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Does Orthovisc Really Work?

Published in Osteoarthritis Treatment 3 mins read

Yes, Orthovisc has demonstrated effectiveness in providing pain relief for individuals suffering from osteoarthritis of the knee, particularly for those who have not found adequate relief through simpler pain medications or exercise.

Orthovisc is a brand of hyaluronic acid injection used to treat knee pain caused by osteoarthritis. It is a viscous solution of hyaluronan, a natural substance found in healthy joint fluid. In osteoarthritis, the natural hyaluronan in the joint can break down, reducing its ability to lubricate and absorb shock. Orthovisc aims to supplement this natural substance, helping to restore some of the joint's cushioning and lubricating properties.

Evidence of Effectiveness

Clinical studies conducted in the U.S. have shown positive results for Orthovisc. These trials specifically indicated that Orthovisc provides pain relief to patients who previously did not experience significant improvement with common pain medications or regular exercise. The effectiveness was observed when compared to saline placebo injections, underscoring its therapeutic benefits beyond a placebo effect.

Who is Orthovisc For?

Orthovisc is typically considered for patients who have moderate to severe knee osteoarthritis and whose pain has not responded sufficiently to more conservative treatments. These initial treatments often include:

  • Over-the-counter pain relievers (like acetaminophen or NSAIDs).
  • Regular exercise programs designed to strengthen muscles around the knee.
  • Physical therapy.
  • Weight management.

It is not usually the first line of treatment but rather an option for those seeking further pain management before considering more invasive procedures like surgery.

How Orthovisc Works in the Knee Joint

When injected directly into the knee joint, Orthovisc is believed to:

  • Lubricate the Joint: It enhances the synovial fluid's ability to lubricate the joint surfaces, reducing friction during movement.
  • Act as a Shock Absorber: It improves the natural cushioning effect within the joint, helping to absorb impact during activities like walking or standing.
  • Reduce Pain: By improving lubrication and cushioning, it can alleviate pain and stiffness associated with osteoarthritis.
  • Modulate Inflammation: Some research suggests hyaluronic acid may also have anti-inflammatory properties within the joint.

Understanding Osteoarthritis Treatment Approaches

Orthovisc is one of several treatment options available for managing osteoarthritis. Treatment plans are often multi-faceted and tailored to the individual's specific needs, symptom severity, and overall health.

Here's a look at common treatment categories for osteoarthritis:

Common Osteoarthritis Treatment Approaches

Category Examples How it Helps
Conservative Care Physical Therapy, Exercise (strength training, low-impact aerobics), Weight Management, Braces/Support Strengthens surrounding muscles, improves joint flexibility, reduces stress on joints
Medications Oral Pain Relievers (e.g., acetaminophen), NSAIDs (e.g., ibuprofen, naproxen), Topical Creams (e.g., NSAIDs) Reduces pain and inflammation throughout the body or locally at the joint
Injections Corticosteroids, Hyaluronic Acid (like Orthovisc), Platelet-Rich Plasma (PRP - investigational) Directly reduces inflammation in the joint, lubricates, or potentially aids healing
Surgical Interventions Arthroscopy, Osteotomy, Joint Replacement (Arthroplasty) Removes damaged tissue, realigns bones, or replaces severely damaged joint components

The decision to use Orthovisc or any other treatment should always be made in consultation with a healthcare professional, who can assess your condition and recommend the most appropriate course of action.