Early stages( Stage 1,2 and Early Stage 3) can be managed by Newer treatments for osteoarthritis focusing on regenerative injection technique Platelet Rich Plasma and Prolotherapy to stimulate repair and healh of ligaments, ligament-bone interface which is where the primary source of pain is located. Cartilage repair is also initiated. Emphasis is on increasing anabolic processes by stimulating repair.
Later stages( Late Stage 3 and Stage 4) are approached in a two-staged manner
- Diagnostic genicular block with interarticular ozone infiltration
- Cooled or Conventional Radiofrequency Ablation of the genicular nerves
These treatments are a part of a personalized treatment plan for the patient which includes:
- MEDICAL MANAGEMENT
- STRUCTURED PHYSICAL THERAPY
- CLINICAL NUTRITION
- LIFESTYLE ASSESSMENT – MODIFICATION
- CLINICAL PSYCHOLOGY
People not amenable to any conservative line of management are advised for a Total Knee Replacement if they are medically fit for surgery.