Dr Parminder J Singh is a specialist knee orthopaedic surgeon who provides knee pain treatment. The surgical treatment includes knee arthroscopy (including anterior cruciate ligament reconstruction, patella and quadriceps tendon repair), knee pain front, minimally invasive and rapid recovery joint replacement surgery using some of the latest techniques including robotic knee surgery techniques. Dr Singh, knee specialist, also provides some injections treatment (Duralane) for patients with early knee arthritis to help with pain management.
Dr Singh is currently performing his surgery at St Vincent’s Private East Melbourne, Epworth Richmond Private Hospital, Epworth Eastern Private Hospital and Waverley Private Hospital.
Injectable treatment for early knee early arthritis
Osteoarthritis (OA) is considered as one of the main causes of functional disability in humans. The patient with OA is suffering not only from the persistent pain, stiffness and limited mobility, moreover, it also directly affects their quality of life.
Recommendations for OA management, includes non-pharmacological such as patient education and awareness, physical exercise and rehabilitation aids.
The pharmacological modalities vary from prescription of non-selective NSAIDs (Nonsteroidal anti-inflammatory drugs) and selective COX-2 inhibitors agents and in some cases even opioid type medication. NSAIDs are the most prescribed medicine for OA. Despite NSAIDs established effectiveness in relieving the pain with OA its long term use is associated with potential harmful adverse effects.
The other potential non-operative therapeutic methods are chondroitin sulfate, glucosamine, and intra-articular injections of visco-supplements, corticosteroids, or blood-derived products. Over the last decades, there is an ongoing trend to use Intra-articular injections of either corticosteroids, analgesics/anti-inflammatory drugs, polymerized collagen, anti-cytokine drugs, or hyaluronic acid as alternative modalities to maximize the topical effect and minimize the systemic adverse effects. Each injection has been shown to lower the pain in patients in some form, though hyaluronic acid treatments using Duralane® seem to be amongst the safest and effective.
Cooled Radiofrequency Ablation Treatment to the Knee Joint - A Non-Surgical Option to Reduce your Knee pain
What is COOLIEF* COOLED RADIOFREQUENCY?
Cooled radiofrequency (RF) treatment is TGA-cleared for the reduction of osteoarthritis knee pain. This treatment is minimally invasive and does not require any medication to reduce your pain from your arthritis.
How does COOLIEF* COOLED RADIOFREQUENCY work?
- A radiofrequency generator transmits a small current of RF energy through an insulated electrode placed within the knee tissue.
- The electrode delivers water-cooled energy through RF electrodes
- This RF energy creates a targeted lesion that ablates and deactivates the sensory nerves responsible for sending pain signals to the brain while leaving motor nerves (nerve responsible for movement) intact to preserve function.
What are the outcomes of Cooled Radiofrequency?
- Cooled Radiofrequency can provide patients with longer lasting and more effective pain relief than intra-articular steroids and anti-inflammatories in patients with knee pain and arthritis. Cooled radiofrequency ablations provided clinically notable relief at 12 to 18 months. This is 16 times longer pain relief than corticosteroid injections, which are often only effective for 4 to 6 weeks (Hunter et al 2020)
Who would be suitable for Cooled Radiofrequency?
- Patients with osteoarthritis typically suffer from pain, particularly if you are not an immediate candidate for surgery.
- Patients who are too sick or high risk to have a full joint replacement
- obese patients trying to reduce their weight suffering from arthritis
- Patients who are not tolerating medications for their arthritis.
Please click on the PDF attachments for further details or call 03 9428 4128 to make an appointment with Dr Parminder J Singh.
Indications for Duralane®
DUROLANE® is indicated for the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to simple pain relief and conservative management.
What is Duralane?
DUROLANE® is a viscous gel of highly purified, stabilized, non-animal-derived sodium hyaluronate that is made using bacterial fermentation. Technology is used to stabilize naturally entangled hyaluronic acid (HA) chains to produce a gel.
What are the Benefits of Duralane?
A single injection of DUROLANE® provides a benefit for pain reduction in patients with osteoarthritis in the knee for up to 26 weeks.
Post Injection Instructions
Temporary pain or swelling of the injected joint may occur after the injection with DUROLANE®.
Patient’s should avoid any strenuous activities or prolonged (i.e. more than an hour) weight bearing activities within 48 hours following their injection.
Potential Side Effects
The most common side effect, being a transient acute post-injection local joint irritation. Injection related inflammation (synovitis) can be observed in approximately 5–10% of individuals undertaking this treatment, but these reactions are characteristically temporary without longer-term clinical effects.
PRP not effective in early osteoarthritis
Consulting Locations
Richmond VIC 3121
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(03) 9428 4128
343-357 Blackburn Rd,
Mt. Waverley VIC 3149
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Book Online at Waverley Private Hospital
Blackburn VIC 3130
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Book Online at Forest Hill
Gisborne VIC 3437
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Book Online at Gisborne
262 Main St,
Mornington VIC 3931
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Book Online at Mornington
108 Bridport Street,
Albert Park VIC 3206
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(03) 9428 4128
Book Online at Albert Park
240 Hoppers Lane,
Werribee VIC 3030
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(03) 9428 4128
Make an appointment with our Melbourne orthopaedic surgeons
If you are a patient suffering from a knee or hip issue, you can get a referral and make an appointment with a surgeon at PJS Orthopaedics at a time and location that suits you.
Whether your knee or hip injury is a result of playing sport, has come about because of trauma injury, or is simply due to wear and tear, our Melbourne surgeons have the experience and expertise to find a surgery solution that is right for you.