Alternative to Knee Replacement Surgery and Steroid Injections
A non-surgical treatment called Viscosupplementation – This therapy is providing hope and relief for many knee pain sufferers and is covered by major insurances.
Viscosupplementation therapy is a procedure involving the injection of gel-like substances (hyaluronates) into a joint to supplement the viscous properties of synovial fluid. Your knees have a capsule located between the femur (thigh bone) and your tibia (shin) This capsule helps to provide a cushion and lubrication for your joint. Viscosupplementation is a procedure where we provide local anesthetics (numbing) to the skin, then inject a gel-like fluid to help increase the thickness of your fluid in the joint capsule. This procedure has been shown to be 86% successful in alleviating pain associated with osteoarthritis and is covered by most major medical insurance providers and Medicare.
At Northeast Knee & Joint Insititute, we offer this minimally invasive procedure that requires no surgery, can provide immediate results, and has little to no recovery time.
Accurate Knee Injections
We also utilize state-of-the-art medical equipment at our facility: Fluoroscope and Mindray MX7 3D Ultrasound. This is a very important point because these devices allow our medical staff to look inside your joints, in real time, with the latest in imaging technology while administering any of our minimally invasive injection procedures. These instruments help to ensure that the injected material is introduced to the exact point intended and therefore provides the best possible outcome from each injection.
Physical Therapy is Key
Physical therapy for knee pain focuses on the muscles, ligaments, and returning strength and normal function. Along with our knee injection, physical therapy also helps spread the viscosupplement within the treated joint.
Knee braces are ideal for relieving arthritic knee pain and other knee symptoms that result from arthritis. They help with knee stability during walking and help encourage mobility in patients. When the integrity of the joint space is destabilized, the result is chronic rubbing and grinding of the bones. This causes inflammation and therefore pain, stiffness, warmth, and swelling.
Knee braces not only stabilize the knee but also can aid in the alignment of the bones thus approximating the normal anatomical position. This augments the viscosupplementation program and helps the ongoing symptoms of the arthritic process.
If deemed necessary by the examining physician, a prescription will be written for a knee brace. The physician will determine if a standard unloading brace can be utilized, or if a custom brace will be necessary.
The medical necessity will be discussed with the patient. The patient will be given the option of an unloading knee brace. The patient may also decide to not use the brace(s) at all, and the provider will discuss, the possible outcomes due to this decision and a note will be placed in the record.
Once the brace has been obtained, the patient will be given instructions on multiple occasions as to the application of the brace and its proper use. The patient will be observed after the above instruction period, putting the brace on, and also observed ambulating. The provider or his designate will make appropriate adjustments, and the patient will have all questions answered. The brace will be brought to all therapy sessions and injections. Brace use will be discussed on the exit day from the program, and on subsequent follow-up visits.
Unloading Knee Brace
This knee support device increases joint space reducing the pressure on the cartilage of the knee and the knee cap. This un-loading effect aids the viscosupplement that has been injected to bond with the knee joint’s existing synovial fluid with greater ease.
- Adjustable – Varus and valgus adjustments lessens pain and aids the viscosupplement in bonding with the knee joint’s existing synovial fluid.
- Durable – Rivets are used, instead of screws that come loose or break.
- Wearable – Fits beneath slacks so patients are more likely to wear it.
- Comfortable – Cushioned to avoid skin irritation extending wear time.
Why is our Non-Surgical Knee Program so successful?
At our clinic, we offer a unique approach to the rehabilitation of Osteoarthritic knees by using a combination of state-of-the-art rehabilitation equipment, cutting-edge unloading knee braces, and highly trained physical therapists specializing in total knee rehabilitation. We found that the combined approach of all three of these treatments along with natural joint viscosupplementation therapy are the main reasons for our success.