7 Reasons Hyaluronic Acid Gel Injections Might Be Helpful For Knee Arthritis
ฝัง
- เผยแพร่เมื่อ 2 ส.ค. 2024
- Hyaluronic acid gel injections for knee arthritis pain have been done for decades now. They started out as “rooster comb” injections as they were originally made from the red spiky things on the head of roosters and hens. Now they’re synthetically developed in a pharmaceutical lab.
This is offered by some doctors as an option for relief from knee arthritis pain. Not all doctors offer this because the research on viscosupplementation (another name for hyaluronic acid gel injections) is not concrete at being consistently effective. Insurance sometimes covers this injection option, but sometimes patients have to pay out of pocket.
In this video, Dr. David tells you 7 reasons why hyaluronic acic gel injections might be helpful for knee arthritis.
🦵Learn more about the “Knee Arthritis Recovery Program” Dr. David mentions in this video:
www.epmanualphysicaltherapy.c...
⚡️ Here’s a link to our knee arthritis video playlist so you can find more specific help in fixing the long-term problem.
“Knee Arthritis Pain Help” • Knee Arthritis Help
00:00 7 Reasons Hyaluronic Acid Gel Injections Might Be Helpful For Knee Arthritis
00:14 What is a Hyaluronic Acid Gel Knee Injection?
03:12 Reason 1 - Delay Getting A Knee Surgery
03:44 Reason 2 - Get More Restful Sleep
04:06 Reason 3 - Tolerate More Time On Your Feet
04:36 Reason 4 - Allow You To Exercise
06:18 Reason 5 - Could Reduce Your Use Of Pain Medications
07:00 Reason 6 - Might Help Nourish The Cartilage
08:14 Reason 7 - Side Effects Are Apparently Less Severe Than Steroid Injections
#elpasomanualphysicaltherapy #drdavidmiddaugh
====================================================================
✅ Subscribe for more FREE tips on how to stay healthy, active & mobile while avoiding unnecessary medication, injections, or surgery:
th-cam.com/users/Epmanualphysi...
👟 Because we've had so many comments about what shoes Dr. David is wearing, here's a link to the shoes on Amazon:
Dr. David's Shoes With Insoles - Olukai Brand
amzn.to/3GwFJeh
💆♀️The massage table Dr. David uses can be found at this link:
amzn.to/36pcFsg
// FREE RESOURCES
Tune in to the Stay Healthy El Paso Podcast www.StayHealthyElPaso.com
//SHOP OUR COURSES!
courses.epmanualphysicaltherap...
//COME SAY HI!
Find us online at: www.epmanualphysicaltherapy.com
/ epmanualpt
//CONTACT:
Have questions or would like to get in touch with us? Send us a message www.epmanualphysicaltherapy.c...
DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.
I had the series of three injections back in 2006 and it gave me great relief. No issues for years. I just started to have knee pain again (2024). I have a new orthopedist because I had moved. I asked him about the injections, and we are going to start those in July. He did say it doesn’t work for everyone, but when it does, people find they have relief for a longer period of time. I think it’s well worth looking into.
I am on my 2nd round of gel injections had 6 months ago for 5 weeks on both knees, now just finished my 2nd round of gel injections, my knees feel so much better, and if you have Medicare it is covered 100% every 6 months, I will continue with these gel shots my life is so much better since having them
had you tried the cortisone first ? just wondering which is or was best both my knees are very bad and i am wondering which to try first thx
Excellent advice and pl continue.
Doc thanks for your great information
Thanks. That helped me take a decision.
Thank you for the great overview!
Thank you for this... I've had 2 and going in for another in my other knee soon.
Thank you again for your most valuable information Iwould very much appreciate your further guidance for recovery
Thanks Doc…I always appreciate you and your videos…God bless you Sir
I just got the 3rd EUFLEXXA injection (one weekly X 3) yesterday and maybe it’s getting better, but pain was enormously increased after the first and second injections. My doc said I won’t know if it’s going to help till a few weeks after the last injection, so I’ll try and remember to come back here and report on it. My pain stems from arthritic changes following a medial meniscus tear, which I had surgery to clean up 8 years ago. I’m lean and fit -- hike and bike a lot, etc, but the old injury keeps flaring up.
At age 72 suffering from serve knee pain in both knees I was diagnosed with bone on bone with both as was given cortisone shots for a 3 year period before I caved in and had full knee replacement on the left knee being told there were no other options, 5+ months later I'm still in excruciating pain, very immobile and would never under any circumstances have the right knee replaced. Got a 2nd opinion last week from a pain management practice and they said my bone and bone in the right knee is a level 4 and Hyaluronic Acid Gel injections may be of no benefit but its up to If I want to try it, I'm at my wits end!.
Thanks so Much for Explaining the Gel Injections, helps my Questions, hoping to not have to go under the knife!
I'm waiting for approval from the insurance company right now. I have severe osteoarthritis and a torn meniscus. Praying this will give me some relief so I can buy some time to improve muscle imbalance.
Very Very good information 👍
Well explained...thank you so much sir..
Hi Suhalia, You are welcome! Thank you so much for the kind words. In case you are interested we do have additional information and exercises in a playlist we have compiled for knee arthritis help. You can check it out here:
“Knee Arthritis Pain Help”
th-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
We wish you all the best on your road to recovery!🧡
Thank you for the video. I will be getting my knee scoped on 2 hours with the plan of going with the Hymovis injection. I'm not able to do the rooster comb injection due to an egg allergy.
Your videos are so helpful. I just had a gel injection to soon to tell. What are your thoughts on taking the hyaluronic supplements.
More good info. 👍👍
Great info thank you! What's your take on the hyaluronic injections for grade 3 hip arthritis
Great video with great info. I recieved my first ha acid shot last week , i got a good amount of pain relief from it is one shot in both knees enough or do you need all 3 series?
You are the most knowledgeable person I have listened to. I had a knee replacement 2 years ago have nothing but pain since. I have been to three different specialists they say there's nothing wrong with the surgery yet I continue to be in pain. I don't know what to do. any suggestions appreciated. They also are every 3 months draining fluid from my knee up until a month ago it was bloody every time. Thanks
I've had over 15 in the right knee years ago when they were organic before going to total knee replacement. In the left knee, I had an allergic reaction and Dr. Then switched to the modem inert gel one and I got maybe a dozen so I'm pretty much an expert. It's really the Accuracy of the needle and becomes more difficult as the arthritis gets worse to get into the space. It's HIT OR MISS! I recommend you only go for the shot if the Dr. uses a modem scope or ultrasound to see the direction ( goggle NYC pain management and see there TH-cam) . I've given up on the shots and scheduling TKR this autumn. The first surgery was the best dissision I've ever made. Again, the past is no guarantee of the future and there's a lot of risks and pain involved. Risritrictions on opioid only makes the matter worse. Good luck what ever you decide.
I have had two of these now in my right knee, completely free, 6 months apart. I am due my next shot in about 5 weeks and have been offered it in both knees. I have found it really life-changing. Did a long distance walking trail here in Spain after the last one. No pain from the injection at all.
YOUR AGE PLEASE. THANKS.
😊
@@thanislausm4288, currently64
Curious about the cost
@@thanislausm428815
It works well for me have been having it for years I am allergic to cortisone
Thank you for this video, Dr. David. I wrote to you about a month ago re: bone n bone and my spinal stenosis. I received 2 cortisone shots for both my knees in October and I am scheduled for a Hylagen injection in December. Thanks for all this information…..it sounds hopeful!
Good to know about the diabetic issue since I am 6.0
Btw, the glute exercises have been helping and it is tough when squeezing while walking takes lot of concentration 😅.
I just got my first Gel injections. They definitely did help. Medicare pays 100% including the mandatory XRays.
Worked well for me
I had the Supartz FX shots back in March they have helped me so far.
Thanks!
Hi Viola, you're welcome! They you so much for your support! We appreciate you being part of our community. Just in case you're interested or if you haven't seen it, we have a knee arthritis help playlist. You can check it out here:
“Knee Arthritis Pain Help”
th-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
We also have a Knee Arthritis Help Program. The program is similar to our in-person treatments minus the manual manipulation. The Knee Arthritis Recovery Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications.
This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems, and other knee conditions. To learn more please click this link: epmanualphysicaltherapy.com/knee-arthritis-recovery-program
We'd love to hear how you are doing as you progress.🙌 Please take care!
Finding so much help in your videos. I was told not to use a pillow underneath the knees because it could make the bone on bone knee issue worse and keep them bent. Do you have any word on this? Something to do less or more often? Thanks
They only last a few months at best, had 3 now. Can you review Arthrosamid which is the latest treatment and potentially lasting years
Hi, can you please advise if HA injection is recommended for bilateral chondromalacia pattela grade 4? Thanks!
Thank you for the info about hyaloronic acid for knee osteoarthritis. Can it help walking up and down stairs if this is something I cannot do?
I am 68 and have had 3 shots, one week apart, to my right knee every six months for the past 2 years. I have a torn meniscus and some osteoarthritis. My knee had been locking up with a sharp pain with walking, and I had come close to falling a couple of times when I sought treatment. Along with exercise to strengthen my leg and glute muscles, this treatment has almost completely solved my knee problems for now. My PA recently commented that he was surprised and pleased I had avoided knee replacement surgery. Hoping for many more years. I am moderately active. I walk, dance, ride a bike, and take Zumba classes (low impact). The injections are covered 100% by Medicare. The injection is sometimes slightly painful. He did hit a small nerve once, ow, ow, ow. Then the next week's shot was pain-free. I haven't had any swelling or discomfort after the quick injection. Worth a try, and best to put off or avoid surgery. 🙂
Hello Amber! We are really happy to hear you have had such improvements on your right knee with these shots and exercise! Hurray for avoiding surgery!! :-)
We have a few playlists that might be helpful with keeping your knees pain free and avoid swelling. Check them out!
Here are the links:
“Knee Meniscus Help”
th-cam.com/play/PLJVIPiFvv1mZ9Vh4eRH3UlmMeqOUtB-6a.html
“Knee Swelling Help”
th-cam.com/play/PLJVIPiFvv1mb17SwpI5eM0Uca2qvg7gsC.html
Quite educative video. I had knee injections on both knees a week ago and still struggling to walk around and sit a lot. Please I need exercises that may help out on this . Thanks
Your story sounds a lot like mine. I just completed my 3rd injection -- praying that it will be as successful as yours has been! I’ve been very active my entire life and can’t imagine being otherwise!
It works.
Hello Doctor , I'm due to have this injection in a couple of weeks time, I've had : a right knee arthroscopy, partial medial meniscectomy & chondroplasty 4 months ago.
I used to be very active before my surgery, I'm wondering if it will be ok to resume some light jogging & basic boxing training (as I used to do prior to my knee operation) OR should I wait a bit longer ?
Thank you doctor for all your informative videos.
Dear Dr. David,
Thank you so much for your videos! It's such an eye opening!
Could you please help me evaluate if Hyaluronic Acid Gel Injections are helpful in my case?
Also, could you please evaluate if Autologues conditioned plasma ACP therapy (3 times monthly injections) is more or helpful/recommended?
I had a torn meniscus III degree (inner vertical-crescent shaped) and had a trimming surgery 3.5 months ago.
The research I've read on ACP shows the evidence of restoring the cell environment and recommended after meniscus surgeries especially for athletes. As far as I understand, it even restores cells of meniscus? Though, this therapy is the most expensive. I also consider if it's worth the cost in my case of the trimmed meniscus. I've visited 2 rehabilitation doctors after my meniscus surgery and I do exercises that you and they recommend to regain my muscle mass and strength (I haven't danced or used my injured leg completely normally since March). The doctors I've seen don't seem to be keen to recommend any injections. They only recommend to train muscles, which I understand that it's crucial, but I need to have more ways to protect my knee as I'm a dancer and would like to go back to my normal activities. My knee still swells a bit and/or feels heavy especially by the end of the day as I have a teaching standing job (not teaching dance now).
Thank you in advance!!!
How long is the recovery time after knee the last knee injection
Hi - Thanks for the info. I go and see my Ortho Dr today and am hoping for the best. Continued success. Love PegEgg
Hey PegEgg! You are very welcome! Wishing you the best of luck! Keep us posted!
Please give some advice taking GLUCOSAMINE HCL with M S M. I am 77 years old male.
I go Friday for my injection
I have had 3 of these injections each one has lasted several years per injection.I am planning on having another. The benefits have been great. They cost me $500. I would never take a steroid or cortisone because they break down cartiledge. Bad spelling sorry. Also love this channel.
My doctor said the same thing about the steroid shot. He said it can actually cause the bone to shatter also. I’m waiting on authorization to get my first gel shot. Can’t wait. My right knee is hurting mostly in the back and its really effecting my quality of life. I’m no 60 and have about 3 more years before retirement so I have to keep pushing. He also gave me a prescription for physical therapy which I just started today. Very surprised at how weak my glutes, hamstrings and quadriceps were. That’s part of the problem. Will be working hard to strengthen these muscles to bring me more relief. Is their a limit as to how many gel shots you can get like the cortisone or can you just keep getting them?
@@shamrock8561my doctor said the HA injections can be a long term solution so no limit compared to the cortisone where there is a limit.
I have had cortisone shots, SynviscOne injections and Radio Frequency Ablation to both knees - all with very little pain relief. The last 3 days I have been doing 3 of your exercises and they have been helping the most I think. I exercise at a slower pace. But because I am retired, I can do a little bit several times a day. I plan on forgetting everything except the exercises and keto diet. My doctor, sports medicine doctor and orthopedic surgeon want me to have bi lateral knee replacement. But because I am feeling better with the exercises, I'm going to put surgery on hold - hopefully permanently.. The last 2 days I have not had any Ibuprofen - just rest if I feel I need to. Thank you for your videos. I am learning a lot - especially how to ride a recumbant stationary bike the correct way.
Thank you for positive response.
Can you please share the 3 exercises which helped you
I have had miraculous results from Synvisc One. My first was in 2016 The first shot lasted 9 months before pain returned. The next shot lasted 18 months , the third shot lasted almost 4 years. In Jan 2023. Had my fourth shot. At the time I could barely walk without pain. I am pain free currently. I have been focusing on improving my muscle imbalance since that time. According to my MRI I should have constant pain and be setting up a knee replacement. I do know 2 people who had a different hyraluronic injection and it unfortunately did not work for them.
Hey Brenda,
Your experience with the Scynvisc One Shot is fantastic to hear! 🙌 We're thrilled that you're currently pain-free and have found relief. 🎉 Your dedication to addressing muscle imbalances is key, as they are often the root cause of pain and discomfort. Keep up the excellent work!
We're very sorry to learn that the hyaluronic acid gel injections didn't provide relief for your friends. It's quite common for them not to work, and that's why we emphasize targeting the root cause. While the gel shots offer temporary relief, focusing on underlying issues is crucial for long-term well-being.
