Which clinic route makes sense from my part of Mesa?

How do I reach the Chandler clinic?

From west Mesa, Dobson Road runs south into Chandler without a freeway. The clinic is at 1100 S. Dobson Road, Suite 210, Chandler, AZ 85286.

From downtown, US-60 takes you to Dobson Road. From the Gateway area and Eastmark, Loop 202 Santan runs west.

You can allow extra time so the trip doesn't feel rushed. A slow walk from the car may feel kinder than a hurried one.

An easy route doesn't always mean you'll want to drive home. Please ask before the visit whether your knee care may affect driving.

When might Scottsdale be closer?

If you live near Falcon Field, Las Sendas, or Red Mountain, Scottsdale may be closer. Loop 202 Red Mountain and Loop 101 can take you that way.

Traffic and your visit time can still change the drive. You may prefer a ride if the knee could feel numb or sore afterward.

The nearest office may not have the earliest time or the care you need. A call can settle both points before you leave.

What should I plan for after the visit?

You can ask when walking, work, golf, or pickleball may begin again. Care at home won't be the same after every procedure.

A little help with errands may ease the first day. That can spare your knee extra work.

Call (602) 837-PAIN for any Phoenix-area location. The staff can confirm the nearest clinic and what your visit includes.

Sources

1. A systematic review of ultrasound versus anatomic (landmark) guidance found needle-placement accuracy was greater with ultrasound guidance at every anatomic site, and short-term (<6 weeks) symptom onset improved, but long-term outcomes were NOT shown to differ between the two techniques; the accuracy advantage was largest in small joints.

   Gilliland CA, et al. — Ultrasound versus anatomic guidance for intra-articular and periarticular injection: a systematic review.. Phys Sportsmed, 2011. DOI: 10.3810/psm.2011.09.1928.

2. 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.

3. In the Multicenter Osteoarthritis Study (1,018 participants followed 84 months with MRI), quadriceps weakness increased the risk of worsening lateral patellofemoral cartilage damage in women (risk ratio 1.50 for the lowest versus highest strength quartile), a sex-specific and compartment-specific relationship that helps explain why strengthening programmes are compartment-relevant rather than generic.

   Culvenor AG, et al. — Sex-Specific Influence of Quadriceps Weakness on Worsening Patellofemoral and Tibiofemoral Cartilage Damage: A Prospective Cohort Study.. Arthritis Care & Research, 2019. DOI: 10.1002/acr.23773.

4. High-quality evidence from 44 trials (3,537 participants) shows land-based exercise reduced knee OA pain by an equivalent of 12 points on a 0-100 scale (SMD -0.49) immediately after treatment, with moderate-quality evidence for a ~10-point function gain; the effect attenuated but persisted at 2-6 months (SMD -0.24). No serious adverse events were reported in any included trial.

   Fransen M, McConnell S, Harmer AR, Van der Esch M, Simic M, Bennell KL. — Exercise for osteoarthritis of the knee.. Cochrane Database of Systematic Reviews, 2015. DOI: 10.1002/14651858.CD004376.pub3.