Infectious Arthritis Treatment (Cont.)

Joint Drainage or Surgery

For people with septic arthritis, during the first five to seven days after onset, healthcare providers may drain the joint by inserting a needle into the joint space and removing infected fluid (a procedure known as aspiration). It may also be washed out with a sterile solution. If an infection is still present, doctors may recommend a procedure that uses a special camera (arthroscopy) or surgery. Healthcare providers typically recommend surgery to treat septic arthritis within the hip.
 
People with tuberculosis arthritis may also require surgery if the spine is affected. When tuberculosis arthritis affects other joints, surgery is rarely needed.
 
Other types of infectious arthritis do not usually require any type of joint drainage or surgery.
 

Other Infectious Arthritis Treatment Recommendations

During the first stages of treatment for infectious arthritis, the joint may be splinted to help rest it and provide the support it needs. Once symptoms start to improve, passive movements of the joint are started to prevent stiffness; however, weight bearing should be avoided until the pain and inflammation have improved.
 
If septic arthritis occurs following knee replacement or hip replacement, the artificial joint will likely need to be replaced (see Septic Arthritis Treatment).
 

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Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD