Treatment for Arthritis: Nerve-Related Knee Pain and How to Manage It

Making a diagnosis in a patient who presents with knee pain is one of the most perplexing problems a rheumatologist faces. Knee pain may be caused by a variety of conditions, including arthritis, bursitis, tendonitis, and a variety of others.
Knee pain as a result of nerve-related pain is a very common issue that is often ignored. You may want to check out Knee Pain Doctor Near Me for more.
There are three nerves that are linked to knee pain. The femoral nerve is the first. The nerve that runs down the front of the thigh is called the femoral nerve. It can cause pain in the front of the leg, but it is rarely the cause of knee pain.
The sciatic nerve is the second nerve that can cause discomfort in the back of the knee. Pain that extends from the low back down the back of the leg can occur in patients with degenerative arthritis or degenerative disc issues. It’s important to note that a patient can experience leg pain but not back pain.
The peroneal nerve is the last nerve that has been linked to knee pain. This is a sciatic nerve branch that runs along the outside of the knee. When a patient has a knee replacement, this nerve becomes a problem. Although this doesn’t happen too much these days, in the early days of knee replacement surgery, women would sometimes obtain men’s knee replacement hardware.
These replacements may be a little too big for the joint, causing irritation to the peroneal nerve, which runs around the outside of the knee joint.
The patient would be in excruciating pain if this happened. A common case involves a woman patient who has persistent knee pain after joint replacement surgery. “The knee replacement looks fine!” exclaims the orthopaedic surgeon after taking x-rays and displaying the films on the view box. “But my knee really hurts…” the patient would say. “I don’t know why,” the orthopaedic surgeon would say, shrugging his shoulders.
Having the right diagnosis is crucial to treating nerve-related knee pain. The pain in the femoral and sciatic nerve roots is usually caused by a problem with the spine. As a result, the procedure aims to address whatever is causing nerve root irritation in the low back.
Peroneal nerve-related knee pain can be treated with ultrasound-guided hydrodissection of the peroneal nerve if it’s caused by inflammation from a knee replacement appliance. This entails injecting a huge volume of fluid into the nerve sheath using a tiny needle and pulling the peroneal nerve away from the appliance. This frequently results in long-term relief.
There is gradual numbness, tingling, and weakness in the leg in patients who have peroneal nerve compression that tends to worsen. Electrical studies, such as electromyography, may validate the diagnosis. Patients who do not respond to hydrodissection may need to see a neurosurgeon.