Viscosupplemenatation in New York at Fountain Medical
These injections are for osteoarthritis or degenerative arthritis of the knee. It was approved by the Food and Drug Administration in 1997. These injections contain hyaluronate, which is normally found in your joint fluid. This natural protein increases your joint fluid’s viscosity and elasticity, and gives more lubrication and cushioning to your joint. It is normally found in your joint fluid. When a joint develops osteoarthritis or degenerates, its hyaluronate breaks down, thus losing its cushioning and lubrication. Hyaluronate also has an anti-inflammatory effect, and it also stimulates your body to make more of its own hyaluronate. Therefore, viscosupplementation is treating the problem, and not just covering up its symptoms. Recent data also show that it has a protective effect as well. Benefits can last 6 months to several years. They may be repeated every 6 months or longer, as needed. Another resource is www.arthritis.org.
There are 5 available hyaluronate products available in the United States. Products vary from 3 to 5 injections in one series treatment. One injection is done a week to complete a series.
Side effects include local reactions, pain, swelling, redness, bruising. The incidence is about 3 to 8 %. These are usually self limited and resolve on their own in a few days, if they occur. Most patients tolerate these injections very well. After each injection, is recommended to avoid excessive activity for 48 hours. Ice the knee for 15 to 20 minutes 3 to 4 times a day for the first 48 hours after each injection. Peak benefit occurs 4 to 6 weeks after the last injection.
However, most people do feel improvements before that time. It is also recommended to do a home exercise program or physical therapy after the injections. This strengthening program has been shown to maximize the benefits and make the benefits last longer.
We have been doing these injections since their approval in the US in 1997 with great success. We are one of the leaders in the use of viscosupplementation in the US. We are among the most experienced injectors of hyaluronate. Our doctors will help determine if these injections are appropriate for you and which product is best suited for your individual needs.