osteoarthritis right knee

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Osteoarthritis - right knee - synvisc
I have osteoarthritis in my right knee. I had a steroid injections two years ago which made my pain much worse about 4 months after the injection. Later I had 3 Prolotherapy injections, (Watch where do Prolotherapy injections go and do they hurt?) 4-6 weeks apart which helped a lot. The prolo reduced the stiffness and improved the stability. Then I got greedy and had two Synvisc injections and had an allergic reaction which resulted in bad swelling in my knee. About 2 months after the swelling went down I had 3 more Prolo treatments. My knee is still not doing as well as it was after the first series of 3 Prolo treatments. Could the Synvisc injections be inhibiting the Prolo treatments? I have recently had ultrasound treatments which I'm going to stop because they are making the pain worse.

Dear Synvisc Reaction: You need to determine is your condition a degenerative one or an inflammatory one. It appears that the synvisc caused you to have an inflammatory knee condition. I would get CRP, ESR, Rheumatoid factor, and ANA blood test. These would test for inflammatory knee conditions. If you have swelling in the joint, have the doctor send the fluid for crystal analysis. You may have pseudogout. In our office if we felt that your condition was degenerative we would change the solution and possibly change the frequency of injections. Also make sure you aren't doing any stretches or exercises that are hurting the repair. Answered by Ross Hauser, M.D.

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Disclaimer: The physician you are visiting has had the benefit of performing medical examinations and laboratory tests to determine the degree of your symptoms. Important tools in not only prescribing a treatment plan but also in determining your response. If you have concerns about your treatment, please direct your questions to your physician because that is the proper course to take. Prolotherapy may not be effective for every individual and there are risks involved, these risks should be discussed with your physician. Results achieved with some may not be typical of all. Please consult a physician.

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Ross Hauser, M.D.
Dr. Hauser received his M.D. from the University of Illinois, Chicago; completed his residency at Loyola-Hines VA-Marianjoy Hospitals in Physical Medicine and Rehabilitation; and received his Bachelor of Science degree from the University of Illinois, Urbana-Champaign.

Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy. He, along with his wife Marion, have written seven books on the topic of Prolotherapy, a comprehensive book on the natural medicine approach to cancer, as well as a myriad of articles and newsletters for the general public. Read more

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