Rated For Osteoarthritis Report
After the firt injection in January of 2013, I had incredible hip pain!! Very severe. I discussed it with doctor and she saaid there was no correlation. After research, there were enough past clients with side effects to be extremely concerned with using this drug. Personally I had chills, severe tightening of the calf muscle pain and ankle tightness. But the hip pain was the most severe. I think there should be an investigation of this drugs side effects. Atlanta, GA
One Injection Just As Good As A Series Of Hyaluronic Acid Injections
The next stop will be a March 2019 study in the journal Current Therapeutic Research.
The question being asked here is maybe more than one injection would make the treatment more effective. In fact, the question is how this paper opens: Viscosupplementation of the synovial fluid with intra-articular hyaluronic acid is a well-known symptomatic treatment of knee osteoarthritis. The question arises whether a mono-injection could be as efficient as multi-injection regimens.
Here is how this paper concluded: In the symptomatic treatment of knee osteoarthritis with intra-articular hyaluronic acid, the results of mono-injections demonstrate to the multi-injections and also when compared to a placebo injection.
How Euflexxa And Synvisc Are Different
Though Euflexxa and Synvisc are both hyaluronic viscosupplements, there are some differences. Both Euflexxa and Synvisc consist of a three-injection treatment course. However, Synvisc One only requires one injection.
Both Euflexxa and Synvisc are effective at treating the pain and decreased mobility that accompany knee osteoarthritis. When choosing which to use, you may want to talk to your healthcare provider and your insurance company to decide which is best for you.
Sometimes cost can be the deciding factor. You may also want to consider whether you can commit to taking three injections one week apart or if your schedule is better suited for one injection. In that case, treatment with Synvisc One may be your best option.
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Prolotherapy For Knee Osteoarthritis
In this video, Danielle R. Steilen-Matias, MMS, PA-C, of Caring Medical demonstrates how we treat a patient with a primary complaint of knee osteoarthritis.
- The person in this video is being treated for knee osteoarthritis as the primary complaint. The treatment takes a few minutes. The person in this video is not sedated and tolerates the treatment very well. For some patients, we do provide IV or oral medications to lessen treatment anxiety and pain.
- The first injection is given into the knee joint. The Prolotherapy solution is given here to stimulate repair of the knee cartilage, meniscal tissue, and the ACL as well.
- The injections continue over the medial joint line making sure that all the tendons and ligaments such as the medial collateral ligament are treated.
- This patient-reported the greatest amount of pain along the medial joint line. This is why a greater concentration of injections is given here.
- The injections continue on the lateral side of the knee, treating the lateral joint line all the tendon and ligament attachments there such as the LCL or lateral collateral ligament.
Patients Undergoing Treatment For Knee Osteoarthritis With Prp Can Be Expected To Experience Improved Clinical Outcomes When Compared With Hyaluronic Acid
There is a lot of research comparing PRP to hyaluronic acid. Here are some of the papers:
An April 2020 study led by the Department of Orthopedics, University of Colorado School of Medicine, published in The American Journal of Sports Medicine suggested: Patients undergoing treatment for knee osteoarthritis with PRP can be expected to experience improved clinical outcomes when compared with hyaluronic acid.
Doctors writing in the September 2019 issue of the World Journal of Orthopedics offered these findings in assessing PRP versus hyaluronic acid injections over four, eight, and twelve-week follow-ups after treatments.
- The effectiveness of PRP treatment in patients with knee osteoarthritis was significantly greater than in the hyaluronic acid group. In addition, two injections of PRP were more effective at each follow-up than a single injection.
In February 2020, a multi-national team of researchers published findings in the European Journal of Orthopaedic Surgery & Traumatology comparing intra-articular knee injection of PRP and hyaluronic acid and investigating clinical outcomes and pain at both 6 and 12 months.
- Here researchers examined 1,248 cases 636 PRP, 612 hyaluronic acids. The results of this systematic review and meta-analysis suggest that PRP is superior to hyaluronic acid for symptomatic knee pain at 6 and 12 months.
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Hyaluronic Acid Injections Or Viscosupplementation For Knee Osteoarthritis: What To Expect When Getting Gel Injections In Knee
Much like cortisone, it is very likely that this knee injection treatment has been explained to you already by your orthopedist. It is a conservative care plan to help you try to manage along until you can get a knee surgery scheduled or you are trying to do everything you can to avoid the knee surgery.
Also like cortisone, you may have already had viscosupplementation and the effects and benefits have now worn off and you need to treat your knee differently. For some people, they may not even be reading this sentence because they have moved down the article to other treatments because this one is no longer an option for them.
What are Hyaluronic acid injections or Viscosupplementation?
The explanation that you may have been given is that hyaluronic acid injections will provide a gel-like cushion in your knee, getting between the shin and thigh bones to alleviate your bone-on-bone situation. The injections increase the volume of the protective synovial fluid in the knee.
- The treatment is therefore referred to as Viscosupplementation because you are supplementing the viscosity or the thick, sticky, gel-like properties of the synovial fluid. Hyaluronic acid is naturally occurring in the synovial fluid of the knee.
