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Visco-supplementation for Arthritis of the Knee

May 27, 2017


This nonsurgical procedure is an injection of a gel-like medication into the knee joint to supplement or replace the thick synovial fluid that cushions the joint. This treatment can help reduce the pain of arthritis.


In preparation for the procedure, the physician numbs the knee with an injection of local anesthetic.

The Injection

The physician carefully guides a needle through the numbed tissue and into the space within the knee joint. The physician may confirm the position of the needle with a fluoroscope, a special type of x-ray that shows moving images. Once the tip of the needle is positioned correctly, the physician injects the medication. This fluid will cushion and lubricate the knee joint.

End of Procedure and Aftercare

When the injection is complete, the physician removes the needle. The injection site is bandaged. The patient may not feel relief for a few weeks, and may need to return for additional injections.

About the Author
Dr. John B. Adams is board certified in Pain Management by the American Board of Medical Specialties and the American Board of Interventional Pain Physicians. With almost 2 decades of experience, he offers patients access to state-of-the-art pain management, emphasizing a multidisciplinary approach to pain management utilizing precision injections, neuromodulation technology, physical therapy, behavioral medicine and judicious use of medications including help with patients titrating off opiates (narcotic pain medications).

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