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Author Topic: Trying Supartz for a second time  (Read 13462 times)

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Offline Caroline109

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Trying Supartz for a second time
« on: March 29, 2008, 01:24:05 PM »
In December 2005, shortly after my knee OA diagnosis, I was approved by our insurance company for 3 shots of Supartz. They wouldn't approve more. My orthopedist administered them but unfortunately, they didn't do anything. Fast forward a little over 2 years (now), 2 more knee surgeries later, with severe OA in that knee and having been referred to a rheumatologist in January 2007, I'm trying it again, in an effort to postpone at least temporarily a partial knee replacement. This time I have been approved for 5 shots. Hoping they work this time given how much they hurt when administered last time! I'll start them next Friday (April 3)
Has anyone had 3 and then 5  (or vice versa) Supartz shots and noticed a difference in the results? Hoping someone can tell me something positive! I am trying to put off the PKR because I just had 2 surgeries in a 3 1/2 month period (October 2007, February 2008) and would like to give myself a break from surgery. I feel like my body needs a break from some surgery for a while. Plus I have a chronic blood disorder (low platelet count) that makes surgery more deal with than if my count were where it should be. As it is, my hematologist is already nervous about the PKR after mentioning to him that I would need one.
If you want to see a detailed history of my case, click on my web site by my name on the left (I hope it's on the left---not sure while typing this!).
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 jathib

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  • ACL recon, lateral menisectomy, lateral PKR
Re: Trying Supartz for a second time
« Reply #1 on: March 29, 2008, 01:29:52 PM »
Everything I have read about the shots (and my own experience) indicates that they are pretty much useless for severe cases of arthritis. They work less than 50% of the time in moderate cases. Every doctor I've seen (including the one that gave me the shots) told me that if they didn't work the first time they won't work the second time around. I know you're desparate for relief but I think you're wasting your time on the shots.

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #2 on: March 29, 2008, 01:40:29 PM »
The physician assistant at the rheumatology office seemed to indicate that in their practice, they get much better results with 5 rather than 3 shots.  In fact they don't even do 3 shots. It's 5 shots or nothing.Those extra 2 shots seem to help to get positive results. I've had cortisone shots in that same knee with positive results but those results last only 6-7 weeks, and as I'm sure you're aware, there is a limit to how many cortisone shots you should have in 1 area. The PA said if the good results from cortisone lasted longer for me, she would do that before trying the Supartz again. But since they don't, we're trying this. I am figuring a year from now I'll be ready for the consultation for the PKR. No one at that office (or the orthopedist's office for that matter) indicated that if they don't work the 1st time, they won't work the 2nd time. I figure it's worth a shot, if you'll excuse the pun. HOwever, if they don't work this next time, I definitely will give up on them for the other knee which, at least for now, isn't in as bad condition as the other one, at least pain wise, although I will need an OATs procedure in that one.
As for costs of the shots, my insurance is paying 85% on the first 2 shots, as I'm not quite up to my deductible (about $400 short) and will pay 100% for shots #s 3, 4 and 5.
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 Plumb

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Re: Trying Supartz for a second time
« Reply #3 on: March 29, 2008, 02:08:43 PM »
I had 10 shots of supartz last year in my left knee.  5 in the spring time ..5 in the winter.  and 3 cortizone shots. ..

My OS said to me..  the shots sets should last at least  6 months.  Plus he even offered to do them  3 months apart if needed because right now it's all about saving the time I have with my left natural knee. I am in my 30's and have a total knee replaced in my right knee.   My perspective on the shots are anything that will allow you to have more time with your natural knee is worth a try.

I had orthovisc in my right knee. 3 shots prior to my TKR and I will admit that it brought down some of the insane ice pick pain I had prior to the months leading up to my TKR.  Each step was grinding with pain adding a bit of cushion and lubercation to the collapsed medial side helped me if just a tiny bit from the jaw dropping pain of a knee joint that had so much trauma to it.  I do it again ..  in that knee .. I knew I needed a joint replaced but I also was fully aware that the chronic pain I had was no joy either.  If only for pain management..  Try it to get some type of relief. and if you max out on your deductables and co insurance this early in the year..  Think about getting your knee fixed at the end of the year so if you have to have a major surgery your all covered and have no worries when all the bills are adjudicated by the insurance system you have.