The Efficacy Of Intra
An August 2021 paper from the Department of Orthopaedic Surgery, Rush University Medical Center published in The American Journal of Sports Medicine compared the effectiveness of PRP against other knee injections in younger patients and those without severe degenerative changes. The reason? the efficacy of intra-articular injections as a nonoperative modality for treating symptomatic knee osteoarthritis-related pain while maintaining function has become a subject of increasing interest.
In this study the following treatments were compared:
- Hyaluronic acid.
- and plasma rich in growth factors .
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Is Prp Controversial Yes Is It Effective Also Yes
When it works. Below are many citations and references showing the effectiveness of PRP.
Lets start with the most recent research on the effectiveness of PRP for knee osteoarthritis.
- While an October 2020 study in The Journal of International Medical Research still acknowledges that the clinical efficacy of platelet-rich plasma in the treatment of osteoarthritis remains controversial, their examination of five clinical trials including 320 patients found: intra-articular injection of PRP is an effective treatment for osteoarthritis that can reduce post-operative pain, improve locomotor function, and increase patient satisfaction.
- This is a June 2020 study from the journal Clinical Rheumatology, Here researchers suggested that Intra-articular PRP injection provided better effects than other injections for osteoarthritis patients, especially in knee osteoarthritis patients, in terms of pain reduction and function improvement at short-term follow-up. .
- In a study published in the American medical journal Arthroscopy, medical university researchers suggested that PRP injections were more effective in the treatment of knee osteoarthritis, in terms of pain relief and self-reported function improvement at three, six, and twelve months follow-up, compared with other injection treatments. We are going to show the comparative research below.
Ten Patients Underwent Intra
A September 2021 study published in The Archives of Bone and Joint Surgery was designed to compare the effectiveness of intra-articular injection of PRP with hyaluronic acid on mild to moderate knee osteoarthritis.
How the study was conducted:
- Ten patients underwent intra-articular PRP injection and 10 others received hyaluronic acid injection.
- At baseline visit and one, three, and six, and 12 months post-injection, clinical assessments were performed using standardized patient self-reporting scores for pain, function, and disability.
- Physical examinations of the knee, including crepitation and range of motion were performed at each visit.
- The PRP treatment was ascertained to be safe and caused no adverse effects. Significant improvements in the majority of patients were seen in pain and function.
- The hyaluronic acid injection, however, caused only one months significant improvement in the majority of patient-reported outcomes.
- In the majority of visits, the extent of improvements in pain and function were significantly greater in PRP recipients, compared to hyaluronic acid recipients.
- The ROM in both groups slightly increased after interventions.
- The frequency of coarse crepitation, which was detected in 100% of the patients in both groups at the baseline visit, decreased significantly to fine crepitation at the first follow-up visit in 80% and 40% of the PRP and hyaluronic acid recipients, respectively.
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Injections To Relieve Knee Pain
Knee osteoarthritis is the most common form of osteoarthritis in the United States. It is caused by progressive degeneration of the cartilage in the knee joint, which protects bones in this area from rubbing against each other. While there is no cure for osteoarthritis, also referred to as wear-and-tear arthritis or degenerative joint disease, treatments can help reduce pain and inflammation.
If oral medications do not help with your knee osteoarthritis pain, your healthcare provider may suggest injecting a medication directly into the knee joint. Knee injections used for arthritic pain include corticosteroid , hyaluronic acid , platelet-rich plasma, placental tissue matrix, Botox, and reverse injection .
Then Why Is Your Doctor Still Recommending This Treatment
Lets let Dr. Leopold continue:
One reason might be that surgeons have relatively few effective nonsurgical alternatives that help patients with their joint pain, andbeing members of a helping professionwe find this frustrating. However, our lack of effective nonsurgical treatments cannot justify the use of an ineffective one, and it must not be used to justify surgery unless surgery is indicated. Some patients will have pain that persists despite well-tested nonsurgical treatments, but not enough to warrant major joint surgery others may not fit the biopsychosocial profile that supports a decision to perform elective arthroplasty. The answer to this is not to use a treatment like viscosupplementation that studies suggest is ineffective, nor to take a chance on surgery when it seems ill-considered to do so, but rather to explain to patients that there are some problems for which we have no effective treatments, and to help those patients adjust and adapt.
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What Are Some Things I Need To Know Or Do While I Take Euflexxa
- Tell all of your health care providers that you take Euflexxa ). This includes your doctors, nurses, pharmacists, and dentists.
- Avoid activity for 48 hours or as you have been told by your doctor.
- Do not stand on your feet for more than 1 hour at a time during the first 48 hours after getting Euflexxa ).
- Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks to you and the baby.
How Does Prolotherapy Work In Your Knees
In this section, we will discuss Prolotherapy knee osteoarthritis injections. Prolotherapy is a remarkable treatment in its simplicity. The treatment can help many patients avoid joint replacement. But it is not a miracle cure. The research and evidence for how Prolotherapy may help you are presented here and intermingled with our own 27+ years of empirical observation of patient benefit.
