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Author Topic: Just had my 4th injection of Supartz,...  (Read 6905 times)

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Offline Cindy Bailey

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Just had my 4th injection of Supartz,...
« on: January 04, 2006, 05:05:17 PM »
I just had my fouth injection of Supartz in my right knee today. I had to have excess synovial fluid drained again before I could have the actual injection. My knee actually has felt worse during the last week. Has anyone else had an experience like mine ??? I wonder what can be done next. I'm also having a feeling like my knee is getting stuck and is sometimes painful to bend it. Any advice or help is greatly appreciated. Thanks! ;)~~Cindy

Offline Caroline109

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Re: Just had my 4th injection of Supartz,...
« Reply #1 on: January 05, 2006, 02:30:13 AM »
I've had 2 Supartz shots (scheduled for #3 on Friday afternoon) and never needed to have fluid drained. Having had only 2 shots, I can feel a difference in my pain level and my co-workers have told me I'm saying ouch a whole lot less. I don't know what to tell you about feeling more painful. However, don't know if this will help at all, but a couple of minutes after my 2nd shot, my doctor pumped my leg to get the Supartz moving in the knee more. Did you have this done at all?
I've been approved for only 3 shots and I'm hoping that will be enough. I'm expecting to (k)need a series in my other knee within the next 6 - 12 months, but we'll see. Wondering how some people (like you) get 5 shots and others 3. I wonder what the difference is--the insurance coverage or the need for the shot????? My husband actually works for our health insurance company as a software writer so we do have excellent and fairly lowcost insurance but I can only have 3 shots!
Caroline
Chronic low platelet count
Men. surgery, both knees 2003,2007,2008
R PKR Sept. 17, 2008 - Biomet Oxford Partial
LK-TKR 4/21/2010 Biomet Vanguard Signature Knee
Scar tissue issue next to TKR knee
March 2, 2011: PKR to be revised to a TKR

Offline Cindy Bailey

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Re: Just had my 4th injection of Supartz,...
« Reply #2 on: January 05, 2006, 03:45:49 AM »
Caroline, thanks for the reply. My OS recommended and got approval from the insurance company before we proceeded with the injections. I'm thinking that maybe the difference in getting three or five has to do with how bad the joint is. That is the only thing that I can come up with. Also after reading some of the posts on here, I was surpried too that some only were getting three. Actually when the OS had recommended the Supartz injections, he had given three choices as to what route to take with my knee. One was the Supartz series of five injections, next was the OATS procedure, and last but not least is a PKR. :o I've already consulted another specialist, and I'm not even a candidate for the OATS, due to the degenerative joint disease. Mine has progressed from one MRI to the next one year apart, almost to the day. I'm not sure what my options are going to be if the Supartz doesn't help me at all. This is scarey and so frustrating. I also get epidural injections in my back every couple of weeks for a condition called spondylolithesis. I'm just hoping and praying that I'm going to get some pain relif and soon. Good luck with your injections, I hope they work out for you and you get much relief from your knee pain. keep me updated, okay?~~Cindy ;) :)

Offline stgiles16

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Re: Just had my 4th injection of Supartz,...
« Reply #3 on: January 05, 2006, 03:46:27 AM »
This may be a stupid question but.....I thought that supartz was supposed to help lubricate the knee and yet you have so much synovial fluid that you have to have some drained to get the injection in? Am I wrong in my thinking? Could you correct me if my info is wrong please?

thanks
missy
2 ligament recons right ankle
2 arthroscopic,
5 open knee procedures
2 Plica removals
bone spur removal
2 microfractures
4 debridements
2 open LOAs all on left knee
Arthritis,both knees, ankles, shoulders, elbows, hands,spine
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Arthrofibrosis
LOA & PKR 2/15/06
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in pain mgmt
TKR JAN 2012

Offline hopalongcasualty

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Re: Just had my 4th injection of Supartz,...
« Reply #4 on: January 05, 2006, 05:25:06 AM »
stgiles16  -  It sounds odd doesn't it, I am not sure but I think this is to get the inflammed goop out for the NEW "UBER" Gunk to go in.  I had a similar product used on the right knee, which actually helped lubricity (if that is a word) of the joint for quite q while, it was after this procedure that I found the other issue that had been masked.

