In the past 6 months my right knee is giving me fits. The pain in on the inside of the joint and begins to hurt after only a small amount of walking. It also appears that walking downhill is worse than up. I have used ointments and heating wraps and leg supports and all work a little but just temporary. I do have some stiffness in the morning and on and off during the day. I am 75 years old and somewhat over weight. I came to you about a year ago with my right hip giving me trouble. I stopped jogging and went to walking as an exercise. The hip stopped hurting but now transferred to my knee. I did physical therapy on my hip which helped my range of movement as there was a remarkable difference in the range of my right to my left. Would the 6 month shot stop this pain or do I need a knee replacement?
Experience is important for the proper performance of joint aspiration and injection procedures. Physicians skilled in arthrocentesis usually have had the opportunity to gain experience with a rheumatologist or other physician who performs many procedures. Each joint has different anatomic landmarks, and novice physicians may need to review a textbook for approaches to an unfamiliar joint. Although arthrocentesis is a simple technique with minimal risk, physicians should have assistance or supervision with their first attempts at any site. Family physicians wanting to perform arthrocentesis on deep joints, such as the hip or vertebral joints, should obtain extensive training in these higher risk procedures. Additional training in arthrocentesis is available from the American Academy of Family Physicians.