Check out my other pre/post injection care videos below! 1. What to do after a PRP injection (platelet rich plasma injection) - ruclips.net/video/JerEEV0a9HY/видео.html 2. What to do after your CORTISONE injection - ruclips.net/video/uOAqvWAE9Ow/видео.html 3. What to do before your PRP injection - ruclips.net/video/MtzahybjZNs/видео.html
Thanks for the info. My doctor did not say a word about after care or anything really. He just popped in the room and the assistant handed him the shot, he injected it and then he was gone - to the next patient probably.
@@grandmajane2593 Glad it helped. I always provide my patients with these videos in addition to my discussion because I find so many people forget my instructions when they leave due to the stress of the visit.
@@grandmajane2593 there are some people who do not respond. I quote on average 70% of people with mild to moderate arthritis will recieve benefit. However I am very careful to inform patients of this so they don’t think it’s 100% effective.
@@SonamMD = My doctor gave me the first set of shots with great enthusiasm and critised another doctor for giving me a Prolia shot that didn't show improvement. Then when these shots didn't do anything he said "the gel shots will work!" So I had the gel shots. As he left the room he said ' it takes a little while for the shots to become effective". Its been over a month now and I admit there is a tiny bit of improvement. I can stand for the length of time it takes to brush my teeth. Before the shots I had to sit while brushing my teeth. So for the cost of the shots, I don't think they were worth it to me. I pictured myself walking unaided. I've learned a person has to really educate themselves before committing to a medical procedure that makes unreasonable promises. Thank you for your response. You have been very informative.
As someone about to get one of these injections, I can't thank you enough for this thorough, and well articulate summary of what I should be doing afterwards! Thank you from Australia!
I will get my first injection tomorrow and I am scared. Looking for comforting but professional videos and found yours. Thank you for all the information. I hope I can ask more questions and get answers after the procedure.
Glad I could help. I actually made these videos for my patients so they could reference them after my injections. I find many people forget what I tell them because the visit can be overwhelming and they are understandably stressed.
@@kimlittle2566 generally the pain is lesser on the treated knee. During the first two days, my knee felt heavier, the front part was a bit painful and warm but after four days, I was able to feel better.
Do not worry! They usually inject Lidocaine that numbs it before the Gel injection goes in and you will kick yourself for waiting so long! I have had 3 already and I will take that Gel injection anyway before I have another knee replacement!
My doctor told me NONE of this. Very upset at him. Very grateful to you. Thank you! Prior to your video I had to use some reasonable deduction through my experiences from just the first 2 injection rounds.
My osteoarthritis went from moderate (w/ a very painful bone spur) to bone on bone in 9 months! Even the Dr. seemed surprised. Anyway, this was very helpful, thank you! I get my first injection Apr. 11 and then 2 more the following 2 weeks. It appeared that many just got a single shot. I'm going to trust the process (1 ea week for 3 wks) because I'm not ready for knee replacement surgery.
I’m glad you found the information helpful. Yeah there are a variety of injection options. Some people still use the three shot approach. Some people say that it may actually be better, because you are injecting the knee, once a week for three weeks and allowing the product one week to take hold before you perform another injection.
I had this injection 4 years ago. It was painless. I didn't know much on how to take care of the knee area after the injection. I ended up with fever, feeling warm on knee area and extreme pain on my 1st night of the treatment. But next morning all my uncomforts disappeared. I'm happy with this treatment. My knee is well now after 4 years getting this treatment.
Had you rheumatoid arthritis or osteoarthritis in that time and your knees cartilage was finished I am asking you like theses because I have this condition
@@MuhammadAli-zs2qw I'm 63, had this injection yesterday. I could not walk 50 m before pain prevented going further and I was a fireman for 33 yrs so fairly stoic. Today I am almost pain free. I have not pushed it too much so am relishing how good I will feel after a week or so. Hope this helps.
I’ve been getting HA injections every 6-8 months for the past 5 years to counter the OA I have in my knees. So far, so good, as I DO NOT want a TKR or even a PKR. I have good days and bad days, but given everything else going on that can and does cause discomfort (and I do PT to help with muscle balance ) I feel confident that at least there is additional support for the joint…and I haven’t given up on a very active lifestyle.
What a great video! Thank you. I got my first HA shots yesterday. My doctor first shot lidocaine into my knees, then the HA. It was less painful or uncomfortable than the cortisone shots I’d been getting for years. After the shot my knees felt full or swollen, though there was no swelling. My knees weren’t painful the first day. They did ache and felt uncomfortable and stiff. This morning they feel worse. Still that dull ache and stiffness but worse than the day before. I want to start walking slowly on my treadmill but my knees and this video tells me I should wait. I will.
I received an injection 48 hours ago and by watching this video it really educated me so much!! The only directions I had from my doctor was about ice and resting it for a day or two. Thank you very much for this video......I now have less worry about my knee being stiff/painful yet!
thank you had my first gel shot 6 months ago they didn't tell me this information! and I was so sore because I didn't rest. going for my 2nd one Jan 3rd too 3 days off thanks you
I really like this video as I had my injection of Durolane to my left knee and my PA gave me no after care instrutions. I did rest for two days and went back to work and day 4 my knee felt like it was going to give out. So I pusher through for 2 more days. Well it hurts. So you see why I really did appreciate this video. Thanks
@@Bobflyinjunky going on 6 weeks with Durolane to the CB knee . Still stiff , trying chiropractor and laxer therapy.. too early to say how it’s going.. if I do a good few stretches it does loosen up for the most part …
Fantastic! Recently had bilateral knee HA injections which I’ve had for 4 consecutive years. Typically, symptom relief ( for me ) 100% for 6 months then decreases effectiveness approximately 10% each month. Not all practitioners are good at administering this drug. If done incorrectly, the HA goes into fat pad and will not relieve symptoms. Thankfully, there are also many great practitioners that are experts! My advice, don’t wait, contact your practitioner…
I received an injection 3 days ago, but still experienced pain/stiffness, my anxiety went up and have some concerns. I feel that I should get educated on this so I have been googling for this information. So glad that I found your video and provided a great summary of post care awareness. Thank you 🙏
I am so grateful that you share all these information. It is crucial that a patient understands what to expect to produce the best outcome for the HA injection.