If you're interested, we've compiled a playlist for knee arthritis help with additional information and exercises. Feel free to share it with your friends if you think it could be beneficial. You can access the playlist here: "Knee Arthritis Pain Help”
th-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
Wishing you and your friends all the best on your paths to wellness! 💪
I’m going synvisc Hylan GF 20 tomorrow morning, please pray for me that all goes well
I came across your videos last week. I've been desperate for pain relief for a few months now.
Over 15 years ago I had a knee scope done on my rt knee the pictures looked like the bottom of the ocean. The doctor cleaned up all the debris in my knee but,Iam bone on bone. Can't remember if my my meniscus was torn I think my ligaments were I believe. I was a mess..lol.
Now over the years I exercised and,was doing good. Then one year I slipped n fell on my knees rt one more 3 times 4 months. Going over a baby gate n being 4'11" didn't help. And,one was in the winter n slipped n slammed my rt knee hard. Hubby saw me when I got home went back inside babysitting. 10 mins later he checked on me. I was stuck on the snow n couldn't move off slippery ice.
I was fine after a day but,knees complained after a work day.
That was 5 years ago I was due to get knee replacement on the rt.side but,pandemic hit.
Now over 6 years or so I have had the gel injections the first one you mention syn I think it started with.
Thank GOD I had good insurance so I had both done so since my left was in bad shape also.
Did that every 6 to 7 months it was painful poor nurse pract he would say sorry sorry with every push.
Lol when he left to go to another place the new nurse pract.waz quick n kinda painless.
But,during the last two years I asked my gp if I can take something other than 800mg of ibprophen. I already gone through all others so she started me on Voltaren pills twice a day.
They were a life saver!
Been on those for 2 years till recently now off of them n all other pain relievers. Got a gastric ulcer from them been suffering a few years. The last set of pills didn't help.
Any hoo I'm not doing well standing for 10 minsin one place . I work in a deli so I walk back in forthin the department but,I also stand still.
So my knees are stiff I tell others I feel like I have popsicle sticks for legs.
I've tried to be conscience on how I stand walk but, at home I'm good. I don't do anything lol but,the min I'm at work out the door it goes.
It is frustrating n I had panic attacks before work. So worried I was on pain n walking stiffly around customers n co workers.
Some days...I can do it okay then there were others where I just wanted to cry. Sitting oh my was horrible .
I had my injection at the end of Feb. Now yeah it takes time to feel anything I take 2 days off but,bend my knees to lubricate n help spread out the gel. That is what they told me what to do n ice it.
But,that was when I could also take Voltaren been off it now month because I was anemic for a year now. Then they found out I had a bleeding ulcer from all the meds.
Tylenol is all I take...great for headaches but,the other...
But,I'm working on your exercises it is hard I can feel it n it's easy to get the butt muscles working. You can feel it but,I'm trying n standing with my feet kinda helps.
Welll that's all I know this is super long but,I thought I tell you my story.
Oh and,apparently I'm on my hubby's account so this is Denise not James n I'm 56yrs.
I have had 3 knee operations, the 4th with a total knee replacement, (cobalt chrome &titanium). Prior to all of this, I had a total of 6 Synvisc (rooster comb) injections in my right knee. My doctor said either it works or it won’t work, and there was nothing to lose. The needle was SO long. I couldn’t bare to look at it, but worse than that, the pain from the shot left me in tears. And I’m no baby. I woke up on the table during gallbladder surgery. The shots ($700.00 each at the time) did nothing for my knee. I wish anyone else having this done has good luck, but I would never do this again. 💉
@ Trisha Ferreira. I was supposed to get a series of 3 shots. I got one in bathe knees and he froze the skin with a spray. For some reason it didn’t really seem painful for me. It helped my knees so well I didn’t get the other two shots. My husband just got a six month shot and he said the needle nearly killed him. So I don’t know why some people feel pain and some don’t. Don’t know if it is the technique of the giver of the shot or what.
Sorry that happened, Praying things get better for you
How is your knee now
I just finished my 5 weeks of genvisc injections in both knees. Im the biggest chicken around needles! Was scared to even sit in that chair to get ready for the injections.
I had mine done at the Arthritis Knee Pain Center. They freeze the skin, then inject the knee with lidocaine- felt a lil pinch and felt nothing afterwards. If I felt ANY PAIN during the procedure I would have left as my fear of painful needles would have overcome me.
I’m 66 and I’m so glad I did these. Will repeat in 6 months.
@@tankster5826it's the Doctor not being familiar where to stick you. My doctor is great..I have no pain at all
Does having complex regional pain ( crps) reduce the effects of shots?
Thanks
I have done the Monovisc one shot every 6 months in my right knee. I have done it for 3 yrs it’s wonderful. My copay is $300 but well worth it. Insurance picks up cost of rest. The secret is to stay off or away from exercise for 48 hours then go back.
Hi Jane, we are so happy to hear that the injections have been helping you!
Can a person continue to have hyraulonic injections indefinitely (how many years can I get them as I get very good pain relief)? Or at what point is surgery really necessary?
I have prp but no use three prp
Hi doctor. Will this be useful for a cartilage defect?
