ADDUCTOR CANAL AND SUPERIOR LATERAL GENICULAR NERVE INJECTIONS FOR GRADE 4 KNEE OSTEOARTHRITIS: A CASE REPORT
- Author:
Wan Nabilah Nik Nabil
1
;
Wan Nabilah Nik Nabil
2
;
Nadia Mohd Mustafah
1
;
Nadia Mohd Mustafah
3
;
Awisul Islah Ghazali
1
Author Information
- Publication Type:Case Reports
- Keywords: Knee Pain; Local Anesthetic; Peripheral Nerve Blocks; Steroid
- From: Journal of University of Malaya Medical Centre 2025;28(1):148-151
- CountryMalaysia
- Language:English
- Abstract: ADDUCTOR CANAL AND SUPERIOR LATERAL GENICULAR NERVE INJECTIONS FOR GRADE 4 KNEE OSTEOARTHRITIS: A CASE REPORT: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.
- Full text:2026082920010178225ADDUCTOR CANAL AND SUPERIOR LATERAL.pdf
