{"id":2137,"date":"2015-08-10T00:00:00","date_gmt":"2015-08-10T00:00:00","guid":{"rendered":"http:\/\/natalien12.sg-host.com\/2015\/08\/10\/what-is-viscosupplementation\/"},"modified":"2018-07-11T20:03:00","modified_gmt":"2018-07-11T20:03:00","slug":"what-is-viscosupplementation","status":"publish","type":"post","link":"https:\/\/warnerorthopedics.com\/what-is-viscosupplementation\/","title":{"rendered":"What is Viscosupplementation?"},"content":{"rendered":"

Safe Treatment for Arthritis of the Knee<\/h2>\n

Viscosupplementation is a nonoperative and safe FDA approved treatment for arthritis of the knee.\u00a0 It is very successful in those with early arthritis but is also sometimes successful in those with advanced arthritis.\u00a0 The pain of arthritis is dependent upon a variety of factors, not simply on the extent of the progression of disease.\u00a0 Radiographs of arthritis have never been directly correlated with actual pain experienced by a patient, therefore, even in advanced arthritic knees one should try viscosupplementation.<\/p>\n

<\/p>\n

Hyaluronic Acid<\/h4>\n

The viscosupplementation used for knee arthritis is typically hyaluronic acid.\u00a0 This is a naturally occurring substance in the body and it is in high concentration in the joints.\u00a0 Historically, the injectable form was extracted from rooster combs and made into a gel.\u00a0 Today, the gel is produced in biologic laboratories.\u00a0 It acts as a cushion in the joint and lubricates the joints.\u00a0 There may be a change in the body response to injury once hyaluronic acid is injected as well.\u00a0 Hylauronic acid aggregates with different proteins (aggrecan monomers) and this allows it to make cartilage resistant to load or compression.<\/p>\n

Manufacture<\/h4>\n

There are a variety of companies that make viscosupplements for the knee and you should discuss the options with your physician. \u00a0Each company\u2019s product has pros and cons and the choice is often dependent upon the surgeon\u2019s comfort level with a product and the patient profile.<\/p>\n

Affect Knee Cartilage<\/h4>\n

Viscosupplementation is a way to affect cartilage in a way that benefits the patient.\u00a0 The supplement is a gel that is injected directly into the knee.\u00a0 Your surgeon may utilize ultrasound to ensure the accuracy of the injection.\u00a0 Some surgeons prefer to inject blindly without guidance however.\u00a0 The supplement is formed of hyaluronic acid; this is essentially a component of cartilage.\u00a0 It works by increasing the viscosity of the joint fluid and protecting the cartilage from impact.\u00a0 It also acts as an anti-inflammatory for the knee.\u00a0 Finally, the supplement provides essential building blocks for the repair of cartilage.<\/p>\n

MRI Results after Treatments<\/h4>\n

Recent advanced MRI imaging studies of cartilage before and after viscosupplementation have demonstrated that some areas of cartilage at the patellofemoral interface actually improve on imaging after supplementation.\u00a0 In addition, the pain and knee function scores improved at 3 months.\u00a0 Placebo controlled studies have also demonstrated the effectiveness of such treatment for knee arthritis.\u00a0 A meta-analysis of many studies found that viscosupplementation had only a marginal benefit over placebo.<\/p>\n

Nonoperative Treatment of Osteoarthritis<\/h4>\n

There are many nonoperative ways to treat osteoarthritis of the knee.\u00a0 Viscosupplementation is an FDA approved injection therapy that seems to be very effective, particularly for early arthritis.\u00a0 Discuss this option with your surgeon if you have arthritis and pain in the knee.<\/p>\n

 <\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0{{cta(‘5bdf3d7d-fe06-4fff-814a-274edbdda674’)}}<\/p>\n

Ref:<\/p>\n

Shah RP, Stambough JB, et al. T1rho magnetic resonance imaging at 3T detects knee cartilage changes after viscosupplementation. Orthopedics. July 2015 38(7)<\/p>\n

Manfred W, Dickhut A, et al. Viscosupplementation with Hylan G-F 20: A 26-week controlled trial of efficacy and safety in the osteoarthritic knee. Clin Ther. Jay-June 1998; 20(3):410-23.<\/p>\n

Grace HL, LaValley M, Et al. Intra-articular hyaluronic acid in treatment of knee osteoarthritis; a meta-analysis. JAMA. 2003;290(23):3115-3121<\/p>\n

http:\/\/www.synvisconehcp.com\/synvisc<\/a><\/p>\n

https:\/\/en.wikipedia.org\/wiki\/Hyaluronan<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Safe Treatment for Arthritis of the Knee Viscosupplementation is a nonoperative and safe FDA approved treatment for arthritis of the knee.\u00a0 It is very successful in those with early arthritis but is also sometimes successful in those with advanced arthritis.\u00a0 The pain of arthritis is dependent upon a variety of factors, not simply on the […]<\/p>\n","protected":false},"author":1,"featured_media":2233,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[10,15,16,17],"class_list":["post-2137","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-article","tag-fitness","tag-health","tag-medical"],"yoast_head":"\nWhat is Viscosupplementation? - Warner Orthopedics & Wellness<\/title>\n<meta name=\"description\" content=\"Learn more about how nonoperative Viscosupplementation relieves pain from osteoarthritis to see if the procedure may be right for you!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/warnerorthopedics.com\/what-is-viscosupplementation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is Viscosupplementation? - Warner Orthopedics & Wellness\" \/>\n<meta property=\"og:description\" content=\"Learn more about how nonoperative Viscosupplementation relieves pain from osteoarthritis to see if the procedure may be right for you!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/warnerorthopedics.com\/what-is-viscosupplementation\/\" \/>\n<meta property=\"og:site_name\" content=\"Warner Orthopedics\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/warnerorthopedics\" \/>\n<meta property=\"article:published_time\" content=\"2015-08-10T00:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-07-11T20:03:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/warnerorthopedics.com\/wp-content\/uploads\/2017\/07\/ID-100142496.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"400\" \/>\n\t<meta property=\"og:image:height\" content=\"333\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"tagadmin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"tagadmin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/warnerorthopedics.com\/what-is-viscosupplementation\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/warnerorthopedics.com\/what-is-viscosupplementation\/\"},\"author\":{\"name\":\"tagadmin\",\"@id\":\"https:\/\/warnerorthopedics.com\/#\/schema\/person\/1ff3b9621da650ea41cdb025c3664e91\"},\"headline\":\"What is Viscosupplementation?\",\"datePublished\":\"2015-08-10T00:00:00+00:00\",\"dateModified\":\"2018-07-11T20:03:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/warnerorthopedics.com\/what-is-viscosupplementation\/\"},\"wordCount\":548,\"publisher\":{\"@id\":\"https:\/\/warnerorthopedics.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/warnerorthopedics.com\/what-is-viscosupplementation\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/warnerorthopedics.com\/wp-content\/uploads\/2017\/07\/ID-100142496.jpg\",\"keywords\":[\"Article\",\"Fitness\",\"Health\",\"Medical\"],\"articleSection\":[\"News\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/warnerorthopedics.com\/what-is-viscosupplementation\/\",\"url\":\"https:\/\/warnerorthopedics.com\/what-is-viscosupplementation\/\",\"name\":\"What is Viscosupplementation? 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