Ragab, A. (2021). COMPARATIVE STUDY BETWEEN INTRA-ARTICULAR CORTICOSTEROID INJECTION AND GENICULAR NERVE BLOCK UNDER ULTRASOUND GUIDANCE IN PAIN CONTROL OF KNEE OSTEOARTHRITIS. ALEXMED ePosters, 3(2), 41-42. doi: 10.21608/alexpo.2021.75643.1155
Abd El Rahman Ibrahem Ragab. "COMPARATIVE STUDY BETWEEN INTRA-ARTICULAR CORTICOSTEROID INJECTION AND GENICULAR NERVE BLOCK UNDER ULTRASOUND GUIDANCE IN PAIN CONTROL OF KNEE OSTEOARTHRITIS". ALEXMED ePosters, 3, 2, 2021, 41-42. doi: 10.21608/alexpo.2021.75643.1155
Ragab, A. (2021). 'COMPARATIVE STUDY BETWEEN INTRA-ARTICULAR CORTICOSTEROID INJECTION AND GENICULAR NERVE BLOCK UNDER ULTRASOUND GUIDANCE IN PAIN CONTROL OF KNEE OSTEOARTHRITIS', ALEXMED ePosters, 3(2), pp. 41-42. doi: 10.21608/alexpo.2021.75643.1155
Ragab, A. COMPARATIVE STUDY BETWEEN INTRA-ARTICULAR CORTICOSTEROID INJECTION AND GENICULAR NERVE BLOCK UNDER ULTRASOUND GUIDANCE IN PAIN CONTROL OF KNEE OSTEOARTHRITIS. ALEXMED ePosters, 2021; 3(2): 41-42. doi: 10.21608/alexpo.2021.75643.1155
COMPARATIVE STUDY BETWEEN INTRA-ARTICULAR CORTICOSTEROID INJECTION AND GENICULAR NERVE BLOCK UNDER ULTRASOUND GUIDANCE IN PAIN CONTROL OF KNEE OSTEOARTHRITIS
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.
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