Synvisc (Hylan G-F 20) for trashed knees

2

Comments

  • supersonicyears
    supersonicyears Posts: 2,619
    chadwick wrote:
    M7250378-Fluid_aspiration_for_arthritis_treatment-482.jpg

    see how joint fluid looks like pee? the lady that drains & injects my knees is a blast. she just loves aspirating knees; it is her favorite, she tells me so. we then squeeze the plunger over a napkin or cotton thing or gauze and the shit is thick like syrup or some kinda oil.

    the average healthy knee has 2-3 milliliters of joint fluid in it. she usually draws out around 30ml or so. just the other day lying in the hospital she came into my room with what i believe she said was a 16 gauge needle. something like a turkey baster. no numbing solution, no freeze spray. straight up stuck me & sucked my knee. that fucking hurt bad as i let out moans and stuff grabbing the bed railing in one hand & in the other hand i'm clentching my iv pole.

    that fucking hurt... shit. it not only drained 62 milliliters of fluid off my knee but it literally drained what little energy i had in me. i felt weak and depleted

    she was astounded and tickled to death her turkey baster was soo full of my urine looking joint fluid. and as i lay there screaming/moaning in pain the head nurse walks in freakin out that im being worked on and when she saw that giant needle completely filled she about shit herself right there where she stood.

    the doc says i have another 200 milliliters in my knee... currently. this doesn't include my bad knee/the other one that is usually the worst
    Did the nurse tell you why she wasn't giving you anything to numb your knee before using the turkey baster? Damn you're tough.
    "In the age of darkness
    want to be enlightened"
  • chadwick
    chadwick up my ass Posts: 21,157
    supersonicyears wrote:
    chadwick wrote:
    M7250378-Fluid_aspiration_for_arthritis_treatment-482.jpg

    see how joint fluid looks like pee? the lady that drains & injects my knees is a blast. she just loves aspirating knees; it is her favorite, she tells me so. we then squeeze the plunger over a napkin or cotton thing or gauze and the shit is thick like syrup or some kinda oil.

    the average healthy knee has 2-3 milliliters of joint fluid in it. she usually draws out around 30ml or so. just the other day lying in the hospital she came into my room with what i believe she said was a 16 gauge needle. something like a turkey baster. no numbing solution, no freeze spray. straight up stuck me & sucked my knee. that fucking hurt bad as i let out moans and stuff grabbing the bed railing in one hand & in the other hand i'm clentching my iv pole.

    that fucking hurt... shit. it not only drained 62 milliliters of fluid off my knee but it literally drained what little energy i had in me. i felt weak and depleted

    she was astounded and tickled to death her turkey baster was soo full of my urine looking joint fluid. and as i lay there screaming/moaning in pain the head nurse walks in freakin out that im being worked on and when she saw that giant needle completely filled she about shit herself right there where she stood.

    the doc says i have another 200 milliliters in my knee... currently. this doesn't include my bad knee/the other one that is usually the worst
    Did the nurse tell you why she wasn't giving you anything to numb your knee before using the turkey baster? Damn you're tough.
    no she didn't but i will ask her. i am assuming because it was very much huge swollen and did not need another drop of fluid in it. i see her in 4 days. i'll ask and write her answer down as i always take pen/pencil and lil notebook when i see the docs. a person should always move about this land with writing instruments and paper at all times. can't write a line or two for a poem while walking the park if one doesn't have the proper shit on em. same with visiting one's doctor and needing to record joint fluid aspirated

    have a beautiful evening... supersonicyears.
    btw, im not very tough. i just joke around.
    im a big huge baby :cry:
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • madtowndave
    madtowndave Minneapolis, MN Posts: 4,013
    I hate needles, and just reading this makes me cringe.
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  • chadwick
    chadwick up my ass Posts: 21,157
    great time have been had & many more lie ahead
    no more synvisc as i had a bad experience. however... the good times are still to be had.
    http://www.google.com/search?q=genicula ... 66&bih=613

    study, do your homework, kids. review is not known at this time but it is coming.

    find a study partner and read up on 'genicular nerve block' - diagnostic

    then also look up & study genicular nerve burning.

    thank you.

    first you get the block. then you get the burnt nerves if the block was successful. in this case it was a great success & we are all aboard for the burning of the three nerves in L knee

    thank you

    http://www.google.com/search?hl=en&biw= ... 2gXr0IDADg
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • chadwick
    chadwick up my ass Posts: 21,157
    painful blocking bastard needles & large deep in the knee

    good stuff
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • mickeyrat
    mickeyrat Posts: 44,820
    knee replacements aren't an option Chad? We must have asked this question of you somewhere before, I just dont recall if we had or what the answer was.
    _____________________________________SIGNATURE________________________________________________

    Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
    you're finally here and I'm a mess................................................... nationwide arena columbus '10
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    another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
  • chadwick
    chadwick up my ass Posts: 21,157
    mickeyrat wrote:
    knee replacements aren't an option Chad? We must have asked this question of you somewhere before, I just dont recall if we had or what the answer was.
    not now no they are not.
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • mickeyrat
    mickeyrat Posts: 44,820
    chadwick wrote:
    mickeyrat wrote:
    knee replacements aren't an option Chad? We must have asked this question of you somewhere before, I just dont recall if we had or what the answer was.
    not now no they are not.
    will there be this option at some point? Is it a $/insurance issue? Medically prohibitve?
    _____________________________________SIGNATURE________________________________________________

    Not today Sir, Probably not tomorrow.............................................. bayfront arena st. pete '94
    you're finally here and I'm a mess................................................... nationwide arena columbus '10
    memories like fingerprints are slowly raising.................................... first niagara center buffalo '13
    another man ..... moved by sleight of hand...................................... joe louis arena detroit '14
  • chadwick
    chadwick up my ass Posts: 21,157
    i'll take a double knee replacement when i cannot stand & walk. i do both right now with incredible amounts of suffering but nonetheless i still walk. just walked the park & neighborhood. frickin painful bastard
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • shetellsherself
    shetellsherself New Jersey Posts: 8,835
    Wow just read through most of this and really feel for you. I work with a lot of people post knee replacement and almost everybody says they wish they hadn't waited as long as they had. Don't know if you have any other reason to wait and keep in mind post knee replacement rehab is not necessarily easy but could be better than how you are feeling/functioning now. Sorry you are still struggling.
    5/3/92 Omaha, NE
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  • chadwick
    chadwick up my ass Posts: 21,157
    http://www.fpnotebook.com/_media/OrthoKneeInjectSuperior.jpgimage


    http://static.arthritisselfmanagement.com/images/articles/ASM120111_f1_620x310.jpgimage


    "that fucker hurt," i tell him, as he has just put a needle full cortizone/then the synvisc, same needle unscrew screw on dealy into my R knee. cortizone is to keep me from having that septic bullshit this time. what was it, october 2012 hospital admitted? something like that. last synvisc go 'round we didn't cortizone with synvisc, this time we did. yes i get cortizone treatments by themselves as well.

    well that whole being in the hospital experience held me back from having my knee aspirated or cortizone injections or synvisc refills. embrace the torture chamber will be my new saying. dad used to say, "embrace the box"

    "embrace the torture chamber"... F that!

    could be soo much worse though. imagine a massive brutal goon wearing a black hood twisting & beating & removing your knee cap & things & it only gets worse

    the moral of the story, kids. please take care of yourselves so you can grow older & not be jammed up like your uncle chadwick.

    i'm gonna go wrap up egg rolls or something. knock on my door if you hand out painkillers

    goodnight & goodbye
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • shortstack
    shortstack Posts: 2,339
    :(
    did you see me? i saw you.
  • gimmesometruth27
    gimmesometruth27 St. Fuckin Louis Posts: 24,470
    i work in an orthopedic office and we use synvisc and synvisc one every day. for some reason the pseudoseptic response is most common on the second round of synvisc. as far as i know there is no known reason for this. that response is less than 1 out of 1000 cases, but more common on round 2. for that reason we have switched to synvisc one pretty much exclusively. it is the same thing as a synvisc series but in one injection instead of 3 separate ones. sure, we lose money by doing less procedures, but the doc i work with prefers to stick people less times. sometimes people complain that the synvisc one makes their knee feel too full. in those people we go back to the 3 injection series. if any of our patients have a bad reaction we switch to Euflexxa. it is not made from rooster. anybody with a poultry or egg allergy should not get synvisc.

    best of luck chad!
    "You can tell the greatness of a man by what makes him angry."  - Lincoln

    "Well, you tell him that I don't talk to suckas."
  • chadwick
    chadwick up my ass Posts: 21,157
    edited March 2014
    great wording my man! yes it was my second go round. i had the series once before, all three injections a week apart. so we have 3 weeks of injections & possibly aspirations every week with the synvisc.

    synvisc series one no problem
    months later i do synvisc series two
    & as you mentioned ...........it failed
    i was 1 out of 1000

    today was procedure #1 of the 3 total & my 3rd go round with synvisc

    thank you for the proper word useage & understanding of this bologna
    Post edited by chadwick on
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • chadwick
    chadwick up my ass Posts: 21,157
    edited March 2014
    do you yourself ever aspirate a knee or inject cortizone or synvisc or are you the guy preparing the tray of goodies/needles & freeze spray?

    the guy who does me is a p.a. - c
    physician's assisstant & whatever a C is, right?

