Osteoarthritis and Fluoroscopy

Fluoroscopy machine

Injection For Osteoarthritis

Osteoarthritis is the most common form of arthritis that affects millions of people. The disease causes the protective cartilage at the end of bones to wear down over time, decreasing the cushioning necessary for a healthy joint. Osteoarthritis can damage the knee, hands, hip, and spine joints. Some risk factors include older age, sex as women are most likely to develop osteoarthritis, obesity, joint injuries, repeated stress, genetics, bone deformities such as malformed joints or defective cartilage, certain metabolic diseases that may encompass diabetes or hemochromatosis, that is when the body has too much iron. Symptoms of osteoporosis include:

X-rays or MRIs can be performed to get a picture of the affected joints. Other ways such as blood tests or joint fluid analysis are ways doctors can confirm the disease. Treatments of osteoarthritis include medications such as Acetaminophen, Nonsteroidal anti-inflammatory drugs (NSAIDs), or Duloxetine. Physical therapy or occupational therapy can also be a way to help strengthen muscles around the joint and increase flexibility to reduce pain. For more severe forms of osteoarthritis, other procedures such as cortisone injections, lubrication injections, realigning bones, and joint replacement. Recent studies at Harvard Medical School have proved the affective results that come from a steroid injection. Steroid injections relieve inflammation in the joints, which can be caused by osteoarthritis. The US National Library of Medicine followed research that determined the efficiency of intraarticular corticosteroid injections for osteoarthritis. It was concluded that these injections improved symptoms of osteoarthritis of joints. Fluoroscopy guided intra-articular steroid injections have shown improved effective therapeutic measure for osteoarthritis across a series of severity and also provides significant cost savings and potential reduction on waiting time. 

 

Fluoroscopy 

Fluoroscopy is a medical imagining that shows a continuous X-ray image, used during a procedure. An X-ray beam is passed through the body and an image is transmitted to a monitor and therefore the movement of the joints can be seen in detail. Fluoroscopy can also be used in orthopedic surgery, catheter insertion, enemas, angiography, urological surgery, and pacemaker implantation. Therefore, the use of fluoroscopy can improve the possibility of the utmost effectiveness of patients suffering from diseases. These image-guided tools are designed to perform minimally invasive procedures such as joint injections more safely. Other examinations and diagnosis that may include the fluoroscope include:

 

The core contraindications that are associated with using a fluoroscope is pregnancy because of potential harmful effects on a developing fetus. But the use of Fluoroscope has bought a revolution in medicine in both hospitals and private doctor offices.

 

Dr. Mahmood Siddique, DO, FACP, FCCP, FAASM uses state-of-the-art Fluoroscope technology for various joint injections. If you have further questions about the Picosure procedure or want to schedule an appointment, call our office at (609) 587-9944 or e-mail us at info@sleep-wellness.org.

 

References:

https://www.mayoclinic.org/diseases-conditions/osteoarthritis/symptoms-causes/syc-20351925 

 

https://www.mayoclinic.org/diseases-conditions/osteoarthritis/diagnosis-treatment/drc-20351930 

 

https://www.health.harvard.edu/blog/a-new-look-at-steroid-injections-for-knee-and-hip-osteoarthritis-2019122318430 

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC387479/ 

 

https://www.clinicalradiologyonline.net/article/S0009-9260(15)00321-9/pdf  

 

https://www.fda.gov/radiation-emitting-products/medical-x-ray-imaging/fluoroscopy#:~:text=Fluoroscopy%20is%20a%20type%20of,is%20passed%20through%20the%20body

 

https://www.envrad.com/what-is-fluoroscopy-and-how-to-prepare/ 

 

https://www.bicrad.com/blog/fluoroscopy-exam-101-what-it-is-how-it-works-and-what-to-expect  

Author
Anuva Nabiha Anuva is a Boston University undergraduate studying neuroscience in the premedical track. She believes in the importance of mental health in the healthcare system and wants to focus on overcoming the bias against BIPOC in medical science.

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