Take Control of Your Knee Osteoarthritis

Synvisc is a way to treat your osteoarthritis knee pain by addressing the problem at its cause. It works safely and naturally, without the need for drugs or surgery, and has been proven to be highly effective in relieving pain and restoring mobility in most patients.

What is Synvisc?

Synvisc is primarily made up from a substance called Hylan G-F 20, which is basically hyaluronan chains linked together through a chemical process. Hyaluronans are compounds similar to the natural material-hyaluronic acid found in health synovial fluid. Hylan G-F 20 in Synvisc has a molecular weight (6 million Dalton) similar to that of natural, healthy synovial fluid. This is why Hylan G-F 20 in Synvisc has greater elasticity and viscosity properties, and is able to stay in your knee joint longer compared to low-molecular weight hyaluronon used in other visco-supplements.

How does Synvisc work?

Synvisc works mainly by supplementing your knee fluid to relieve the pain and improve the knee joint’s natural shock absorbing abilities.

When injected into the knee joint, the hyaluronan molecules in Synvisc form a protective layer around the diseased cartilage and protect it from further damage caused by friction. This helps to restore the elasticity and viscosity of the synovial fluid, which now is more able to carry out its job – to lubricate and to provide the cushioning your knee needs. As a result, joint pain is reduced and joint mobility is improved.

Pain Relief With Synvisc

The main benefit of Synvisc is that it can provide knee pain relief with one injection. This has been clinically proven in a medical study conducted in 253 patients with knee OA in six countries. The study results show that 71% of patients reported pain relief with Synvisc, and most of them noted the effect starting at week 4.

The study also tracked side effects that occurred among patients who received Synvisc. The most common side effects were knee pain, stiffness, swelling or fluid buildup in or around the knee. These were generally mild to moderate and did not last long. No serious side effects were seen in the injected knees during the study.

Frequently Asked Questions About Synvisc

Is Synvisc right for you? Only your doctor can tell you that. But below are some frequently asked questions on Synvisc to hep you learn a little bit more about the treatment before talking to your doctor.

When should I consider Synvisc?

If you have tried diet, exercise and over-the-counter pain medication, but still experience knee pain, you may be a candidate for Synvisc.

How is Synvisc given?

Synvisc is given as a single injection into the knee joint. It’s a simple procedure that can be performed in the doctor’s clinic, and only takes a few minutes to complete.

How will the doctor prepare my knee for treatment?

Your doctor will clean your knee with alcohol and iodine. He or she will then inject Synvisc into your knee joint. In some occasions, your doctor may apply a local anaesthetic to your knee and withdraw any damaged fluid from your joint to prepare your knee for the injection.

When will I start to feel pain relief?

The response to Synvisc injection may be different from one person to another. Some feel the effects sooner than others, but generally speaking, patients obtain full pain relief by six weeks after injection. Some studies have noted reduction in pain as soon as one week post injection.

 How long will the pain relief sustain?

It should be remembered that Synvisc, or in fact any viscosupplementation, is not a cure for knee osteoarthritis and cannot relieve the symptoms permanently. Generally, one injection of Synvisc can provide osteoarthritis pain relief, although the benefit gained varies from patient to patient.

Are there any side effects?

Synvisc does not have the serious side effects that are associated with most pain-relieving medications. Its side effects are mainly localised discomfort, such as knee pain, stiffness, swelling or fluid buildup in or around the knee. Other side effects, such as rash, may also occur. The side effects are generally mild to moderate and do not last long.

Should I reduce my activity after being treated with Synvisc?

After the injection, you can carry on with your normal day-to-day activities. However, you should avoid strenuous activities for at least 2 days.

Can I receive Synvisc more than once?

Yes, Synvisc can be repeated safely. Keep track of your symptoms, and if your knee pain returns, talk to your doctor about whether another Synvisc treatment is right for you.

Can both my knees be treated with Synvisc?

Yes, You can receive treatment in both knees at the same time, or at different times. Ask your doctor what is best for you.

Call Now (+65) 6471 2674 (24 Hour) to make an appointment to see our knee specialist for Synvisc treatment today.

About Knee Osteoarthritis

Osteoarthritis (OA) of the knee is a wear-and-tear disease that develops gradually over the years due to repetitive damages in the joint because of certain activities or events. Besides aging, there are other reasons that may cause you to be a higher risk of developing knee OA, such as being overweight, family history of knee OA, and certain occupations.

Facts and Information on Knee Osteoarthritis

Knee OA usually develops slowly, and gradually worsens over time The symptoms may range from mild to very severe. In general, there are four stages of knee OA.

