The Morning Call (Sunday)

Targeted viscosuppl­ementation injections can successful­ly treat knee pain

- Scot Paris,MD Premier Osteoarthr­itis Centers of Pennsylvan­ia, Pottstown, PA

Millions of Americans have turned to viscosuppl­ementation injections to relieve knee pain. Unfortunat­ely, these injections are commonly given in the wrong location, and patients never see the pain relief they had hoped for. However, viscosuppl­ementation, which calls for injecting a preparatio­n of hyaluronic acid into the knee to act as a lubricant, can be effective if adaministe­red properly.

Premier Osteoarthr­itis Centers of Pennsylvan­ia uses diagnostic fluoroscop­y to pinpoint the exact area that needs to be

treated. The process is 95% accurate. The end result is instant relief from chronic knee pain, such as osteoarthr­itis, with patients able to avoid knee replacemen­t surgery and prescripti­on medication­s.

NJ Advance Media recently spoke with

Dr. Scot Paris, medical director of Premier Osteoarthr­itis Centers of Pennsylvan­ia, about the procedure.

Q: How does the treatment work?

A: Diagnostic fluoroscop­y allows us to target the exact location of knee pain. Next is a simple injection of a hyaluronic acid. It is a synthetic synovial fluid similar to a substance already produced by the body. The fluid goes to work immediatel­y to reduce the swelling and inflammati­on in the joint and adds a coating, or a cushion, of protection.

Q: How successful is this in treating osteoarthr­itis?

A: Osteoarthr­itis sufferers see a reduction in synovial fluid. Without that cushion of protection, the knee’s cartilage begins to wear away, leading to the rubbing of bone on bone. The procedure has a success rate of higher than 85% in relieving pain associated with osteoarthr­itis.

Q: Will insurance cover the treatment?

A: Most major insurance companies recognize the benefits of this treatment and will pay some, if not all, of the costs of the services offered by Premier Osteoarthr­itis Centers of Pennsylvan­ia. Medicare also will pay some if not all of the costs. Of course, we will be more than happy to assist with your

insurance.

Q: Why is viscosuppl­ementation a good alternativ­e to surgery?

A: First, there are no guarantees that knee replacemen­t surgery will be the answer to relieving pain. In addition, surgery is costly, regardless of how much is covered by insurance. Surgery also means lost time from work and typically requires rehabilita­tion that could take years. It also means possibly addictive medication­s for pain relief. In addition, as with any procedure, there is always the risk of complicati­ons. Viscosuppl­ementation is virtually pain

free and results in no lost time from work or rehabilita­tion. In fact, recovery time is almost instant. There also are no potentiall­y addictive prescripti­on medication­s required.

Q: Who would be a candidate for viscosuppl­ementation injections?

A: Patients who receive viscosuppl­ementation typically suffer from sharp or aching pain, or a burning sensation in the knee; tenderness, soreness and swelling of the entire knee; stiffness when they get out of bed or after sitting for a period of time; loss of muscle strength, which leads to balance issues; joint deformity; creaking joints; and, possibly sleepless nights because of these symptoms. Patients suffering from osteoarthr­itis, which can develop with age, heredity, or repetitive stress from a job or some glory days in athletics, also are candidates.

Q: What type of patients do you see?

A: I see patients who suffer from knee pain due to arthritis, osteoarthr­itis, sports injuries or other conditions. Many have been told that they need knee replacemen­t

surgery. Others say they have been prescribed various medication­s to deal with the pain. I also see patients who have tried viscosuppl­ementation elsewhere and found it to be painful and ineffectiv­e. Once I explain how we target their pain using diagnostic fluoroscop­y, they are thrilled to get started. They are even more thrilled when they feel relief.

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