Keeping your natural knee is important. Keeping your mobility is priceless.  Finding a doctor who understands that every stone needs to be explored prior to your undertaking a metal implant in your body.  Mind you implants are modern age miracles.  Don't rush so fast to get it done with out being patient.   Even after the fourth shot at times. I had my doubts that the fifth would bring me pain relief..  but somehow  they do .

It is all about joint space. We do not know what your X-rays are or your mobility is at the moment.   If you can get around for at least 4 city blocks I would still encourage you to get the shots even at three months before a replacement.  That is three months of dulling the insane pain of a collapsed joint. 



Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #4 on: March 29, 2008, 02:42:22 PM »
My mobility with walking is okay, although it hurts at times. Stairs, on the other hand, are not so great. Sometimes I'll be just sitting here doing nothing and get a shot of pain through my knee out of the blue. I can still use my exercise bike, going about 2.5 miles every other day when I remember to do it. It usually doesn't hurt too badly until I get off of it and keeping moving helps with the stiffness. I get a lot of knee pain trying to sleep, keeping me up and waking me up.
I realize timing for surgery and insurance is an important thing, which is why I crammed in an MRI in late DEcember this past year for a surgery I knew couldn't be done until at least mid-January. Having had surgery in mid-October for one knee, I really didn't want a 2nd surgery 2 months later. Having the next surgery in the beginning of February got me nearly up to my deductible. My husband works in the health insurance industry (writing software, mainly for EOBs==he has nothing to do with the decision processes there) so we try to time medical stuff to our advantage. However, this past summer he had kidney cancer surgery (confined to the kidney, had the kidney removed, no chemo necessary, literally back to work (in our home office) about a week after the kidney removal) and that medical crisis put us at the point where just about everything was covered 100%, thankfully, for the year.
I appreciate the input on this matter. There is a lot to think about. WIshing my knees were better and could trade them in for a newer natural model :D
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 moon

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Re: Trying Supartz for a second time
« Reply #5 on: March 31, 2008, 04:02:06 PM »
morning, i have to aGREE WITH PLUM 100%, ANYTHING YOU CAN DO TO KEEP YOUR NATURAL KNEE !!!! try it, what do you  have to lose? i did wonderful with the injections, they bought me 3 extra years, i knew i would eventually wind up with surgery but it was agreat 3 year ride, good luck , moon
bilateral-uni,s  4/14/08

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #6 on: March 31, 2008, 09:32:40 PM »
My only thought about keeping your natural knee is what do you do when your natural knee no longer functions the way it's supposed to and causes a lolt of pain? I would love to be able to keep my regular old knee but that's not going to happen because it's too uncomfortable to go through life with it the way it is. I can't take most Nsaids as most people can due to my blood disorder and narcotic  and pseudo-narcotic pain killers make me nuts! Knee braces offer temporary - very temporary -relief before getting smelly and uncomfortable after a while. I have weight bearing issues that I forgot to mention in a response above. Anyway, for now, I'm trying the SUpartz to delay further surgical intervention that is going to happen, in a year, maybe 2 years, or whenever.
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 Plumb

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Re: Trying Supartz for a second time
« Reply #7 on: March 31, 2008, 10:47:13 PM »
holding off a major surgery for two years is not a bad thing.  You will know when you reached your point where your knee is toast and you can't accomodate it anymore with bandaids.

Offline moon

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Re: Trying Supartz for a second time
« Reply #8 on: March 31, 2008, 10:49:05 PM »
well, when time is up, time is up, that is where i am now, i am going in for bilateral PKR in april, i believe you just know when it is time, when it effects your quailty of life... i bought 3 great years with the injections, i wouldnt trade them for anything, i am not convinced i will be "normal" after this, i think there will be many things i will not be able to do  or not do as well, but it is one big trade off, i am tired of the pain, so on with  this, good luck to you
bilateral-uni,s  4/14/08

Offline Plumb

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Re: Trying Supartz for a second time
« Reply #9 on: March 31, 2008, 10:53:45 PM »
I had my TKR and thought to myself.  I would be creeping around like a little old lady the rest of my life.
  NOT So...................at 7 months I was floating in the delaware river and camping and going up hills by the river side.

