Hyaluronic acid (HA) injection: the normal knee has hyaluronic acid (HA) with a thick and viscous consistency. As the knee becomes arthritic the composition of the HA changes. The injection replaces a fluid like the healthy fluid found in a normal knee. There are lots of brands on the market. They can be given as a single dose injection or a series of injections which range from 3 to 5 based on the brand. Types of the different brands are: hyalgan, orthovisc, synvisc, supartz, and euflexa.
Cortisone injection: cortisone is like a strong Motrin/Eleve, meaning that it is able to decelerate or reduce the inflammatory process that is produced by the knee osteoarthritis. The injection can be given every three months. If given more than every three months if does not work as well. Cortisone does not destroy the knee joint, the bones in the knee or the knee ligaments/ tendons. There are a lot of myths about cortisone. The bottom line is that cortisone will not damage an arthritic knee joint. Cortisone given in the knee joint does not cause the person to gain weight. Cortisone can temporarily raise a person’s blood sugar if they are a diabetic.
Weight-loss: the less weight on the arthritic knee usually will help to reduce the pain from the arthritis and may slow down the progression. Morbidity obese patients have a higher incidence of knee arthritis at a younger age.
Capsaicin: it is a topical cream made from red peppers that can help reduce the pain of knee arthritis. It can be purchased over the counter at most grocery or pharmacies.