    http://houstonsportsmedicine.com/wp-content/uploads/2012/09/viscosupplementation-houstonsportsmedicine-alternative-treatment-for-osteoarthritis.pngimage

    what can we do for torn ligaments? & hey well the old news is bone on bone & no cartlidge in different places/sides of each knee. half of each knee has cushion, the other sides none. i always knew of the bone on bone, recently they did soft tisue MRIs. today is when he told me there are torn ligaments
    Post edited by chadwick on
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • gimmesometruth27
    gimmesometruth27 St. Fuckin Louis Posts: 24,470
    chadwick said:

    great wording my man! yes it was my second go round. i had the series once before, all three injections a week apart. so we have 3 weeks of injections & possibly aspirations every week with the synvisc.

    synvisc series one no problem
    months later i do synvisc series two
    & as you mentioned ...........it failed
    i was 1 out of 1000

    today was procedure #1 of the 3 total & my 3rd go round with synvisc

    thank you for the proper word useage & understanding of this bologna

    the thing about synvisc, or any viscosupplementation for that matter, is it is a long term treatment for knee arthritis. it is not fda approved for any other joint, but in theory it would work well will hips and shoulders and ankles. they are still doing the studies to see if it is effective and safe in those other joints. i can not see a reason why it wouldn't be. but i am not the one doing the research.

    you had the 3 series. some doctors prefer the 3 series because it is 2 ml of fluid injected 7 days apart for 3 weeks. synvisc one is 6 ml all at once. if people have had good success and are comfortable with the series of 3, we encourage them to stick with the series. if they have never had it, we steer them towards the one injections because it is more convenient for the patient and less needle sticks. the research shows it is just as safe and effective as the 3 series. it takes longer to work than the 3 series though for some reason.

    if you don't have a bad respone to this injection you are probably going to be ok.

    i do all of the preps and i assist in all the procedures. we do not aspirate for every injection, but if someone has a big effusion we will drain that sucker for 2 reasons. 1. it relieves pressure inside of the joint so it feels better, 2. the synvisc and cortisone is more effective without swelling in the joint. geneerally we would do a cortisone injection to get pain and inflammation under control and then a week or so later do the synvisc since it is a long term treatment and not an immediate one like the cortisone.
    i have done injections on the doctor that i work with, but because it is out of my professional scope of practice i legally can not do them on an actual patient.

    pac means physicians assistant, certified.

    i am an atc, athletic trainer, certified.

    it depends on which ligament is torn. mcl and lcl will normally heal non surgically. acl and pcl do not heal on their own if torn.

    it sounds as if you have single compartment osteoarthritis. it is very common in the medial compartment. because of the way humans bear weight, the medial compartment surfaces break down much faster than the lateral or patellofemoral compartments. most people we see have a significant degree of medial oa and mild oa in one or both other compartments. single compartment oa can be treated with an unloader brace as well, which we use a lot of them. it is a sturdy brace that causes forces and weight to be shifted away from the painful arthritic compartment onto the less painful less arthritic areas. they are kinda bulky, but they work well.

    mris show bone and soft tissue. most times when you mri a knee you are looking for torn ligament or meniscus, but it will show things like bony swelling, stress fractures, and cartilagenous anatomy not seen on xray. we do a lot of mris, but we do not mrl a knee to look just at arthritis because the mri is not going to change the way you treat the arthritis.
    "You can tell the greatness of a man by what makes him angry."  - Lincoln

    "Well, you tell him that I don't talk to suckas."
  • chadwick
    chadwick up my ass Posts: 21,157
    edited March 2014
    you're awesome! i'll take notes of your comments here & i'll be ready to ask more serious or direct questions. thank you, sir
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • josevolution
    josevolution Posts: 31,831
    If you need info on total knee replacements let me know i too work for the Orthopedic service at this hospital ... :-h
    jesus greets me looks just like me ....
  • chadwick
    chadwick up my ass Posts: 21,157
    josevolution said:

    If you need info on total knee replacements let me know i too work for the Orthopedic service at this hospital ... :-h

    wow a whole pile of doctors in here
    awesomeness thanks, jose
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."
    Chief Joseph - Nez Perce
  • shetellsherself
    shetellsherself New Jersey Posts: 8,835
    Any questions on post joint replacement rehab and adaptation... I'd love to help too. :)
    5/3/92 Omaha, NE
    6/19/95 Red Rocks
    9/11/98 MSG
    11/19/12 EV solo Tulsa
    7/19/13 Wrigley 10/19/13 Brooklyn 2 10/21/13 Philly 1 10/22/13 Philly 2 10/25/13 Hartford
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    9/3/24 MSG 1 9/4/24 MSG 2 9/7/24 Philly 1 9/9/24 Philly 2

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