COMBINATION THERAPY FOR JOINT ARTHRITIS

In osteoarthritis, the affected joint cartilage is damaged, inflammation is present and joint fluid (hyaluronic acid) is lost. This vicious cycle of ongoing inflammation, progressive cartilage damage and continued loss of joint fluid slowly causes destruction of your joint and worsens your arthritic condition.

Our regenerative combination therapy helps break this cycle by incorporating all the factors that are required for creating the best healing environment for the cartilage, by providing the cells which can differentiate and are the building blocks for the cartilage and by replenishing the lost joint fluid.

Three Stages of Therapy

This therapy involves three stages;
BMAC (Bone Marrow aspirate Cells) Stem Cell treatment
PRP (Platelet Rich Plasma) injection
Viscosupplementation (Hyaluronic acid) injection

The stem cells provide the cellular therapy for cartilage healing, PRP provides anti-inflammatory factors and pro-healing factors which create the right environment in which healing takes place and viscosupplementation replenishes the lost hyaluronic acid.

The aim of our combination therapy is to promote healing of joint cartilage and delay progression of your arthritis and this in turn helps improve pain, mobility and function while reducing swelling and stiffness of the joints.

Combination Therapy Of Joint Arthritis

FAQS

WHAT IS VISCOSUPPLEMENTATION?

Viscosupplementation is another widely used treatment optioin in osteoarthritis pain management.

Hyaluronic acid is a naturally occurring substance present in the synovial fluid of your joints. In your knees, synovial fluid, a thick gel-like liquid, helps cushion your joint and absorb the shock of walking, running, twisting, and turning. People with osteoarthritis (OA) of the knee have lower levels of hyaluronic acid in their synovial fluid. Therefore, their joints are less “greased” and less able to protect the bones and cartilage from damage and destruction. Viscosupplementation, a popular treatment for OA of the knee, injects hyaluronic acid (also called hyaluron and hyaluronate) into the affected knee in order to hopefully return some mobility to the joint.

WHEN SHOULD I HAVE VISCOSUPPLEMENTATION TREATMENT?

Viscosupplementation is usually reserved until other conservative treatment options have been tried and have not relieved your pain, A single concentrated injection or a course of 3 to 5 injections may be required.

WHEN CAN I EXPECT TO FEEL RELIEF FROM MY VISCOSUPPLEMENTATION PROCEDURE?

Most patients have improved pain relief and function following the injections, but some patients will not be helped by viscosupplementation as mentioned above. For those patients who report pain relief with the procedure, it could possibly take a few weeks or months to notice a significant improvement. How long the effects last vary on several factors like diet, exercises, and external factors. Some patients report pain relieving effects for several months following the injections.

HOW IS VISCOSUPPLEMENTATION CARRIED OUT?

Viscosupplementation is regularly carried out by our team of experts in an outpatient setting at our Regenerative Therapy Centre. This consists of a patient receiving one or 3 injections over several weeks.

The procedure begins by understanding and assessing damage in the joint, if there is any sort of swelling and inflammation in the joint involved. Once the diagnosis is made and you are suitable for the injection, this is carried out in the clinic. Following the injection, you will be asked to avoid excessive weight bearing on the leg, standing for longer durations, heavy lifting or jogging. You will need to be in a relaxed state but can continue with daily activities for the first 48 hours.

ARE THERE ANY RISKS/SIDE EFFECTS WITH AN VISCOSUPPLEMENTATION INJECTION?

Some patients witness a local reaction, such as pain, slight swelling or warmth immediately after the injections. These symptoms generally subside over a few hours and do not tend to cause any problem. An ice pack application on the knee generally is known to help and ease the pain.

In rare scenarios, some patients may develop a local allergy-like reaction in the knee. In these cases, the knee tends to become full of fluid, red, warm, and painful. In such circumstances, you should call your consultant to give you further instructions. Some other rare conditions such as infection and bleeding can occur after the procedure.

CAN I HAVE REPEAT VISCOSUPPLEMENTATION INJECTIONS?

If the injections are effective they may be repeated after a period of time, usually every 6 months.

will I need POST TREATMENT CARE

Routine follow up appointment at 3 months with ongoing support and care for your condition through our helpline and clinic.

If you have had a good response to the Viscosupplementation injection it can be repeated again in 6 to 8 months time.

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