Doctor insights on:
Gel Injection For Knee Pain
Generally good: All of the viscosupplements provide good benefit in about 80% of patients with mild to moderate oa of the knee. The benefit generally lasts about six months. ...Read more
What is a genticulate nerve block for knee pain Where is this injection done? What cause pain in back of the knee hurts to straighten stretching feelin
Genicular nerve bloc: These are nerves on the inside and outside of the knee that when blocked provide relief of pain. Pain in the knee can come from many causes - menicus tear, ligament issues (ACL, MCL etc...), synovial issues etc... ...Read more
I had my last euflexxa injection on the 10th of october & my knee pain is getting bad again I use pain ointment 4 times a day. Should I wait it out.
See details: It is a little too early to give up on the euflexxa. Give it another week or two before considering it a failure. ...Read more
What you like to:
Know, supartz (hyaluronic acid) is a solution of highly purified sodium hyaluronate. Supartz (hyaluronic acid) is one of the hyaluronates used in viscosupplementation.
Supartz (hyaluronic acid) is injected directly into the knee joint to restore the cushioning and lubricating properties of normal joint fluid.
Supartz (hyaluronic acid) injections are approved for the treatment of osteoarthritis of the knee in those who have failed to respond to simple pain medications. ...Read more
Your injectable options for knee arthritis include corticosteroids or hylaluronic acid.
Most often for arthritis pain cortisone is the first line injectable option. If this is not an option for you or it has failed to relieve your pain, supartz is one of several brand name hyaluronic acid injectables that can be given every 6months and can be effective. It can take up to 6 weeks to take effect. ...Read more
Yes it does work: Supartz (hyaluronic acid) is one specific type of visco-supplementation injection- designed to treat knee arthritis. It helps restore the nature viscosity of the synovial fluid within the knee joint, thereby reducing pain and improving knee function. I have seen benefits from supartz (hyaluronic acid) injections lasting from 6 months to over 4 years in my patients. ...Read more
Any new procedures for medial knee pain, without a total arthroplasty or the supartz (hyaluronic acid) injections? I have taken all injections.
MAKOplasty: I have performed over 560 makoplasty procedures and it is very very safe. It is superior to all other techniques for precise installation of partial knee replacements. When performed by an experienced makoplasty surgeon, it allows us to balance the tension of your ligaments within a millimeter and make the implants track centrally so they last decades. Mine all go home the same day, little pain. ...Read more
After having a lateral release & OrthoVisc injections with no relief from severe knee pain, popping, clicking, & catching, what's left to be done?
Knee pain: Depends upon intra articular anatomy now, but a reconstruction seems in your future. Ask your surgeon. ...Read more
If I had 4 injections of Hyalgan and it didn't help the knee pain would Synvisc, (hylan g-f 20) Eufflexa, Supartz or Orthovisc help the pain?
Unlikely: These are all similar treatments. If you failed one the others are unlikely to work. 4 injections of Hyalgan is an unusual number. Did you complete the recommended treatment? ...Read more
I have had knee pain for 6 months, gave me an injection with anesthetics and then added 30 mg of toradol and 40 mg of Depo-Medrol, are these standard?
Yes, it is standard: Each medical provider has their own injection they like to perform, but the combination of a numbing medicine, toradol (anti-inflammatory) and depo-medrol (steroid) is a very common injection. It has become quite popular to add the toradol into a steroid injection and it has very good results. ...Read more
My mother is 60yrs old, and for knee pain se was advised to take injection of vit d, can she take it as she has kidney and heart problem too?
85 year old torn meniscus in right knee, pain/inflammation when walking. Recommend hyaluronic acid joint injection? Other non-surgical therapies?
If your joint is in-: -good condition, a menisectomy would be advised, even if borderline. This can slow down further degeneration & possibly avoid a replacement. Hyaluronic acid if the joint is bad & the only option is a replacement, if you are one of the people that get great results, you still may avoid a TKA. If successful they do need to be repeated over time. ...Read more
Lots: Arthritis, meniscus tear, acl tear, ligament injury, cartilage injury, inflammatory arthritis, gout, tumor, cholesterol medicines, muscle strain, bursitis, vascular insufficiency, overuse injury, insect bite, viral effects, infection, blod clots, metastatic disease, stress fracture, sickle cell disease, a vascular necrosis, and the list goes on. Need more info for better recommendations. ...Read more
Many things: If you injured it you should see a doc so that you are not making it worse. For mild pain there are many classes of medication including tylenol, (acetaminophen) nsaids (ibuprofen, naproxen), and others like tramadol. Call one of your docs and see what they prescribe. Avoid narcotics...Too many people prescribe them and they have many side effects. ...Read more
Depends on Cause: This question is too broad to answer properly; would need more specifics. Location, duration, type of knee pain, aggravating factors, etc. Are vital to understanding the cause, as is physical exam. A good history & phys. Incl osteopathic hands-on exam may provide some answers. Could be neural/structural/infection, etc. Generic treatments incl. Heat/ice, surgery, manipulation, prolotherapy, meds. ...Read more
Depends on the cause: In general, the pain comes from the joint itself, the ligaments, tendons and shock absorbers known as bursae around the knee. Sometimes the pain is referred from elsewhere like your lower back or hip. Once the cause is known the treatment plan can be formulated. Some basic ideas include keeping your weight down and certain types of exercise to keep the muscles around your knee conditioned. ...Read more
Pain type is crucial: Knee pain can be joint pain, muscle pain, bone pain, bursitis pain, tendon pain, muscle pain, etc. Just because the knee hurts does not mean arthritis and does not mean a need for injections or surgery. You may need a good conditioning program, even seeing a physicial therapist. Muscle strength is important to help knee pain - the muscle help protect the knee. ...Read more
See your doctor: You could have a host of issues that could cause your knee pain, could be bursitis, tendonitis, arthritis, ligament issues, meniscal injury, sciatica etc. So you may want to see an orthopedic pain specialist that can tell you what is going and help you with the latest treatments available. ...Read more
There are numerous reasons for knee pain and an evaluation is generally required. Most orthopedics exams are directed at identifying surgical problems. Patients are often surprised much of knee pain is poor control at the hip and ankle. Two YouTube videos review the concepts:
https://www. Youtube. Com/watch? V=43Nh5aYwFnA
https://www. Youtube. Com/watch? V=t6SXiDCMP3E ...Read more
Various poss reasons: Diagnosis depends on many factors, including where the knee pain is, any associated symptoms, what makes it better/worse. See a sports medicine dr to examine you. They can get x-rays or MRI as needed, possibly prescribe pt, medications, knee brace, etc and if surgery is needed, they'll give you information. ...Read more
Best Medicine: The best medicine is the cheapest medicine that works for you that has the least risk of causing you other problems. Start with tylenol, (acetaminophen) then local meds like otc antiinflammatory, prescription versions like voltaren gel or pennsaid, then oral meds like motirn or aleve, then low dose opioids like vicodin or Lortab 2.5 to 5mg, then adding snri like Cymbalta or pamelor, then higher doses of opioids. ...Read more
Find the cause: The first task is to get a diagnosis. In your age group, arthritis & mensical tears are common causes of pain. Icing, bracing, physical therapy, medications are first-line treatments. An orthopedic doc can give you many detailed options, and reducing your pain & improving function should occur. If I can be of help, then join my care team and virtual practice at www. Healthtap. Com/dr-ClarkeHolmes ...Read more
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