Anyone ever have injections like Orthovisc in their knees?

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CathyA
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Date Joined Mar 2005
Total Posts : 1326
   Posted 9/21/2010 7:39 PM (GMT -6)   
I'm having one heck of a Fall this year. All my joints hurt so bad. It started with waking up one morning about 6 weeks ago and I couldn't walk. It's my right knee. I've had surgery on it in the past for a torn meniscus, and had done great for 4 years. The ortho surgeon says I have horrible arthritis in it and the only options are injections (which may or may not help for a little while), or a knee replacement.
I really don't want a replacement yet. I've been doing my exercises and at least can walk, but it still hurts/spasms alot.

I'm considering the injections, which have only a 50/50 chance of working and will probably cost $1,000.
Have any of you ever had these kind of injections, and did they help at all?
This happened the last time I had the knee problem..........it caused a horrible FMS flare. :(
Thanks.

getting by
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Date Joined Sep 2007
Total Posts : 33650
   Posted 9/21/2010 7:51 PM (GMT -6)   
Hi Cathy,

I have had no experience with knee injections or replacements, but I have heard about that torn meniscus before. Just reading the title to your thread made my knees cringe. I just want to say that I am sorry that you are having so much pain in your knees. I have bad knees, but nothing compared to your problems.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies

1flwrchild
Regular Member


Date Joined Sep 2010
Total Posts : 75
   Posted 9/21/2010 8:08 PM (GMT -6)   
CathyA,
I have had the orthovisc shots in my left knee.  I was a runner and combined with my arthritis my knee was a mess.  We did the shots (1 shot a week for 3 consecutive wks).
It wasn't until about 4-6 weeks after the last shot that I noticed the difference.  It was pretty remarkable.  My knee was REALLY bad however, so my ortho and I decided to go in surgically to try and repair some of the damage ( May 27).  He shaved my patella and then loosened the muscle on the side of the knee to help prevent the knee cap from slipping over.  The surgery went well.  Shortly after (about 6 wks) we did the shots again. 
Yes, they are expensive and some insurance companies don't cover it.  Mine covered most, thank goodness.  So I finished my second set of shots and my knee seems to be doing really well.  I would definitely try the shots if you are having alot of pain (and if you aren't out of pocket too much). 
Best wishes,
Deb
DX:Fibro, RA, Degenerative disc disease, carpal tunnel, ulnar tenndinitis, bulging discs (L4 & L5), osteopenia, depression & Breast cancer survivor.
MEDS: femara,neurontin,ativan,plaquenil, prednisone,percocet,fluoxetine
vit.& supplements:black cohosh, even.primrose oil, vit.C, calcium w/D, turmeric, green tea extract

CathyA
Veteran Member


Date Joined Mar 2005
Total Posts : 1326
   Posted 9/22/2010 6:50 AM (GMT -6)   
Thanks Karen and Deb.
Deb.....when you were having your problems, did you have alot of spasms in the lateral calf? That's where the worst pain is.
My first meniscus repair was 4 years ago with a different surgeon. This present surgeon leaves much to be desired in his bedside manner......but is supposed to be an excellent knee surgeon. But I always worry that surgeons are too focused on surgery. I went into physical therapy for a couple weeks and am doing all the usual knee strengthening/stretching exercises and icing several times a day. I can't take NSAIDS.
But I think the limping I am doing is messing up everything else in my body! Even when I try to walk normally, I think I'm stressing everything else.

Even though I had occasional pains after my first meniscus repair, this lst pain just seemed to happen overnight. I find that very curious. I was fine when I went to bed, and woke up disabled!
I really am fighting a knee replacement. For some reason, I just don't want those unnatural parts in me. Then again..........I don't want to be in pain and disabled the rest of my life. (I'm 60)
I talked to the surgeon's physician's assistant, and asked for an MRI. He said that I'd be wasting my money because they are sure I have a meniscus tear, but cleaning it up wouldn't help, because of the severe arthritis I have. I have no space between my bones. Its really hard to accept that my knee might be at the end of its life. :(
I know lots of people think knee replacements are wonderful, but I absolutely hate the idea of having steel and plastic in me. I know that might sound silly, but that's how I feel.
But I also know life isn't so good when I'm in constant pain and can't walk much.
I think I will try the injections first though.

