Just Knees performs several hundred knee injections a year. The clinic prides itself on decreasing knee pain whilst preserving the natural knee. The treatment of the knee with an injection can prolong the normal function of the knee and postpone the need for surgery.
The injection of choice depends on:
- The knees symptoms and signs,
- The severity of damage and the pathological condition being treated.
The commonest disorder requiring injection therapy is osteoarthritis.
The clinic has developed a wealth of experience to select the correct set of patient factors in order to obtain a good outcome for the knee using injection therapy.
The practice performs 3 diﬀerent types of injection.
Steroids are the least used agent within the clinic. They act as an anti inﬂammatory, decreasing the swelling within the knee. They have no aﬀect on the pathological condition causing the symptoms but can relieve pain secondary to the reduction of swelling within the joint. The pain relief is usually short term and other forms of treatment may be necessary to obtain a therapeutic response.
Hyaluronic Acid (Viscosupplementation)
Hyaluronic Acid (HA) is the commonest injection performed within the knee clinic. It can preserve good knee function and alleviate pain in certain patients. HA acts as a lubricant, oﬀ loading the articular lining damaged by knee osteoarthritis. It is usually slower to work when compared with steroid injection treatment however it lasts longer. Patient choice for this type of treatment is critical in order to get a good outcome.
Autologous Conditioned Plasma (PRP)
This patient derived blood biological agent has increasing amounts of evidence supporting natural knee preservation and improving knee function. It involves blood being taken from the patient, the blood is then centrifuged to enable the therapeutic components within the blood to be separated from the less favourable ﬂuid. This treatment takes advantage of the bloods natural healing properties resulting in a decrease in inﬂammation and pain with an increase in lubrication and cartilage self healing.
The injection therapy clinics are performed by Mr Cossey.
- They are performed as an out patient appointment .
- The injection is administered with the patient lying on the couch.
- It is relatively pain free.
- Post injection rest and low intensity activity is recommended for 48 hours post treatment.
- Patient reported events post injection include pain, swelling and stiﬀness, these are usually transient and quickly resolve.
The injection clinics are performed at the Spire Portsmouth Hospital and Horndean Medical Centre. They run several times a week with PMI patients being injected at Spire and Self Funding patients being injected at Horndean.
The prices for injection therapy are as follows;
Hyaluronic Acid £300
Autologous Conditioned Plasma £600