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.

Other Voices

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Written by Li Jie
Orthopedics
1min 38sec home-news-image

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 Li Jin
Orthopedics
1min 3sec home-news-image

How to reduce swelling from osteoarthritis

Patients with bone and joint issues experience joint swelling, which may be attributed to osteoarthritis accompanied by damage to the synovium, leading to synovitis and hence the swelling. Treatment for this condition should begin with rest. Individuals who are overweight should consider losing weight. Treatments can include hot packs, physical therapy, anti-inflammatory and analgesic medications, drugs that nourish cartilage, and medications that improve blood circulation and remove blood stasis to aid recovery. Minor swelling or fluid accumulation can gradually be absorbed through these measures. In cases of significant fluid accumulation, surgery may be necessary. For the treatment of osteoarthritis, it is advised to visit an orthopedic clinic for comprehensive examinations like X-rays, CT scans, etc., and undergo standardized treatment. (Please use specific medications only under the guidance of a doctor, and do not medicate on your own.)

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Written by Cheng Bin
Orthopedics
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What should I do about osteoarthritis?

For the treatment of osteoarthritis, the main approach is still based on the severity of the patient's osteoarthritis to determine the corresponding treatment plan. If the osteoarthritis is very severe, severely affecting the patient's normal function, causing joint deformity, and affecting the patient's normal work or life, it is necessary to actively pursue joint replacement surgery. For cases where the symptoms of osteoarthritis are not very severe, choosing active conservative treatment is completely adequate. The most important thing is still to reduce the amount of exercise, pay attention to protecting the local joints, never let them get cold, often apply heat, and combine some medical treatments, such as using pain relief and cartilage-nourishing drugs. Common drugs like Nimodipine capsules and Glucosamine Hydrochloride have very good effects.

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Written by Guan Jing Tao
Orthopedics
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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 Lv Yao
Orthopedics
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Can osteoarthritis exercise?

Osteoarthritis often occurs due to the degeneration associated with aging, causing damage to the essential cartilage, leading to symptoms such as joint pain and deformities during movement. In the case of osteoarthritis, it is crucial to keep warm and rest, avoid exposure to cold, and minimize knee-joint load-bearing activities such as mountain climbing and stair climbing. Instead, choosing activities like Tai Chi and swimming, which cause less joint wear, can help alleviate symptoms and prevent accelerated cartilage damage.