Sorry to whine so much. Especially with FMS, there's just always something, and I get weary.
Thanks for listening!

sotiredoffibro
Veteran Member


Date Joined May 2010
Total Posts : 1556
   Posted 9/22/2010 10:43 AM (GMT -6)   
Not sure here but is Orthovisc the same as Cortizone shots? I have had corizone shots to help the arthritis in my knees. In over 10 years I have only had to have the injections twice and my knees are still doing well from the last shots. Good Luck and I hope they help you as much as they have me.
Gentle Hugs
Shirley
DX: Fibro, Gerds, COPD, Osteoarthritis, Osteoporosis, High Blood Pressure, and Depression.
When I get where Im going dont cry for me down here. (Brad Paisley & Dolly Parton)

CathyA
Veteran Member


Date Joined Mar 2005
Total Posts : 1326
   Posted 9/22/2010 2:13 PM (GMT -6)   
Hi Shirley,
No, Orthovisc injections are hyaluronic acid. Its a natural substance that is already supposed to be in our knee joints, but can break down as we age. I think originally, it came from rooster combs, but now its synthetic. The only fear I would have with cortisone shots is that sometimes they can deteriorate the area. I'm really glad they worked for you!
The Orthovisc is supposed to be like lubrication for the knee.

WestieLover77
Regular Member


Date Joined Sep 2010
Total Posts : 42
   Posted 9/22/2010 5:41 PM (GMT -6)   
My Dad gets those in his knees and also in his wrists and he says that they work pretty good. He does have to go back like every 6 to 8 months and get another one but he says that it is well worth it. He had the carpal tunnell surgery on both his wrists and it didn't help him at all. He is an electrician so he is always using his wrists, but he says the injections do help an aweful lot. As far as me, I have had 4 sets in my neck and also 4 nerve blocks and they didn't help me. But then again that is also my neck. As far as the knees he says they work good. Good luck!
 
Well wishes
 
(((Hugs)))
Carley

Nana Monster
Veteran Member


Date Joined Jul 2009
Total Posts : 917
   Posted 9/22/2010 6:49 PM (GMT -6)   
Cathy,
I've had hylagan shots in my knees for my arthritis. I told the dr there was something wrong and it felt like
the left had with the torn maniscus and cartalidge. I had surgery on that one 2 years ago and it took me about
a year before it felt totally ok. Now my right knee went so they did the shots. It helped the arthritis symptons but
it did nothing for what was wrong with the knee. They finally did an MRI and found a torn cartalidge. I had the
arthoscopy 7 weeks ago and am still having problems with it. I've gotten the range of motion back but the
endurance stinks with me swelling after about 2 hours on it. He also "shaved" the bones and it's taking forever
for them to heal. Come to find out the longer you've had the arthritis, the longer it takes to heal. With me it's
been nearly 50 years. I was also limping, I started in February and got to the point that I didn't realize that I
couldn't straighten out my leg. PT is helping but I've got a ways to go. Good luck with your knees.

Nana Monster

Southernlady
Veteran Member


Date Joined Jun 2008
Total Posts : 844
   Posted 9/22/2010 8:44 PM (GMT -6)   
Cathy, I've had both of my knees replaced because of arthritis.  I'm doing great now but before I had them replaced I had some kind of shots put in them both and I thought I would come off the table before he got through.  They weren't steroid shots but what ever they were, was worse than the surgery and therapy.
 
I"m so glad I had them both replaced.  I do not have any pain at all since then.  Wish I could say the same about the rest of my body.
 
God Bless!
Shannon
Of all the things that I have lost, I miss my mind the most!!!!

CathyA
Veteran Member


Date Joined Mar 2005
Total Posts : 1326
   Posted 9/23/2010 6:56 AM (GMT -6)   
Thanks everyone,

Southernlady......I'm so glad you are doing well with your replacements. Before you had them, did your legs ache alot? I seem to have all my pain in all the rest of my legs and not in my knees. Sure wish I hadn't worn out so early! (60 is early, right??) :)
I think I'm having a major flare on top of my knee problems. My finger joints are really hurting too. But then again..........what's NOT hurting!
Thanks everyone for your help.

