Injectable Treatment for Degenerative Meniscal Tear

In recent years, international studies have shown that intra-articular corticosteroid injections and knee arthroscopy, therapeutic interventions traditionally used for the treatment of degenerative meniscal tears, are not always effective in relieving patients, because the pain is triggered by the meniscus rather than the joint. Based on this information, the revolutionary Ultrasound-Guided Meniscus Injection Therapy was developed, targeting exactly the area that causes the pain in cases of degenerative tears.

What is Degenerative Meniscal Tear?

The menisci are vital parts of the knee joint, as they absorb shock between the femur and tibia and stabilize the knee joint.

Degenerative tear is a condition of the menisci which, unlike a tear caused by acute trauma, develops gradually as the meniscus weakens and deteriorates over time. Repeated strain, injuries, or age-related changes lead to small tears that worsen if not treated.

Symptoms of degenerative meniscal tear include:

  • Persistent pain on the inner or outer side of the knee
  • Swelling or stiffness, especially after physical activity
  • Difficulty bending or straightening the knee
  • A feeling of "locking" in the joint

Degenerative meniscal tear typically occurs after the age of 40 due to normal wear and tear, but it can also result from a previous injury.

What is Ultrasound-Guided Meniscus Injection Therapy?

In contrast to traditional intra-articular corticosteroid injections, which deliver the medication throughout the entire joint, Ultrasound-Guided Meniscus Injections are administered to the inflamed area around the meniscus, the perimeniscal capillary plexus. This is the area where the blood vessels and nerves of the meniscus are located, and often constitutes the source of pain in cases of degenerative tear.

When a targeted corticosteroid injection is administered directly to this area, and not to the entire joint, the therapeutic action is particularly effective, providing immediate and lasting relief, reducing inflammation, and decreasing vascular permeability. Thanks to Ultrasound Guidance, a specialized Radiologist can precisely identify the affected area, ensuring that the medication is injected exactly where needed. This precision not only further enhances the effectiveness of the treatment but also minimizes the risk of complications.

What are the Advantages of Ultrasound-Guided Meniscus Injection Therapy?

  • Proven Results: New research data shows that Ultrasound-Guided Meniscus Injection Therapy effectively treats degenerative tear, relieving pain and improving knee mobility.
  • Safe and Targeted: With Ultrasound Guidance, needle placement is done with the utmost safety, and its path is monitored throughout the therapeutic process. At the same time, needle monitoring ensures that the medication is administered exactly where needed, not approximately as with "blind" (without Ultrasound Guidance) injections.
  • Minimally Invasive: Meniscus Injection Therapy is an ideal choice for patients who wish to avoid or postopone surgery, as it involves no risk of complications, postoperative pain, or significant recovery time.

How is Ultrasound-Guided Meniscus Injection Performed?

The Ultrasound-Guided Meniscus Injection is a safe, minimally invasive procedure. The patient is positioned lying down with their knee slightly bent. After the administration of local anesthetic, the injection is performed while simultaneously monitoring the needle with Ultrasound, ensuring that the corticosteroid solution is injected directly to the target area and that surrounding structures are avoided. The procedure takes about 30 minutes, and most patients can return to their normal activities the same day.

 

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