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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
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
Yes: There should not be a problem with this. Talk to your doctor about it. ...Read more
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
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
Second round of synvisc (hylan g-f 20) one injections produced a prolonged inflammatory reaction. Is it likely that orthovisc will produce a similar reaction?
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
Percentage of patients who get satisfactory results from Orthovisc or Synvisc (hylan g-f 20) if used in the hip?
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
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
Insurance will not pay for supartz (hyaluronic acid) injections they will cover orthovisc or euflexxa which is more effective and less side effects?
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?
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
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
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 a sore and swollen knee (very painful to walk) the day after my 3rd orthovisc shot. No trouble before. An allergic reaction? Thanks Doc.
What does it mean to have an allergy to gram positive bacterial proteins? Orthovisc injectable hyaluronan for osteoarthritis of the knee is contraindicated for patients with allergy to gram positive bacterial proteins. Wouldn't most people be considered h
Have: Have never heard of this. Suggest you recheck this information. If this is indeed the case would need to get more info from the manufacturer. Sorry that cannot help. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more