Orthovisc Injection: What Happens Next?

According to the latest numbers from the World Health Organization (WHO), a staggering 528 million people globally struggle with osteoarthritis. This degenerative disease often targets the knee joint and can significantly impact mobility and daily life. As populations age and obesity rates rise, the need for effective knee pain management continues to grow.

Orthovisc is a promising option in this growing need for solutions to knee pain. It is a brand of hyaluronic acid injection specifically formulated for knee health. Orthovisc replenishes the joint’s natural lubrication, reducing friction and discomfort. If you’re curious about this treatment, you might have questions about what happens next.

In this article, we’ll explore the recovery process of Orthovisc, covering potential side effects and discussing the timeframe for experiencing the treatment’s benefits.

Key Takeaways

• Orthovisc injections are a viscosupplement therapy used to relieve joint pain associated with osteoarthritis.
• Patients may experience temporary discomfort, swelling, and bruising at the injection site immediately after the procedure.
• Short-term recovery may involve following the healthcare provider’s recommendations and engaging in exercise or physical therapy.
• Orthovisc injections have shown that they provide long-lasting benefits, including sustained improvements in joint function and reduced pain.
• Patient education and empowerment are essential for informed decision-making and proactive joint health management.

What Are Orthovisc Injections?

Orthovisc injections are a medical treatment designed to alleviate joint pain associated with osteoarthritis, particularly in the knee. They are a brand name for a specific formulation of hyaluronan, a substance capable of copying the viscous synovial fluid that serves as a natural lubricant and cushion for the joints.

Many doctors and healthcare professionals turn to Orthovisc when other arthritis medications, such as conservative nonpharmacologic therapy or simple analgesics like acetaminophen, have not been successful in helping patients feel pain relief in their knees.

With FDA approval, Orthovisc injections for knee pain are a trusted option for managing joint inflammation and enhancing the quality of life for patients struggling with degenerated joints.

How Orthovisc Injections Work to Relieve Joint Pain Associated with Osteoarthritis

Orthovisc injections supplement the patient’s natural synovial fluid with hyaluronan, a high molecular weight version of the substance found in healthy knee joints. Here is an overview of how Orthovisc works once injected:

• Viscous Cushioning: The injected HA acts like a lubricant, reducing friction within the joint and easing painful movement.
• Space Filling: The HA molecule can attract water into the joint, providing a cushioning effect and potentially improving joint space.
• Anti-inflammatory Properties: Some studies suggest HA might have mild anti-inflammatory effects, reducing inflammation within the joint and contributing to pain relief.
• Pain-relieving Properties: HA may interact with pain receptors in the joint, potentially modulating pain signals.

The treatment involves a series of injections directly into the knee joint, typically administered weekly for three to four weeks, and can provide pain relief for up to six months.

Preparing for Orthovisc Injections

Orthovisc injections are a therapeutic option for individuals suffering from osteoarthritis of the knee, aiming to alleviate pain and improve joint function. Proper preparation is crucial to maximize the benefits and minimize potential risks associated with the treatment. Below is a detailed guide on how to prepare for Orthovisc injections.

Consultation with a Healthcare Provider

Before getting Orthovisc injections, patients must see a healthcare provider. A thorough consultation will help determine if Orthovisc will help with knee osteoarthritis. Here’s what your consultation might cover:

• Medical History Review: Your doctor will review your medical history, including past surgeries, allergies, and current medications. This review helps identify any potential risks associated with the injections.
• Osteoarthritis Diagnosis Confirmation: X-rays or other imaging tests might be necessary to confirm osteoarthritis as the source of your knee pain.
• Severity Assessment: The severity of your osteoarthritis will influence whether Orthovisc is a suitable option. Generally, Orthovisc is most effective for mild to moderate osteoarthritis. 
• Addressing Questions and Concerns: During the consultation, ask questions like, “Does Orthovisc really work?” or “Is it a safe treatment?” By asking these questions or bringing up any concerns, you can feel more at ease now that you understand Orthovisc better.
• Treatment Alternatives Discussion: Your doctor will discuss alternative treatments like physical therapy, weight management, and pain medications. They consider Orthovisc after these options haven’t provided sufficient relief. 
• Benefits and Risks Explanation: During the consultation, your doctor will explain the potential benefits of Orthovisc injections while also discussing the risks and possible side effects associated with the injections.
• Treatment Plan: Depending on the severity of your osteoarthritis, your consultation involves a discussion of the treatment schedule. The typical timeline for this treatment involves 3 to 4 weekly injections, and your doctor should help you set realistic expectations regarding the outcomes.
• Insurance Coverage: Discuss insurance coverage for Orthovisc injections with your doctor’s office or insurance company beforehand.

