Pain at the front of the knee – on and around the knee-cap (patella) – is the most common presentation of cycling overuse injuries, in part due to the anatomy of this area. If your knee pain or injury is severe, visit your physician for a prescription medication that may improve your particular condition.Pain under the knee cap is known as runner’s knee and can plague cyclists as well. If you have modest knee pain caused by a simple strain, try an over-the-counter medication. "It's also expensive, but a lot of people will try it before surgery." "The whole concept of viscosupplementation was developed by rheumatologists to get some lubrication into the joint, but I found it doesn't work very well," Bargar says. These injections are helpful if you have early stage arthritis and haven't responded well to oral medication.
PRODUCT THAT HELPS DECREASE FLUID IN KNEE INJURY SERIES
A series of three to five weekly injections is necessary to complete the therapy. Viscosupplementation is an injection of hyaluronic acid that lubricates your joint to reduce knee pain and increase mobility.These injections aren't permanent solutions, and you may need to return for repeat injections every few months (though not to exceed four injections in the same joint per year). Corticosteroids reduce inflammation and offer pain relief and are injected directly into the knee.
Corticosteroids or viscosupplementation with hyaluronic acid can be injected when knee pain becomes severe. Injecting medication to reduce knee pain is usually the step between taking oral medication and replacing arthritic knee joints with surgery. "I would prescribe Celebrex for someone who isn't tolerating conventional NSAIDs because of GI side effects."īargar also advises people with knee pain who are taking large doses of ibuprofen regularly to have blood tests every four months to check for kidney toxicity and anemia. "I don't think work better than standard anti-inflammatories, they just don’t have the gastrointestinal side effects," he says. Celebrex was not shown to have a significant increased risk of heart problems. Rofecoxib (Vioxx) and others were removed from the market because it was discovered that they led to an increased risk of heart complications.īargar says that although the data wasn't completely clear, the consensus was to remove Vioxx and valdecoxib (Bextra), both COX-2 inhibitors, from the market because of associated cardiac issues. The only COX-2 inhibitor currently on the market is celecoxib (Celebrex). These drugs are typically used if your pain level is considered moderate to severe. These include prescription-strength NSAIDs and COX-2 inhibitors (meant to decrease gastrointestinal side effects like stomach bleeding). Prescription medication is usually a more potent pain reliever than the over-the-counter variety. Be sure to follow the instructions for any medication and read the warnings. Bargar points out that even though knee pain-relieving medication is available without a prescription, you should use care when taking it. These can help with simple sprains or even arthritis.ĭr. The main over-the-counter drugs are acetaminophen (Tylenol and other brands) and non-steroidal anti-inflammatory drugs (or NSAIDs), including aspirin (such as Bayer), ibuprofen (Advil, Motrin), and naproxen (Aleve). Most medication that falls in the anti-inflammatory category also has analgesic effects, says William Bargar, MD, director of the Joint Replacement Center with Sutter General Hospital in Sacramento, Calif., and a spokesman for the American Academy of Orthopaedic Surgeons. Over-The-Counter Medication for Knee Pain But most medication used by people with knee pain falls into one of two categories: anti-inflammatories and pain relievers, also known as analgesics. There is a variety of medication available for knee pain, including both oral and injectable medication, depending on the source of your pain.
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