An injection method of treatment for inflammation of the joints is used in the last stages of the development of the degenerative-dystrophic process. At the first stages of the formation of the disease, the use of tablets and ointments is sufficient, and by 3 degrees such medications no longer help. Therefore, doctors prescribe injections for arthritis of the last stage.Overview of the most effective injections for arthritis
Advantages and disadvantages of such therapy
Therapy of autoimmune pathology requires the patient to strictly comply with all medical recommendations. With arthritis disease with severe pain and in the later stages, it is carried out by injection. Injections in the knee, thigh, or other affected areas are somewhat more effective than tablets in tablet form or ointment.
Injection therapy for the inflammatory process has a strong anti-inflammatory and analgesic effect on the body. Benefits:
- arthritis injections begin to act faster;
- in emergency situations, the drug is administered to the patient in an unconscious state;
- using injection, only a specific area is affected;
- unlike tablets, capsules or syrups, the use of injections has a minimum of negative effects on the gastrointestinal tract.
The only drawback of this treatment method is that it takes long needles to enter the affected joint. Sometimes it does not reach the shoulder joint, the process can be painful because you will need to use a longer needle, which means a larger one in volume.
Medicines against pain and inflammation in the early stages of the disease
Intramuscularly, drugs are prescribed in the first stage for gouty arthritis, as well as psoriatic and rheumatoid. What injections are prescribed? Doctors mainly prescribe NSAIDs (Diclofenac, Movalis, Ketanov, Dexalgin). Non-steroidal anti-inflammatory injections have an analgesic effect and relieve inflammation. Among these medicines, the best is Diclofenac. This drug is bioavailable, relatively inexpensive and effective. Diclofenac is the drug of choice in most rheumatologic diseases. The effect of the medicine:
- a decrease in the duration of morning stiffness;
- relief of pain;
- reduction of swelling and swelling in the joints;
- increase in range of motion.
NSAIDs are pain medications used in the first stage of the disease. They reduce the symptoms of an autoimmune pathology but can cause dizziness, impaired hearing, and vision, insomnia and nosebleeds. Non-steroidal painkillers should not be administered intravenously or subcutaneously. Injections are done alternately – then in the left, then in the right buttock. Also, such painkillers are recommended to be used alternately with injections of other analgesics so that an overdose does not occur.
Analgesic injections do not relieve tissue swelling and inflammation. “Analgin”, “Baralgin” and other painkillers of this group only slightly facilitate the well-being of the patient. Therefore, analgesics are recommended to be alternated with NSAIDs. The treating doctor selects painkillers injections, he also prescribes the dosage, frequency of use and duration of therapy. Instructions for use go to all drugs, you should familiarize yourself with it before using the medicine.
The use of glucocorticosteroids
Glucocorticosteroids are prescribed to patients very rarely since such drugs for arthritis of the shoulder joint (hip, knee, foot) have a high risk of complications. In no case should the dosage of such complications be exceeded, only after consulting a doctor and conducting the next test. With the rheumatoid form of arthritis, the Ambene drug is an ideal option. It is recommended to treat with the drug with the following indications:
- degenerative diseases.
Only thanks to the composition of Ambene has a positive effect on the course of the disease. The medicine consists of dexamethasone, phenylbutazone, cyanocobalamin, lidocaine, and salicylamide. The drug is injected intramuscularly into the buttock, preferably deeply. In case of arthritis of the hip joint (damage to another joint), Ambene can cause stomach pain, nausea, vomiting, headaches, and dizziness. Such an injection should not be given to pregnant women with gastrointestinal problems, thyroid dysfunction, as well as with an ulcer, a diseased liver, or kidneys.
In case of a disease, psoriasis or psoriatic arthritis use another remedy, its name is Diprospan. This is a potent hormonal agent that has a complex effect on the body, namely:
Psoriatic arthritis develops slowly, it appears 2-3 years after the onset of psoriasis. The disease causes terrible symptoms, so the treatment is complex. Instructions for the use of Diprospan in patients with a diagnosis of psoriatic arthritis (shoulder, knee, hip joint), consultation with your doctor is required :
- intramuscularly with psoriasis – in the gluteal region of 1-2 ml every 14-30 days;
- intraarticularly, if the patient has psoriatic arthritis – 1-2 ml in the hip, 1 ml in the ankle, knee or shoulder, 0.5-1 ml in the wrist and elbow, 0.25-0.5 ml in other joints (smaller).
A therapeutic injection may be given together with an anesthetic but in rare cases. Mostly psoriatic arthritis is treated only with Diprospana injections.
The best antimetabolite is the drug “Methotrexate”. This medicine also has antitumor and cytostatic effects. From gout, the use of Methotrexate is prohibited. Rheumatoid arthritis is subject to complex medical effects. The use of “Methotrexate” is possible at any stage of the disease. This is due to the fact that injections inhibit the progression of the inflammatory process.
Instructions for use of “Methotrexate”, consultation with your doctor is required :
- with the disease at the initial stage – 7.5-15 mg;
- in severe cases – 25-30 mg.
With arthritis, the drug is administered intravenously. The use of “Methotrexate” is possible with the defeat of paired joints (elbows, knees, etc.). Also, the medicine is used for arthritis of the hip joint. Instructions for use of “Methotrexate” states that it can not be carried out with renal and hepatic insufficiency, sensitivity to the drug, severe chronic infections.
The use of chondroprotectors
For the treatment of arthritis, chondroprotective are mandatory – these are preparations containing chondroitin sulfate and glucosamine. They are prescribed because these substances restore cartilage. In the injectable form, drugs Dona, Mukosat, Alflutop, etc. are produced. The duration of treatment with chondroprotective is 3-5 months, depending on the degree of joint damage.
Instructions for use go to each drug, but you can not use the medicine yourself. Injections are injected into each joint, therefore, only a doctor should perform this procedure and it does not matter where the joint is affected, in the leg, knee or shoulder.
Intra-articular hyaluronic acid administration
Intra-articular hyaluronic acid administration is necessary to increase the range of motion. Such injections can be made only after medical advise. Hyaluronic acid is a “liquid prosthesis”. It prevents bone friction, restores the quality and quantity of intraarticular fluid.
When treating knee arthritis with hyaluronic acid injections, doctors recommend Fermatron, Ostenil, Adant, and Hyaluron. Injections of a “liquid prosthesis” are contraindicated for use in an active inflammatory process. First, the patient will need to undergo anti-inflammatory medication treatment, only then hyaluronic acid can be used. Also, such injections are contraindicated during pregnancy and lactation, with acute infectious diseases and fever.
If hyaluronic acid injections are not made correctly, side effects may occur. These include bleeding into the joint cavity, pain, itching, a feeling of warmth, burning, swelling and redness. If side effects occur, discontinue the use of the medicine and inform the doctor.
the most effective injections for arthritis,the most effective injections for arthritis, the most effective injections for arthritis, the most effective injections for arthritis, the most effective injections for arthritis, the most effective injections for arthritis