Pretreatment Instructions and Considerations

Once your doctor determines Orthovisc is a suitable treatment option, they will provide specific instructions on preparing for the injections. Here’s what you might expect:

• Stop Certain Medications: A few days before the procedure, you might need to temporarily stop blood-thinning medications or anti-inflammatory drugs to minimize bleeding risks. However, consult your doctor for specific instructions, as stopping medications without proper guidance can be harmful.
• Fasting Instructions: Sometimes, your doctor might recommend fasting for a few hours before the injection. This instruction is usually only necessary if there are additional procedures alongside Orthovisc.
• Loose Clothing: Wear loose-fitting clothing around your knees to allow easy access during the injection.
• Arrange Transportation: Plan to have someone drive you home after the procedure, as your knee might feel slightly uncomfortable following the injection.
• Inform About Allergies: Inform your doctor about allergies, especially to medications or latex, as some injection materials might contain latex.
• Discuss Pain Management: Discuss pain management options with your doctor for any discomfort you might experience after the injections.

Once you’re at the clinic, your doctor will start preparing you for the procedure. Your doctor will clean the injection site, but they should refrain from using skin disinfectants that contain ammonium salts since they can react adversely with the hyaluronan in Orthovisc.

Your doctor will also determine if there is excess fluid in the knee. Any excess fluid must be removed before the injection so that Orthovisc works as expected in the joints.

Potential Risks and Complications

While Orthovisc injections are generally safe and well-tolerated, some potential risks and complications are essential to be aware of:

• Injection Site Pain and Swelling: Mild pain, redness, or swelling around the site are normal and typically resolve within a few days.
• Infection: There’s a small risk of infection at the injection site. Doctors can minimize this risk by using sterile techniques during the procedure.
• Bleeding: Minor bleeding at the injection site is possible, especially if you’re taking blood-thinning medications.
• Allergic Reaction: An allergic reaction to hyaluronic acid is infrequent but possible.
• Joint Flare-up: In rare cases, the injection might temporarily worsen knee pain or cause a joint flare-up.

It’s essential to report any concerning symptoms after the injection to your doctor, such as increased pain, swelling, redness, or fever.

By understanding the preparation process, potential benefits, and associated risks, you can confidently approach your Orthovisc injections and make informed decisions about your osteoarthritis management plan.

What to Expect Immediately After Orthovisc Injections

After receiving Orthovisc injections, patients can expect to experience some immediate and short-term reactions at the site of the injection. Here’s what typically occurs:

• Temporary Discomfort at the Injection Site: It’s common to feel discomfort, stiffness, or a spongy sensation in the knee after the injection. This sensation may last for 2 to 3 days. Applying a cold pack to the knee for 10 to 15 minutes every 4 hours can help alleviate this discomfort.
• Minor Swelling and Bruising: Some patients may notice swelling, warmth, or bruising around the injection site. These symptoms are usually mild and should subside on their own. If swelling persists for more than 4 hours after the injection, icing the knee and taking an anti-inflammatory medication, as a healthcare provider advises, can provide relief.

