Viscosupplementation Knee Injection
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- Опубликовано: 7 сен 2024
- This is a video demonstration by Dagan Cloutier, Physician Assistant of a viscosupplementation knee injection from the JBJS Journal of Orthopaedics for Physician Assistants.
PAs (and NPs, MDs, and DOs) share their techniques in their field of expertise so that other PAs can learn new, or fine-tune existing, skills. The gallery of videos are archived as clickable links for quick reference at jopa.jbjs.org/?....
I know this is an old video, but I just stumbled on this. Dagan has been giving me cortisone injections in various joints, including my knees, for several years. He is the only one I allow to give me my injections because he really gives virtually painless injections!!
She took it like a champ
Didn't kringe I would have
I had a series of four Orthovisc injection three years ago. From hobbling on a cane to walking painlessly after the 3rd injection. It's been a medical miracle.
Edited to add: the injections included lidocaine so after the initial skin poke, it was numb immediately and for hours.
Also, the "life expectancy" of the injections was 6 mo to 1 year. I'm on year 3 without a ping.
Safflower Oyl
Safflower Oyl
I wish. The injections I have undergone have been good but so far have not lasted long
What does your knee feel like on lidocaine? I wanna kno what that feels like😂
Hi I’m having hyaluronic acid injection this coming week , it’s a 3 week series of shots , does it really help that much
He did this procedure with ease 🙏 I just had this done in both knees & I was so nervous for nothing, my Dr did an awesome job & all I felt was a lil pressure & pinch , I do feel a lot better also , I’m not completely pain free but I definitely have less pain ♥️
How are you feeling now? How long did it last for you?
I am so glad to hear this! I need this injection in my hip! Maybe knee too! I’m asking my surgeon on Monday. Thanks for the info!
Who was your doctor and where?
Though I have osteoarthritis on both knee walking bone on bone, I decided against the injection and knee surgery. 15 weeks later, I’m walking with ease. Have lost so weight so it alleviated most of the pain. Still use the cane, but only when I need to get on and off the curb.
Pls share what you did besides losing weight to alleviate most of the pain. I gather you can walk on asphalt roads pain free too.
I had both knees done today and one hurt like heck!!! My doc kept telling me not to move but it was hurting badly!! This patient did well. I’m still in some pain 15 hours later, still feel pressure, using my cane. The gel if it works will take effect within 4 to 6 weeks from what I’m told🤦🏾♀️ I’m 51 and developed arthritis at 32. Wish me luck in reducing pain
Did it reduce pain?
May I ask, what caused the pain? Was it exercise? Like jogging?
Any updates on if this worked? I am 23 and am getting it for arthritis treatments.
Henry Swasey No. the gel hasn’t worked for me. It’s now June 2020 and I feel no difference. But it may work for u, u know?
Debbie Pebble It’s also hereditary. I just felt pain for awhile but apparently joint problems run in my family.
作为一名护士，能体谅到病人的痛苦和感受，为了能给病人减少痛苦，而用心地、耐心地、无痛感地给病人操作完成，真是一件非常高尚的情操，是值得学习好广传的！
Wow very beautifully said from California
I currently have mild arthritis beginning to show in my knee, and I'm currently going through physical therapy to strengthen and ease the pain. I'm also thinking about getting injections.
After watching this video and seeing that needle, I'm rethinking it. I can handle small needles but large ones like this make me a little jittery. I would have to figure out a way of not seeing those needles. 😬
Thank you for a very thorough presentation!
Thank you for the detailed information and excellent demonstration. PA-C
Thanks for the video content! Excuse me for chiming in, I would love your initial thoughts. Have you heard about - Schallingora Complete Resetting Scheme (do a search on google)? It is a smashing one off product for curing arthritis minus the normal expense. Ive heard some pretty good things about it and my buddy at last got astronomical success with it.
had injection's , arthroscopic surgeries, numerous times , for me just delayed the end result a total knee replacement. which so far has been amazing mostly. now the other knee is grotty , painful to use , horrible at night, another TKR .