Cindy Bailey -  After the synovial fluid replacement procedure I found I had developed arthofibrosis now the inside ofthe joint felt better and not like grinding glass between the bone surfaces.  I wanted to bend the knee and get back to "normal" activities; however, I could still not get full extension (physical blockage) and could only get to about 85 degree flexion (due to pain from the tight tissues).  I have worked on ROM exercises and on good days have gotten to 95+ flexion WO pain but any more than that has a spongy stop and definate streaching burning sensation by the lateral port scar (which was used on 4 scopes).  In my oppinion (I know) you may have uncovered a different issue in your knee. OR simply have undergone an invasive procedure which has irritated your joint capsule.  Besides I did not think that Supartz had the cooling properties of cortizone, that it is basically like synthetic oil for your car engine.  If you have inflammation of other tissues in the knee, this may be what is causing your current pain OR you may have a little too much fluid in the capsule making the knee feel tight.

Just a thought.

Hopalongcasualty.

PS anyone out there who knows more about Supartz, please chime in, all I know is my personal experiences.
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)

Offline hopalongcasualty

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Re: Just had my 4th injection of Supartz,...
« Reply #5 on: January 05, 2006, 05:31:37 AM »
Caroline,

On each of my 3 injections the OS pulled off fluid before doing the injection.  He may have done this to pad the bill, I don't know but there was a separate charge for aspiration of the joint.  However, the joint did not feel to full either.

Hop
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)

Offline Cindy Bailey

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Re: Just had my 4th injection of Supartz,...
« Reply #6 on: January 05, 2006, 01:12:56 PM »
Thanks everyone for your input. ;) I'm going to have to wait  a few days to see how this injection works out. So far, it is still hurting, and my knee feels worse than before the injection.I explained the way my knee feels and the PA(physicians assistant), who administers the injections, asked if it feels worse since we began the injections. I told him yes, and it is also feeling worse than before my actual surgery in June05. ::) :P I don't understand this at all. I thought that the surgery, and PT would help to make my knee function better. :-[ I guess I'm going to have to go along with the plan and get my last injection next Wednesday and go from there. I was hoping that I would be a success story. :-\ Again thanks for all the replies, it helps to have this board to come to. It has surely been an eye opener and a learning experience for me. ;) ;) :)

Offline Caroline109

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Re: Just had my 4th injection of Supartz,...
« Reply #7 on: January 05, 2006, 01:51:10 PM »
If the PA administers the shot where you go, I guess I should be happy my doctor does the shot, although there is at least one PA at the orthop. practice I go to whom I've only seen prior to knee surgeries (for a review of my medical history) and one week after my knee surgeries.
Caroline
Chronic low platelet count
Men. surgery, both knees 2003,2007,2008
R PKR Sept. 17, 2008 - Biomet Oxford Partial
LK-TKR 4/21/2010 Biomet Vanguard Signature Knee
Scar tissue issue next to TKR knee
March 2, 2011: PKR to be revised to a TKR

Offline shade

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Re: Just had my 4th injection of Supartz,...
« Reply #8 on: January 05, 2006, 03:34:17 PM »
Hi,

It doesn't seem like many of us are seeing positive results from the knee injections.  I've completed the injections over a month ago (neovisc) with only 5 days being pain-free.  Those 5 days were absolutely wonderful, but it's very disappointing to get such limited relief.  After each injection my knee was flexed for 15 min. to make sure that the fluid got distributed throughout the knee joint.   
Hopefully, someone here will have more positive results.  Good luck.  ~Shade
July '05 (RK) - LR/debridement
Mar '06 (RK) - Open LR + Allograft w/OBI TruFit Plug + Fulkerson TTT
 Feb '07 (LK) - LR + Fulkerson TTT

Offline hopalongcasualty

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Re: Just had my 4th injection of Supartz,...
« Reply #9 on: January 05, 2006, 04:16:03 PM »
I had the injections from my prior Ortho Doc, he kills you when he does a cortisone or Supartz/Synvisc Therapy shot.

