Injection Therapy

Injection Therapy

It is a treatment method to apply certain drugs directly to the problem area instead of using them orally. It is used in the treatment of many painful syndromes, especially movement system diseases and rheumatic diseases. Today, the most important drugs used locally by injection are:
1. Cortisone drugs
2. They are local anesthetics.

The most discussed of these two types of drugs is the drugs with cortisone.

Cortisone drugs can be used alone or in combination with local anesthetics to treat a wide variety of painful conditions. For example, it is possible to benefit from cortisone drugs in painful syndromes in the hands and feet, fibromyalgia, conditions with limitation of movement such as frozen shoulder, tendinitis, carpal tunnel syndrome, disc herniations in the waist and neck, muscle spasms, fibromyalgia and some joint disorders. In the acute periods of rheumatic diseases, cortisone injections can be made into the joint. However, there are some indispensable conditions in this treatment method:
1. This should be done by an expert and experienced physician,
2. Sterile conditions should be observed.
3. It should be known that the disease in the joint is not microbial,
4. If the desired result cannot be obtained even though it is done once or twice, it should not be repeated.
5. It should not be done in the early period in knee arthrosis, that is, calcification, which is one of the most common causes of knee pain,
6. It should not be done if there is a suspicion of tear in the structures in or around the joint.

If these conditions are followed, cortisone injections into or around the joint are a very effective treatment method and can be applied together with other drugs and physical therapy methods.

In recent years, another injection method to joints with arthrosis has been developed. As it is known, arthrosis, that is, joint calcification, is a disease that occurs as a result of the wear of the cartilage between the bones. As a result of wear, the cartilage surface deteriorates and the amount of joint fluid that feeds the cartilage decreases. In order to compensate for these losses, it is possible to inject drugs with hyaluronic acid into the joint and partially repair the damage in the cartilage. These drugs, which are usually made from amaranth or synthetically, are applied three times in a row at one-week intervals and can be repeated every 6 months. It is a form preferred by patients as it can be applied together with other treatment methods. Here, too, there is an obligation to pay attention to the conditions in cortisone injections. It should definitely be done by an experienced doctor, and it should be ensured that there is no inflammation in the joint.

Sometimes, injections can be made to remove the excessively increased joint fluid without giving any medication. The aim of this treatment method, called joint puncture, is to relieve the joint fluid by draining the increased joint fluid as a result of trauma or rheumatic diseases, and to remove the harmful substances accumulated in this fluid from the environment. This procedure must be done under sterile conditions by an experienced physician and the patient must be followed up after the injection. In doubtful cases, the joint fluid taken is sent for analysis and it is investigated whether there is inflammation in it. Under normal conditions, this procedure should not be performed without excessive increase in joint fluid, which is vital for the joint. Otherwise, more harm than good will occur. Therefore, the knowledge and experience of the physician who will decide on this method is very important.

Apart from medicated injection methods, there is another treatment method that is done by inserting a needle into painful points without giving any medication. In this method, which is called “dry needle treatment”, the needles are inserted into the painful area and removed without giving any medication. The aim is to reduce the sensitivity of painful nerve endings in that area and to prevent pain transmission. This treatment method, which is similar to the acupuncture treatment that has been successfully applied in the Far East for thousands of years, has become quite common in Western countries in recent years. There are no side effects related to the drugs that you are not injected with. There is no harm in using it together with other treatments and physical therapy methods. It is an effective treatment method in the treatment of fibromyalgia, waist and neck hernia, painful muscle spasms and painful joint diseases.

Another similar form of treatment is “Mesotherapy”. It is a treatment method by injecting small amounts of local anesthetic substances into the body at certain points with small-tipped injectors. Since the amount of the drug used is very small, there are no drug-related side effects. During the application, attention should be paid to sterile conditions, it should be applied to areas with suspected inflammation and near open wounds.

Another injection treatment method, which is applied similarly to mesotherapy, but using dextrose solution instead of local anesthetics, is "Prolotherapy". This form of treatment, which is applied around the painful area with small-tipped injectors, should also be applied by experienced physicians.sow. At the beginning of the most applied conditions are chronic rheumatic diseases, painful disorders such as low back and neck pain, muscle spasms and fibromyalgia.
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