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Question:
I have received Synvisc injections in both knees on 3 previous occasions. The treatments last 6 to 8 months. I am 57 years old and my xrays show bone on bone. Synvisc offers some relief but not total relief. I am in sales and I limp badly. Over weight by 40 lbs. Lots of pain. NSAID three times a day. HMO will not agree to Synvisc. They said not needed. Other than a knee replacement, which I would like to do at Christmas, any options? Should I push to get the Synvisc for pain relief and help in business?
Question submitted by:
Claude Walters - cwalt1249@aol.com
| Dr. Farr |
Dr. Farr is an orthopedic surgeon who specializes in knee and sports medicine. He serves on the board of the Orthopedic Research Foundation and is medical director of www.cartilagerestoration.org and www.myknee.md, where emphasis is on exploring new ways to treat damaged cartilage. Dr. Farr is a member of the American Academy of Orthopedic Surgeons (AAOS), the American Orthopedic Society of Sports Medicine (AOSSM) and the Arthroscopy Association of North America (AANA).
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Answer:
Have you exhausted other avenues of treatment? Has your doctor talked about other medications? Is your strength optimal. If you have associated malalignment, you may consider an unloader brace and special shoe inserts.