Thanks. You cleared up a lot. First visit injections, advice which I followed and waited a week. The balance I didn't know in the detail that you presented. BTW you are a good presenter.
Excellent video and advice. You are very sharp and good at giving key points and positive motivation to explore this option. Best from London. Subscribed!!
Thank you for the info Dr. Sonam, I just got this injection ( Duralane - My third ) from one of your colleagues Dr. Mena. I am 4 days in and the knee still hurts more than it did pre-injection. I am mildly concerned, but hoping that this will abate and that in the longer run this will cause more healing to my medial osteo-arthritis.
I got a single H. Acid injection. It resolved my osteoarthritis pain for almost 18 months. I’m going in for my next injection next month. I was never given any instructions for after.
I got my 1st one April 11th and my 2nd one is on Monday April 22nd. I did really well with Bone on Bone. I also do Chypo and Red Light Therapy. These are all 4 your Core and your JOINTS. I have Beautiful Legs and No One Is Cuting My Knees😊 My Hip Replacement Went Very WELL😊😊
Interesting video - I received my last shot today. My second I had a lot of fluid in the knee. I was told to take it easy so I was surprised I got fluid. After my second shot I decided to rest more - so today they did tell me that I had a little of fluid but not enough to get out. I did rest a lot and only walked if I needed to. My aftercare was just too rest And take it easy. I did workout yesterday and did a whole hour on the arc trainer but in 3 rounds of 20 minutes. They did tell me that I should be feeling more of the effect in 3 weeks from now since it really starts to work 6 weeks after the first shot. I did 3 shots of Euflexxa. He did tell me I should be able to get back to running again. So I’m hoping it works
I play a lot of sports and I have a basketball tournament this July. Should I get it right away or should I wait a little? Is it gonna help me play the way I was if I get the injection? I also had prior knee surgery in 2016. Thank you so much!@@SonamMD
I just had both of my knees done today and they hurt so bad a couple of hours afterwards! It feels like my arthritis on steroids! I can barely walk and have to use a walker to get around. Each step and even laying stationary is excruciatingly painful! I am hoping that this is the storm before the peace.
Pain is not typically this bad in people post injection, I would encourage you to follow up with your provider. Things like the injection technique and approach also matter. However, this requires an in person assessment for a proper exam.
How delightfully concise and informative. Just had mine (73 yr old) but had spent a lot of time at the gym keeping the surrounding muscles strong prior to this. I was intentending to go back tomorrow but will give it a ano day upon your recommendations. Thank you for some excellent info.
Thank you for this vital information. I wasn't aware of the rest for 48 hrs, and I'm getting my gel injection tomorrow and had plans to go back to work. Concerning because I work at school, requires walking and standing for long periods. Not sure if I can request the day off, not to mentioned I'm getting the injection for 3 weeks in a row.
Thank you for this video. It was easy to understand and made me feel hopeful and at ease for my injection. I’m at a moderate to severe level of arthritis in my knees and not qualified for replacement at my age. So the shots are my last hope as of now. Looking into what to expect and how to do post care as best as possible. Thank you again!
I had PRP in both knees on 3rd January 2025 And got all information about post injections care Thanks for that My question is when she I get Hyluronidase injections. I m 70 with osteoarthritis
You're Welcome. PRP and HA are merely tools to treat knee arthritis. If one works for you, then you may not need the other. But this is on a case by case basis and customized for each patient.
I have had bone on bone in both knees for a very long time. Cortisone did almost nothing for a very short time.. A friend observed an add somewhere on Genvisk injections. I started to do 5 in each knee and did them for almost three years. The Clinic closed down last July and I researched and found another . I started with the new clinic three weeks ago. This clinic is giving me the same treatments but their' procedure is a little different. They also are doing PT that the other clinic did not do. I have had one shot of anti-inflammatory in both knees and two jell in both knees. and two weeks of PT. I was in pain when I started the new Clinic. I have noticed my pain has lessened over 50% in the short time I have been doing the new clinic. They also require I wear a Brace after each shot for two hours. I also do Ice besides their' ice, after the shot, on the evening of the shots. (my idea) I am an active 89 year old. My only health problem is MUCHO arthritis. I am very impressed with this new clinic. I feel the PT is one of the reasons I am doing so much better at this time. I am curious to why such different results and how much longevity I will experience with the new clinic. That's my story!
Just recently diagnosed with arthritis in both knees my doctor doesn’t recommend this he says it doesn’t work, all he told me was to take Tylenol if needed, not at all happy, he is a younger person so he should be up to date on the newer procedures
I am 59, this past July I had a work injury in my right knee after repetitive kneeling on a concrete floor. MRI pointed to a possible lateral anterior horizontal meniscus tear but no ligament injury or tears.There was a small effusion which is also visible externally with the knee looking large and puffier than the after knee. 12 degrees extension were lost by September and so far have not regained it even with 3 weeks of PT. I am seeing the ortho doc today and I foresee he will want to do a cortisone injection. I wonder if a ialuronic acid injection is appropriate if non infectious synovitis is present. I am willing to pay out of pocket if this is a better option compared to cortisone.
Extremely helpful video, great information and presentation. I had my first HA knee injection, doctor did say to take it easy with the level of activities for the first 48 hours, iced it and to take Tylenol if needed. He didn’t tell me how soon the shot will start to work. It’s been 1 week after the injection and I have been experiencing more pain than before the injection but this video explained why. I have been using the jacuzzi for the last 3 days therefore the heat made it worse as explained in this video. Also, I was getting discouraged but listening to this video it gave me hope as I heard that it takes more than 4 to 6 for the shot to work. I am so grateful you took the time to share this video.
I got bilateral get injections in the morning at 9am , now its midnight and im in severe knee pains. I just took two tylenole pills and im using ice pack , hope it helps🥲 i barely can walk or even move my knees when i lay down. I’ll wait for 48 hours and if it gets worse I’ll call my provider. I didn’t have pain in the beginning up to 7-8 hours and I didnt expect such severe pains aftermath. 😢
Chndromalacia Patella. What keeps the gel (HA) in the affected area? Is it injected into a joint capsule that retains it? Otherwise wouldn't the gel just run out of the area? Why my doc did my 3 injections she placed the needle about 3 inches above my knee. Yes, she used floroscopy. I just wondered how that injection site would let the HA under my patella to cushion it's cartilage. TIA.
I still work full time , it sounds like ill need to take a few days off as Im a rural mail carrier. Standing for 2-3 hours and getting in and out of the mail truck to deliver packages . Long 9 hour route. My knees are hurting everyday , I take tylenol all the time , it just takes the edge off.
Hi Doctor , I got the Gel Injection to Right MTP joint and ankle( I have polio to same leg and early degeneration happened ) . Doctors told fusion has to be done but if we do you can’t walk. So they gave stem cell procedure in 2023 but didn’t worked . Yesterday got Gel injection . If stem cell don’t work will this gel injection works with sever MTP joint arthritis ? TIA
I will be having my third and last injection June 3 . This is my third grouping of injections . My knees are stiff , somewhat painful for up to 3 days post injection . I have been taking Curcumin , Glucosamine and a tart cherry condensed powder that are helping . My Meniscus was tore and I had surgery in both knees .
Is hyaluronic acid part of the substance inside the synovial fluid? As i have knee pain, stiffness & knee joint effusion and knee fluid aspersion was suggested, isn't it contradicted to hyaluronic acid injection?? .if swelling is due to too much fluid because of some damages, and if HA injection is for arthritis bone on bone as a result of not enough fluid ?? Does that mean if you have swelling, you can't have HA injection?? I'm confused.
So this is a bit more complex of a question. HA does make up a part of synovial fluid. However, when arthritis is severe, it can cause a build up of joint fluid and this can cause swelling, pain, stiffness. In many cases, I will aspirate out the knee prior to putting in the HA injection. In cases with a lot of swelling I may also inject a mixture of Ha and cortisone. The amount of fluid I inject in is usually much less than what I take out. The other thing present in joint fluid is white blood cells and inflammatory markers. These are not present in the HA we put into the knee.
See my provider didn't give me any post care instructions. I switched from silcone to h.a. because he very briefly explained it's natural and would last longer. But damn does it hurt! Here I am 8 hours after injection, where I immediately went to work. The injection itself hurt, as if the h.a. was pushing my knee cap to the brink of my knee. And I'm sore and angry #AF right now. I got a 16 hour work day, when I should called out of work to heal for at least 48 hrs. Be weary out there, this pain is more present and annoying than the pain I was having without it.
That was my experience! The pain was unbelievable. I had PRP and HA at same time and said I would never do that again..that was 6 months ago and now I'm going to have HA only and so dreading it because of the extreme pain. Like most no instructions provided and I have done most things wrong post injection.
They are horrible for me and I've had them three times in both knees. I've told people it feels like what i imagine it would feel like if someone was breaking your knees. I've watched videos where people just sit there while getting them like it's no big deal. Not me, I want to scream!
Hello, amazing & helpful video, thank you! A couple of questions, please: 1. Monovisc vs Durolane? I am 57 with stage 3 O/A to RT knee. I've had one doctor recommend Durolane (as that's the only HA product he uses) and another recommend Monovisc so I'm now left being unsure which one is best. Is one less likely to carry the risk of an allergic reaction? Does one provide more cushioning than the other? Does one last longer than the other? 2. I don't feel comfortable having a doctor inject HA "blindly", so to ensure it's injected definitely into the right place but which is better to guide the injection, in your opinion, Ultrasound or Fluoroscopy? The Interventional Radiology Clinic I'd be having the injection at does either depending on what the doctor requests (U/S vs Fluoro), which is a better diagnostic to guide the injection in your opinion? Thanks so much from Alberta 🙂
I had three gel injections one a week for three weeks. After second injection I had knee pain all week when I got the third injection by my doctor the pain was extremely bad I was so bad I was crying and wrenching in pain. I stayed in the room for a while with the nurse checking on me then the doctor came back to check on me. The doctor said he had not seen anyone have that much pain with the shot. It has been 3 days since the last shot. My knee is still painful I have been taking nsaids and tylenol.
Hi, Dr. Sonam. I’m 64 years old with an arthritis knee. My previous doctor recommended cortisone shot when he diagnosed me back in 2021. I have had one shot yearly since then. I’m now living in a new state and saw another doctor who has recommended Orthovisc, 3 x 2mL syringes. Will this injection work on someone who has had cortisone shots, especially at my age?
Does it work for bone on bone? I have no cartilage left in my knees and my hips have some cartilage left but there is so much osteoarthritis that I am going to have both hips repaired. Same for the knees eventually. I am 65 and been dealing with severe inflammatory joint pain since my late 20's. I take relief anywhere I can get it, either opiods, anti-inflammatory meds and cortisone.
You can still perform these injections in severe arthritis however they may work for a shorter period of time. The other thing to consider is if you have inflammatory joint pain, hyaluronic acid alone may not be its best option.
You specifically mentioned young, what about 80+ year old who had hyaluronic acid injection, does your video cover , include, apply to these age bracket? Does your advice still applies to this age
My job requires me to be on my feet most of the 8 hours, will that interfere the day after my injection? I don't want to do anything to mess up a good result. Thanks
I usually recommend my patients try to time their injection so they are not working the day of or after. While it can be done, it may just flare you up. I like my personal 48 hour rule. I’d always check with the doctor who’s doing your injection just to be sure.
I had the HA (Synvisc One) injection in my right knee on June 28. My knee felt great for 3 weeks. I played several rounds of disc golf pain free. Now, four weeks to the day after I had the injection, my knee really hurts and is slightly swollen. I'm assuming that means the HA has run its course and I'm back to where I was before? I have grade 3 OA and I'm not bone on bone yet. I'm really sad about this. Calling my Dr tomorrow to make an appointment. Is this normal for an HA injection? Or, was the 3 weeks pain free all I'm going to get? Edit: 12 hours after writing this, my knee is now very swollen. I wish I had never got the HA injection, but I had to give it a try. It really helped a friend of mine. I won't try it again.
I find that sometimes they can be equally as effective. Also in many patients, one may work better than the other. In these cases, it is not uncommon for me to try both.
I’m a 64 yo male who had the Synvisc injection. It hurt so badly and that I nearly kicked the doctor and the nurse held me to the chair. I could not walk after the injection. I’m still disabled 1 1/2 years later.
@@SonamMD Thank you kindly for your response! I spoke with my Ortho doctor yesterday and got an out right it won't work. My BMI has to be 35 before she does surgery. I'm at 39 and I'm in excruciating pain. I've been doing mild exercises to strengthen my muscles and just started ADF to accelerate my weight loss! Again thank you for your expedient response.
not sure what i get injected, but its 1 shot a week for 3weeks, and im told not to wear my knee brace for at least 3 days, and my knee feels great for 6 months or so, these are provided by the VA.
Good videos and expertise.....I got my injections (one each knee ) 2 months ago and they are working just ok. I have also just started hyaluronic acid topical cream applications as my home remedy. Your thoughts on if this will help supplement the injections? I am doing 2 applications a day for a week, one week off and another week of 2 a day. I just finished the first week.
![I.N "HALLUCINATION" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/n5B5q1Hwt_U/mqdefault.jpg)
Check out my other pre/post injection care videos below!
1. What to do after a PRP injection (platelet rich plasma injection) - ruclips.net/video/JerEEV0a9HY/видео.html
2. What to do after your CORTISONE injection - ruclips.net/video/uOAqvWAE9Ow/видео.html
3. What to do before your PRP injection - ruclips.net/video/MtzahybjZNs/видео.html
thank you
Thanks for the info. My doctor did not say a word about after care or anything really. He just popped in the room and the assistant handed him the shot, he injected it and then he was gone - to the next patient probably.
@@grandmajane2593 Glad it helped. I always provide my patients with these videos in addition to my discussion because I find so many people forget my instructions when they leave due to the stress of the visit.
Great information
My PA didn't say anything about aftercare after my first injection, so I was really glad I happened across this video. Thank you so much.
Glad it helped!
Yes, I did not receive any info from the provider at all. I don't think the injections are very effective either. I still can't walk unaided.
@@grandmajane2593 there are some people who do not respond. I quote on average 70% of people with mild to moderate arthritis will recieve benefit. However I am very careful to inform patients of this so they don’t think it’s 100% effective.
@@SonamMD = My doctor gave me the first set of shots with great enthusiasm and critised another doctor for giving me a Prolia shot that didn't show improvement. Then when these shots didn't do anything he said "the gel shots will work!" So I had the gel shots. As he left the room he said ' it takes a little while for the shots to become effective". Its been over a month now and I admit there is a tiny bit of improvement. I can stand for the length of time it takes to brush my teeth. Before the shots I had to sit while brushing my teeth. So for the cost of the shots, I don't think they were worth it to me. I pictured myself walking unaided. I've learned a person has to really educate themselves before committing to a medical procedure that makes unreasonable promises. Thank you for your response. You have been very informative.
Same here ! Thank you for filling in the gap 😂
As someone about to get one of these injections, I can't thank you enough for this thorough, and well articulate summary of what I should be doing afterwards! Thank you from Australia!
Glad it was helpful! :)
Thank you for all the info.!
This is very helpful information before and after the treatment with gel.!
God bless you.!😂🎉
I will get my first injection tomorrow and I am scared. Looking for comforting but professional videos and found yours. Thank you for all the information. I hope I can ask more questions and get answers after the procedure.
Glad I could help. I actually made these videos for my patients so they could reference them after my injections. I find many people forget what I tell them because the visit can be overwhelming and they are understandably stressed.
Just read your comment. How are you doing? My 1st one is 12/15.
@@kimlittle2566 generally the pain is lesser on the treated knee. During the first two days, my knee felt heavier, the front part was a bit painful and warm but after four days, I was able to feel better.
Do not worry! They usually inject Lidocaine that numbs it before the Gel injection goes in and you will kick yourself for waiting so long! I have had 3 already and I will take that Gel injection anyway before I have another knee replacement!
i've had two rounds in both knees. I can honestly say no real pain.
My doctor told me NONE of this. Very upset at him. Very grateful to you. Thank you!
Prior to your video I had to use some reasonable deduction through my experiences from just the first 2 injection rounds.
Glad you found it helpful.
My osteoarthritis went from moderate (w/ a very painful bone spur) to bone on bone in 9 months! Even the Dr. seemed surprised. Anyway, this was very helpful, thank you! I get my first injection Apr. 11 and then 2 more the following 2 weeks. It appeared that many just got a single shot. I'm going to trust the process (1 ea week for 3 wks) because I'm not ready for knee replacement surgery.
I’m glad you found the information helpful. Yeah there are a variety of injection options. Some people still use the three shot approach. Some people say that it may actually be better, because you are injecting the knee, once a week for three weeks and allowing the product one week to take hold before you perform another injection.
❤🙏🏽❤
I get 5 shots of Genvisc. 1 a week for 5 weeks. Every six months. It’s about 5 years now and so far it’s kept me from surgery
@@carolvineyard1896 Amazing
It’s normal to have 3 -6 depending on the medication. Never heard of 1 shot !
بہت اچھی گفتگو ۔ شکریہ ڈاکٹر سونم
I had this injection 4 years ago. It was painless. I didn't know much on how to take care of the knee area after the injection. I ended up with fever, feeling warm on knee area and extreme pain on my 1st night of the treatment. But next morning all my uncomforts disappeared. I'm happy with this treatment. My knee is well now after 4 years getting this treatment.
