Cortisone injection may provide temporary relief.
Arthroscopy is a surgical procedure used to visualize, diagnose and treat problems inside a joint. A small incision is made and pencil-sized instruments are inserted that contain a small lens and lighting system to magnify and illuminate the structures inside the joint.
For patients whose joint pain does not improve with medication or physical therapy, “joint grease” injections may provide temporary relief. The joint is injected with a joint fluid supplement that acts as a lubricant for the damaged joint. Joint injection schedules and duration of relief vary according to the treatment chosen and the individual patient. However, these injections do not cure the diseased joint and joint replacement may be needed as the joint worsens with time.
If you and your doctor decide that joint replacement surgery is an option to relieve your pain, your doctor will provide the specific-to-you details of which type of artificial joint he or she will use, what you need to know to prepare for the surgery, how the surgery will be performed, and what results you can expect once you are up and moving again.
Total joint replacement is a surgical procedure in which certain parts of an arthritic or damaged joint, such as a hip or knee joint, are removed and replaced with a plastic or metal device called a prosthesis. The prosthesis is designed to enable the artificial joint to move just like a normal, healthy joint.
Hip replacement involves replacing the femur (head of the thigh bone) and the acetabulum (hip socket). Typically, the artificial ball with its stem is made of a strong metal, and the artificial socket is made of polyethylene (a durable, wear-resistant plastic). In total knee replacement, the artificial joint is composed of metal and polyethylene to replace the diseased joint. The prosthesis is anchored into place with bone cement or is covered with an advanced material that allows bone tissue to grow into it.
1. Dieppe P, et al. (2002). Osteoarthritis. Clinical Evidence (7): 1071–1090.
2. McAlindon TE, et al. (2000). Glucosamine and chondroitin for treatment of osteoarthritis. A systematic quality assessment and meta-analysis. JAMA, 283(11): 1469–1475.
3. Update on glucosamine for osteoarthritis (2001). Medical Letter on Drugs and Therapeutics, 43(1120): 111–112.