They really work great knees wont feel as wobbly, only problem is they are very expensive and wear off quicker then 6 months. But they are worth the money
I did this for the first time and the lady is sitting there like a champ
I have had a knee problems for years. Ive done the steroid shots and they did work for awhile, but now I’m really debating between getting a complete knee replacement or these gels shots. I’ve heard the gel shots really work well and I’m at the point of just being so tired of limping. This is literally effecting my way of life. I have 3 kids and I can not walk for long periods of time without taking a break or slowing down with a limp. I’ve been trying to get some new medications for swelling via the VA, but that’s like asking a politician to tell the truth.....(POINTLESS). Either way, I am definitely about to research this gel shot stuff more and seek out a professional clinic to possibly have this procedure completed. I’m at my wits end at this point.
Really felt sad reading about your situation. I pray to god may he heal you and bless you with the wisdom to choose the best decision for yourself. God bless you!❤
@@ramachandrabhakta4200 write
They help a bit, had 3 now. Hopefully hydro gel will prove a game changer
I had one in July and my knee hurts like hell. Instead of helping me it left me with a lot of pain day and night.
How are you now did this injection help you pls reply
i get this injection every 4to 5 months after i feel more pain in my knee. after this injection i can walk on my steep land without any problems. everytime the doctor would like to perform a knee replacement but afterwards i have to rest for a long time and i am not quite sure if such an expensive surgery without any insurance will be much better than the injection at a cost of 100 dollar x 3 .300 dollar versus about 12000 to 14000 dollar . it is 10 times more expensive and for an old person you also should not forget the risk of such a surgery!
In India knee replacement surgery is free. Thanku india❤
She’s amazing didn’t even budge!
i've had these in both knees and done without the freezing stuff. never felt a thing! This stuff is great!
I've had this done more then once. My Dr (Dr Wilson) did not hurt me.
I had two injections already, 2015 and 2024.
Both with my knees straight on the table, with a small pillow under my heel.
I am going for my 2nd gel shots in both knees Jan 3 its did do a great job. Cortisone shots didn't last long for me, I should have taken it easy after my first gel shots this time took two days off.
My Dr. Numbs the injection site with a cold spray and then injects the medications into my knee. Didn't feel a thing. The previous injection lasted me over a year.
Ma Sha Allah, Great sharing, keep posting nice videos, Big Lk, stay blessed and In touch.
Assalamun alajkum wa rahmatullahi ue barakatuhu
please very much my mother very severely with osteoarthritis disease is there any injection to soothe the pain, if any what is the name of the injection.??
Just had both legs done today last week and week before no numb no nothing. Sad part is since I care for my mom had to work Uber eats after. I grind so hard in such pain to still be called ‘fat and lazy’ by ppl who wouldn’t last one day in my life or the 16 doctor visit a month I do. I wish I could win the lotto to pay all the bills for a month and just work out and focus on me
Your doing a great job .don't listen to the negative people take care hope you feel better. 😊😊
🙏
@@elizabethtaylor9007 thank y’all! I wish school and health class educated ppl better vs the whole UR FAT UR LAZY narrative when MANY ppl gain weight due to disabilities pain and limited mobility. Covid trapped ppl in the homes and they All gained weight. You’d think they’d learn lol
Mine took 2 years... I was injected at October 2018. Am going for another tomorrow. But in 1 knee since the other knee seems like still strong. REDUCING WAIT is the key here
How is your knee doing can you workout
Why is it not guided with an ultrasound?
I had 1st injections in both knees dr. kramer said just do ice said nothing else about how I was going to feel my knees and legs are in more pain then ever
I am not going to get other shots knowing this is something I got to get done every 6 months
Thanks a lot, it was helpful
You are good in your job, God bless you
I had a cortisone injection in my knee two months ago and it really helped. Some have told me, that if cortisone helped, the hyaluronic acid injection will help much better and last longer. True?
Thanks for all the feedback everyone. I'll be having my 1st of 3 injections 5/31/22. Will keep you posted
How did it go?
How are you doing
Hi how are feeling ?
