ADDUCTOR CANAL AND SUPERIOR LATERAL GENICULAR NERVE INJECTIONS FOR GRADE 4 KNEE OSTEOARTHRITIS: A CASE REPORT

Received 2024-02-29; Accepted 2024-09-11; Published 2025-01-24

Authors

  • Wan Nabilah Nik Nabil Department of Anesthesiology and Intensive Care, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur, Malaysia.
  • Nadia Mohd Mustafah Department of Rehabilitation Medicine, Faculty of Medicine, Universiti Teknologi MARA, 47000 Sungai Buloh, Selangor, Malaysia.
  • Awisul Islah Ghazali Pain Management Clinic, Department of Anaesthesiology and Intensive Care, Hospital Taiping, 34000 Taiping, Perak, Malaysia

DOI:

https://doi.org/10.22452/jummec.vol28no1.20

Abstract

This case report showcases the successful use of a combination of adductor canal (AC) and superior lateral genicular nerve (SLGN) injections in a patient with refractory knee pain caused by knee osteoarthritis (OA). A 73-year-old man with Kellgren and Lawrence (KL) Grade 3-4 of bilateral knee OA experienced debilitating chronic right knee pain and declined surgery intervention. He reported significant pain relief, which improved his ability to walk, after receiving a combination of AC and SLGN injections with a mixture of local anesthetic and steroids. This followed the unsuccessful provision of multiple analgesics and intraarticular injections. The pain-relieving effects persisted until his 2-month follow-up. Repeated injections were performed 4 months after his initial intervention, with the analgesic effect lasting for another 2 months. This case report suggests that the combination of AC and SLGN injections could be a viable treatment for patients with knee OA KL Grade 4 who are not candidates for surgery.

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Published

2025-01-24

Issue

Vol. 28 No. 1 (2025)

Section

Research article

License

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