Severe osteoarthritis knee patients with chronic knee pain Knee osteoarthritis Genicular nerve block Intra-articular triamcinolone VAS score, WOMAC score, Knee ROM
Conditions
Interventions
1) GNB : A mixture of 20 mg of Triamcinolone Acetonide (TA) and 1% lidocaine 6 ml was equally divided in three area injection under fluoroscope at the Orthopedic outpatient department
2)IACSI: 1 mL
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Genicular nerve block plus intra-articular triamcinolone,intra-articular triamcinolone alone
Sponsors
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
60 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1.Age > 60 2.Confirm diagnosis OA knee with chronic knee pain 3.KL 3-4 4.Patient willing to participate in the study
Exclusion criteria
Exclusion criteria: 1.Previous knee surgery 2.Acute knee pain 3.Connective tissue disease affect knee joint 4.Suspected infection around knee 5.Previous peri-articular injection < 3 months 6.Drug allergy to local anesthetic or steroid 7.History of previous paresthesia and muscle weakness from other causes ex. Stroke ,spinal stenosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS score 2,4,8,12 and 24 weeks Patient reported outcome using a questionnaire interview | — |
Secondary
| Measure | Time frame |
|---|---|
| WOMAC score 2,4,8,12 and 24 weeks measures pain, stiffness, and physical function of knee joint in daily activities using 22 self-administered questions scored, with higher scores indicating worse symptoms,Knee ROM 12 and 24 weeks Degree/Goniometer,All adverse events every time point All adverse events including numbness, paresthesia, motor weakness and post-injection flare | — |
Countries
Thailand
Contacts
Public ContactChavarat Jarungvittayakon
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed