What To Do After Your Hyaluronic Acid (HA) Injection | DO NOT MISS
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- Опубліковано 31 тра 2024
- Hyaluronic Acid, also known as Viscosupplementation (Monovisc, Orthovisc, Synvisc, Durolane) is a popular injection treatment used in arthritis and other joint disorders. In this video I break my post-HA injection instructors.
Hyaluronic acid Injections or Viscosupplementation injections are a common injection option for those with joint disorders - osteoarthritis, patellofemoral syndrome, degenerative meniscus/labral tears and more. One of the major benefits of these injections are safe and do not impact the cartilage and can last quite a bit longer than cortisone.
Time Stamps
0:00 - Introduction
0:28 - What is a Hyaluronic Acid injection
1:32 - Rest/Activity
2:18 - Pain post injection
2:48 - Ice and heat
3:03 - Pools and Baths
3:32 - Monitor for Signs of Infection
4:55 - When will it start working
5:41 - How long will it last
6:10 - Do I need physiotherapy
Resources:
arthritis.ca/treatment/medica...)
orthoinfo.aaos.org/en/treatme...
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As an important disclaimer, I am not offering any medical advice on this channel and the views expressed are that of my own and not my employer. I am not providing personal medical advice. If you have personal medical questions, please seek the care of your physician. The content I reference is under the Fair Use Guidelines. I provide both educational and transformative material to the content for my audience.
#PRP #Haluronicacid #Viscosupplementation #injection - Спорт
Check out my other pre/post injection care videos below!
1. What to do after a PRP injection (platelet rich plasma injection) - ua-cam.com/video/JerEEV0a9HY/v-deo.html
2. What to do after your CORTISONE injection - ua-cam.com/video/uOAqvWAE9Ow/v-deo.html
3. What to do before your PRP injection - ua-cam.com/video/MtzahybjZNs/v-deo.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.
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 😂
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.
Had a HA injection today after a year of PFP post ACL reconstruction. Thankyou for this really informative video
Glad it was helpful!
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!
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
Great vid. Thanks for posting.
Thanks. Glad you found it helpful!
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!
You have a superb channel, its your way of explanation that really works well. Thank you from Liverpool UK
Thank you very much! :)
Great info here!
Thank you!
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
I’m glad I found it helpful through your very informative explanation, Dr. Sonam.😊
Thank you. Glad you found it helpful.
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
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
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 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 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 :)
Very Very good information 👍 ❤
Thank you!
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.!😂🎉
Thank you for all the information. You are super smart and super beautiful ! Have nice safe days! 🌞
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.
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!
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.
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.
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!
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.
Thank you for this because my drs assistant that administers the shot is giving a lot of misinformation
Thanks I’m glad it helped!
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!
Thanks for te video! I had a cartilage repair surgery, but after 7 months I forgot all about it and was moving very heavy stuff. Since 3 months I have a lot of pain and stiffness, and I lost all my power in my leg. I think an injection is the next step but I’m not sure which one as I see so many different stories on the internet.
The internet can be a great resource for many things. But I find often things can also get lost when it comes to medical information. It’s always worth consulting with your healthcare provider first and then making the decision. At that point, you have all the information.
@@SonamMD Thank you!
Wow, this video was so helpful! I'm actually a little sad seeing that it is under 8 minutes, free for me to view, and I received way more information than I did at a 2 hour Dr. visit (however, an hour & 45 minutes was waiting time) that cost $45 co-pay! :)
Glad it was helpful!
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
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.
Do you need to have all 3 of the Supartz Fx shots done in sequential weeks or can you spread them out?
Thank you for your time Doctor
Depends on which brand you are getting. For example there is one brand called synvisc 3 which are 3 injections of approx 2mL completed 1 week apart. You have to do the 3 injection to finish the series. However, the majority of us use brands that are single shot and should last for many months before repeating.
Would this work well with a shoulder or hip labrum tear that was a non operative and a older injury that now has arthritis
This tends to be one of the options that we can consider. Either this or PRP. Depending on patient preference, insurance coverage, of whether or not they want to try a full natural treatment (PRP), we make the best decision for them. I find HA injections for shoulder arthritis quite effective actually.
