SHORT TERM TREATMENT OF KNEE PAIN

  1. Analgesics: Any pain-killer drug can be used to relieve the knee pain. But since most of them have side effects in the stomach (causing gastric ulcer) their use should be minimal. The commonly used drugs are Voveran NAC, Combiflam, Diclomol, Analgin, Novalgin, Brufen, Emflam, Ibugesic, Actron, Ketofen, Ostofen, Xenobid etc. Paracetamol (Crocin) and Nimesulide (Pronim, Nice) are some of the drugs which can be used in the long run because it has least side effects.
  2. Rest: If the knee pain is severe one needs to give rest to the knee to reduce the inflammation. But this should not be prolonged as it may lead to stiffness of knee joint, obesity and loss of muscles.
  3. Physiotherapy :

a) Hot and cold fomentation :

• Applying cold helps relax aching muscles, and reduces joint pain, soreness. For example, a hot shower.
• Applying cold helps to reduce the pain and swelling in a joint. For example, an ice pack on the area that is sore.

Heat or cold application can provide temporary relief of pain. Heat helps to reduce pain and stiffness by relaxing aching muscle and increasing circulation to the area. There is some concern that heat may worsen the symptoms in an already inflamed joint. Cold help numb the area by constricting the blood vessels and blocking nerve impulses in the joint. Applying ice or cold pack appears to decrease inflammation and therefore is the method of choice when joints are inflamed.

b) Wax treatment: Wax therapy is the most effective method. Paraffin wax heat therapy provides intensive moisture by penetrating heat through the shin and helps to increase the blood circulation. This relaxed the stiff muscles, which reduces the knee joint pain.

c) Local application of pain-relieving ointments: These pain-relieving ointments also help to decrease the knee pain. Commonly used pain-relieving ointments are Moov, Relaxyl, Nimesulide Gel, Voveran Gel etc.

4. Corticosteroids (in the form of injection) :

In extreme cases where the pain is unbearable or persists for a long time and in cases where the NASID drugs are not tolerated / able to relieve pain, corticosteroid injections can be injected in the knee joint under antiseptic precautions. This immediately leads to control of inflammation and reduction in pain for weeks. Some of the injections commonly used are: Inj. Kenacort, Inj. Pericort and Inj, Tricort.