1flwrchild
Regular Member


Date Joined Sep 2010
Total Posts : 75
   Posted 9/23/2010 1:00 PM (GMT -6)   
Hi Cathy,
Yes, I did have pain in my calf.  I'm sure it was due to walking differently because of the pain in my knee.  We carry ourselves different when we have pain , even though we may not realize it, or think it's that much of a difference, it is.  My back hurt more, my shoulders, everything.   As far as having to get a knee replacement at your age, I'm only 45 and the dr. already mentioned it to me.  When this last series of shots and surgery stops working that's it for me.  He's already told me the only other alternative would be knee replacement at that point.  I agree, the idea of having this foreign object in your body is not pleasant. But, if it gets you moving again and out of pain I would imagine it would be worth it.  Do some homework on knee replacement, maybe then you'd feel more comfortable about it.  Good luck and keep your chin up.
Deb wink
DX:Fibro, RA, Degenerative disc disease, carpal tunnel, ulnar tenndinitis, bulging discs (L4 & L5), osteopenia, depression & Breast cancer survivor.
MEDS: femara,neurontin,ativan,plaquenil, prednisone,percocet,fluoxetine
vit.& supplements:black cohosh, even.primrose oil, vit.C, calcium w/D, turmeric, green tea extract

Libby08
Regular Member


Date Joined Oct 2009
Total Posts : 434
   Posted 9/23/2010 1:38 PM (GMT -6)   
My Father had a knee replacement in June on his left knee and started the injections this past Friday on his right knee.  So far so good, he says he can already tell a difference and will be getting another shot tomorrow and then the last the following Friday.  I'm thankful for the injections because he had a bad time after the surgery so hopefully the last two will be good.  They are suppose to be good for two years.

"When life knocks you on your knees, you're in the perfect position to pray."

Southernlady
Veteran Member


Date Joined Jun 2008
Total Posts : 844
   Posted 9/23/2010 3:55 PM (GMT -6)   
Cathy, I was 58 when I had my knees replaced.  I have arthritis all over my body so I hurt every where.  My legs did ache a lot and when I went to bed at night it seemed to get worse.  I could hardly sleep from the pain. 
 
I would definitely have it done again.  I haven't had any pain in my knees in almost 4 years.  I do have some tightness from scar tissue that I deal with but nothing to compare to the pain before surgery.
 
God Bless!
Shannon
Of all the things that I have lost, I miss my mind the most!!!!

CathyA
Veteran Member


Date Joined Mar 2005
Total Posts : 1326
   Posted 9/23/2010 6:33 PM (GMT -6)   
I'm glad to hear you're doing so well! I was adamant that I would never have replacements, but the longer I go in pain, the more I'm considering them.
I'm waiting for awhile though, because I always have such an incredible flare every Fall, and who knows....maybe my knee will improve.
Its encouraging, though, to hear that so many people who do have the replacements do very well afterwards.
Does your knee look bigger? Does it make any noise when you walk?

I have knocked knees that got worse after my last meniscus surgery. I guess that's common. The ortho surgeon said the replacements would straighten them out. Wow. No knocked knees. I won't know what to do with myself. haha

Southernlady
Veteran Member


Date Joined Jun 2008
Total Posts : 844
   Posted 9/24/2010 6:58 AM (GMT -6)   
I don't hear or feel any noise when I walk and I can't tell my knees are any larger than they were because I'm overweight to begin with.  My orthopedic dr. that did the surgery never once said anything about me loosing weight before surgery and I'm sure it made a difference in recovery.  It did take about three years before all the numbness went out of my knees.  Now I can only feel a small amount of numbness when I shave my legs.  I would definitely have it done again to relieve all the pain.
 
God Bless!
Shannon
Of all the things that I have lost, I miss my mind the most!!!!

CathyA
Veteran Member


Date Joined Mar 2005
Total Posts : 1326
   Posted 9/24/2010 7:01 AM (GMT -6)   
Thanks Shannon!

