This is a common treatment for frozen shoulder (adhesive capsulitis) or impingement. Using x-ray guidance, this injection aims to stretch the joint capsule to decrease pain and increase function of the shoulder.
Cortisone is powerful anti-inflammatory medication. Commonly used to treat pain in various parts of the body including inflamed joints, tendons and bursa. These injections are often preformed under ultrasound or x-ray. Common joints treated include the ankle, knee, shoulder, elbow, hip, spine, and wrist.
Osteoarthritis (OA) means the loss of articular cartilage in a joint. This can result in dysfunction and pain. The causes of osteoarthritis are multiple and often have biomechanical and biochemical aetiologies.
Regardless of the cause of OA the result is an increase in Cytokine production in the joint. Cytokines are chemical mediators that can be either pro-inflammatory / degenerative or anti-inflammatory / protective in nature. The main pro-inflammatory cytokine is interleukin-1. This causes ongoing inflammatory change in the joint manifesting in a fluid build up and resultant degeneration of the residual cartilage.
Orthokine is a concentrated, naturally occurring, blood-derived protective cytokine that can oppose the effects of Interleukin-1.