Wisconsin Bone & Joint knee care experts offer comprehensive
services to individuals with a wide range of knee pain issues.
Knee Specialists At Wisconsin Bone & Joint
The physicians at Wisconsin Bone & Joint utilize cutting-edge technology to assess, diagnose and work with patients to develop innovative treatment plans for a variety of knee conditions and injuries. Our team of physicians are committed to providing you with the best treatment options to alleviate your knee pain.
Providing trusted Orthopedic care in the community for over 40+ years
At Wisconsin Bone and Joint, we pride ourselves with providing you highly personalized and comprehensive orthopedic care. Our philosophy of direct physician-to-patient care means your physician will be an intrical part of every stage of your care. This commitment to a dedicated continuum-of-care model has made us one of the most trusted and respected practices in Southeast Wisconsin and greater Milwaukee area.
What Is Viscosupplementation?
In its early stages, arthritis of the knee is treated with nonsurgical methods. Your doctor may recommend a range of treatments, including:
- Changes in activity level
- Weight loss
- Pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen
- Physical therapy
- Corticosteroid injections
Another treatment option is a procedure called viscosupplementation. If you have tried all other nonsurgical treatment methods and your pain continues to limit your activities, viscosupplementation may be an option.
In this procedure, a gel-like fluid called hyaluronic acid is injected into the knee joint. Hyaluronic acid is a naturally occurring substance found in the synovial fluid surrounding joints. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. People with osteoarthritis have a lower-than-normal concentration of hyaluronic acid in their joints. The theory is that adding hyaluronic acid to the arthritic joint will facilitate movement and reduce pain.
The most recent research, however, has not found viscosupplementation to be effective at significantly reducing pain or improving function. Although some patients report pain relief with the procedure, some people are not helped by the injections.
Viscosupplementation was first used in Europe and Asia, and was approved by the U.S. Food and Drug Administration in 1997. Several preparations of hyaluronic acid are now commercially available.
Depending on the product used, you will receive one to five shots over several weeks.
During the procedure, if there is any swelling in your knee, your doctor will remove (aspirate) the excess fluids before injecting the hyaluronic acid. Usually, the aspiration and the injection are done using only one needle injected into the joint, Some doctors may prefer to use two separate syringes.
For the first 48 hours after the shot, you should avoid excessive weight bearing on the leg, such as standing for long periods, jogging or heavy lifting.
You may notice a local reaction, such as pain, warmth, and slight swelling immediately after the shot. These symptoms generally do not last long. You may want to apply an ice pack to help ease them.
Rarely, patients may develop a local allergy-like reaction in the knee. In these cases, the knee may become full of fluid, red, warm, and painful. If this occurs, contact your doctor immediately.
Infection and bleeding are also very rare complications of this procedure.
Our team is here for you
When conservative care and treatment is appropriate, we offer the best, least invasive, least aggressive treatment options to relieve your pain and discomfort. When an injury is more serious and conservative care is not an option, our orthopedic surgeons provide the latest in innovative surgical interventions available with the goal of getting you back to the life you love. Wisconsin Bone & Joint physicians offer orthopedic services at three convenient locations in Mayfair, Glendale and Cedarburg.