Hi, my knees have a moderate to severe OA. I got the HA injection on April 17th. Haven't seen any change in pain yet. Would it work for me? Pls pls comment!
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.
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 listened to the PRP statement on no NSAID’s. What about Advil with HA? Thank you!
Advil with Ha is okay. The reason why I don’t advise Advil with PRP is because Advil is an anti-inflammatory. With PRP, we are stimulating an inflammatory reaction as that as the mechanism of action. Additionally, Advil will affect the function of platelets. Because PRP uses the platelet aspect of your blood, I want to make sure that those platelets are functioning well. For this reason, I advise, avoiding NSAIDs 5 days before and five days after the injection.
I had my acl reconstruction and meniscus repair surgery done 1 year ago
Till last month i Had 5° of extension lag and flexion also not achieved full
Did mri found arthrofibrosis in knee or cyclops
Got it removed a month ago
Right now extension is 0° in surgery knee and -4° in unaffected knee
2 days back i took HA injection as told by my doctor.
What benefits can i expect…?
Would my flexion and extension improve ?
And is such injections only given to arthritis patients or even young people like me who are in there 30’s
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!
Hi there Dr Sonam I'm due injections into the shoulders for bursitis and supraspinatus tears and wonder what exercises are best to start with after this
I would ask a physiotherapist this question as this is their area of expertise. Usually there is a guided approach to rehab.
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 for this awesome informative video! Do you see better results with HA shots or plasma injections? Do they use the same agent to deliver them into your knee? I have some allergy to eggs, and therefore the liquid agent that delivers the medication can sometimes make me feel poorly. The effect on my knees, however, has been terrific. Just wondering in your experience if the plasma has at least as good results in your patients? Thank you so much for these great videos!
Interesting question. With PRP there is no agent to deliver the medication since it is only your own processed blood (plus some anti-coagulation likely sodium citrate). The HA may have some additional additives, but this will depend on the brand and it is best to check the product monograph for this information.
@SonamMd in your experience are the results equivalent to performing HA injections? I’ve read a few studies but they concentrated on combination therapy. I’m aware of PRP not being covered by insurance but some providers accept care credit. Have you noticed a difference in your practice? Also, what are the ha typically covered by insurance?
Would getting cryotherapy a week after injection speed healing time?
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 👍
I had my second gel shot a week and half ago. I’m having a lot of pain going to and down the steps but not while I’m walking without steps. Not sure if this is something to be concerned about or if I should just keep putting braces on to try and help until the gel shot really takes affect.
I would recommend booking a follow up for assessment. This depends on technique and your exam. I warn patients it can take up to 4 weeks for the shot to take effect.
Thankyou for responding back. I will make a follow up appointment if it doesn’t feel better after a month since she did mention it would take a month to start feeling relief.
Hey Dr Sonam !
i have been injected hyaluronic acid for chondromalacia patella 6 days ago. I have played golf yesterday and i had absolutely no pain. before the injection i had pain playing golf. Now during the night i woke up and i had terrible plain in my knee. what can possibly be the reason to that ?
I cannot provide personalized medical advice. I would suggest you follow up with your doctor for an assessment.
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.
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
@@TGHThehollowone22 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.
Im going to get my HA injection on my ankle tomorrow. Your video give me good grasp on what I'll be on. However, do you see this as a permanent fix or something needs to be regularly done for a long period of time?
That’s a great question. The key to answering it is understanding what we are treating. In most cases I’m using HA to treat arthritis. Unfortunately, as of right now, we have no cure for arthritis outside of a joint replacement. So these injections are means to help people manage their symptoms.
Hello my name is Lisa and i am getting the Jel injection but my knee is really swelling and i had a question do i have the option to stay awake or can i request to be put under i am very nervous and really dont wanna be awake for it.
We don't typically do these injections under anesthesia. We do freeze the knee prior to the injection.
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.
After diagnose stage 2 osteoarthritis at the age of 48 mostly how long does it progress to next stage? And is it definitely progress to next stage even if really take care of food, excercise ?
Its hard to so say how fast it may progress. Knee arthritis can stay stable for many years. The most important things will be to continue exercise, strengthening, and a low inflammatory diet. There is some evidence that arthritis gets worse in those with metabolic disease.
