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Patients who
are not candidates for total knee replacement or who have failed
previous knee surgery for their arthritis may candidates for injection
of hyaluronic acid.
Hyaluronic
acid products like Hyalgan and Synvisc mimic a naturally occurring
body substance that lubricates the knee joint. They are usually
injected directly into the joint to help provide temporary relief
of pain and flexible joint movement.
Although study
results are not definitive, data from trials suggests that improvement
occurs in a significant number of patients.
The recommended
injection schedule is one injection per week for five weeks for
Hyalgan, and one injection per week for three weeks for Synvisc.
A repeat of this process can be performed after six months.
No excessive
weight-bearing physical activity should take place for one to
two days following injection.
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