Synvisc Alternative

September 26, 2011 by  
Filed under Knee Pain

Synisc is a commonly prescribed injection for osteoarthritis of the knee. Recently a new version has been approved by the FDA called Synvisc-One. It is not a drug, but an injection solution processed from rooster combs that seeks to mimic the naturally occurring synovial fluid in the knee. The goal is to help prevent bone on bone complications for approximately six months

Synvisc treatments need to be administered three times, the new Synvisc-One, one time.

Is Synvisc for you?
At our chronic pain speciality clinic in Los Angeles we do not recommend Synvisc. The reason? Synvisc, at best, is a temporary fix to a long-standing problem – Knee deterioration. Even in the best case scenario – the synvisc products are promoted as providing UP TO 6 months pain relief.

If you are going to have injections in the knee, why not consider a treatment that can provide permanent relief?

Osteoarthritis of the knee
Osteoarthritis or “Bone-on-bone” knee problems are the end result of a knee that has broken down and become unstable.

The knee is held together by thick strong bands of connective tissue such as the tendons that hold the supporting muscles to the bone and the ligaments including the ACL (anterior cruciate ligament), that hold the bones together. When these bands become weak and loose (ligament laxity) they cause the knee to become unstable. In this unstable state, the shin and thigh bones come together and begin to wear away at the articular cartilage that covers the bones and the meniscus, the soft pad between the shin and thigh bone.

Over time, the meniscus can get pinched between the bones and an arthroscopy is recommended by some physicians to alleviate the pain by removing the “trapped” tissue. Eventually a knee replacement may be called for.

When we see a patient in this situation we attack the osteoarthritic knee with Prolotherapy. Our goal is not to delay surgery or provide temporarily relief. Our goal is to provide a permanent, non-surgical, non-drug cure to the patient’s pain.

What is Prolotherapy and how does it work?
Prolotherapy is a simple treatment as Dextrose, (sugar in its simplest form) is injected with a mild analgesic such as dentist grade Novocain into the knee area. The injection causes a small controlled inflammation which in itself mimics the body’s natural healing response to injury repair – the creation of collagen. The new collagen repairs the old by attaching itself to the damaged tissue making it denser and stronger and restoring its natural taut state.

Many studies have shown that not only does Prolotherapy strengthen the ligaments and tendons, but more recently that Prolotherapy can regrow articular cartilage and meniscal tissue.

More importantly – theses studies show long-term and often permanent results – far beyond a 6 month expectancy.

If you have knee osteoarthritis and ould like to explore Prolotherapy and/or PRP, finding the right doctor is the first step. Contact Dr. Darrow or call 310-231-7000.

Written by Dr. Marc Darrow, M.D.

Marc Darrow, M.D., J.D., utilizes Stem Cell Therapy, Platatelt Rich Plasma Therapy, and Prolotherapy for the treatment of chronoc joint and back pain. Dr. Marc Darrow is a Board Certified Physiatrist specializing in Physical Medicine and Rehabilitation.

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Prolotherapy, PRP, AGE MANAGEMENT MEDICINE, and other modalities mentioned are medical techniques that may not be considered mainstream. As with any medical treatment, results will vary among individuals, and there is no implication that you will heal or receive the same outcome as patients herein. There could be pain or substantial risks involved. These concerns should be discussed with your health care provider prior to any treatment so that you have proper informed consent and understand that there are no guarantees to healing.
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