He didn’t make it
How did you do... I go 4 /27 /23
I recently had my 1st injection. The pain was so severe that I'm not going back for my other 2 injections. My pain is more severe in my leg since the shot. Its been two weeks and I can barely stand. My guess, is some people have good luck with the shot and working of the medication where others like myself have bad luck ☹ 🤷🏽♀️. But I wouldn't recommend it...just my 2 cents😏
Did you inform your physician? It's not a matter of luck. There could be something wrong.
@@sandijohnson4630 I don't know what the outcome will be, but I had both knees done today and it didn't hurt at all.
What r the risks of not using a computer monitor to guide you? And I’ve been approved for Gel but they have me, currently, seeing a regular IP dr. Shouldn’t this be performed by at least an Orthopic doctor? Thank you.
Beautiful technique
The PA here does not appear to be using sterile technique; he moves his gloved hands all over the knee area which has not been sterilized, then continues using those gloved fingers to do the procedure palpating again the injection site.
I think so
not sterile... terrible. i wonder how many infections he has caused. where’s his supervising PHYSICIAN?
He is using sterile technique. He palpated the knee with his glove ADJACENT to the injection site. If you look closely, he's assessing fluid movement next to his insertion site.
He has on non sterile gloves. Once the site is cleaned he should not be repalpating.
,❤ @@annmagnuson3338
Am currently undergoing a series of knee injections very similar to this. OW!!!
I was skeptical but then after a few days.....I could walk again and even the pain started to go away. I can walk again without the limp.
How is it now?
Wow that's incredibly simple.
ติดตามแล้ว ยายช่องใหม่เด้อ
มิสนี แซ่บเวอร์คะ
It hurts like hell!! But 2 weeks later it’s worth it.
That stuff didn't work for me at all. I ended up having both knees replaced.
How are the knees now?
Nope. I had one shot in my right knee. Never again. It hurt so bad that i almost passed out. I got nauseous, and couldnt leave the office for a few minutes. Had to lay down and drink water. It sucked. I wont do it again.
Ok💟💙💚💜👌👍👍💞💝💘💛💗
I wonder if it depends on who does or how it's done. I had an injection two different times in my heel for heel spurs the first time it was nothing and the second time ( in the words of Roseanne Roseannadanna) I thought I was gonna dah!
Same here walked out dr office hurting oh the shots will last about 6 months. It's been 7 months and my knee hurts everyday. I feel I wasted my $255 co pay for that $5,000 Viscosupplementation shit
@@susancunningham797 LOL!!!!!Gotta' love Roseanne!!!
So whats a viscous supplement and when is it used and does it work for how ling
I may have to have this done. The lady didn't flinch but I'm squirming like a little kid. I don't mind normal shots, blood draw or even dental work but this one...
You can inject my knee anytime i have so much pain when the doctor does my knee the lady did not even flinch when you put the needle in .
Love the tutorial ☺️👍
Getting on both knees tomorrow morning.
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.
how are you feeling now?
My doctor does it the same way. The only difference is he has nurse with him :)
Mine was like this no imaging byt I lie down and 2 nurse.
is this supposed to be done with Xray! high risk of mistake without x-ray
Who is the right candidate for this injection of osteoarthritis patient which digree
My doc gave it do me lying down. That a problem?
Can this injection reduce the pain & lubricant the join? Because I took Two Cortisone injection but it’s not much effective Please answer my question Please let me know best brand injection & it’s rate
Why do some doctors have to use ultrasound instrument to guide the needle in the hyaluronic knee injection on a screen?
Feel safer with guide image.
Thank doctor, but why we did not aspirate to make sure it not go into blood vessel?
what is this injection name first and last ?
She just sat there, mine hurt like hell mine was a cingal injection i wonder if that is different
May I Please have EXACT syringe and needle details/size? Thank you!
He mentioned a 22g 1-1/2 inch needle.
How can you even say that you are aiming towards lateral femoral condyle bud
please very much my mother very severely with osteoarthritis disease is there any injection to soothe the pain, if any what is the name of the injection.???????
Please don't take any injection what so ever. I got one injected for my mother 6 months back. It feels good for 1-2 months but pains become worse than before. Either you plan for surgery asap or manage with oil, cold and heat therapy and good diet. Knee replacement is the only option to get rid of pain. Injection makes the bone soft which starts to degrade fast. Stay away from injections
The procedure was not done in sterile conditions
Is it good for all the time?
