Produced by: William Pidwell, M.D.
Lifestyle modifications are recommended for every patient:
- Maintenance of an active lifestyle with a predominance of low impact activities including cycling and eliptical
- Weight control and weight loss if indicated. Losing one pound of body weight reduces the stress on knees by 3 pounds
- Consideration of Physical Therapy
- Consideration of an ant-inflammatory diet
Oral medications can be beneficial for some patients, including:
- NSAIDS (Advil, Aleve, Ibuprofen, Naprosyn, Diclofenac, Celebrex) if safe for your to take
Injection Therapy can be very beneficial for patients who find the lifestyle modifications and oral medications to be insufficient. The chart below details the different options, including benefits and drawbacks of each.
*Whereas a complete resolution of symptoms is always our goal, it is not a fair assessment of success. All of the following injections are targeted to get a 50% or greater improvement in pain and functionality.
(Cortisone, Kenalog, Dexamethasone)
|Hyaluronic Acid Preparation
(Euflexxa, Synvisc, Hyalgan, Orthovisc)
|Platelet Rich Plasma (PRP)||Stem Cell Therapy|
|How it works:||Anti-inflamatory that decreases swelling and pain||Viscosupplementation that replenishes the natural hyaluronic acid found in joint, providing lubrication and cushion||Concentrated blood, providing high % of platelets and related growth factors which provide an anti-inflamatory affect and accelerated healing||Provides all the benefits of PRP, plus a rich concentration of stem cells. The growth factors stimulate the stem cells to regenerate articular cartilage|
|Duration:||Up to 3 months||3 to 6 months||6 to 12+ months||12 to 36+ months|
* Most insurance will cover this cost, minus your deductible
Most insurance will cover this cost, minus your deductible after prior authorization