I have hyaluronic injections in both the knees three weeks back in consecutive two days I have worst kind of knee conditions I am still having pains on the back of both the knees frequently and walking with help of walker. Could you please advise me what to do for further recovery. Thanks
Well, they give horses hyaluronic acid orally for pain relief and to repair their joints and those joints are carrying about 1,000 lbs. I know several people who take it orally and have found it to turn their lives around.
I am having my second round of gel injections. The injections are not that painful. They work for me.
Will the gel help with muscle pain in the knee?
I had this injection inmy ankle 4 days ago and it's crazy sore now, not swollen but the pain is exactly like a sprained ankle is this normal?
What are the longterm impact and/or side effects. It is synthetic and may not breakdown properly in our body. How long does it take for our body to eliminate this drug or does it build up?
How about taking supplement with hyaluronic acid is it effdctive?
Thanks doctor I have severe swelling and pain getting worse. Now it’s three months without any treatment for loss of knee cartilage and meniscus tear discovered in February I’m in New Zealand where the medical system is crumbling downhill doctor has proposed a Cingal injection with a steroid combination. Can I ask him for only the Cingal without steroids. Thanks for your kind advise❤
Works for me!! ❤
Hi RAM! We're so happy this worked for you! In case you need it, here's a playlist with more videos covering knee arthritis. :)
“Knee Arthritis Pain Help”
th-cam.com/play/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i.html
I had a meniscus surgery and still in pain. can't walk too far .Can these injections help?
Would this work for someone with level 3 cartilage loss?
I am 66, got my first HA injection in my knee yesterday and it already feels like it is helping. I am hopeful! It was all covered by my Medicare and supplement insurance. The injection itself was pretty painful, and immediately afterwards it was quite stiff. Yesterday I took it easy. Woke up this morning with it feeling better than it has in a while. Well see how I do all day, but just getting out of bed it felt really good .
Is it only covered by Medicare B?
@@XjtBA I have medicare and a supplement, frankly I'm not sure which one covered the injection, sorry. Also have to add that 2 weeks in, and sadly don't feel any benefit at this point.
@@mamagrizzly1 sorry to hear that 😕
Will this help with a torn meniscus
How’re you Dr. David?
72 yo female.
Been watching you often, follow your exercises. This time I am scheduled to have HA on February 2, 2024 for severe OA, and RA. Travel scheduled for March 20,2024.
Questions: does it need ultrasound scanning while HA is being injected as other drs claims.
2. Is 6 mos good enough before traveling?
Thank you
I have a baker cyst due to excess fluid flowing to the back of my knee which makes my knee stiff and i can't kneel down, doctor recommended knee fluid aspiration , isn't hyaluronic acid injection the opposite for not having enough fluid, so not suitable when the knee is having too much fluid swelling ??? Please explain
I just had my third injection yesterday. I feel some relief from the pain. I'm going to keep track of the progress. My insurance didn't cover them. The manufacturer charged me $290 for the three. Three members of my family have had knee joint replacement, grandma, mom and last year my sister. Mom and my sister had cortisone injections.
Have had chronic knee pain for about 4 years - at 2 years I went to my GP who's assistant gave me a cortisone shot - I've had others in other parts of my body with no problem - this time I thought I was going to die; I literally screamed during the procedure. But it did give me about 2 months of some relief...but it was not worth the pain of the procedure. A few months after that my knee started to swell and never recovered. Pain was regular but not unbearable. Two years after the injection, I went to another doctor. I did 12 PT sessions. That was odd; sometimes after a session it was worse than ever - and needed pain meds just to sleep; other times I felt great for days! After that, my new doctor prescribed meloxicam on an as needed basis and scheduled the gel injection: 1 injection for 3 weeks. I can't say 'I'm heeled' - but with the injections and meloxicam a couple times a week, I have been able to do things - like walking (a mile so far), which I've never been able to do in years. Some days it hurts for no reason; some days my knee feels great - exercising definitely helps! Some doctors feel it is moderate arthritis based on the x-rays - others feel it is inconclusive; personally, I think it is a tendonitis, but I'm not a doctor. :-)
This is exactly my story , feel
U 😊
@@rimmakambarova1312 It's been a year since I posted this, but the strangest thing happened about 2 months ago. My usual 5-6 pain level that I had for 5 years has dropped down to about a 2! I can't believe it! There are a few things that I started to do a little different - I'm not sure if they had anything to do with it. But I started watching (way too many) scary videos about TKR and decided to do some of the exercises that they had their patients do after the surgery. Also, I made a much more conscience effort to reduce processed foods - which I heard can lead to inflammation (and my knee was - and still is - very swollen). Lastly, I started taking some supplements that had properties that are supposed to help with joints. I don't know if any of them have anything to do with my improvement - but I'll take it! Good luck with your knee!
Thank you for the information. I got this last year it lasted a year in one knee. This year I’m getting in both knees this year. It is better than the cortisone shot.
Hi MsMGolden, we hope it provides you with much-needed relief! 🧡 We'd love to hear how you are doing as you progress.🙌 Please take care!