My current Othro has his PA do most of the injections, AMAZING, he doesn't hurt you.  I have had 2 aspirations with cortisone injections.  Post injury, the docs utilize this procedure on me since I am unable to take NSAIDs.  Another interesting thing was that the last time I injured my right knee (September - fell 2ft straight down in it in kneeling position onto concrete) the cortisone REALLY helped for 6 weeks.  This was the first time I actually got relief from a cortisone shot.  The left knee in January had too much damage in it for the shot to help, it was just to cool things down prior to surgery. 
 
Again, I believe I did get relief of one of the symptoms I was experiencing with the right knee from the synovial therapy, I just found that I had other problems too that had been masked by the acute pain inside the joint. 

I had mixed results on this therapy and I was able to go back to Ice Skating (right knee braced in a CTi Edge w/patella cup) which is how I screwed up the left knee.  :-\ 

For almost a year I was able to enjoy activities (arthofibrosis was the limitation I still had) before messing up the other knee.

Hop
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)

Offline Cindy Bailey

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Re: Just had my 4th injection of Supartz,...
« Reply #10 on: January 05, 2006, 07:26:11 PM »
Hop~
        How have you had your arthrofibrosis treated? I was reading a little about that condition and was wondering if maybe that could be my problem, too. I guess at this point anything is worth taking a look at. ::) Who knows we might all be better off treating ourselves or at least making suggestions to one another that could be useful when we visit with the OS. Boy , you couldn't tell my first one anything, at least I got a second opinion and a very good and nice OS this time. ;) I'm with you and some of the others here, I'm hoping to read some good news and positive results with the Supartz injections.

Offline hopalongcasualty

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Re: Just had my 4th injection of Supartz,...
« Reply #11 on: January 05, 2006, 08:17:04 PM »
Cindy,

* I am not a doctor, PT, nurse or affiliated with the medical community in any way.  I am not qualified to provide medical advice and would encourage you to see a "qualified medical professional for the treatment of Arthofibrosis". 

Now that has been said I will tell you what I have learned and what I am doing: I read the different treatment options out there for the treatment of arthofibrosis.  There appear to be 2 main camps that I have found so far for invasive treatment of the contidion. 

TEAR (general anesthesia and then the doc cranks the knee till pop, the problem is they could tear other bodies in the knee that wern't supposed to happen) or CUT (general anesthesia and scope it out)  from what I have read, either of these could be a temporary fix, scar tissue tends to grow back. 

I am not ready for either protocol at this time. 

When I was getting PT for the left knee, my therapist (Old school from Poland) gave me advice on how I could treat at home for AF.
1. Warm up the joint with hot pack.
2. Heal Slides to point of resistance and push just a little more hold for 3 count, slide down, relax and repeat, in sets of ten, 3 times per day. 
3. Ice afterward to reduce swelling. 

It does not remove the scar tissue, it seems to only help keep the scar tissue from shrinking and hardening so much.  I have gained some flexion without pain by doing this process and that is an improvement in my book. 

If the right knee deteriorates I will seek out the cut approach because they could remove the scar tissue that is preventing me to get full extension and if I either use a CPM post op or follow my current protocol I believe that I can keep the scar tissue MONSTER at bay.

Good luck, and maybe see if you can get a second oppinion, maybe from somone who works more with OA and RA patients.

I forgot there is a protocol I think is called effusion or something like that where they fill the joint capsule with fluid deflate and pressurize several times to strech or pop the scar tissue build up. 
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)

Offline hopalongcasualty

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Re: Just had my 4th injection of Supartz,...
« Reply #12 on: January 05, 2006, 08:26:29 PM »
Check out --->
The REHAB DEPARTMENT/Soft Tissue Healing Problems

Hottubpam is a regular there and she may be a good one to chat with.
R Knee
83-LCL,ACL&Medial Meniscus tear
86-Debridment
87-TTT Houser Manuver
89-TTT Maquet Procedure*
92-Meniscus Tear
04-Supartz Injections
05-Contusion
L Knee
05-tibia & patella dislocation w/MCL tear & large lateral condyle defect
2-15-06 Lateral condyle osteochondral Allograft ::)















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