Stages of Knee Osteoarthritis

Stage 1

Narrowing of joint space is unlikely.

Stage 2

Minimal change in joint space; identified small osteophytes (bone spurs formed around the joint).

Stage 3

Moderate joint space narrowing; presence of multiple osteophytes.

Stage 4

Severe joint space narrowing with bone on bone contact; presence of multiple large osteophyrtes.

Knee Osteoarthritis

Healthy Knee VS Knee With OA

In a healthy knee, there is small amount of lubricating fluid, known as synovial fluid, in the joints. A substance known hyaluronic acid is found predominantly in synovial fluid. The primary function of hyaluronic acid is to provide lubrication and reduce friction when the knee joint moves or bends. It also has shock absorbing ability to protect your joint when, for example, you jump.

When you have OA of the knee, the cartilage that protects the ends of the bones gradually deteriorates. OA of the knee also causes the synovial fluid inside the joint to become damaged and lose its shock-absorbing abilities. Therefore, it can no longer protect your knee joint effectively. Bones may begin to rub against each other, causing pain, stiffness and loss of movement in the joint. This is why you experience pain, swelling and loss of mobility.

That is why getting diagnosed and treated early can help greatly in reducing knee pain, allowing you to continue to carry out the activities you enjoy.

Common Symptoms of Knee OA

  • Pain during movement and even at rest
  • A grating sensation in the joint during movement
  • Stiffness after periods of rest
  • Joint swelling
  • Loss of range of movement
  • Loss of mobility
  • Weakened procedure due to pain and stiffness

The symptoms of OA are treatable, especially in the early stages of the disease. If knee OA is not treated appropriately, these symptoms can get worse over time. Constant pain and limited movement probably make even simple tasks and pleasures increasingly difficult for you. If you have pain or stiffness in one or both knees, contact our doctor to find out if you have OA.

Treatment Options for Knee OA

If you are diagnosed with knee OA, your doctor may recommend one or more of the following treatments to reduce your symptoms:

  • Lifestyle changes, including moderate exercise, weight control and reducing stress on your joints.
  • Oral pain relievers such as paracetamol or NSAIDs for temporary pain relief.
  • Dietary supplements, such as glucosamines, are also used to help manage knee pain. However, taking these supplements does not stop your knee OA from getting worse.
  • Topical pain-relieving creams to apply to your skin.
  • Physical and occupation therapy to strengthen muscles and improve mobility.
  • Steroid injections to temporary relieve pain and reduce any swelling.
  • Viscosupplementation: A Knee injection, such as Synvisc, that replaces damaged joint fluid, in order to reduce pain and often improve function as well.
  • Surgery, often recommended when knee pain is severe and other treatments have not provided relief.

Call (+65) 6471 2674 (24 Hour) to treat your knee pain today.

Brief Outline of Quadriceps Tendinitis

Quadriceps tendinitis, like other versions of tendinitis, involves inflammation of the tendon. Minor tears may also occur in the tendon when the stress is too much for the tendon to handle. This can be a result of repetitive stresses to the quadriceps, such as when accelerating and decelerating, or excessive stress before the muscle is conditioned to cope with it. Pain just above the kneecap, especially when extending the knee, usually accompanies this injury.

Cause of Quadriceps Tendinitis

Repetitive stress to the tendon such as running, jumping, etc. Repetitive acceleration and deceleration as in hurdling or football. Untreated injury to the quadriceps.

Signs and Symptoms of Quadriceps Tendinitis

Pain just above the patella. Pain is aggravated by jumping, running, kneeling or walking down stairs.

Complications if Left Quadriceps Tendinitis Untreated

The quadriceps muscles may also become inflamed, and the tendon will become weak if left untreated. This could lead to a rupture of the tendon. A change in gait or landing form can lead to other injuries as well.

Treatment for Quadriceps Tendinitis

Rest and ice. Anti-inflammatory medicine or injections. Shockwave therapy.

Rehabilitation and Prevention for Quadriceps Tendinitis

Rehabilitation should include stretching and strengthening exercises for the quadriceps. Activities such as swimming can be helpful to reduce the stress on the tendon during this phase. Return to a normal activity schedule should be delayed until pain subsides completely and strength is restored. Keeping the quadriceps flexible and strong will help prevent this condition.

Long-term Prognosis and Surgery for Quadriceps Tendinitis

A full recovery with no long-term disability or lingering effects can be expected in most cases of tendinitis. Surgery is only necessary in extremely rare cases of the condition.

Joint Pain Tel