Treatment for Bone Marrow Edema in the Knee: PRP injections

Does this happen to you?

Is your knee area swollen?

Are you unable to walk normally with full pressure on your knee?

Do you have a tender knee with recurrent pain, accompanied by bruising or bruising?

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best traumatologist knee specialist

Specialists in Bone Marrow Edema in the Knee Treatment 

I am Miguel Alfonso Porcar recognized specialist in the treatment of bone edema knee with rest and non-steroidal analgesics.

In severe cases that do not respond to more conservative treatments, we use bioregenerative platelet-rich plasma therapies.

At Regenerat Traumatology Clinic we are specialists in the diagnosis and treatment of the main ailments and knee injuries.

Our goal is to determine the cause of your knee pain, perform diagnostic tests to determine the extent of your knee ailment or injury.

Once the diagnosis is known, we will apply the most appropriate regenerative traumatology treatment to relieve your pain so that you can recover your wellbeing as soon as possible.

We want to help our patients using the safest, most successful and least invasive treatments possible!

Speaking English Orthopedic Doctor Carlos Mairal
 

English-Speaking Orthopedic Doctor for International Patients

Dr Carlos Mairal, an orthopedic surgeon and trauma specialist in regenerative medicine, provides medical care in English for international patients.

He specializes in the technique of ultrasound-guided infiltrations using platelet-rich plasma for the treatment of degenerative diseases such as patellar chondromalacia and osteoarthritis in knees, hips, shoulders, and other joints.

If you are looking for cutting-edge treatment for musculoskeletal injuries, osteoarthritis, or tendinopathies and prefer to communicate in English, Dr Mairal will offer you personalised care in a professional and welcoming environment.

Book your appointment today and receive expert care from an English-speaking orthopedic doctor.

treatment of osseous edema of the knee in Valencia

What is osseous edema of the knee?

Bone edema in the knee is an internal bone involvement that can cause swelling and pain as a result of a strong impact or repeated small impacts. This type of injury directly affects the bone tissue, causing swelling in the bone and accumulation of fluid in the bone that causes swelling in the bone marrow.

Knee edema is a common ailment that can affect people of all ages.

Bone edema can also occur in other joints and is called bone marrow edema in the bones of the foot, ankle, hip. 

 

inrtaossal edema
Causes of knee pain

Causes of osseous edema of the knee

  • It is usually related to osteoarthritis, often referred to as “wear and tear” arthritis, in which the cartilage breaks down and the joints become painful.
  • It may be due to a fracture, bone contusion or trauma, or a joint injury. They are the main cause of bone edema of the knee.
  • A bone infection (osteomyelitis) can sometimes cause an accumulation of fluid in the knee.

Osteoarthritis

If you have osteoarthritis, bone edema may be a sign that your disease has worsened and you may have developed subchondral cysts.

The cartilage hardens and forms fluid-filled sacs (cysts) in the joint that wear down the cartilage further, until the bone rubs against the bone. You may feel a lot of pain and have less mobility.

Bone edema due to injury

Spinal bone edema can occur with fractures and other serious bone or joint injuries, which can accumulate different types of fluid in a bone.

This may be blood or fluids released by fibrosis (scar tissue) or necrosis (tissue death).

Bone injuries caused by a direct blow, shearing forces, impact of several bones against each other, may result in a bone hematoma.

Knee bone edema can be acute, following a recent injury, or chronic, due to recurrent microtrauma.

Other causes of intraosseous edema

  • Stress fractures of the foot, hip, ankle or knee due to repeated impact and stress.
  • Rupture of the anterior cruciate ligament (ACL), which can cause bruising and inflammation of the connective tissue, called synovitis.
  • Bone tumors, in which the fluid weakens the bone and increases the risk of fracture.
  • Bone infection (osteomyelitis)

Diagnosis of osseous edema of the knee

Dr. Alfonso Porcar, expert in knee pathologies and injuries, performs the diagnosis of knee pain.

  • To do this, he will initially evaluate your medical history and then perform a physical examination or evaluation.
  • In Clinica Regenerat we use high resolution ultrasound-guided ultrasound to evaluate the injured tissues.
  • For the accurate diagnosis of intraosseous edema of the knee, we usually use magnetic resonance imaging to determine the severity, assess the size and extent of the edema and the area to be treated.

Treatment of bone marrow edema of the knee with injections

Some types of medullary bone edema of the knee are more difficult to treat than others.

If the problem is related to trauma or repetitive motion, it is usually cured with conservative treatment. This means rest, unloading or partial loading of the limb with crutches is important in the first few days, non-steroidal analgesics and physiotherapy treatment.

Severe cases may require steroid injections, platelet-rich plasma or surgery.

