Ultrasound is useful for diagnosing and managing chronic knee pain. Common causes of chronic knee pain include degenerative conditions like osteoarthritis, inflammatory conditions like rheumatoid arthritis, and injuries. Ultrasound can identify pain generators like joint effusions, meniscal tears, tendinopathies, and bursitis. It helps guide procedures to treat these conditions, such as injections of corticosteroids, platelet-rich plasma, and prolotherapy. Ultrasound also allows radiofrequency ablation of genicular nerves to reduce pain. The document concludes that ultrasound is an ideal, safe, economical and easy-to-use tool for diagnosing and treating chronic knee pain conditions.

1. Role of ultrasound;
in chronic knee-pain
management
Dr Ashok Jadon,
Tata Motors Hospital
Jamshedpur

2. Common causes of chronic knee pain
• Degenerative: Osteoarthritis.
• Inflammatory: Rheumatoid arthritis.
• Degenerative+ inflammatory: Bursitis, Tendinopathies
• Chronic Synovitis with effusion
• Unhealed Injuries: Meniscal, tendons, ligament, cartilage

3. Pain Generators in Chronic Knee Pain

5. Clinical Presentation of various Pain conditions

6. Chronic Knee Pain
• Common Clinical Conditions & their management

7. Recurrent Knee joint effusion
• Synovitis (Hypertrophied)
• Associated with Arthritis
• Superadded infection
• Injury (Exudate + Blood)

8. Knee aspiration & Depot injection

9. Knee aspiration & Depot injection
Lateral

10. Baker’s Cyst

11. Meniscal tears

12. Meniscus dynamic testing

13. Conservative Treatment of Meniscal tears
• Depot injection
• Prolotherapy
• PRP injections

14. Tendinopathies

15. Tendinopathies; diagnosis USG

16. Treatment options for tendinopathies
• Depends upon
the nature of ds
• Depot.
• Prolotherapy
• PRP

17. PRP in the tendon, Depot out side tendon

18. Bursitis
The bursae lay between the pes anserine tendons and the MCL (Medial Collateral Ligament).
The pes anserine bursa is typically located 2.5–3 cm distal to the medial joint line

19. Knee Arthritis

20. US findings of OA Knee

21. Ultrasound for the Treatment of Knee OA

22. Intra articular injections
• LA & Depot
• Prolotherapy
• Ozone
• PRP
Injections give short term relief…….

23. Radiofrequency treatment of Genicular Nerves

25. Genicular Block, PRF & RFA

27. New Genicular Targets by USG

28. Less common conditions for Knee Pain
A: bipartite patella,
B: joint effusion, and medial patellar plica.
Bipartite Patella

29. IPS Neuralgia- RFA

30. International Journal of Anatomy, Radiology and Surgery. 2018
Jan, Vol-7(1): RO50-RO55
Conclusion: USG of the knee shows promising results in the
diagnosis of meniscal/ligamentous tears.
A wide availability, cost effectiveness and better tolerability of
USG make it a modality of first choice for evaluating knee
injuries

31. Role of USG Knee pain
Diagnostic Accuracy??

33. Conclusion
•Ultrasound is an Ideal ( safe, economical
and easy to use ) tool to diagnose and
manage the Chronic Knee Pain conditions.