I still hate carrying laundry around and will try to give puppy eyes to who ever takes pity on me trying to bring up a large basket.. but I can .. Its just nicer when someone does a laundry intervention on me.

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #10 on: March 31, 2008, 11:00:26 PM »
Believe me when I say I am really hoping this series of Supartz shots will work and will last a long time. It's not that I want surgery, it's that I think it will be the only option for now. If the shots do nothing, then I'll still wait a while, at least until late fall (if I can stand it) before going back to my orthopedist for a referral to another doctor in that practice for the PKR. In the meantime, I'm under the care of a rheumatologist who will help with pain issues at least temporarily.
I have read and heard so many stories of people having hip and knee replacements and then saying "Why did I wait that long to do this?" when they discover how much better they feel following the surgery. I don't want to wait until it is truely unbearable! So in the meantime, I'll just go as I am.
« Last Edit: March 31, 2008, 11:02:46 PM by Caroline109 »
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 moon

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Re: Trying Supartz for a second time
« Reply #11 on: March 31, 2008, 11:03:38 PM »
give it all you got babe!!! its all we can ask of our bodies, sounds like you have a good paln,
bilateral-uni,s  4/14/08

Offline moon

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Re: Trying Supartz for a second time
« Reply #12 on: March 31, 2008, 11:04:51 PM »
sorry....i mean a good plan,
bilateral-uni,s  4/14/08

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #13 on: March 31, 2008, 11:09:01 PM »
I knew what you meant, lol! I'm very fluent in my own and others' typos:)
Now I am off to go soak in the whirlpool tub. Almost 4 years ago, about 5 months after my 2nd knee surgery, we gutted the master bathroom and put in a whirlpool tub. Little did I know how much I would need it!
And before I forget, here's a link to the web site I made that is a list/blog of my orthopedic adventures. I updated it recently:

http://hometown.aol.com/iamcaroline109/myhomepage/index.html


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 Caroline109

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Re: Trying Supartz for a second time
« Reply #14 on: April 07, 2008, 06:59:52 PM »
I had my first Supartz shot on Friday (3 days ago). Boy did it hurt. And to think I'll be going through it 4 more times! I hope the pain will be worth it!
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 Plumb

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Re: Trying Supartz for a second time
« Reply #15 on: April 07, 2008, 07:10:34 PM »
Tell the OS to find a good spot or you will kick him.   I always tell my OS that and he cracks up.. once he moved to the other side to avoid a kick

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #16 on: April 07, 2008, 07:51:17 PM »
Actually it was the Physician's Assistant at my rheumatologist's office. The last time I had SUpartz, my OS did it. Either way, they'd probably crack up too if I said that. On Friday afternoon, I moved before the lidocaine and almost kicked the bottle off the examining table where I was lieing down which if I had, she told me I would've caused a huge explosion! I now have a nice bruise where the injection was on the knee and at this very moment, my knee is throbbing.  Fun, fun, fun......not!
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 moon

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Re: Trying Supartz for a second time
« Reply #17 on: April 07, 2008, 09:50:49 PM »
they are really painful but i did deep breathing and visualization , i also went home and elevated and iced, i didnt move for the rest of the night, also took motrin for the pain and  swelling, good luck, moon
bilateral-uni,s  4/14/08

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #18 on: April 07, 2008, 09:58:04 PM »
I went home (it was late Friday afternoon), got into my pajamas (not kidding) and rested on my bed, ice on my knee, for a couple of hours, with my laptop on. At one point, the door bell rang. I was the only one home so I got up to see who it was. It was my son who likes to ring the door bell to the locked door even when he has the house key. He apologized for making me get up and told me to go back to bed. He was quite solicitious after that.
My husband, who went with me to the appointment and whom I clutched during the worst of the pain, was quite shocked by the size of the main needle and by the fact that the needle goes all the way into the knee. I don't look while it's been done but I could tell that was what was happening. He's not coming with me  for thr next shot pn Friday and my sister said I should bring a teddy bear or something sweet to clutch when the pain comes, lol. I do have my oldest son's stuffed Ernie that went every where with him back in 1982-83 but I think Ernie will probably stay home. I could somehow also try and remember some Lamaze breathing I learned, although I ended up have csections, lol.
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 Plumb