Cartilage behind my kneecaps are flaking and fraying
About for the hip?
Most doctors use ultrasound to inject your knee, they say even the most skilled doctors miss there mark 30 percent of the time
What are you given 2 injection
Name pleas
DiYamm , that was good....i almost puked when i imagined myself there,,,,,lol
I was told by an MD NOT to allow anyone to do the injection without guided imaging. This PA is incomplete and dangerous, as most PAs are.
I did mine without imaging just like this guy doing.
O ZOTI OZOT OZOT OZOT OZOT OZOT OZOT OZOT OZOT OZOT OZOT OZOT bekim mata edh vlla.zoti bekime te.gjithve ju dua te.gjithve vlla.zoti edh mata rsp
I just had mines done today and I didn't feel a thing.
Did you get relief?
Good
This should be done under X-ray.
No ultrasound required ? I would think it would be useful incase you damage other structures or poke/damage the hyaline cartilage more than it’s already damaged.
I also read PRP is better as it reduces inflammation and also stimulates healing.
Ultrasound can’t see inside a knee joint. Only sees superficial structures. PRP is a pro inflammatory agent, that may worsen an inflammatory arthritis. Steroid and visco supplement are the way to go in the elderly. Prolotherapy and PRP may help younger adults and Middle Aged. I start with a steroid and visco supplement and after 12 weeks may progress to PRP or Prolotherapy once inflammation has settled.
@@APBCTechnique PRP is parts of your own blood plasma injected back into you. Plasma doesn't create inflammation.
My doc injected me at top of knee cP
She took it like a champ and I’m sitting here squirming like a b$$$$$$tch.... 🤦🏽♂️lol
Lol!
Injaction,,,,ka,,,,price,,,kya. Hai
Injection name &price &brand name plz
Sure
Great dr. 👍👍👍👍👍👍👌👌👌🙏🙏
Hospital,, kahape hai. Address sand. Me
Is it pain full? Becouse I m so scared of niddles I have knee problem just dnt want go to doctor just becz I m scared he will injection on my knee
AIAIAIAIIIA IMAGINE IF YOU GIVE BIRTH ,HAVE TOOTH ACHE OR A TOOTH EXTRACTION OR SURGERY.HAVE YOU NON SHAME?
Injection is not painful??
Yes it is very painful
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I’m getting this on the 25th I’m freaking out inside
I might have to have it done. Maybe the doc can prescribe some valium to relax you.
You want feel a thing I gotten them for years not bad at all
I’ve been getting these on a series of 4 sots for the past 6-7 years and they provided relief as opposed to cortisone shots that bad with repeated usages. I’ve never had my P. A. Inject lidocaine first and then the gel. It’s always been sanitize , freeze and then shot and then each week one shot for 4 weeks.
That just happened to me yesterday
Did it hurt
How far are u with your knee pain?
That hurt!!
How long does this material work inside the body and can you have sexual activity after getting a knee injection like the one in the video.
🤣🤣🤣
Hands on you knees!! 😀😀😂Probably not.
sandrine noel
Shot migh be a little pain but better than pain all day! 😉
Is this injection painful ?
I hate to say it, but yes. I also have a low pain tolerance with needles. I had cortisone injections initially the first time around and had a bunch of excess fluid taken off. Cortisone works right away, but doesn’t last more than a week or two. The gel injections on the other hand take 4-6 weeks before you notice anything and last maybe 6 months. But it only cuts the pain in half for me.
Its not comfortable but its not too bad. The relieif you get from the injection is worth it though
Where can I apply for this injection please I'm in Mitchell's plain Cape town
Is it really painful?
Claudia Gruianu It was for me yesterday 🥺🥺🥺
Could u tell us What is the usual volume of injection into the knee? What will be the maximum volume that you can inject in this space? AS it Looks u did many shots
usually the injected amount is 2 ml per week and i always get 3 injections in order to be almost painfree for about 4 months
تم
nice
So in Feb had the series of 5... 1 a week for 5 weeks...knees are still in pain :(
That’s my dad
Looks painful 😣
Thank yonu
i had my right knee down...