Will a single periarticular lidocaine-corticosteroid injection improve the clinical efficacy of intraarticular hyaluronic acid treatment of symptomatic knee osteoarthritis?

Article specifications

This trial was published in 2016 in Journal of Knee Surg Sports Traumatol Arthrosc by Turkish specialists. The aim of this to determine the effect of periarticular lidocaine-corticosteroid injection and the clinical efficacy of intraarticular hyaluronic acid treatment of symptomatic knee osteoarthritis. This study included 70 patients. Group 1 (n = 35) received intraarticular hyaluronic acid injections only, whereas group 2 (n = 35) received intraarticular hyaluronic acid injections combined with a single local injection of corticosteroid-lidocaine. Injections were administered to the most painful areas of the anterior or posterior medial condyle of the femur or tibia.

 

Results

The combined treatment may lead to earlier pain relief compared with intraarticular hyaluronic acid alone in patients with knee osteoarthritis and can be considered a useful adjunctive treatment modality. This combined method may provide early return to patient's daily activity.