Hi. I have chronic tendinitis/tendinopathy and I recently learned about this injection. After the injection, can I still play tennis and go to the gym or do I need to wait for a time period before I become quite active again? Thank you.
I would clarify with your doctor. But I advise patients to take 48 hours off of anything after their injection and gradually get back to activities over a 5-7 day period.
@@SonamMD Thank you for the reply. I have a consult this month about 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.
Does that 48 hour rest after the injection apply to each of three injections over three weeks?
I usually perform the single injection protocol but yes if I was doing three a week apart the same instructions would apply.
Hello doc. I am from Serbia. I have chondromalacia patella grade 1 after meniscus surgery. And i have a lot of noise and crepitus in the knee. Owcorse and a lot of pain. I receive my ha injection before five days. Are it's too early for my knee be better?
Its quite normal to have noisy knees in some cases. Not all noises are dangerous. Unfortunately, I am unsure of the question you are asking.
please for a amateur footballer when approximately can i go back playing
I am unable to answer specifically since I do not know your personal medical history. This is a question for your doctor.
Would asthrosaid injection be better long term?
Are you asking if a steroid injection is better in the long term? I actually encourage people to defer cortisone for as long as possible since it can have negative effects to the cartilage. Hyaluronic acid is made in the body and is in our joints naturally. These injections work to lubricate the joint and create healthy joint fluid which contains important nutrients for the cartilage. HA injections are better long term than cortisone.
I just had a hyaluronic acid yesterday. It was so painful that I couldn't walk. The nurse took me to my car. By the time I parked in a street. It was a struggle to my gate and to my home. There is stiffness, and I can't straighten my knee. I have a physio in 8 days. Resting at home. Back to work in 5 days. My job is a lot of walking up and down the alimak. Would there be improvements?
This is not a typical response I see. Most of my patients walk out of the room quite comfortably. They may feel a bit stiff but that’s about it.
Does it start working 4-6 weeks after the first injection or last of the 3 injections?
This depends on which HA injections you received. Most are a single injection but there are some which are still a set of three injections. I generally counsel people that they will begin to see effects at around the four week mark after the last injection, the last injection could either be a single injection, or the last injection in a series of three.
Can you get one shot once a month mines wear off pretty quick because of the type of work i do walkimg all day concrete floors in hospital so i need it more then every 6 months
You can get the injections as many times as you like. Ideally we want it to last at least 6 months given the cost. But this injection is quite safe to the cartilage, so theoretically it can be repeated whenever. You just need to account for the risk of infection with repeated procedures.
@@SonamMDMy doc says a HA injection is once only and lasts more than 10years. Is he wrong?
I personally counsel patients that HA will last from 6-12 months. I haven't personally heard of a product that can last up to 10 years in the joint as of yet. I definitely will repeat these injections every 6-12 months if they are effective in my patient population. @@annydobon8106
I received my first HA injection in both knees a week ago. I feel pain and discomfort in my right knee while my left knee is hurting a little bit. When my Dr injected my right knee i felt like fluid is going down through the area between knee and foot. Is this normal?
Some people report weird sensations when I inject them. For example, if i inject the shoulder, some people feel a coolness down the arm (not a nerve like pain). And this can be referred. In other cases, its due to the injection technique which I cannot comment on.
How does this help in meniscal tear?
It can be used in cases of meniscus tears.
its 4th day after the injection and i still feel a lot of pressure while moving, especially moving knee down to the right, less but still to the left. its painful. is it normal appearance? i took one injection instead of 3.
I would check with your doctor if your still having issues. Often times we need to see you in for reassessment.
Is there a reason most insurance plans cover ha for knee and not hips?
@@sjgeneralcontractors2137I asked when I had my last shot. Not enough data.
How about PRP?
Video is here - What to do AFTER Your Platelet Rich Plasma (PRP) Injection | Watch This!
ua-cam.com/video/JerEEV0a9HY/v-deo.html
I got my PRP and AHI injections last evening. Now my blood sugar level is very high fasting 9.4, normally my Blood sugar on fasting is 5.6. What shall be done
I am not able to provide personal medical advice on the internet. This should be a discussion with your treating physician.
Thank you for this. I had my first injection today and was shocked at my overall reaction.
