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Current Concepts and Future Directions of Minimally Invasive Treatment for Knee Pain

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Abstract

Purpose of Review

The purpose of this paper is to review the percutaneous interventions available for the treatment of osteoarthrosis of the knee that address pain and prolong the time to arthroplasty.

Recent Findings

Corticosteroid injection and viscosupplementation have been the most studied, but there is still no consensus about their value. Thermal nerve ablation, including both radiofrequency ablation and cryoneurolysis, is a promising new modality of therapy that may increase in clinical use given current data showing favorable outcomes. Of the future therapies that are currently under investigation, synovial embolization via the geniculate arteries represents an exciting new approach that may soon be available clinically.

Summary

There are various percutaneous interventions available for the treatment of osteoarthrosis of the knee that address pain and prolong the time to arthroplasty.

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Authors and Affiliations

  1. Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Daryl T. Goldman

  2. Vascular & Interventional Radiology, Vascular Institute of Virginia, Woodbridge, Prince William County, VA, USA

    Rachel Piechowiak & Sandeep Bagla

  3. Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, NC, USA

    Daniel Nissman

  4. Vascular and Interventional Radiology, University of North Carolina School of Medicine, Chapel Hill, NC, USA

    Ari Isaacson

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  1. Daryl T. Goldman
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Correspondence to Daryl T. Goldman.

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Conflict of Interest

Dr. Isaacson reports personal fees from Cook Medical, Terumo, and Embolx; grants and personal fees from BTG; and grants from Medtronic and Boston Scientific, outside the submitted work. Dr. Bagla reports grants, personal fees, consulting, and research from Boston Scientific and Medtronic, and personal fees and consulting from Terumo, outside the submitted work. Dr. Piechowiak reports grants from Boston Scientific during the conduct of the study. Drs. Goldman and Nissman Parry declare that they have no conflict of interest.

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Goldman, D.T., Piechowiak, R., Nissman, D. et al. Current Concepts and Future Directions of Minimally Invasive Treatment for Knee Pain. Curr Rheumatol Rep 20, 54 (2018). https://doi.org/10.1007/s11926-018-0765-x

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  • DOI: https://doi.org/10.1007/s11926-018-0765-x

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