Had you rheumatoid arthritis or osteoarthritis in that time and your knees cartilage was finished I am asking you like theses because I have this condition
😍👸👍
What was your age when you had injection
@@MuhammadAli-zs2qw I'm 63, had this injection yesterday. I could not walk 50 m before pain prevented going further and I was a fireman for 33 yrs so fairly stoic. Today I am almost pain free. I have not pushed it too much so am relishing how good I will feel after a week or so. Hope this helps.
I’ve been getting HA injections every 6-8 months for the past 5 years to counter the OA I have in my knees. So far, so good, as I DO NOT want a TKR or even a PKR.
I have good days and bad days, but given everything else going on that can and does cause discomfort (and I do PT to help with muscle balance ) I feel confident that at least there is additional support for the joint…and I haven’t given up on a very active lifestyle.
It has worked so well for me. Have had it twice and have gone a year without another! I am amazed!
amazing!
What a great video! Thank you. I got my first HA shots yesterday. My doctor first shot lidocaine into my knees, then the HA. It was less painful or uncomfortable than the cortisone shots I’d been getting for years. After the shot my knees felt full or swollen, though there was no swelling. My knees weren’t painful the first day. They did ache and felt uncomfortable and stiff. This morning they feel worse. Still that dull ache and stiffness but worse than the day before. I want to start walking slowly on my treadmill but my knees and this video tells me I should wait. I will.
I just had bilateral injections yesterday and no one gave me this information. Thanks! ❤️✨
Your video is great and goes along with what my PA/NP told me. Happy holidays! Thank you.
Amazing. I’m glad to hear that!
I received an injection 48 hours ago and by watching this video it really educated me so much!! The only directions I had from my doctor was about ice and resting it for a day or two. Thank you very much for this video......I now have less worry about my knee being stiff/painful yet!
Glad it was helpful!
You have a superb channel, its your way of explanation that really works well. Thank you from Liverpool UK
Thank you very much! :)
Very helpful. I refuse to get a knee replacement so I am getting gel shots and cold laser therapy as well as physical therapy.
I'm glad you found this helpful!
thank you had my first gel shot 6 months ago they didn't tell me this information! and I was so sore because I didn't rest. going for my 2nd one Jan 3rd too 3 days off thanks you
I’m glad this helped you out! I made it as a resource for my patients as I found many people wanted to a reminder once they were home.
I really like this video as I had my injection of Durolane to my left knee and my PA gave me no after care instrutions. I did rest for two days and went back to work and day 4 my knee felt like it was going to give out. So I pusher through for 2 more days. Well it hurts.
So you see why I really did appreciate this video. Thanks
I received my Durolane injection 6 Days ago . No pain from . Every day gives me more flexibility..been taking it easy .
You are welcome!
@@Bobflyinjunky going on 6 weeks with Durolane to the CB knee . Still stiff , trying chiropractor and laxer therapy.. too early to say how it’s going.. if I do a good few stretches it does loosen up for the most part …
Thank you for providing more information than my daughter did. I got the shot yesterday and they gave me new information regarding care and next steps
Good luck
Fantastic! Recently had bilateral knee HA injections which I’ve had for 4 consecutive years.
Typically, symptom relief ( for me ) 100% for 6 months then decreases effectiveness approximately 10% each month. Not all practitioners are good at administering this drug. If done incorrectly, the HA goes into fat pad and will not relieve symptoms. Thankfully, there are also many great practitioners that are experts! My advice, don’t wait, contact your practitioner…
This is great information been receiving the injections doctors didn't explain this thanks
Glad it was helpful! Yea I find that there is not much info out there about HA.
Same here, my Dr. didn't tell me what to expect. I am the day after the first injection in both knees and sore and stiff.
@@drob5664 Yea the stiffness can be very common for a few days. I actually made this video for my patients so they had something to reference at home!
I received an injection 3 days ago, but still experienced pain/stiffness, my anxiety went up and have some concerns. I feel that I should get educated on this so I have been googling for this information. So glad that I found your video and provided a great summary of post care awareness. Thank you 🙏
I just had my 1st injection today and I’m scheduled for the next two each week apart. I’m so glad I found this information 😀
Your welcome
Did it help
Did it help
Thank you! The imagery guidance for the injection can guarantee to get to the exact point. I appreciate your thoughts on this.
Glad it was helpful!
Ty, l learned more than my NP told me, tight, stiffness! I only ice, & pool exercise! TySM
Your welcome
I am so grateful that you share all these information. It is crucial that a patient understands what to expect to produce the best outcome for the HA injection.
I'm getting my 1st injection tomorrow. Thank you for the great information as to what to expect and be on the lookout for.
Best of luck!
Did it help
Thanks. You cleared up a lot. First visit injections, advice which I followed and waited a week. The balance I didn't know in the detail that you presented. BTW you are a good presenter.
Glad it was helpful!
I have my schedule for this Thursday, I am hoping this helps with my pain on both knees. Thank you for this post very helpful.
Best of luck!
Excellent video and advice. You are very sharp and good at giving key points and positive motivation to explore this option. Best from London. Subscribed!!
Glad it was helpful!
Hí,
How much does an injection cost? Thank you
@@evaudvardy4187 This is highly country dependent.
Thank you Dr! I just had the injection in Malaysia and not aware of some of these
No problem. I'm glad you found the information helpful. Good luck with your recovery.
This video is Outstanding!
thanks
Thank you for all the information. You are super smart and super beautiful ! Have nice safe days! 🌞
I will get my first injection tomorrow,
Thank you doctor for clear explanation, you are awesome 👏
Greetings from California 😊
Best of luck! Glad this was helpful :)
❤❤❤❤ thanks a million can't wait to try it very informative
You’re welcome!
Hey Sonam. This morning I received my first shot of Hyaluronic acid at Richmond Hill. Thanks for post-injection care. You are awesome.
Glad you found it helpful!
Great vid. Thanks for posting.
Thanks. Glad you found it helpful!
