I've tried the cortisone. It worked great, but only for three weeks. In fact, we tried it specifically to get me through a vacation. My next step is Synvisc. My doctor also wants to hold off as long as possible, and I'm not sure why. But he did say that he would put it in my chart that I could call at any time to come in for it. They gave me all the procedure and diagnosis codes and I called my insurance to make sure it was covered. It is. I know I am going to ask for it at my next appointment in November, but am trying to hold off until then.
Yes, Synvisc and cortisone are different. Cortisone is a strong anti-inflammatory that can be used only sparingly. When you have irritation or arthritis in a joint, it causes the breakdown of the synovial fluid which lubricates and cushions the joint. Synvisc is like synthetic synovial fluid. I was told that it only works in about 40 percent of the people, and it works best on ealy arthritis. But the nice thing is it can be repeated every six months.