@@epmanualphysicaltherapy thank you!
I think the results depend on how advanced your OA is in your knee. I have grade 3 OA in my knee, so I'm not at bone on bone. If you're at bone on bone and in pain everyday, this may not help. I'm waiting to see if my insurance will cover gel injections. I have BCBS. I slipped and hyperextended my right knee a few weeks ago. No ligament or tissue damage, just really sore. In the meantime, I got a cortisone shot and it has helped. Many say that if the cortisone helped, so will the gel injection. I'm 61 with a history of sports related knee injuries. I can't run or jump anymore, but I do enjoy disc golf and can do that without much pain. A friend of mine (he's 75) got the gel injection and it really helped him. He's at a year and still having good results. Hopefully, I will have the same result he did.
I was a runner off and on my whole life. I had to stop running and started walking with my disabled husband. We also ride a double recombant bike. The problem is we live at the top of a big hill. My first trip to the doctor showed stage 4 OA in both knees. How do i go from running to stg 4 that fast? My pain now is not in the knee but the muscles above and below. Stairs are the worst and standing for a long time. I've stopped all excersize and mostly sit with my disabled husband. Ive had the shots twice but they only help for 2 months. I'm trying massage and started your glute exercise. I'm hoping that helps enough to get me back to walking. Thanks for your help.
there are no nerve receptors to feel the pain at lower stages, I have 3 and didn't any pain till one day I was in complete pain, what my doctor told me when asking almost the same question
We're in Indonesia on family business, the wife needs this in her right knee. I checked Google for a price and they're available OTC! Rp 1,850,000 which works out to about $130! No way I'd try this, we have a very good Doctor but still....!
after one of these shots after soreness went away from shot, I walked a lot went on trips I feel it helped I did have about 3 flare ups, but I over did it. In Jan 3 I go for my 2nd one in both knees I know now to take a day off after, But I feel it's good for me.
Hey Tambi! Thank you for sharing your experience with these types of injections, we are so happy to hear that you found something that works for you and provides with the pain relief you desire!
We agree, that it is important to give your knee some rest before engaging in physical activity even if it's just walking. Also, it is important to know that injections will only provide you temporary pain relief and eventually wear off before having to rely on another injection. Our suggestion is to focus on strengthening the glutes and engaging the core muscles, which act as the other side of the seesaw, helping to restore balance and reduce strain on the knee.
You can check out the following videos on how to go about doing so if you are interested:
“Top 5 Glute Muscle Exercises For Knee Pain”
th-cam.com/video/NXdCjT2QtJA/w-d-xo.html
“Top 6 Standing Glute Exercises To Help Knee Pain”
th-cam.com/video/jD7IRBfJ-mM/w-d-xo.html
“3 Big Reasons Your Glute Muscles Won’t Work Well For You”
th-cam.com/video/TamXorqxCAk/w-d-xo.html
We wish you the best on the road to recovery! 🙌
Thank you very much @@epmanualphysicaltherapy
I got my 1st synvic shot..I didnt know it takes at least a month to feel better
Hi questions I had gel shots two times if takes me Personity weeks to recover from the can I have a cortisone shot to get me through summer? I work summer camp hard to get time off I do for a shot June when I am due,
I use ice packs whenever I get swelling (bakers cyst). Works well, I also use knee sleeves overnight.
Knee traction after a long day standing also is good.
Luckily this mostly controls it (along with glute and leg exercises) and costs next to nothing..
Hey Hapkido82, this is amazing that you found what works for you! We hope you get back to feeling great and that you don't run into frequent swelling anymore. We're so happy you're doing glute exercises too!! Best of luck to you!
How about nerve blocks
Hey Vivian! We don't have videos about nerve blocks yet. Hopefully they'll be coming soon!
I had a cortisone injection in my knee two months ago and it really helped. Some have told me, that if cortisone helped, the hyaluronic acid injection will help much better and last longer. True?
Had one 5 weeks ago. No change. Will note i have partial tears in ACL and PCL. Coming off of two meniscus scope surgeries in two years.. Could just be that my knee is just cooked 🤷♂️
Will this help someone who has all their meniscus taken out?
Today is the video I needed it. Next month I will have my knee injections; in both knees. I am having these injections for 5 years. This year I will have a different kind of brand. "Hyalgan" will be only one instead than 3. New doctor my old doctor retired. I still don't understand why is only one in another series of 3. Do you know why? I will ask my doctor on the 16 f November. Insurance does not cover it. I have to pay I will tell you how much when I go. The last year was 1.200 dollars for 6 injections, and they recommended 2 days not doing too much like running or working too much. I am a nursing assistant and I need to be on my feet all night. I just want to work in the work I love. Insurances are a trap. Continue educating people thanks
I had HA injections in September. My dr does the three series because it was a matter of cost in her case. She has her own business. So, if someone doesn't come in for a one shot injection as ordered, she has to cover that cost. If they have a series then skip the rest of them she only is paying for that first shot. I ended up getting the one injection and paying extra up front (I have insurance which covered the shots so I had a larger copay). In the end you're probably paying about the same as far as going in three times and having to have two more office visits along with more needle pokes.