Thank you for the info Dr. Sonam, I just got this injection ( Duralane - My third ) from one of your colleagues Dr. Mena. I am 4 days in and the knee still hurts more than it did pre-injection. I am mildly concerned, but hoping that this will abate and that in the longer run this will cause more healing to my medial osteo-arthritis.
I got a single H. Acid injection. It resolved my osteoarthritis pain for almost 18 months. I’m going in for my next injection next month. I was never given any instructions for after.
That is quite amazing is lasted so well. Hopefully you found this video helpful!
God bless you. Pls promote. People don't do this much. It has to be accepted.
I got my 1st one April 11th and my 2nd one is on Monday April 22nd. I did really well with Bone on Bone. I also do Chypo and Red Light Therapy. These are all 4 your Core and your JOINTS. I have Beautiful Legs and No One Is Cuting My Knees😊 My Hip Replacement Went Very WELL😊😊
Glad you had a positive result!
Thank you so much for this very informative and client friendly video.
Glad it was helpful!
Interesting video - I received my last shot today. My second I had a lot of fluid in the knee. I was told to take it easy so I was surprised I got fluid. After my second shot I decided to rest more - so today they did tell me that I had a little of fluid but not enough to get out. I did rest a lot and only walked if I needed to. My aftercare was just too rest And take it easy. I did workout yesterday and did a whole hour on the arc trainer but in 3 rounds of 20 minutes. They did tell me that I should be feeling more of the effect in 3 weeks from now since it really starts to work 6 weeks after the first shot. I did 3 shots of Euflexxa. He did tell me I should be able to get back to running again. So I’m hoping it works
Hope it helps. The three shot protocol is quite effective as well.
I am thinking of getting it, this video is so informative! I will do it! thank you!
Glad it was helpful!
I play a lot of sports and I have a basketball tournament this July. Should I get it right away or should I wait a little? Is it gonna help me play the way I was if I get the injection? I also had prior knee surgery in 2016. Thank you so much!@@SonamMD
I just had both of my knees done today and they hurt so bad a couple of hours afterwards! It feels like my arthritis on steroids! I can barely walk and have to use a walker to get around. Each step and even laying stationary is excruciatingly painful! I am hoping that this is the storm before the peace.
I'm only 28 and i just had one of my knees done today after I had torn my medial meniscus 2 years ago and I'm feeling the exact same way
@@Thehollowone22 what's even worse is that it didn't even really work. I still have bad pain in both knees
@Ms_Mia357 that is so shitty.. I'm sorry to hear that. I wish you the best in healing. I know it's far from easy.
Pain is not typically this bad in people post injection, I would encourage you to follow up with your provider. Things like the injection technique and approach also matter. However, this requires an in person assessment for a proper exam.
How did you do after the first day
How delightfully concise and informative. Just had mine (73 yr old) but had spent a lot of time at the gym keeping the surrounding muscles strong prior to this. I was intentending to go back tomorrow but will give it a ano day upon your recommendations. Thank you for some excellent info.
Glad it helped!
Thank you for this vital information. I wasn't aware of the rest for 48 hrs, and I'm getting my gel injection tomorrow and had plans to go back to work. Concerning because I work at school, requires walking and standing for long periods. Not sure if I can request the day off, not to mentioned I'm getting the injection for 3 weeks in a row.
I’m glad you found it helpful. There are my recommendations but they can vary provider to provider.
Oh my , t h it's what I said too . I work full time
I had the HA injections done in Costa Rica this past February and im am still pain free.
Amazing
Thank you for this because my drs assistant that administers the shot is giving a lot of misinformation
Thanks I’m glad it helped!
Thank you for this. I just got my first injection today and didn't really get any postcare instructions
Hope you will feel better 🙏
I’m glad I found it helpful through your very informative explanation, Dr. Sonam.😊
Thank you. Glad you found it helpful.
I had shots in both of my knees from 2008-2016 now i have over 7yrs on both of my knee replacements
Very helpfull information thanx alit
Glad you liked it
Most Excellent video. Thanks for sharing!
Glad you enjoyed it!
Thank you for this information it is really helpful
Had a HA injection today after a year of PFP post ACL reconstruction. Thankyou for this really informative video
Glad it was helpful!
Did it help
Thank you for this video. It was easy to understand and made me feel hopeful and at ease for my injection. I’m at a moderate to severe level of arthritis in my knees and not qualified for replacement at my age. So the shots are my last hope as of now. Looking into what to expect and how to do post care as best as possible. Thank you again!
Glad you found it helpful.
Great presentation, thank you.
Thank you!
I had PRP in both knees on 3rd January 2025
And got all information about post injections care
Thanks for that
My question is when she I get Hyluronidase injections. I m 70 with osteoarthritis
You're Welcome. PRP and HA are merely tools to treat knee arthritis. If one works for you, then you may not need the other. But this is on a case by case basis and customized for each patient.
I have had bone on bone in both knees for a very long time. Cortisone did almost nothing for a very short time..
A friend observed an add somewhere on Genvisk injections. I started to do 5 in each knee and did them for almost three years.
The Clinic closed down last July and I researched and found another . I started with the new clinic three weeks ago. This clinic is giving me the same treatments but their' procedure is a little different. They also are doing PT that the other clinic did not do.
I have had one shot of anti-inflammatory in both knees and two jell in both knees. and two weeks of PT.
I was in pain when I started the new Clinic. I have noticed my pain has lessened over 50% in the short time I have been doing the new clinic. They also require I wear a Brace after each shot for two hours. I also do Ice besides their' ice, after the shot, on the evening of the shots. (my idea)
I am an active 89 year old. My only health problem is MUCHO arthritis. I am very impressed with this new clinic. I feel the PT is one of the reasons I am doing so much better at this time. I am curious to why such different results and how much longevity I will experience with the new clinic.
That's my story!
That’s amazing. Protocols can vary clinic to clinic. I’m glad it’s working for you and you are getting a great response.
Just recently diagnosed with arthritis in both knees my doctor doesn’t recommend this he says it doesn’t work, all he told me was to take Tylenol if needed, not at all happy, he is a younger person so he should be up to date on the newer procedures
No treatment is 100% effective. But this one is my favorite go as my first line.
