There is no cure for "wear-and-tear"related osteoarthritis of the knee.  However, thankfully, there are many different therapeutic options now to help alleviate pain, improve range of motion, and enhance an arthritis sufferer's quality of life.

Multiple modalities can be utilized.Our doctors appreciate that each patient is unique and will work with you to create a personalized treatment plan.Initially, trials of pain-relievers, physical therapy including strength training exercises, aquatic therapy, and corticosteroid (cortisone) joint injections are tried.If these don't reasonably abate symptoms, then we can consider viscosupplementation.

Viscosupplemenation is a procedure whereby hyaluronate, a naturally-occurring, lubricating, gel-like substance is injected into the knees.Due to the lubricating effects of hyaluronic acid, these injections allow bones to move over each other more easily, and serve as shock absorbers.

The technique was originally used in Europe and Asia, and became FDA-approved for knee osteoarthritis in 1997.It has been shown to be effective in many patients who do not improve with other non-surgical therapies.

Currently, there are five FDA approved hyaluronates which include: Hyalgan, Supartz, Synvisc, Euflexxa, and Orthovisc.The number of injections performed varies with the type of viscosupplement used; most require three to five injections for optimal response.

Dr. Tehrani and Dr. Momeni both perform this procedure, under ultrasound guidance for even more accuracy.They can help determine if you are an appropriate candidate, and if so, for which type of viscosupplementation.

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