Recommendations for Managing Postinjection Symptoms

After dealing with minor swelling and bruising, patients often seek ways to manage postinjection symptoms effectively. Knowing the proper steps can make a big difference. Here are some tips to follow after getting Orthovisc:

• Keep the Injection Site Dry: For the first 24 hours after the injection, keep the site dry and covered with a clean bandage.
• Avoid Water Immersion: Do not take baths, use hot tubs or saunas, go swimming, or submerge the treated knee in water for at least two days after the procedure.
• Pain Management: The injection site may be sore for a few days. As your doctor recommends, over-the-counter pain medication can help manage this discomfort.
• Activity Modification: Avoid standing for long periods, jogging, lifting heavy objects, or engaging in high-impact sports for at least 48 hours after the injection.
• Heat Application: Do not apply hot or warm packs to the injection site for 24 hours following the procedure.
• Follow-Up Care: If you experience increased knee pain, signs of infection (such as warmth, swelling, redness around the knee), or any other concerning symptoms, contact your healthcare provider immediately.
• Weight Management: Being overweight or obese stresses your joints, including the knees. Maintaining a healthy weight can significantly improve joint health and reduce pain.

By following these recommendations and staying in communication with your doctor, you can ensure a smooth recovery after your Orthovisc injections and maximize the potential benefits of this treatment for managing your osteoarthritis.

Short-Term Recovery and Pain Relief

Patients may begin to notice improvements in joint function and a reduction in discomfort within several weeks after the initial Orthovisc injection. Significant decreases in baseline pain and improvements in physical function and joint stiffness have appeared at 26 weeks after a single injection. 

However, the response to treatment varies among individuals, and some may experience relief sooner than others. Adhering to post-injection care recommendations is crucial for the success of Orthovisc injections. These guidelines help minimize the risk of complications and maximize the effectiveness of the treatment.

Furthermore, engaging in a tailored exercise program and attending physical therapy sessions can improve physical activity levels and reduce pain in patients with knee osteoarthritis. These interventions support the joint’s recovery process and enhance the overall benefits of Orthovisc treatment.

Long-Term Results and Benefits of Orthovisc Injections

Orthovisc injections can positively impact a patient’s daily activities and overall quality of life. By reducing joint pain and improving mobility, patients may find it easier to perform everyday tasks and engage in activities they enjoy. This improvement in joint function can lead to increased independence and a more active lifestyle, contributing to a better quality of life.

Patients who receive Orthovisc injections report sustained improvements in joint function and a significant reduction in pain. These benefits can last up to six months after a complete treatment cycle, which typically includes three weekly injections.

The duration of pain relief from Orthovisc injections can vary among individuals. While some patients may experience benefits that last up to 26 weeks, others may notice a shorter duration of relief. Factors influencing this variability include the severity of osteoarthritis, patient activity levels, and individual response to the treatment. 

Additionally, real-world evidence suggests that patients treated with hyaluronic acid injections like Orthovisc may delay total joint replacement surgery for an average of 3.6 years.

Conclusion

Orthovisc injections offer a promising option for managing osteoarthritis pain and stiffness, potentially improving joint function and quality of life. By understanding the post-treatment experience and outcomes, patients can make informed decisions about incorporating Orthovisc injections into their long-term osteoarthritis management plan, often alongside exercise and physical therapy. 

Seeking professional guidance from a doctor or healthcare provider is essential throughout the journey to manage joint health effectively.

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FAQs

1. What is Orthovisc made from?

Orthovisc comes from a highly purified form of hyaluronan derived from rooster combs.

2. Does Orthovisc help with knee pain?

Yes, Orthovisc treats knee pain caused by osteoarthritis, especially when other treatments have failed.

3. What should I expect after getting an Orthovisc injection?

After the shot, you might have some soreness or swelling at first, but this usually goes away quickly, and then you’ll begin feeling pain relief in the knee.

4. Can I buy Orthovisc online?

Orthovisc is available online, but only licensed healthcare professionals and experts can make this purchase. Always talk to your doctor to see if Orthovisc is right for you. 

References

World Health Organization: WHO, World Health Organization: WHO. Osteoarthritis. Published July 14, 2023. https://www.who.int/news-room/fact-sheets/detail/osteoarthritis

Clinical effects of intraarticular injection of high molecular weight hyaluronan (Orthovisc) in osteoarthritis of the knee: a randomized, controlled, multicenter trial. PubMed. Published October 1, 2005. https://pubmed.ncbi.nlm.nih.gov/16206349/