Nana Monster
Veteran Member


Date Joined Jul 2009
Total Posts : 917
   Posted 9/24/2010 8:55 PM (GMT -6)   
I've heard there is 2 types of replacements. One that is porous that is pounded into the leg bone and
your bone heals around it and one that is glued and screwed into place. I don't like the idea of the pounding
it into place and I'm allergic to screws, glue and staples (which they stitch your knee back together with).
So for me it's no thanks, I'll just wait it out until something better comes along.

Southernlady
Veteran Member


Date Joined Jun 2008
Total Posts : 844
   Posted 9/25/2010 8:25 AM (GMT -6)   
OMG, the pounding sounds awful!  I had the one that screws and your knees grow around it, but the worse part about it was the staples on the outside.  I think they might have left them too long and it really hurt when they took them out.  I'm still glad I had it done though.
 
God Bless!
Shannon
Of all the things that I have lost, I miss my mind the most!!!!

canap
New Member


Date Joined Nov 2008
Total Posts : 12
   Posted 9/27/2010 10:33 AM (GMT -6)   
Hi Cathy.  I would definitely have the MRI done first.  My 2nd orthopedic surgeon was positive I had torn the cartilage
 in my knee. 
 
When he got in there to fix it absolutely nothing was wrong with my knee it was all Fibro. 
 
 Previous to that I had a car accident and my Doctor,  Physiotherapist and 1st Ortho Surgeon were positive I had
 
 torn my rotator cuff all the way off.  Again when he did the die test to see how bad it was there wasn't even a tiny tear.
 
 I was my Fibro.  My luck both surgeons figured they knew what was wrong but they were.
 
 I would never let any surgeon go ahead again with anything without all the test to make sure I actually need it.
 
I should add this was before I was diagnosed and all the 'ists were deciding if I had Ms, stroke a migrain or nothing at
 
all wrong with me.

Irish Babe
Veteran Member


Date Joined May 2007
Total Posts : 1330
   Posted 9/27/2010 11:57 AM (GMT -6)   
Hi Cathy! Yes I had those injections in both of my knees - a series of 3 for each knee. Each time he did it he slammed my bone. The first time he did it, the pain raised me right out of the chair. He said, 'No, sit down, you can't stand up!' I said it hurt so badly when he hit the bone. He said, ' It couldn't hurt that badly, and you must remain seated.' He also felt I would need knee replacements in my not too distant future. I love when ppl tell what hurts or doesn't hurt me.  rolleyes
 
The shots have not helped, my knees are still a mess. I only paid my co-pay for the visit, nothing extra for those @$%& shots. I do not plan to have them ever again. I know someone who had knee replacement and she is in so much pain from that, it has been horrible from the beginning. So I can't quite work up the excitement for surgery.
 
I would have whatever tests are available before moving forward w/ surgery. I hope if you decide on the shots that they work for you. I just don't seem to have good luck w/ shots, of any kind.
 
I do hope you are feeling better soon.
 
God bless.  Alice. 

RedDiane
Veteran Member


Date Joined Jun 2007
Total Posts : 905
   Posted 9/28/2010 12:00 PM (GMT -6)   
I had the orthovisc shots, too. The first 3 in one knee hurt a little and helped a little. The first 2 in the other knee hurt the same as the first three, but the very last one was so painful, the PA quit and made me lay down because I almost passed out. I also got nauseated. And after all that they didn't help the pain. Diane
Fibromyalgia since 1984, Sjogren's, Hashimoto's Thyroiditis, Auto-immune eczema, GERD, osteoarthritis, IBS, RLS, sleep apnea

KneeAnderthol
New Member


Date Joined Sep 2011
Total Posts : 1
   Posted 9/23/2011 9:41 AM (GMT -6)   