Glad it helped!
i just had the injection(HA + Steroids), not only that doesnt hurt at all but there is nothing special you need to do after the injection.....you should be able to carry doing whatever you want to do IF the pain is not above 4 from 1 to 10
Im glad you had a good experience. Instructions can vary post injection for sure. These are my personal recommendations for my patients but I always advise people to follow the advice of the person who performs their injection.
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.
Thank you, because after 50 day's it wore off I'M FEELING IT 🤦🏽♀️😢🙏🏽
Your welcome.
Did the doctor mention in Canada it is about 400 dollars for one shot of this stuff every 6 to 1 year I know I went to a othrapedict surged to see about this shot good luck if you go for it hope it works !
Prices vary depending on where you are in the world. This video is focusing on care instructions.
Hi . Where are you based ? I would like to have this done to both of my knees..Thankyou
Can older patients receive these injections
There is no age limit so I always discuss this in context of their medical history
Shoulder relief?
Depends on the diagnosis. Mainly this would be used for shoulder arthritis.
2/4days post pain. I had unbearable pain for 14days & wasn't told. Would i have it again i don't know
Unfortunately, this is a very rare and unusual response. However, there are many variables that are at play which can factor in.
@@SonamMD could you plz give me some examples. I would appreciate it.
@@barbaralawlor5967 Unfortunately, this is something that needs a personal assessment and cannot be answered on the internet. One of the most important things we need to manage are complications and this is why I arrange follow up for my patients after injections.
How long after can you run or train normally
I usually recommend people waiting at least 48 hr and getting back to activity slowly. That’s my advice generally. However it can change depending on individual circumstances so always check with your doctor.
@@SonamMD thanks so much. My second bout of injections but both knees yesterday. Last time I started training hard too quickly I think within first 2 weeks
Can it be toxic to the liver kidneys or heart
Not a side effect that I am aware of.
Hi please answer my question, is prp or hyraulic acid permanant solution for candromalacia patella grade 1 .
Please answer
It is not a permanent solution. But it can help you manage the problem to allow you to strengthen and stabilize the joint to decrease the overall pain.
@@SonamMD Hi Thanks for the reply,
What should be the permanant solution for condromalacia patella . Please suggest me
We dont currently have a cure for cartilage degeneration. But many people are able to live relatively pain free by focusing on strengthening of the knee and biomechanics. you can also look into PRP therapy (or stem cell therapy if offered in your country). But even that isn't a true cure, but can help stabilize things. @@nathiyasuresh3797
My doctor didn't tell me any of this either! Very upset!
I see the little Yoda in the back
My prized possession!
I got the full Synvisc treatment in the left knee Tuesday due to the insurance not covering the 3 injection approach. It has been pretty sore and I’ve not walked for any distance since. I’m looking forward to good results. I’m thinking of returning to my daily walks of 4 or 5 miles Monday, does that sound reasonable?
Thanks for this vid from a new follower!
Usually, I recommend people take a few days off, and then gradually return to their activities. If there’s any issues with that timeline, I encourage people to get in touch with their doctor to make sure nothing else is going on!
@@SonamMD Thank you!
Good Luck. I didn't have any, hope you do.
The dr I have seen told me I could only get one more I have had 4
I personally stop using the Ha injections if they are no longer helping my patients
And i forget i have 36 years and i am active person. Is there any help for me?
Its common for us to use this is young active patients. This is a relatively safe option.
Mam, Doctor suggest this injection for my mom because her knee Bones has lose space among them, I want to ask that Is it has any side effect and everyone can get relief after injecting or not?
I discuss common side effects in the video. However each doctor should be discussing this with you personally before the injection as well.
My specialist wants to do cortisone first followed by a course of HA. It's a degenerative meniscus tear and I'm not in any pain. Is cortisone necessary as a pre treatment or can you go straight to HA?
sometimes I will actually mix the two medications as well. Reason being, cortisone works quickly, where as HA can take a few weeks to kick in. While cortisone does get a bad reputation, it can also be used for quick relief in patients with severe pain. However, you can always request HA as the first injection (only downside is the cost of HA is significantly higher than cortisone).
i would get a PRP injections 2-3 because it can help heal the meniscus tear better than the other options, as they have re growth factors
Please do not do it.. It will make the pain worst. I regret taking the sauce and I will never do it again.