I am 59, this past July I had a work injury in my right knee after repetitive kneeling on a concrete floor. MRI pointed to a possible lateral anterior horizontal meniscus tear but no ligament injury or tears.There was a small effusion which is also visible externally with the knee looking large and puffier than the after knee. 12 degrees extension were lost by September and so far have not regained it even with 3 weeks of PT. I am seeing the ortho doc today and I foresee he will want to do a cortisone injection. I wonder if a ialuronic acid injection is appropriate if non infectious synovitis is present. I am willing to pay out of pocket if this is a better option compared to cortisone.
Getting ready to have this done. Thank you for this information.
Best of luck!
I've had over 15 knee injections. It's very little pain. The needle might look long but the guage is so thin you barely feel it.
Extremely helpful video, great information and presentation. I had my first HA knee injection, doctor did say to take it easy with the level of activities for the first 48 hours, iced it and to take Tylenol if needed. He didn’t tell me how soon the shot will start to work. It’s been 1 week after the injection and I have been experiencing more pain than before the injection but this video explained why. I have been using the jacuzzi for the last 3 days therefore the heat made it worse as explained in this video. Also, I was getting discouraged but listening to this video it gave me hope as I heard that it takes more than 4 to 6 for the shot to work. I am so grateful you took the time to share this video.
Thanks doc. For your important advice.☘️👍🌞
You're welcome
And H. Acid treatment is covered by insurance but PRP is not.
Yes usually this is what I am seeing. HA may not be covered under all plans however.
The insurance companies still deem it experimental. Medicare won’t pay either. Just cortisone and the gel shots.
I.ve to pay it myself..250 euro
I got bilateral get injections in the morning at 9am , now its midnight and im in severe knee pains. I just took two tylenole pills and im using ice pack , hope it helps🥲 i barely can walk or even move my knees when i lay down. I’ll wait for 48 hours and if it gets worse I’ll call my provider. I didn’t have pain in the beginning up to 7-8 hours and I didnt expect such severe pains aftermath. 😢
Did it help you
All sounds good and correct. My Dr didn't say anything special after injection even when asked lol.
I have not found a doctor in Hong Kong who is sufficient caring and willing to share these information, hence my reluctance to embark on HA injection🥲
Chndromalacia Patella. What keeps the gel (HA) in the affected area? Is it injected into a joint capsule that retains it? Otherwise wouldn't the gel just run out of the area? Why my doc did my 3 injections she placed the needle about 3 inches above my knee. Yes, she used floroscopy. I just wondered how that injection site would let the HA under my patella to cushion it's cartilage. TIA.
Great Channel. THANKS for the great content.
Glad you enjoy it!
#GOOD DAY DOCTOR
JUST SAW YOUR VIDEO
IT MADE ME PREPARE FOR THE UPCOMING PROCESS ON MY ELDERLY FAMILY MEMBER
#THANKS FOR YOUR EFFORTS
It's my pleasure
Very Very good information 👍 ❤
Thank you!
I still work full time , it sounds like ill need to take a few days off as Im a rural mail carrier. Standing for 2-3 hours and getting in and out of the mail truck to deliver packages . Long 9 hour route. My knees are hurting everyday , I take tylenol all the time , it just takes the edge off.
Yea with that kind of physical work I do recommend my patients booking this around some days off to give them time to recover.
Hi Doctor , I got the Gel Injection to Right MTP joint and ankle( I have polio to same leg and early degeneration happened ) . Doctors told fusion has to be done but if we do you can’t walk. So they gave stem cell procedure in 2023 but didn’t worked . Yesterday got Gel injection . If stem cell don’t work will this gel injection works with sever MTP joint arthritis ? TIA
Hi. I just got my HA shot last night
Its sore, a little swollen, and less of range of motion. Is this normal for the first 48hrs?
I will be having my third and last injection June 3 . This is my third grouping of injections . My knees are stiff , somewhat painful for up to 3 days post injection . I have been taking Curcumin , Glucosamine and a tart cherry condensed powder that are helping . My Meniscus was tore and I had surgery in both knees .
Is it alright to use Red Light therapy after 7 days?
Is hyaluronic acid part of the substance inside the synovial fluid? As i have knee pain, stiffness & knee joint effusion and knee fluid aspersion was suggested, isn't it contradicted to hyaluronic acid injection??
.if swelling is due to too much fluid because of some damages, and if HA injection is for arthritis bone on bone as a result of not enough fluid ?? Does that mean if you have swelling, you can't have HA injection?? I'm confused.
So this is a bit more complex of a question. HA does make up a part of synovial fluid. However, when arthritis is severe, it can cause a build up of joint fluid and this can cause swelling, pain, stiffness. In many cases, I will aspirate out the knee prior to putting in the HA injection. In cases with a lot of swelling I may also inject a mixture of Ha and cortisone. The amount of fluid I inject in is usually much less than what I take out. The other thing present in joint fluid is white blood cells and inflammatory markers. These are not present in the HA we put into the knee.
@@SonamMD Thanks for explanation 👍
See my provider didn't give me any post care instructions. I switched from silcone to h.a. because he very briefly explained it's natural and would last longer. But damn does it hurt! Here I am 8 hours after injection, where I immediately went to work. The injection itself hurt, as if the h.a. was pushing my knee cap to the brink of my knee. And I'm sore and angry #AF right now. I got a 16 hour work day, when I should called out of work to heal for at least 48 hrs.
Be weary out there, this pain is more present and annoying than the pain I was having without it.
That was my experience! The pain was unbelievable. I had PRP and HA at same time and said I would never do that again..that was 6 months ago and now I'm going to have HA only and so dreading it because of the extreme pain. Like most no instructions provided and I have done most things wrong post injection.
They are horrible for me and I've had them three times in both knees. I've told people it feels like what i imagine it would feel like if someone was breaking your knees. I've watched videos where people just sit there while getting them like it's no big deal. Not me, I want to scream!
