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Offline westview5579

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SYNVISC
« on: September 25, 2002, 12:11:27 AM »
I was wondering what info anybody would have on the use of Synvisc. I have two mal-tracking caps, I had a LR on the right in May and a LR on the left in July, constant PT since June.  My Therapist sees lots of balance and mechanical problems. My OS says there is nothing but Synvisc and periodic cortisone shots, until I'm old enough for total knees. I have an appointment Monday the 30th for a second oppinion, in hopes of a different view on this situation. If it's Synvisc, for the next 10 years I was just wondering what info you might have about it.
Thanks,
Sheila
LR-Right 5/3/2002, LR-Left 7/12/2002 Synvisc both Sept 2002, LR, MR, Meniscectomy, Chondroplasty Right  5/16/2003, Right TKR 12/19/03 Cellulitis, 12/27/03, MUA 1/23/04,  RSD 2/12/04, MUA 4/6/04

Offline Linds

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Re: SYNVISC
« Reply #1 on: September 26, 2002, 05:34:05 AM »
Hi, I don't know much about synvisc because I have never had it. But okay...here is what I do know. Synvisc is a synthetic substance that is used to replace/replenish the natural sunovial fluid in the knee joint. This can become less available in the body as we age. The reason Synvisc needs to be injected often is that the scinetists have yet to invent a substance that isn't absorbed and broken down in the blood stream. So it has to be replenished often. Hope that helped somewhat...
Take care
Linds :)
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline The KNEEguru

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Re: SYNVISC
« Reply #2 on: September 29, 2002, 02:11:31 PM »
There is a good article on the Washington Orthopaedic & Knee Clinic site:
http://www.kneetime.com/
Check in the margin index - you will find a couple of links.
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KNEEguru

Offline ELLEN

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Re: SYNVISC
« Reply #3 on: September 29, 2002, 05:09:19 PM »
I had 3 synvisc injections last september.  They did not help at all, and caused me alot more pain. I was told i was a candidate for Total knee replacement, but too young (40).  OS said find a cane I liked and get use to it.  This was completely unacceptable to me.  He could not explain what was wrong-he did not know, he refered me to a well known surgeon in chicago, he could not tell me what was wrong-he said he sees alot of knee problems that are unexplained in athletic females.  I gave up for a few months.  Then It was recommended I see this OS who does alot of non conventional surgeries, and has alot of innovative ideas.  Low and behold he has become my savior.  Five minutes in his office he told me what was wrong.  Skyline view of xrays showed my knee cap had slid down and was hitting tibia.  He spent 1.5 hours with me on my first exam.  I just had fulkerson osteotomy on friday.  

My advice to you is if you are having mal tracking problems, ask about fulkerson or other procedures of this sort.  It cant hurt to inquire about a more aggressive procedure.  You might suprise your doc.  I saw 7 OS before I got help.

good luck
ELLEN

Offline Stevejw

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Re: SYNVISC
« Reply #4 on: September 29, 2002, 11:13:43 PM »
Synvisc is the commercial name for a synthetic form of Hyaluronic acid, a product that is naturally found in the body. Synvisc is typically used in individuals whose own synovial fluid and knee cartilage are missing or damaged due to arthritic wear an tear.

I had a shot of Hyaluronic acid a while back and it didn't help me - however, don't let that put you off as clinical evidence shows that  the majority of peope treated with Synvisc do benefit from pain reduction for a period typically ranging fom 4 to 9 months. The good thing about Synvisc is that if it works for you, then you can, unlike Cortisone, repeat the process for some time.

Good luck
ACL carbo fibre repair and three revisions. 12 scopes, Primary TKR November 02, revision TKR August 07. Post surgery staph infection, debridement, MUA.

Offline jathib

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Re: SYNVISC
« Reply #5 on: September 30, 2002, 01:58:58 AM »
I had the Synvisc injections last year and got no relief from them either. I've read many posts from people that it did help but most lasted only about  6 months. Most of these people had another set of injections and they didn't help the second time around. It's worth a try as there doesn't seem to be any side affects except the shots are expensive and they can be extremely painful. My last shot was so painful that I would not have returned if the first shot had hurt that much.

Offline enuff81020

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Re: SYNVISC
« Reply #6 on: October 03, 2002, 11:48:54 PM »
Hi!  I had SynVisc injections in my left knee in October of 2000 and then in my right knee in December of 2000.  It is a bit complicated for me to explain--but I really did initially begin with some relief from them.  I was post-op in my right knee when we did my left knee.  i also have OA in my feet--and in climbing stairs at work on crutches, I fractured my left foot.  It ended up in a cam-walker which put a lot of really poeculiar stress on both of my knees.  However, I reached a point where I could put my socks on that left foot like everybody else does :o)  That is why we decided to go with the right knee as well.  In the meantime, that fracture would not heal--and in early February, I injured my right knee and needed another surgery.

I have talked to a lot of people about SynVisc--I really think it helped me at least for a while...and the injections were a lot less painful for me than cortisone is.  I know one older lady who put off TKR's because she got so much relief from the SynVisc.  she started going bowling and dancing and having a regular ball.  I also know others who didn't get anything out of them and one person who had complications...