I had this on both knees. It did nothing for me.
I’m sorry to hear that. I tend to quote my patients about 70% will respond to the shot. Things like age, and the severity of arthritis, play a huge role in who will respond. The more severe the arthritis, the less success one may have with HA.
@@SonamMDthank you for your response it was helpful.
I had 5 injections in 1 knee , but it did nothing to help.
Unfortunately they may not be effective for everyone. I will try it two time in my patients who don’t respond before telling them the case.
I've got an injection 3 weeks ago, and my knee started to hurt more than ever before :( Now it's better than in the beginning, but it doesn't feel like the pain is going to go away soon. It's actaually the second time I've got such an injection (before, it was to other knee), and last time, next day after injection my knee was completely fine. What could have happened now? :/
I would encourage you to follow up with whomever gave you the injection for reassessment. I do not provide personalized medical advice on this channel as each persons situation is different and requires a full assessment and exam.
What about a 75 year old? Had full knee replacement on one 5 months ago won't ever do that again! The other knee is recommended for the same, no way...
I have treated many 70 year olds with this injection so age is not a factor.
@@SonamMD Looking into it.
So i will have to inject every 6 months?😢
It can be every 6 months to a year depending on how long it lasts. Unfortunately no injection lasts permanently.
I had a hyaluronic acid injection 7 days later I ended up in A&E had a bad reaction it caused pseudogout very painful had to have fluid taken out by a surgeon.
Unfortunately this is a very uncommon, yet possible side effect. Wish you all the best in your recovery!
Why is this injection for young people? It seems to me it would benefit most people. Is this about health coverage? Im in Alberta and get the impression they just want you to suffer and be less and lessoroductive untill they can justufy hacking your knee out. Id much rather do this.
To clarify, when I say it is for young people, this is a good option for those who do not have severe arthritis. The reason for this is that it is healthy to the cartilage and does not cause progressive damage to the cartilage with repeated use. Cortisone unfortunately can actually cause some cartilage degradation if used many times over many years. HA is safe and can be used multiple times with no harm to the cartilage.
I use HA in both young and old and those with mild to severe arthritis.
We have seen the outcomes of botox on the face. So im wondring what are the later effects of putting botox into your joints continuously... also iv seen a load of older people go in for these injections and they come out the same way because it seems to be after doing it about 6 times it doesnt even work any more, which means uv just waisted all the money getting this stuff done that does not last and you also dont know the kater side effects and you will eventually still need to get the new knee. The problem ull have then is that you waisted all that time getting those injections that now any surgery is too high risk depending on persons age and general over all health.. seems to me that ud be better with the knee replacement as apposed to this con... just the opinion of a health care worker. Seems like simple another way for these money grabbing people to scam your insurance companies...
My got her injection yesterday and now she can’t walk 🥲🥲 she cant even sleep she is in so much pain… please tell me this is normal and she will be fine soon😭😭answer me
Is it fine now? Worrying after reading your comment
I got my shot yesterday and feel like crap. Instead of sleeping I'm searching if others feel like crap too 😢. IT hurts when i walk, when i move... I hope it will be ok soon cuz it drives me nuts
Most patients do not experience much pain after the injection. I would encourage you to follow up with your physician.
@@SonamMD after 4 days the pain is gone.. But still hurts sometimes and if I stand too much my knee starts to feel stiff.. I guess for my grade III patella condropaty is not so easy to recover after all..
@@andraemihalache3321 Oh wow... I am wondering how you feel after 2 months? That's what I'm dealing with and too young for surgery. Cortisone spikes my glucose so that's a no. I think HA will prob be cheaper than PRP bc my insurance so far has only approved few very injections.
Walking with a Cane is horrible
What can doctors do to advocate for a lower price? It's not covered by insurance. I'm facing a 12 k bill. The fleecing of America by big pharma
This is country specific. Unfortunately, doctors do not have much say in this. This is a question for the politicians of the country and they deem what will be covered and what is not. Public vs private healthcare is its own debate outside of the medical education I provide.
This is a waste of money. I had injections and it did zero to alleviate any pain.
Unfortunately they don’t work in everyone. I am careful to quote approximately 70% will recieve benefit. But that means that 30% have suboptimal results.
Don't work makes it worse