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Re: Trying Supartz for a second time
« Reply #19 on: April 07, 2008, 11:16:52 PM »
I go for the squished eyes holding the arms of the chair  route .. .  also I hate it when they take my blood pressure before the shot.. It is always up.. I am always tense..  My OS said I am a pro at them.  Did better than some of the army guys that come into his office.   

I even asked him to give me a new cyro cuff before we started the Nov batch.  My OS ever the thoughtful one .. said if his surgery center didnt have one he would bring the one he had from his hip surgery from home.

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #20 on: April 08, 2008, 02:26:23 AM »
With my first set of Supartz shots, I sat on a chair. This time I lay on an upholstered examining table with my legs out in front of me. I purposefully wore sweat pants so I wouldn't have to get changed while there into a lovely gown. And I was told I was tensing up my leg which is a natural reaction to the pain, so I was told. When the nurse took my BP before the shot, the cuff was hurting my arm from my shoulder arthritis and I said Ow. SHe didn't tell me what the reading was, but I guess it was okay enough for them to do the shot. That same nurse usually tells me people's BPs are up when they're in pain.
 
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 Caroline109

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Re: Trying Supartz for a second time
« Reply #21 on: April 11, 2008, 10:20:25 PM »
I had shot#2 of SUpartz today,Thankfully, the shot was about 1/10th as painful as last week’s shot. PA says it was because the knee isn’t as damaged in that spot as last week’s shot spot! I am very grateful because my right knee (and actually all my joints) have been really achy today due to an upcoming 3 days worth of rain storms coming in. I even took an extra Celebrex this AM and it didn’t help much. Now on to next week again…
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 chaos

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Re: Trying Supartz for a second time
« Reply #22 on: April 12, 2008, 05:18:21 AM »
i am glad you are thru the first two.  hopefully the first one went into the most danaged spot and the rest of the injections won't be too painful.  i hope they bring you relief and are worth what you are going thru.  they sound miserable.
take care of you.
Allison
beauty always comes from within.  the outside doesn't matter.

Offline moon

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Re: Trying Supartz for a second time
« Reply #23 on: April 12, 2008, 11:02:02 PM »
i know they are horrible, but theydid buy me years before i had to go through this, i did have a focus point it, stared at and held it while deep breath , it is very hard to not tense up but try really hard not to tense, dr says that makes it worse, i also was on ultram at the time and took it an hour before i went in and if i had a nerve pill i took that to,  take care and let ice and elevation be your best friend, denise PS does the whirlpool help with it at all? we are gutting our bath room for a whirlpool also, any suggestions? everyone says a regular size one, but jets or the bubbly thing? think ill go lay in them LOL get a visual on that!
bilateral-uni,s  4/14/08

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #24 on: April 13, 2008, 12:42:39 AM »
We have enjoyed having the jet tub. I like it especially for my neck and shoulders aches. My knees like it too but not as much as my neck and shoulders. My husband, who doesn't have arthritis or orthopedic issues except when he overdoes something, loves it more than I do. When we remodeled our master bathroom 4 years ago, we chose the Kohler 8 jet regular size tub. It was, at the time, their cheapest jetted tub. It think it was about $650 then at Home Depot. I don't know if it's still available but we were on a limited budget in an extremely limited space (this bathroom is very small) but it's been worth every penny we paid for it!
I took Ultram once and it made me feel nuts so I haven't taken it again. I wouldn't be able to drive if I took it before the appointment, although my husband drove me the first time. This past shot, I was chatting with the PA at the time and since the pain was so much less than last time, I only distracted myself a couple of times by saying [ouch, just got up to check what my cats were growling at through the window, and that killed my knee] "lalalalalalala."
3 more shots to go and hopefully the pain level won't be too bad again.
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 Caroline109

