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Doctor insights on: Orthovisc Medication

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What is the difference between orthovisc and synvisc (hylan g-f 20)?

Not much: Not a lot. Studies have suggested they are equally effective. Synvisc (hylan g-f 20) is available as a single shot while orthovisc requires 3 weekly injections. Synvisc (hylan g-f 20) is more viscous. ...Read more

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What is the difference between synvisc (hylan g-f 20) and orthovisc?

not really: They are differences in the fluids such as viscosity but the benefits are comparable. Synvisc (hylan g-f 20) is available as a single injection white orthovisc requires 3 separate injections. ...Read more

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Can I have an orthovisc shot two months after getting the synvisc (hylan g-f 20) shot?

Can I have an orthovisc shot two months after getting the synvisc (hylan g-f 20) shot?

Orthovisc: If you don't get at least 6 months relief from synvisc (hylan g-f 20) injection, it is highly unlikely you would get much benefit from orthovisc injections. And unlikely your insurance would cover the expense that early after injection. ...Read more

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What are my options after a failed lateral release & a failed series of OrthoVisc injections? Is an osteotomy likely?

What are my options after a failed lateral release & a failed series of OrthoVisc injections? Is an osteotomy likely?

What is your dx: We need a clear diagnosis before recommending more and more surgery. You are very young and did not likely have the classic indications for Orthovisc. A lateral release is successful when performed in the right patient. For many years, doctors were performing this procedure too commonly, and some patients did not find relief. I would recommend a Sports Medicine specialist at this juncture. ...Read more

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I just had a second Orthovisc knee injection and I am wondering why my knee is so swollen and it feels so full? I am in a lot pain. Please HELP.

I just had a second Orthovisc knee injection and I am wondering why my knee is so swollen and it feels so full? I am in a lot pain. Please HELP.

Ask your physician: This is important because you will need your knee drained and cultured. We must rule out infection. It could be due to your underlying arthrits or a reaction to the the Orthovisc. ...Read more

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Any advice for cartilage wear in my left knee? Any experience with orthovisc and PRP?

Any advice for cartilage wear in my left knee?  Any experience with orthovisc and PRP?

Arthritis: Orthovisc is FDA approved for treatment of knee arthritis. It is often used when cortisone is not effective.
PRP is not FDA approved for knee arthritis and is not generally covered by insurance companies. PRP is therefore expensive and usually cash payment only. While PRP is promising, there's no true consensus on its efficacy. There is also debate on the true efficacy of orthovisc . ...Read more

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Percentage of patients who get satisfactory results from Orthovisc or Synvisc (hylan g-f 20) if used in the hip?

Percentage of patients who get satisfactory results from Orthovisc or Synvisc (hylan g-f 20) if used in the hip?

No data: Would need to look at clinical trials The risk of hip is to need total hip replacement surgery. One study shows that after three years 51% of the patients did not go to surgery. This gives us a guide as to how well this may work ...Read more

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Is an MRI of the knees required before Orthovisc? Is this type of injection unbearably painful? Can anaesthetics be used?

Is an MRI of the knees required before Orthovisc? Is this type of injection unbearably painful? Can anaesthetics be used?

No: Viscosupplementation( orthovisc, synvisc, (hylan g-f 20) etc.)may require approval from your insurance carrier(usually documentation that other treatments such as NSAIDs,PT haven't helped) but generally not an MRI.Most injections are done in the office w/local anesthetics( lidocaine) and/ or ' cold spray' and are easily tolerated.best of luck! ...Read more

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I have advanced bilat knee osteoarth . Cant have surgery now . Tried orthovisc inj . Not much help. Any better inj available?

I have advanced bilat knee osteoarth . Cant have surgery now . Tried orthovisc inj . Not much help. Any better inj available?

Depends: Some people respond to euflexxa better. 3 shot series. That being said most viscosupplementation is similar in result. Cortisone every 3-4 months is an option possibly depending on your comorbidities. Heel wedges, good shoes, off loading braces and weight loss are other options. ...Read more

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Insurance will not pay for supartz (hyaluronic acid) injections they will cover orthovisc or euflexxa which is more effective and less side effects?

Insurance will not pay for supartz (hyaluronic acid) injections they will cover orthovisc or euflexxa which is more effective and less side effects?

Same: 'Synvisc' injections are in my experience helpful for early/ mild osteoarthritis . Whether you're insurance covers one or another type of viscosupplementation(Hyalournan) makes little difference as they are all very similar.Best of luck! ...Read more

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Had orthovisc last round and worked great. Doc said to switch to synvisc (hylan g-f 20) and just had first injection and feel burning and sharp pain 3 days after. Should i go back to orthovisc? What's wrong?

Reaction to synvisc (hylan g-f 20): Synvisc (hylan g-f 20) has the highest adverse effect rate. One in particular is a pseudosepsis reaction which mimics an infection. If one product works well, then there's no reason to switch- go back to orthovisc. ...Read more

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What are the side effects of having a orthovisc injection? Does osetoarthritis cause the knee joint to lock and clunk? I am at a loss of what do next

What are the side effects of having a orthovisc injection? Does osetoarthritis cause the knee joint to lock and clunk? I am at a loss of what do next

No real side: Effects you can get a flare and some soreness from the injection some people can be allergic to the non-synthetic versions such as synvisc (hylan g-f 20). They do help and do better in people with mild moderate arthritis. It doesn't reverse DJD but it does prevent it from accelerating. Arthritis can cause a clunk. I would see an ortho doc and have them go through your options. ...Read more

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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?

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

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What is a "medication HA"?

What is a "medication HA"?

I think: Medication headache....a type of frequent or daily headache. I'm not positive though. Need to see what the context the phrase was used. ...Read more

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