Another clinic told me they do the three series because not everyone can handle a one shot injection. So, this is their preference. A series injection involves getting less fluid injected per visit.
I've had ultrasound guided injections in the past which is the only way I will do it. Last year, my sister had knee injections by a doctor without using ultrasound. One of her knees immediately became very painful because he either hit bone or scar tissue or something else. You have to get the fluid in the capsule of the knee.
I had a synvisc one injection a couple years ago and it cost about$700 for the product plus several hundred to administer. Last spring I had one and the cost was$1,700 for the same shot, ridiculous price increase. Unfortunate, because I think they do help.
If u write whether your problem out of OA disappeared.
@@kantaprasadsinha8025 get 3-4 months of relief. Won’t make OA go away. Buying time because I don’t want total knee replacement yet.
How long did it took for it to give relief?
Would you recommend HA injections for a young patient after a partial meniscectomy to prevent arthritis??
I had a partial meniscectomy 8 years ago, was doing well, then developed significant pain in the same area several months ago -- certainly due to some arthritis subsequent to the tear and surgery. I saw Dr. Mathew Christie (excellent hip/knee doc in Nashville) and he was all for trying the injections. I just got the 3rd one, so can’t say yet if it’ll help me, but I’m hopeful!
I had the hyaluronic acid injections they helped had them every other year x4 the 5th time I had a severe allergic reaction to the same shot. My knees swelled and were hot and red to the touch. They said that they might have changed some thing in the shot. So I can no longer use them.🤔
I would find out exactly what brand they're using and what's in it. Or, trying a different brand. I am thinking not all synthetic gel injections are all the same including rooster comb gel injections.
I had rooster comb gel injections in 2014-2015. Some people have allergic reactions to this. In Sept, I had the synthetic gel injections. I had looked into getting one injection versus a series of injections, and that took all my energy - never mind looking into if anyone in my area is using rooster comb injections. I should have because to me I rather use something more natural then more chemically based.
Many many thanks from India. In last few weeks, OA is agGravatex. Whatever question came in my mind, I got all answers. Doctor told one shot in each knee . Is it enough ?
You only can have one shot in each knee when you are getting the complete dosage of fluid available (1-shot injection). Those who have a series of 3 to 5 injections are having the dosage split up among that series of injections. I was told that one-injection is difficult for some people to handle regarding pain. One reason I think for that would be the severity of your arthritis.
Better than PRP or should I do both? I have an enlarged lateral meniscus, with a small tear. My cartilage is all good, but that meniscus tear hurts like hell trying to go up and down steps.
PRP is amazing....but it's not covered by insurance ironically 😂
I’m up late watching this because I can’t sleep because of the horrible pain.
hi thank you for this information I am getting my 2nd gel injection soon. The first time I was so sore couldn't walk for days so I took two days off after this time any tips to sleep after this.
Hey, again Tambi! We provided some suggestions that you might find helpful in your prior comment 😄
thanks@@epmanualphysicaltherapy
I did 16 day go and still is pain and swollen is normal?
Which particular insurance covers this procedure?
Medicare with a plan G supplement covered mine 100%
ASuparts is the stuff I get and it helps a whole lot. I am bone-on-bone for over 10 years and this stuff helps. I am not a fan of surgery. At all. My KP senior advantage covers this for a $5 co-pay. I have Brown-Sequard and my knee hurts, but because I don't feel pain on my left side from T10 down except for the sciatic and peripheral nerves and the knee hurts a lot less than it could.
Hey Alvin! This is great that you found something that works for you even when you've been bone-on-bone for 10+ years!!! Cheers to great knee health!!!
@@epmanualphysicaltherapy I just finished my last round of 3 for 2022 and it does give me a large amount of pain relief. The injections also ease the grinding sensation. My knee tends to sound like a burr coffee mill on high speed! 😜
Thank you for this information! I have Medicare, bone on bone, and have first injection scheduled in 2 weeks. In the comments I see that gel injections may be beneficial by repeating every 6 months. Can they potentially be used to avoid knee replacement all together?
Hi Holly, you're welcome! Injections can temporarily help avoid surgery, especially if you have a range of motion issues. However, if the root cause isn't addressed, the pain will likely return, requiring ongoing injections. By focusing on correcting muscle imbalances, you might not need gel injections at all, depending on the severity of your condition.
@@epmanualphysicaltherapy Thank you. I am starting PT soon as advised by my dr.
This page is so helpful got my first gel injection this morning told my ortho doc Dr.Zanotti " now I know how a car feels when it gets an oil change,have some discomfort but tolerable hope it works.
Hi Dianne, that is fantastic to hear that you're feeling some relief! Wishing you all the best.🧡🧡
Hello Dr. David, I'm new to your channel and am so glad I discovered it. I have OA in both knees. I had hyaluronic acid gel injections in both knees one week ago. I was unprepared for how excruciatingly painful the injections were. I don't know yet if they will prove to be helpful in reducing my knee pain as I understand they take several weeks if not months to take effect. However when I hear you say doctors can recommend repeats monthly and even weekly, I don't think I could stand to have even one more. Is it normal to feel so much pain as the gel is being pushed into the joint? Could it have been badly administered or my own physiology perhaps? Also, where do I find the 28 day knee plan?
