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Knee pain is the second most common musculoskeletal complaint in India, and in Delhi's aging population, osteoarthritis of the knee is reaching epidemic proportions.
At Eshna Pain & Palliative Centre, we offer the full spectrum of evidence-based, non-surgical knee pain treatments — from targeted injections to PRP therapy to genicular nerve block.
• Osteoarthritis of the knee (most common)
• Rheumatoid arthritis and inflammatory arthritis
• Meniscal tears and degeneration
• Patellofemoral pain syndrome (runner's knee)
• Bursitis (pes anserine, prepatellar)
• Post-surgical knee pain
• Tendinopathies (patellar tendinopathy)
Corticosteroid or hyaluronic acid (viscosupplementation) injected precisely into the knee joint under ultrasound guidance. More accurate and effective than blind injections.
PRP uses your own blood's growth factors to stimulate healing in the knee joint. Particularly effective for mild-to-moderate osteoarthritis and soft tissue injuries. Provides longer-lasting relief than steroid injections with regenerative potential.
The genicular nerves carry pain signals from the knee joint. Blocking these nerves with local anesthetic (diagnostic) or ablating them with radiofrequency (therapeutic) provides significant, long-lasting knee pain relief — especially for patients with severe OA who are not surgical candidates.
A minimally invasive procedure that "turns off" the pain signals from the knee without surgery. Evidence-based and effective in patients with moderate-to-severe knee OA. Duration of relief: 6–18 months.
Q: Can knee arthritis be treated without surgery?
A: Yes. Mild to moderate knee osteoarthritis can be effectively managed with PRP therapy, hyaluronic acid injections, and genicular nerve blocks. Even severe OA patients who are poor surgical candidates can achieve meaningful pain relief with genicular radiofrequency ablation.
Q: Which is better — PRP or steroid injection for knee pain?
A: Steroid injections provide faster, short-term relief (2–6 weeks). PRP takes longer to show effect (4–6 weeks) but provides longer-lasting relief (6–12 months) with a regenerative rather than purely anti-inflammatory mechanism. The choice depends on your age, severity, and goals.
Q: Is knee replacement the only option for advanced arthritis?
A: Not necessarily. Genicular nerve radiofrequency ablation is a proven, non-surgical option for severe knee OA — especially for patients who cannot undergo surgery due to age, medical comorbidities, or personal preference.
FREQUENTLY ASKED QUESTIONS — KNEE PAIN TREATMENT DELHI NCR
Q1. What are the most common causes of knee pain?
Common causes include knee osteoarthritis, meniscus tears, ligament injuries (ACL, MCL), patellar tendinitis, bursitis, gout, and rheumatoid arthritis. Determining the exact cause is essential for targeted treatment.
Q2. What knee pain treatments does Eshna offer?
We offer intra-articular steroid injections, hyaluronic acid (viscosupplementation), PRP (platelet-rich plasma) therapy, genicular nerve blocks, radiofrequency ablation of genicular nerves, and aspiration of knee joint effusion.
Q3. What is a genicular nerve block for knee pain?
A genicular nerve block injects local anaesthetic around the three sensory nerves supplying the knee joint. It provides rapid, targeted relief for chronic knee pain and confirms candidacy for genicular nerve RFA.
Q4. What is genicular nerve radiofrequency ablation (RFA)?
Genicular RFA uses heat energy to deactivate the nerves carrying pain signals from the knee. It provides long-lasting relief (typically 6–18 months) for chronic knee osteoarthritis pain without surgery.
Q5. Can PRP therapy help knee osteoarthritis?
Yes. PRP (platelet-rich plasma) injections into the knee stimulate cartilage repair and reduce inflammation. Multiple studies show PRP is more effective than steroid injections for knee osteoarthritis, especially in younger patients.
Q6. What is viscosupplementation for knee pain?
Viscosupplementation injects hyaluronic acid into the knee joint, replacing the natural joint fluid that diminishes with osteoarthritis. It lubricates and cushions the joint, reducing pain and improving mobility.
Q7. Can knee pain be treated without surgery or knee replacement?
Yes. Most knee osteoarthritis — even moderate to severe — responds well to PRP therapy, viscosupplementation, steroid injections, and genicular nerve RFA, significantly delaying or avoiding knee replacement surgery.
Q8. How long does a steroid injection in the knee last?
Corticosteroid injections typically provide relief for 4–8 weeks. Repeated injections over time may reduce effectiveness, so they are often combined with other treatments for sustained results.
Q9. What is a knee joint aspiration?
Knee aspiration removes excess fluid (effusion) from a swollen knee using a needle. It relieves pressure, reduces pain, and the drained fluid can be analysed to identify infection, gout crystals, or inflammation.
Q10. Is knee pain treatment safe for elderly patients?
Yes. Minimally invasive treatments like injections and genicular RFA are particularly suitable for elderly patients who are not good candidates for knee replacement surgery due to age or medical conditions.
Q11. What is the recovery time after a knee injection?
Most patients can resume normal activities within 24–48 hours of a knee injection. Mild soreness at the injection site is common for 1–2 days. Rest and ice are recommended immediately after.
Q12. How many PRP injections are needed for knee pain?
Typically 2–3 PRP injections spaced 3–4 weeks apart are recommended for knee osteoarthritis. Maintenance injections every 6–12 months help sustain the benefits.
Q13. Can knee pain be caused by hip or back problems?
Yes. Pain can be referred to the knee from hip osteoarthritis or lumbar spine conditions. A thorough assessment ensures the actual pain source is identified and treated correctly.
Q14. What exercises help with knee pain?
Quadriceps strengthening, hamstring stretching, and low-impact activities (cycling, swimming) support knee health. However, exercise should be guided by a physiotherapist to avoid aggravating pain.
Q15. How do I book knee pain treatment at Eshna in Delhi NCR?
Contact Eshna Pain & Palliative Centre at +91 9811088148. We provide expert knee pain management including PRP, viscosupplementation, and genicular nerve RFA across Delhi NCR.