Hello, amazing & helpful video, thank you! A couple of questions, please:
1. Monovisc vs Durolane? I am 57 with stage 3 O/A to RT knee. I've had one doctor recommend Durolane (as that's the only HA product he uses) and another recommend Monovisc so I'm now left being unsure which one is best. Is one less likely to carry the risk of an allergic reaction? Does one provide more cushioning than the other? Does one last longer than the other?
2. I don't feel comfortable having a doctor inject HA "blindly", so to ensure it's injected definitely into the right place but which is better to guide the injection, in your opinion, Ultrasound or Fluoroscopy? The Interventional Radiology Clinic I'd be having the injection at does either depending on what the doctor requests (U/S vs Fluoro), which is a better diagnostic to guide the injection in your opinion?
Thanks so much from Alberta 🙂
I had three gel injections one a week for three weeks. After second injection I had knee pain all week when I got the third injection by my doctor the pain was extremely bad I was so bad I was crying and wrenching in pain. I stayed in the room for a while with the nurse checking on me then the doctor came back to check on me. The doctor said he had not seen anyone have that much pain with the shot. It has been 3 days since the last shot. My knee is still painful I have been taking nsaids and tylenol.
This is definitely not a typical response. I would encourage you to follow up with your physician.
I got my 1st Ostenil last week. They said I need 2 more jabs spaced 2 & 6 weeks apart. Is it Ok to delay this to after a month?
I would encourage you to follow up with the provider who gave you the injection. this is something that will require individualized advice.
Hi, Dr. Sonam. I’m 64 years old with an arthritis knee. My previous doctor recommended cortisone shot when he diagnosed me back in 2021. I have had one shot yearly since then. I’m now living in a new state and saw another doctor who has recommended Orthovisc, 3 x 2mL syringes. Will this injection work on someone who has had cortisone shots, especially at my age?
It still could potentially work. Just because one had cortisone earlier does not prevent them from trying HA.
@@SonamMD thank you for your reply.
Thank you so much very good information
I got last week gel injection so Like to know all about stuff ❤
Glad it was helpful!
Thank you so much.
You're welcome!
Does it work for bone on bone? I have no cartilage left in my knees and my hips have some cartilage left but there is so much osteoarthritis that I am going to have both hips repaired. Same for the knees eventually. I am 65 and been dealing with severe inflammatory joint pain since my late 20's. I take relief anywhere I can get it, either opiods, anti-inflammatory meds and cortisone.
You can still perform these injections in severe arthritis however they may work for a shorter period of time. The other thing to consider is if you have inflammatory joint pain, hyaluronic acid alone may not be its best option.
Such a great video! Thank you!
You are so welcome!
You specifically mentioned young, what about 80+ year old who had hyaluronic acid injection, does your video cover , include, apply to these age bracket? Does your advice still applies to this age
Yes it can apply across various ages.
@@SonamMD thanks doc😀 appreciate it.
My job requires me to be on my feet most of the 8 hours, will that interfere the day after my injection? I don't want to do anything to mess up a good result. Thanks
I usually recommend my patients try to time their injection so they are not working the day of or after. While it can be done, it may just flare you up. I like my personal 48 hour rule. I’d always check with the doctor who’s doing your injection just to be sure.
Is this injection OK for older people with joints that are more worn?
Yes. It just means it may not be as effective for as long
Which HA product do you use for your patients?
Monovisc/Durolane/Orthovisc/Cingal are just a few that I will use. Each country has different brands available.
Is there any check that the real hyoluronic injection is injected or not?
To confirm what is being injected, you would just need to check the product box. This will give you the formulation being used.
New subs here! My acl is diffusely hyperintense and thickend and mucoid degeneration of my acl.
Thanks for your support!
I had the HA (Synvisc One) injection in my right knee on June 28. My knee felt great for 3 weeks. I played several rounds of disc golf pain free. Now, four weeks to the day after I had the injection, my knee really hurts and is slightly swollen. I'm assuming that means the HA has run its course and I'm back to where I was before? I have grade 3 OA and I'm not bone on bone yet. I'm really sad about this. Calling my Dr tomorrow to make an appointment. Is this normal for an HA injection? Or, was the 3 weeks pain free all I'm going to get? Edit: 12 hours after writing this, my knee is now very swollen. I wish I had never got the HA injection, but I had to give it a try. It really helped a friend of mine. I won't try it again.
Thank you so much for your awesome video! In your experience is the platelet therapy as effective as the HA therapy for osteoarthritis?
I find that sometimes they can be equally as effective. Also in many patients, one may work better than the other. In these cases, it is not uncommon for me to try both.
I’m a 64 yo male who had the Synvisc injection.
It hurt so badly and that I nearly kicked the doctor and the nurse held me to the chair. I could not walk after the injection. I’m still disabled 1 1/2 years later.
Are these injections good for bone to bone hip arthritis for a 66 year old?
You can still give them a go. I've had patients with severe bone on bone OA respond to Ha. However it is more effective for mild/mod OA.
@@SonamMD
Thank you kindly for your response!
I spoke with my Ortho doctor yesterday and got an out right it won't work. My BMI has to be 35 before she does surgery. I'm at 39 and I'm in excruciating pain. I've been doing mild exercises to strengthen my muscles and just started ADF to accelerate my weight loss! Again thank you for your expedient response.
@@rainbowlove5391 Good luck!
Got the injection 5 days ago for lateral meniscus arthritis. Now, my medial inner knee is very painfully?! Any suggestions?
not sure what i get injected, but its 1 shot a week for 3weeks, and im told not to wear my knee brace for at least 3 days, and my knee feels great for 6 months or so, these are provided by the VA.
thats great!
Good videos and expertise.....I got my injections (one each knee ) 2 months ago and they are working just ok. I have also just started hyaluronic acid topical cream applications as my home remedy. Your thoughts on if this will help supplement the injections? I am doing 2 applications a day for a week, one week off and another week of 2 a day. I just finished the first week.
Ha topical cream will likely be beneficial for the skin but unlikely penetrate the joint.
@@SonamMD 👍🏻