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 Li Jin
Orthopedics
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Characteristics of osteoarthritis pain

The characteristics of pain in patients with osteoarthritis mainly manifest as pain occurring frequently in the morning, which lessens after activity. However, if the activity is excessive, the pain can worsen. Another symptom is joint stiffness, which often occurs when getting up in the morning or after the joint has been in a certain position for a long time during the day. The affected joint may show symptoms such as swelling, pain, and a feeling of friction during movement. In severe cases, patients may experience muscle atrophy and joint deformity. Patients with osteoarthritis should pay attention to rest and avoid vigorous activities. They should use anti-inflammatory and analgesic drugs, as well as drugs that nourish the cartilage, to improve symptoms. When conservative treatment is ineffective and joint deformity or functional impairment occurs, joint replacement surgery may also be considered as a treatment option.

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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 Guan Jing Tao
Orthopedics
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How to maintain osteoarthritis?

Arthritis primarily requires avoiding cold exposure. For middle-aged and older individuals, it is advised to reduce or avoid mountain climbing and excessive weight-bearing activities, as well as excessive walking and running. These can exacerbate the symptoms and severity of osteoarthritis, and may even cause local pain and swelling in later stages, further aggravating osteoarthritis, leading to bone proliferation, worsening degeneration of bone joints, and even resulting in an inability to move around. Therefore, in addition to the precautions mentioned above, it is also recommended for the middle-aged and older population to appropriately supplement with bone peptides and some drugs that nourish joint cartilage annually, such as amino acids and glucosamine, all of which help in the maintenance and relief of osteoarthritis symptoms.

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Written by Na Hong Wei
Orthopedics
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Is osteoarthritis easy to treat?

Osteoarthritis is a difficult-to-treat disease because currently, there is no complete cure for joint disorders in medicine. Therefore, the treatment principles are early diagnosis, early treatment, and early rehabilitation. Mainly, methods are used to delay the progression of the disease, maximally preserve joint function, and enable patients to live normal lives. The first approach is non-pharmacological treatment, which is the foundation for drug therapy and surgical treatment, primarily involving physical therapy methods such as heat therapy, hydrotherapy, traction, microwave therapy, acupuncture, and massage to alleviate joint pain and swelling during acute flare-ups. The second approach is pharmacological treatment, mainly including non-steroidal anti-inflammatory drugs and traditional Chinese medicine. The third approach involves considering surgical treatment if conservative treatments prove ineffective. Surgical treatments can involve procedures such as joint debridement to remove inflamed, loose cartilage and bone tissues, and smoothing rough joint surfaces. If these methods are still ineffective, the last treatment option may be needed for severe cases, which is artificial joint replacement. Thus, the treatment of osteoarthritis is a stepwise approach. However, regardless of the treatment method used, there is currently no cure, making osteoarthritis a challenging disease to treat.

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Written by Kuang Tao
Orthopedics
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How to reduce swelling in osteoarthritis?

Osteoarthritis often presents with swelling, most commonly seen in knee osteoarthritis. The swelling occurs because of inflammation. For example, if knee arthritis is accompanied by synovitis, it will become swollen and the local temperature will be relatively high. To reduce swelling, the first measure is immobilization, meaning you should avoid bearing weight or moving, and lie in bed without bending the joint, which can help decrease the swelling. Second, you can apply heat, using a hot water bottle or heated salt for heat therapy. Third, if there is fluid accumulation in the joint cavity, draining this fluid can also reduce swelling. Fourth, physical therapy, acupuncture, and massage can all help reduce swelling.