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Re: Trying Supartz for a second time
« Reply #25 on: April 25, 2008, 09:30:25 PM »
Just had Supartz shot #4. Not too terrible even though she did it again in the area where it hurt A LOT with shot #1. She said she couldn't do it again in the other area because it was quite bruised there still from 2 shots in a row there. We were chatting and she told me she sees a lot of patients who have had partial knee replacements who find out 2-3 years later, they need a total knee replacement. So now I'm wondering what to do. In any event, I'm not going to be doing anything soon and will cross that bridge when I come to it!
Last Tuesday night I went down the stairs and realized my knee didn't hurt. But then later, of course, it hurt. So maybe there has been a little progress.
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 Plumb

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Re: Trying Supartz for a second time
« Reply #26 on: April 26, 2008, 10:12:41 PM »
I go to the OS on may 9.   I think round 3 on spuartz is on the way..  My knee feels pretty good. I went walking for an hour.. and wished I had less pain..  So I guess I will get them again..  There is no charge per say ..only to the insurance carrier.   My bones today went click click.sounded pretty strong snap crackle.. no pain..

off to go running around ..  now..  .. I waited three years to feel as good as I am feeling lately.

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #27 on: April 26, 2008, 10:16:47 PM »
Every once in a while (maybe every other day), I move my leg and I can feel that sick bone on bone action. My knee also cracks quite often when I bend it. It hurts and feels odd. Hoping that will lessen with the last of the Supartz shots next week. Obviously you've had good luck with them! I paid about $36 with our insurance for each of the shots I've had so far (haven't gotten a bill yet but I can see the claims on my health insurance company's web site). It always bothers me that the claims call shots (be it cortisone or SUpartz) surgery!
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 Caroline109

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Re: Trying Supartz for a second time
« Reply #28 on: May 05, 2008, 06:24:23 PM »
Between shot #4 and #5, my knee was feeling better-even on stairs. Then a week ago tomorrow (last Tuesday), I tripped on my laptop wire going from the laptop to the wll outlet and managed to twist but not fall. My knee has been hurting ever since, right where I still have a small meniscus tear. I'm afraid I may have torn it more.  I had my 5th shot this past Friday and I mentioned the pain. So we're hoping I didnt do anything to it. I go back in 4 weeks for a follow up and if it still hurts, we'll discuss it more.
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 hollie9

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Re: Trying Supartz for a second time
« Reply #29 on: May 07, 2008, 10:39:50 PM »
Check this out....hope it works!!!  Have you heard of this before?

Researchers study new ways to treat damaged tendons
Updated: 4/3/2008 2:46:12 PM
By: Ivanhoe Broadcast News Service
Researchers are studying new ways to treat damaged tendons and other parts of the musculoskeletal system. Allan Mishra, M.D., from Stanford University Medical Center, has been studying platelet-rich plasma to heal the pain associated with tennis elbow.
Platelet-rich plasma is derived from a patient's own blood. Mishra draws a patient's blood and simply spins it down in a centrifuge to separate the red blood cells from the platelet-rich plasma. Once it's separated, the platelet-rich plasma is drawn into a syringe and injected back into the patient near the injured area. In the initial studies, the platelet-rich plasma was injected into the damaged tendons of elbows -- and then knees.
Tendons aren't the only body parts Mishra thinks platelet-rich plasma will help. His research team plans to soon start a study looking at platelet-rich plasma as a way to regenerate cartilage in the knee.
Because the platelet-rich plasma comes from a patient's own blood and can be done as an outpatient procedure, there are no risks of disease contamination or rejection involved with the procedure.


Hollie

Offline Caroline109

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Re: Trying Supartz for a second time
« Reply #30 on: May 07, 2008, 10:57:59 PM »
Very interesting. Unfortuantely, my plasma wouldn 't be platelet rich because I average about 1/2 the low normal range for platelets. BUt there is autologous donation for surgeries if necessary, plus 2 out of my 3 sons have my blood type! INteresting though too that it seems to help healing.
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















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