COMPARATIVE STUDY BETWEEN INTRA-ARTICULAR CORTICOSTEROID INJECTION AND GENICULAR NERVE BLOCK UNDER ULTRASOUND GUIDANCE IN PAIN CONTROL OF KNEE OSTEOARTHRITIS | ||||
ALEXMED ePosters | ||||
Article 110, Volume 3, Issue 2, June 2021, Page 41-42 | ||||
Document Type: Preliminary preprint short reports of original research | ||||
DOI: 10.21608/alexpo.2021.75643.1155 | ||||
View on SCiNiTO | ||||
Author | ||||
Abd El Rahman Ibrahem Ragab | ||||
Department of Radiodiagnosis, Faculty of Medicine Alexandria University | ||||
Abstract | ||||
Recently, genicular nerve block (GNB) was introduced as a new technique to relieve knee pain in chronic knee osteoarthritis patients. While intra-articular corticosteroid injection (IACSI) used to be a traditional treatment option to relieve knee osteoarthritis related pains. Both techniques have been used. However, whether one is superior to the other remains controversial. Aim of work: This study aims to investigatethe efficacy of ultrasound-guided GNB and IACSI in the management of knee osteoarthritis-related pains and to determine which technique carried better results. Methods: Forty patients with chronic knee osteo-arthritis were randomly treated with either genicular nerve block (GNB) (n = 20) or intra-articular corticosteroid injection (IACSI) (n = 20). Clinical response was assessed using Visual analog scale (VAS), and Oxford Knee Score (OKS) at baseline and 2, 4, and 8 weeks post procedure. Results: The VAS score and OKS score were significantly low in the GNB group and IACSI group at 2, and 4 weeks after the procedure (P < 0.001 for all), then returned near baseline at 8 weeks. When the two groups were compared according to changes in VAS and OKS from baseline at 2, 4, and 8 weeks, GNB group showed significant alleviation of pain (P < 0.001 for 2 and 4 weeks and < 0.006 for 8 weeks) and improvement in function (P < 0.001 for 2, 4 and 8 weeks) compared to IACSI group. | ||||
Keywords | ||||
Knee; GNB; IACSI | ||||
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