Knee help is nearby in Chandler

The Chandler clinic sits on Dobson Road

QC Kinetix (Chandler) is at 1100 S. Dobson Rd., Suite 210, Chandler, AZ 85286. From Historic Square, Arizona Avenue and Pecos reach Dobson without a freeway.

People near Ocotillo or Fulton Ranch can stay on Dobson for most of the drive. From Sun Lakes, Alma School Road or Arizona Avenue leads north toward Pecos.

The first visit starts with your knee

Expect questions about your first sore day and what now brings pain. The clinician checks tender spots, bending, strength and swelling.

Have your current medicines and earlier procedure dates ready. Name one daily task you’d like to do more easily.

The visit needs to answer your practical questions. Before leaving, make sure you know who to call if soreness changes.

Walking and turning test the knee differently

The Paseo Trail gives you steady forward walking on concrete. Tumbleweed Park adds the stops and turns of pickleball.

Notice which activity brings swelling and how you feel next morning. That information helps the clinician understand your knee.

If soreness stays, non-surgical choices are nearby

QC Kinetix has medical providers, meaning clinicians who check your knee before discussing care. They call these non-surgical, blood-based choices regenerative treatments.

For platelet-rich plasma, or PRP, your blood is drawn and spun to gather platelets. A clinician then places that concentrate into your knee at the Chandler clinic.

Sources

1. The 2019 ACR/Arthritis Foundation OA guideline makes a STRONG recommendation for intra-articular glucocorticoid injection in knee OA, alongside strong recommendations for exercise, weight loss, self-management, tai chi, cane use, bracing and NSAIDs; intra-articular steroid injection for HAND OA is only conditionally recommended.

   Kolasinski SL, et al. — 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee.. Arthritis Rheumatol, 2020. DOI: 10.1002/art.41142.

2. The 2015 Cochrane review of 27 trials (1,767 participants) found intra-articular corticosteroid better than sham for knee OA pain (SMD -0.40, 95% CI -0.58 to -0.22; NNTB 8), but the benefit decayed with time: moderate at 1-2 weeks, small at 13 weeks, and no evidence of any effect at 26 weeks. All outcomes were graded LOW quality.

   Jüni P, et al. — Intra-articular corticosteroid for knee osteoarthritis.. Cochrane Database Syst Rev, 2015. DOI: 10.1002/14651858.CD005328.pub3.

3. The RESTORE randomized trial (288 participants, leukocyte-poor PRP, 3 weekly injections) found no significant difference from saline placebo at 12 months in knee pain (-2.1 vs -1.8 points; difference -0.4, 95% CI -0.9 to 0.2) or in medial tibial cartilage volume (-1.4% vs -1.2%), with 29 of 31 secondary outcomes also showing no between-group difference.

   Bennell KL, et al. — Effect of Intra-articular Platelet-Rich Plasma vs Placebo Injection on Pain and Medial Tibial Cartilage Volume in Patients With Knee Osteoarthritis: The RESTORE Randomized Clinical Trial.. JAMA, 2021. DOI: 10.1001/jama.2021.19415.

4. A meta-analysis of 14 placebo cohorts (1,076 patients) found intra-articular NORMAL SALINE alone produced statistically and clinically meaningful improvement in VAS pain and WOMAC scores lasting up to 6 months - meaning a large share of the improvement people attribute to an injection is not attributable to the drug in the syringe.

   Saltzman BM, et al. — The Therapeutic Effect of Intra-articular Normal Saline Injections for Knee Osteoarthritis: A Meta-analysis of Evidence Level 1 Studies.. Am J Sports Med, 2017. DOI: 10.1177/0363546516680607.