Synvisc Injection technique

[Windrider3]

I have been receiving Synvisc injections every 6 months for the past two years, and until recently have not experienced any problems.  After some swelling following the last series, I began to question the method of administering these treatments.  Although some pain and swelling are noted side-effects, I wonder if all precautions are being taken with the injection.  Synvisc clearly indicates that synovial fluid is to be removed before each injection, yet my doctor has never done this.  He has passed my questions off as something that is not important and said that the Synvisc is intended to mix with the existing fluid -- as a supplement, and that it is an unnecesary procedure.  My questions are:  Are there any indications that failure to remove the existing fluid is problematic for most patients, or is he just being lazy?  Thanks for your help and advice.

[txsilver]

Thank you for sharing!  It really helps to have a response from someone with personal experience!

[badknees53]

I have had synvisc twice and I can tell you without a doubt that having a radiolgist do it is far better than having the orthopedic doctor do it.  The radioligist watches the needle on his scope and can position the injection much better.  It is far less painful.  

I have also had it done when I had a total collapse of the knee and I was unable to get a replacement at that time.  The doctor told me it would not work because I really didn't have a joint left and I didn't get much relief.  But I received a cortisone shot about 6 weeks after my last synvisc injection and the difference was unbelievable.  I could get out of bed and walk without having to wait a few minutes to get my knee working.   I went on a european trip and did a lot of walking.  I still felt a lot better when I had my knee replaced five months after the cortisone.  There have been no studies on this and there should be.

[txsilver]

My reading indicates you are correct about synovial fluid being removed prior to the injection.  I am concerned that your doctor seems to discount your concerns.  My recommendation would be to find a doctor who will listen to you and who has experience with Synvisc.  If you can find other patients in your area with similar problems, they may be able to recommend a doctor to you.  You may also want to talk to a physical therapist and see who they recommend as they are bound to have seen some success stories.