I'm a fifty-three year-old ex-distance runner until many knee injuries over the years started reducing my mileage more than two decades ago. I've had meniscus orthoscopic surgery in both knees and an ACL reconstruct in the right. I ran a 10K last June with my daughters and plan on only running in only that annual event from now on due to the toll it takes on the knees. My orthopedic doctor has been providing the Orthovisc injections for me for the last 2 years and I've gone through three rounds of the injection series in both knees now. They are painful to receive but the pain is only for fifteen to thirty seconds as the fluid is injected and then it's over. Compared with the nagging aches that had accompanied my knees and kept me awake during the wee hours of the morning, I'll take the shots any day. My experience with the shots is that they work well as long as I do other things to assist them in a regiment of actions that many people simply do not like either. The first is to keep the body weight under control. Every step taken multiplies the body weight by a factor due to the impact. It's simple physics. The second is taking Glucosamine Chondroitin Sulfate, Omega-3 fish oil, garlic and over-the-counter multi-vitamins daily. There is skepticism about the importance of taking supplements, but I'm simply sharing what I do that has provided good results in combination. The third action I started again back in 2000. As I was a distance runner in my youth in the late 70's, I had a fairly high-end bike for the times and used it to travel distances of fifteen to thirty miles regularly before I had a driver’s license. I participated in a MS150 charity ride in 2000 and could not believe how great my knees felt afterwards. My orthopedic doctor explained that the non-impacting motion taken to an extreme amount of time over the two days covering one-hundred and fifty miles, distributed my body's lubricating fluid throughout the knee. Since that weekend, I have participated in subsequent MS150 charity rides but I also bought a bike in 2004 that cost about the same as a small used Honda of 10 years of age. I bike five times a week now for fifteen to twenty five miles. Weather permitting; I'm outdoors doing the twenty five miles on an eight-mile out-and-back road that is the only one near my home that has decent pavement and a nice wide shoulder where I can stay away from the cars whizzing by. Since I live up north, the winters require I ride a LeMond stationary bike like many you see in the workout facilities. I bought one for the home so I'll get on the thing for fifty minutes without excuses rather than needing to drive six miles to the fitness center for a spinning class. I have seen many doctors over the years who always say that whatever remedy they provide for any symptom does not do much if the patient is not willing to do much else. The injections make my knees transition from feeling a little gritty when flexing to feeling slippery soon after I get the injections. But I have seen videos and pictures of what happens during knee replacement and I'm going to do anything I can to avoid it until nothing else helps or other health issues make the knee problems less of a concern. As I typed this post, I have no knee pain and received my last in the series of injections on August 25, 2011. I apologize for the lengthy post and hope it helps others, in some way, find what works for them.


poseidon_92
New Member


Date Joined Apr 2014
Total Posts : 1
   Posted 4/11/2014 11:08 AM (GMT -6)   
I actually just had my first of 3 injections 2 days ago.  I'm 36 yr old female, not afraid to say I'm very overweight, but have had 2 major surgeries on my right knee.  I have pretty much zero cartilage in that knee, early arthritis, 6 screws and a few other pieces of hardware, cadaver parts--pretty much that knee has no original parts left; i've torn every ligament and it's been replaced, torn miniscus, you name it. 
 
My surgeon suggested orthovisc, and I'm honestly not sure what my insurance covers but I am giving it a shot regardless b/c I have days where I can hardly walk.  I hate taking pills--including ibuprofen that would probably actually help the arthritis.  I hate not being able to workout or even walk around the block without pain (how am I supposed to lose weight if I can't exercise I mean really)?
 
So on to the shot: I have a fairly high pain tolerance to begin with (I've only ever taken pain meds for 3 days after my first big surgery and then I just sucked up the pain).  My doc sprayed my knee with numbing spray & then in went the needle to the chosen spot. There is a lot of pressure you will feel (it didin't bother me, but after years of knee issues & surgeries I was used to injections)...but you will tighten your muscles and wince.  It was a quick injection and then as he started going over what I couldn't do for at least 24 hrs it hit.  SWEET MOTHER the pressure & pain.  It's the weirdest feeling and I wish I could describe it, but I guess when you think about it you just had gel injected into one place and it's just sitting there in a lump until you start to move it around.  I mean for me to say it hurt, my friends were surprised....some not so nice words came out of my mouth when it hit.  They told me to hang out and swing my leg and move it around to get it going.  I will say my knee & leg felt like I had just had surgery--it felt swollen & I was limping cause it felt like I couldn't straighten my leg back when I was standing.  But ya just take it slow, and you can't workout or do anything too strenuous for 24 hrs.
48 hrs later--I can tell you it felt weird for a while.  But now i can get out of the car after a ride across town with little pain, it's not excruciating to take that first step in the morning from bed, and after sitting all day at work it's stiff but not painful.  I admit I have not done my part in keeping up with my strengthening exercises so my knee is weak, but paiin wise it's a 100% improvement.  I think that initial pain and the 24 hrs of weird/swollen feeling in my knee is worth it. Injection #2 is next week and then the last the following.  If this even gives me a few months of no pain it will be worth it!  I talked to another patient who got them and he said his really started to kick in a month later---I kinda guess that's cause it's all finally settled where it needed to go and any inflammation in your knee from the actual shot has subsided.
 