Treatment with PRP (Platelet Rich Plasma) injections in the Knee

Platelet Rich Plasma or PRP with growth factors is a product derived from the patient’s own blood (autologous) with a concentration of platelets and other bioactive elements.

PRP infiltrations stimulate the natural healing response for the recovery of mobility, strength and normality of injured tissue as a pretreatment prior to replacing the injured area with a prosthesis or artificial joint.

Treatment of osseous edema of the knee with intraosseous infiltrations.

For the treatment of intraosseous edema and bone injuries in the knee such as trabecular fractures, stress fractures or intraosseous edema, it is advisable to perform an intraosseous infiltration under sedation and radiographic control in the focus of bone edema or trabecular fracture and accelerating the healing process and reducing the time off work due to bone edema.

The combination of intraosseous and intra-articular PRP infiltrations have improved the pain and functionality of the affected hip or knee , delaying the need for arthroplasty.

treatment of osseous edema of the knee in Valencia

How is edema treatment with PRP and intraosseous infiltrations performed?

The technique of intraosseous infiltrations in the knee consists of performing a subchondral infiltration in the knee on the subchondral surfaces of the tibial plateau and femoral condyle.

We then performed another intra-articular PRP infiltration by ultrasound at 15 days and 30 days.

This has a powerful regenerative effect because it neutralizes all inflammatory cytokines.

 

prp infiltrations osseous edema of the knee

Why Clínica Regenerat to treat your intraosseous edema in Valencia?

 

Specialists in the treatment of intraosseous edema of the knee in Valencia

In the field of treatment of knee pain and pathologies, Regenerat clinic is your reference center.

We are pioneers in Valencia in implementing intraosseous injections for the treatment of intraosseous edema and knee osteoarthritis.

State-of-the-art technology

Ultrasound-guided ultrasound scanners that facilitate diagnosis. Cutting-edge , less invasive treatments that relieve and in many cases eliminate your knee pain in Valencia, offering better health and quality of life.

Patient Testimonials

Our patients value our experience and multidisciplinary treatment for intraosseous edema of the knee, eliminating pain and recovering your sports activity after treatment.

We provide solutions that are not found in other clinics and hospitals, through regenerative treatments for knee pain, which in many cases avoid the need for surgery.

You can watch videos with patient’s opinions about the treatment, as well as opinions about PRP infiltrations.

He ido en varias ocasiones y aunque me han visto distintos traumatologos siempre me he sentido bien tratada y han solucionado mis dolencias. Agradecida por su trato.
Garasi Flores Avatar
Garasi Flores
3/02/2024
Servicio super rápido. Muy buen trato por parte de las chicas de recepción y del doctor. Salí muy contenta de la consulta 🙂
Alba García Avatar
Alba García
3/13/2025
La empatía para entender el problema, las soluciones, las explicaciones, las facilidades por si surge cualquier contratiempo, todo es inmejorable, estamos encantados de haber encontrado al Dr. Miguel Alfonso y el trato inmejorable de toda la clínica, gracias.
Alvaro Gonzalez Avatar
Alvaro Gonzalez
1/12/2024
Causes of knee pain

Other knee conditions and treatments a knee specialist can recomend 

Causes related to knee injuries include damage to parts of the knee, such as bones, cartilage, ligaments, tendons or muscles.

New opening Regenerat: Orthopedic surgeon in Gandía, Benidorm, Denia, Jávea, Calpe, Altea, La Nucia….

Specialists in Regenerative Medicine and Physiotherapy in Gandía

Call ☎ 961 146 834

Regenerat is a paediatric and adult trauma clinic, specialising in regenerative medicine treatments that delay and, in many cases, avoid orthopaedic surgery.

Our patients get an unbiased diagnosis and we offer you various surgical and non-surgical treatment options.

The most common pathologies treated at our medical center are osteoarthritis, back pain, tendon injuries, and sports injuries.

 

English-Speaking Orthopedic Doctor for International Patients

Serving patients from Gandia to Benidorm, including Dénia, Jávea, Altea, Calpe, La Nucía, and across Alicante: Expert care at our Gandia clinic.

We are located at C/ Ciutat de Laval, 23, 46702 Gandia, Valencia, Spain.

Make an appointment in Gandia, Catarroja or Torrent

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Contact information

☎ 961 146 834

info@regeneratclinica.com

Schedule

Mornings – 9:30am – 14:00pm
Afternoons – 16:00pm – 20:00pm
Saturday & Sunday – Closed

Regenerat Clinic in Catarroja

Carrer Emili Ferrer Gómez, 4, 46470

Regenerat Clinic in Torrent

C/ del Mestre Lorenzo Fuertes Julvez, 14, 46901

Regenerat Clinic in Gandia

C/ Ciutat de Laval, 23, 46702 Gandia, Valencia