is characterized by positive rheumatoid factor, including elevated erythrocyte sedimentation rate and C-reactive protein. Additionally, the treatment methods for these two diseases are different. Osteoarthritis can mainly be managed with massage therapy, injections of sodium hyaluronate, and oral nonsteroidal anti-inflammatory drugs to alleviate symptoms. Rheumatoid arthritis, on the other hand, might require the use of immunosuppressants, steroids, or nonsteroidal anti-inflammatory drugs to relieve pain. Importantly, rheumatoid arthritis commonly affects the small joints of the fingers, whereas osteoarthritis most frequently affects larger joints, such as the knee, highlighting the fundamental differences between the two conditions. (Note: The answers provided are for reference only. Medications should be taken under the guidance of a professional physician, and self-medication should be avoided.)