I think, that like so much of this is, it is dependent upon the individual if this will help--kind of a gamble.  If you are one of the ones that it helps, it is great.  I enjoyed it while it lasted.  Sylvia
Both kneesOA.
Scope on rt knee,9/00;2/01
scope w/ LR and debridement rt knee 2/02
left knee same5/02
Patellar problems
LeftTKR12/16/02
Right TKR7/14/03
Complications MUA 8/14/03
R TKR revisio

Offline Maggie

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Re: SYNVISC
« Reply #7 on: October 15, 2002, 05:45:00 PM »
Dear Shelia,
I have had the Synvisc injections. I did not find them very painful at all, no worse than a blood test as far as I am concerned. I went in with a lot of fear that it would be incredibly painful from reading everyone's posts, but it was not.
Unfortunately they only helped for a few weeks. I will not have them again because I don't feel they were beneficial enough, however if I had to decide again whether or not to try them for the first time, I would.
In my opinion they are definitely worth a try. I did have a few complications after having them and had to have my knee aspirated and a shot of cortisone to settle it down. I would still say give it a try.
Thanks Maggie
Scope in 1984 torn acl, loose body removal, patellar chondroplasty. 12/01 open VMO advancement, LR, medial meniscectomy, abrasion arthroplasty, patellar chondroplasty.Synvisc, cortisone, celebrex.

Offline westview5579

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Re: SYNVISC
« Reply #8 on: October 15, 2002, 07:05:20 PM »
Maggie,
Thanks for the response to my post. I am trying the Synvisc, Thursday being the day of the first injection. They will do my right knee first, if it helps they will move along with the left. I have stage 3 chondro in the right and stage 3 patella defect along with some other fun things in the left. Who knows maybe it will work like a miracle.
Thanks for the reassurance, I've had cortisone and I always lived through them so I figure this won't be that bad.
Sheila
LR-Right 5/3/2002, LR-Left 7/12/2002 Synvisc both Sept 2002, LR, MR, Meniscectomy, Chondroplasty Right  5/16/2003, Right TKR 12/19/03 Cellulitis, 12/27/03, MUA 1/23/04,  RSD 2/12/04, MUA 4/6/04

Offline Maggie

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Re: SYNVISC
« Reply #9 on: October 15, 2002, 08:23:57 PM »
Hi Sheila, I just wanted to say gook luck on Thursday. I hope they work for you. I think a positive attitude always helps. Let us know how it goes for you.
Maggie
Scope in 1984 torn acl, loose body removal, patellar chondroplasty. 12/01 open VMO advancement, LR, medial meniscectomy, abrasion arthroplasty, patellar chondroplasty.Synvisc, cortisone, celebrex.

Offline westview5579

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Re: SYNVISC
« Reply #10 on: October 19, 2002, 07:21:19 PM »
Well made it through the first shot, wasn't that bad no worse than cortisone. No response yet, but really didn't expect one. Next one will be Tuesday. Yip-Eee can't wait!!
Sheila
LR-Right 5/3/2002, LR-Left 7/12/2002 Synvisc both Sept 2002, LR, MR, Meniscectomy, Chondroplasty Right  5/16/2003, Right TKR 12/19/03 Cellulitis, 12/27/03, MUA 1/23/04,  RSD 2/12/04, MUA 4/6/04

Offline enuff81020

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Re: SYNVISC
« Reply #11 on: October 26, 2002, 06:11:11 AM »
Hi Sheila,

i just was curious how the SynVisc is going?  

I didn't think it was as painful as cortisone injections either.

I hope that you are one of the lucky ones it is the answer for!  Good luck, Sylvia
Both kneesOA.
Scope on rt knee,9/00;2/01
scope w/ LR and debridement rt knee 2/02
left knee same5/02
Patellar problems
LeftTKR12/16/02
Right TKR7/14/03
Complications MUA 8/14/03
R TKR revisio

Offline westview5579

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Re: SYNVISC
« Reply #12 on: October 26, 2002, 07:18:35 PM »
Sylvia, The 2nd shot was very painful, I'm not sure he hit the right spot. Took 2 vicadins to calm it down. The knee seems different, I'm not sure better, but different. One more to go, oh joy!!
Sheila
LR-Right 5/3/2002, LR-Left 7/12/2002 Synvisc both Sept 2002, LR, MR, Meniscectomy, Chondroplasty Right  5/16/2003, Right TKR 12/19/03 Cellulitis, 12/27/03, MUA 1/23/04,  RSD 2/12/04, MUA 4/6/04

Offline enuff81020

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Re: SYNVISC
« Reply #13 on: October 26, 2002, 10:31:41 PM »
I'm sorry to hear that this one was difficult.   I'll keep my fingers crossed that #3 is better.  Really, the best I can do is hope that you get the relief you need and deserve from these.

Take care, Sylvia
Both kneesOA.
Scope on rt knee,9/00;2/01
scope w/ LR and debridement rt knee 2/02
left knee same5/02
Patellar problems
LeftTKR12/16/02
Right TKR7/14/03
Complications MUA 8/14/03
R TKR revisio

Offline westview5579

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Re: SYNVISC
« Reply #14 on: October 31, 2002, 03:45:51 AM »
Well I had my 3rd injection yesterday on the right and the first in the series on the left. I think my OS must of studied injection technique this past week, because the right knee only hurt after the knee realized the stuff was in there, and the left didn't hurt a bit. I was amazed after last weeks ordeal. Alot of stiffness today but that seems to be better now. Time will tell if I get much relief, I think I do , but the knee cap needs to be glued in to really be better.
LR-Right 5/3/2002, LR-Left 7/12/2002 Synvisc both Sept 2002, LR, MR, Meniscectomy, Chondroplasty Right  5/16/2003, Right TKR 12/19/03 Cellulitis, 12/27/03, MUA 1/23/04,  RSD 2/12/04, MUA 4/6/04















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