On a random exercise note:  I started doing T-Tapp which is made for people with bad back/knees, just issues in general.  It's more about positioning & using your muscles than full on cardio; she wants you to be aligned properly so with little stress on your joints you still get a workout.  You won't necessarily sweat like you just did p90x, but it's been a God send for me.  It pretty much concentrates on inches rather than the scale--which I believe is the true measure of weight loss (inches).  You can look up the site, but you can also try it before you buy via the website.  If you're hurting & cannot workout but know you need to move this could be the one for you....they have a seated workout too!  I'm not endorsing cause I dont work for the company, just saying from someone with a lot of knee issues who needs to lose weight to help w/ those issues it may be worth a shot.

Post Edited (poseidon_92) : 4/11/2014 10:13:55 AM (GMT-6)


Achey all over
Regular Member


Date Joined Sep 2013
Total Posts : 122
   Posted 4/11/2014 10:22 PM (GMT -6)   
hi,
I thought I would chime in...I have had 13 knee surgeries and every injection there was. I even had good cartiledge taken out of my knee sent to Boston and had it grown in a Petri dish then implanted back into my knee in hopes more good cartiledge would grow...unfortunately nothing worked for me....
I have had a partial knee replacement, a total knee replacement and 2 revisions to and waiting on my 3rd revision. They will need to drill out the center of my femor and put the femoral part of the replacement with an extra long rod in. I had this done for the tubular components as well...
With all this being said I am the very, very , small percentage to have problems with a knee replacement ...I have always heard wonderful stories and how people got their life back and only wished they had it done years ago. I would honestly say I would go for the knee replacement....
I was 39 when I had my first replacement...I am 43 now.
I had one of the best orthopedic surgeons in my area...he has never had a patient who had the problems that I did....I really am the 1%.
If you are unsure and I would get a second opinion...the recovery can be tough at times but would be worth it if you were able to get your mobility back.

Best of luck!
Fibro, 13 right knee surgeries ( total knee replacement ), 14th pending, C5/C6 cervical fusion & discectomy, both ankles reconstructed, right shoulder reconstructed, gall bladder removed, ERCP pancreatitis followed, migraines, reflux, nerve damage..Meds: nortriptyline,300 mg Lyrica, dilaudid, Tramadol, Valium, vitamin D, magnesium

GracieV
New Member


Date Joined Jul 2014
Total Posts : 1
   Posted 7/9/2014 7:27 AM (GMT -6)   
Hello,

I have been getting orthovisc injections in both knees for several years. The injections leave me fairly pain free from anywhere around 6-8 months. I've never found the shots to be horribly painful....they are quick and the needle is small (NOTHING like a cortisone shot)

I am 54, athletic (I team team row, teach kettlebell classes, bike and hike) and have been hard on my knees. I have osteoarthritis and the orthotvisc has been a gift from heaven!! Without them, I would be in constant pain.

I find that the more treatments I have, the faster I respond to them each time. I just received my first injection yesterday of this series. They are given one week apart (to the day) for three weeks. I could tell I had relief by bedtime last night and feel great this morning.

One thing I have learned by experience....you get MUCH results if you avoid overworking or loading your knees for a couple days after each injection.

I highly recommend them. I am thankful that my insurance covers all but my $30 copay for each shot....it's a crime that they are so expensive and out of reach for some.

Grace
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