Hey Judy, so sorry to hear that you are dealing with this issue from the injections :-( this is not a typical response for the hyaluronic acid injections. It would be a good idea to bring up this concern with your doctor and determine if they know why that happened. Hope this helps!
Here is the link to our knee program:
“Knee Arthritis Recovery Program”
www.epmanualphysicaltherapy.com/knee-arthritis-recovery-program
I hve hyaluronic gel injection both knees mth Aug after still my knees got tightness but knees no swollen alr.Doc asked me do home cycling to relieve tightness.But I felt still cannot squat completely but doc asked not do squating as doc said squating give more weight 3x our body weight?
Had mine this morning. I'm a retired ER, so I ask a lot of questions, and yes, there's pain and discomfort while the being injected.I told the doc"now I know how a car feels when getting a oil change"
I’ve had multiple steroid injections over the years, and they have been very helpful. However, this past year I’ve had a lot of swelling and difficulty walking. I had the hyaluronic acid injections in both knees weekly x 3. I felt that the steroids helped more than the hyaluronic acid, and the steroid injections were less painful. I also have a Baker’s Cyst behind my right knee. The physician aspirated 50 cc before starting the hyaluronic acid. I got a lot of relief almost immediately.
I got these injections of gel in both my knees about 6 weeks ago. I am 68 years old, and the injections did not really help. Doctors say I am bone on bone, I have twin knees the left is more painful most of the time then the right knee. The doctor kept putting me off about knee replacement said my BMI was too high. So went to another doctor and he said he could do it but wanted to try these gel injections first. Told me to try and lose some weight. But wanted to try and do this gel first. It has not helped. I have been overweight most of my life. I am 68 years old I weigh about 240 and I am 5' 4.5" tall. So why do they think my weight is something so terrible? It is hard to lose weight at my age and things hurt.
Hi Paulette,
We’re really sorry to hear that you’re dealing with painful knee arthritis and that the gel shots haven’t provided much relief. It's not uncommon for people to have different responses to treatments like these; some find them helpful, while others do not. It's important to remember that weight is just one factor among many that can affect knee health. The root cause of most knee pain often stems from muscle imbalances, particularly involving the glutes.
While reducing weight on the knee can offer some relief, addressing the underlying muscle imbalances is crucial for managing bone-on-bone knee arthritis. Unfortunately, this aspect is often overlooked, with doctors often recommending shots or surgery without discussing these root causes.
In cases of knee pain and muscle imbalances, the hamstrings and quads are often more dominant, similar to the heavier side of a seesaw. This can put excess pressure on the knee joint, leading to discomfort and issues. Focusing on strengthening the glutes and engaging core muscles can help balance the "seesaw," reducing strain on the knee.
We have a "Knee Arthritis Pain Help" playlist that might be helpful for you:
“Hip Arthritis Help”
th-cam.com/play/PLJVIPiFvv1mbICbP6qlXUZwMyAJlKD1dt.html
Start with one or two exercises, using a small range of motion and low intensity. As you feel stronger, gradually increase both. Consistency is key-aim to tire out the muscle without losing form or control, and remember that soreness and mild discomfort are normal, but pain is not.
Additionally, we have some videos focused on glute strengthening, which can be crucial in managing knee pain. You can find them here:
“Top 5 Glute Muscle Exercises For Knee Pain”
th-cam.com/video/NXdCjT2QtJA/w-d-xo.html
“Top 6 Standing Glute Exercises To Help Knee Pain”
th-cam.com/video/jD7IRBfJ-mM/w-d-xo.html
Feel free to skip any exercises that don't feel safe for you. It’s best to perform these on a firmer surface, but some can be done lying on a bed. For standing exercises, use a counter or chair for stability, and always work within your comfort range.
If you find these techniques helpful, you might also consider our Knee Arthritis Recovery Program. This program is designed to help people avoid unnecessary surgery, injections, or dependence on pain medications. It includes exercises and stretches targeting key areas to prevent or help with knee conditions like osteoarthritis, meniscus tears, ligament injuries, cartilage problems, and other knee issues. You can learn more here:
epmanualphysicaltherapy.com/knee-arthritis-recovery-program
We hope this information was helpful. We wish you all the best in your road to recovery! 🧡
Does the needle hurt
No, they spray a cold liquid on your knee to numb it. You may need 3 or more in each knee every 6 months depending on how bad the arthritis is. I highly recommend it. Saline works for a few weeks.
Please Hindi me bataye
Do this help bone or bone or baker cyst
Hey Danielle, This is for bone-on-bone knee arthritis. If you are suffering from baker's cyst we have a playlist for it if you are interested. You can access it here: "Baker's Cyst Knee Pain Help"
th-cam.com/play/PLJVIPiFvv1mauCV7_gEEntBWMvGcQ5OyE.html
@@epmanualphysicaltherapy I have both of those issues going on in one knee