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
48sec home-news-image

Osteoarthritis Care Measures

Patients with arthritis should first pay attention to rest in daily life, keep warm, avoid cold and dampness, avoid excessive strain on the knee joints, try to minimize going up and down stairs, and reduce exercises that involve bending and bearing weight on the knee joints. Additionally, obese patients should pay attention to losing weight to avoid further wear and tear on the cartilage. In terms of diet, it is important to enhance nutrition, appropriately supplementing foods rich in high-quality protein, calcium, and vitamins, such as chicken, fish, milk, eggs, beans, vegetables, fruits, etc. It is also important to get more sun exposure and appropriately supplement vitamin D. These nursing measures are beneficial for the patient's condition.

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Written by Guan Jing Tao
Orthopedics
1min 20sec home-news-image

How to treat effusion in osteoarthritis?

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 Kuang Tao
Orthopedics
46sec home-news-image

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.

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Written by Li Jie
Orthopedics
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Osteoarthritis exercise time

We say that all exercise must have a limit, and it should be within the patient’s tolerance. Walking exercises for osteoarthritis are permissible, but we do not advocate excessive exercise. Instead, it is best to focus primarily on rest. We say that life depends on movement, but joints rely on stillness. What does this mean? We do not advocate excessive activity in the joints. What is considered excessive activity? For example, if an osteoarthritis patient finishes a day of walking exercise and feels no pain, swelling, or discomfort in the joints, then the degree and amount of exercise they undertook are acceptable. However, if the patient finishes exercising and experiences significant pain, swelling, or discomfort in the joints by the evening, this indicates that the exercise was too much, and it was not suitable for them. They must rest and avoid such intense activities, indicating that walking exercises are not suitable. Thus, whether walking exercises are appropriate for patients with arthritis needs a balanced view, especially for patients in the acute phase of osteoarthritis. The mindset of exercising through the pain, regardless of discomfort, is absolutely incorrect. During the acute phase of osteoarthritis, we recommend resting as much as possible. During the remission phase of osteoarthritis, whether and how much walking exercise one should engage in also needs to be determined based on the severity of the patient’s condition and their subjective feelings. It cannot be generalized.

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Written by Cheng Bin
Orthopedics
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Is osteoarthritis serious?

Regarding the severity of osteoarthritis, it is mainly determined by the clinical symptoms of the patient's osteoarthritis. If the osteoarthritis is only manifested by localized pain, and there is no obvious impact on walking, going up stairs, or going downhill, this means that the osteoarthritis is not very severe. However, if the local swelling and pain of the osteoarthritis are very severe, with considerable pain when going up or down stairs, and if there is popping of the joint or symptoms of entrapment, and the joint has already shown obvious deformation affecting the patient's normal functions, then it indicates that the condition is quite severe. In such cases, it is necessary to proactively consider arthroscopic surgery or artificial joint replacement therapy.