In 2016, our Caring Medical research team published our study, A Systematic Review of Dextrose Prolotherapy for Chronic Musculoskeletal Pain in the journal Clinical Medicine Insights Arthritis and Musculoskeletal Disorders. In this review, we examined the research in the use of dextrose Prolotherapy for the treatment of tendinopathies, knee and finger joint osteoarthritis, and spinal/pelvic pain due to ligament dysfunction. In our section on knee pain, we referred to a study by Dr. Fariba Eslamian and Dr. Bahman Amouzandeh of Tabriz University of Medical Sciences. This is what they published in the journal Therapeutic Advances in Musculoskeletal Disease.
Prolotherapy has been reported as a useful method in the treatment of chronic musculoskeletal and joint diseases. It is proposed that Prolotherapy causes mild inflammation and cell stress in the weakened ligament or tendon area, releases cytokines and growth factors, and induces a new healing cascade in that area, which leads to activation of fibroblasts, generation of collagen precursors, and strengthening of the connective tissue.
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Summary And Contact Us Can We Help You
We hope you found this article informative and it helped answer many of the questions you may have surrounding your knee problems and knee instability. If you would like to get more information specific to your challenges please email us: Get help and information from our Caring Medical staff
Brian Hutcheson, DC | Ross Hauser, MD | Danielle Steilen-Matias, PA-C
What Is Ophthalmic Sodium Hyaluronate And How Does It Work
Sodium hyaluronate is an elastoviscous substance present in the aqueous and vitreous humors, which are fluids inside the eyeball. Aqueous humor is a clear fluid that fills the two chambers in the space between the lens and the cornea, and vitreous humor is a transparent gel-like substance that fills the space between the lens and retina.
Sodium hyaluronate is a lubricating substance present in connective tissues. Sodium hyaluronate works as a lubricant in the eye chambers and is also found in skin and synovial fluid in joints. Ophthalmic preparations of sodium hyaluronate are highly purified and dissolved in sodium chloridephosphate buffer solution.
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Benefits Of Hyaluronate Injections
Hyaluronate injections offer a viable alternative to oral medications, which can have unwanted side effects or are completely ineffective for some people. If your arthritis does respond, the injections offer a very real solution to help you delay surgery or allow you to feel less pain as you wait for surgery to resolve your arthritis pain.
Some research also suggests that the injections can encourage your body to produce more of the substance naturally, which only helps keep remaining cartilage healthy and preserves knee function.
To learn about hyaluronate knee injections and other therapies for your knee pain, call Urgently Ortho in Scottsdale, Arizona, or book a consultation using this website. We strive to help people in the Phoenix area overcome pain and dysfunction in joints so they can resume a high quality of life.
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In This Video Ross Hauser Md Explains How One Injection Of Prp Will Likely Not Work
A transcript summary is below the video
We will often get emails from people who had previous PRP therapy without the desired healing effects. We explain to these people that their treatment probably did not work because the single PRP injection did not resolve knee instability. The PRP may have tried to create a patch in the meniscus or cartilage to help with a bone-on-bone situation but the instability and the wear and tear grinding down the meniscus and cartilage remain.
When a person has a ligament injury or instability, the knee becomes hypermobile causing degenerative wear and tear on the meniscus and knee cartilage. In other words, the cells of the meniscus and cartilage are being crushed to death. When you inject PRP cells into the knee, without addressing the knee instability, the injected PRP cells will also be subjected to the crushing hypermobile action of the knee. The single injection PRP treatment will not work for many people. The knee instability needs to be addressed with comprehensive Prolotherapy around the joint. Prolotherapy is the companion injection of simple dextrose. This is explained in detail below.
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Mayo Clinic And Yale University Studies On Your Own Bone Marrow Stem Cells
Doctors at the Mayo Clinic and Yale University published their research on the benefits of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis in the American Journal of Sports Medicine. Here is the summary of that research:
- In their single-blind, placebo-controlled trial, 25 patients with bilateral knee osteoarthritis were randomized to receive Bone marrow aspirate concentrate into one knee and saline placebo into the other. Early results show that Bone marrow aspirate concentrate is safe to use and is a reliable and viable cellular product. Study patients experienced a similar significant relief of pain in both bone marrow aspirate concentrate- and saline-treated arthritic knees.
How To Use Euflexxa Syringe
Read the Patient Information Leaflet provided by your health care professional before you start using hyaluronate and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Your doctor will give this medication by injection into the affected joint, usually once a week. Skin disinfectants that contain ammonium salts should not be used to prepare the injection site. Your doctor may need to remove extra fluid from the joint before injecting the medicine. Dosage is based on your medical condition and response to treatment.
Hyaluronate should not be injected into a vein or artery because increased side effects may occur.
After receiving an injection of hyaluronate, you should avoid any activities that put stress on your knee for 48 hours.
Also, after the injection, you may experience increased pain and swelling in the knee at first. If the pain or swelling continues or worsens, talk to your doctor promptly.
It is important to have this medication injected on schedule. It may take up to 3 injections before the full benefits of this medication occur.
Tell your doctor if your condition lasts or gets worse.
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