FAQ's on Visco-Supplementation for Arthritic Joints


What is Visco-Supplementation?

Visco-Supplementation is also called hyaulronate. It is a naturally occurring protein that forms normally in the joints. It is elastic and helps to lubricate and cushion the joints. It is FDA approved for Osteoarthritis.

What is the Visco-Supplementation Procedure?                                       

Visco-supplementation is an injection procedure that acts as a lubricant to the joint surfaces. It helps reduce the pain from osteoarthritis, improve the mobility, increase the range of motion and makes it easier to walk

How Can It Help Arthritis?                                                                             

There are several things that the Hyaluronate does in the body. It is thick jelly-like substance that lubricates while also cushioning the joint. When you have arthritis in the knees, the liquid becomes very watery and thin which make it hard to act as a cushion or lubricate the joints properly. The second thing that the Hyaluronate does is stimulate the joint to produce more synovial fluid naturally.

What should I expect after the injection?

Initially you may experience some post-injection soreness. This diminishes after 24 hours. Following the injection, you will notice a decrease in the intensity of pain in your knees and an improvement in your mobility 

How frequently will you need the injections?

Depending on the type of visco-supplementation that you receive, it may be a single injection or a series of injections. Our patients normally experience 3-12 months of relief.

What are the possible side effects?

A small percentage have experienced swelling, stiffness, and pain at the injection site. This usually lasts a day. There may also be bruising around the injection site. Only one in ten thousand cases experienced joint infections after an injection.

How quickly will it work?

For most patients it takes about 48 hours to start noticing a difference. It may take up to a month to see the maximal beneficial effect. You can return to work immediately and conduct your normal activities normally. It is recommended that you do not do any running or any other strenuous activities for the first 48 hours.

Who is eligible for the procedure?

Individuals with stage two or three osteoarthritis who have failed other conservative measures may be a candidate for the procedure. There is some evidence to suggest that the sooner a patient can receive the treatment the fewer long term complication of the disease.

Does my weight affect the effectiveness of the procedure?

If you are overweight, there is more pressure on your knees, which causes the injections to be less effective. For every pound of weight, you are increasing the pressure on your joints by a factor of three. . Therefore, by losing ten pounds, you decrease 30 pounds of pressure  on your joints.



Majumdar, S. (2010, Dec 21). Now, reduce knee pain with ‘visco supplementation’. DNA: Daily News & Analysis Retrieved from http://search.proquest.com/docview/821281014?accountid=458

Study supports two potential mechanisms for visco supplementation in osteoarthritis. (2006, September 26). World Disease Weekly, 1032. Retrieved from http://find.galegroup.com/gic/infomark.do?&source=gale&idigest=87a5e50e0352e3f93d62f2d282f90188&prodId=GIC&userGroupName=uphoenix_uopx&tabID=T004&docId=A240627810&type=retrieve&PDFRange=%5B%5D&contentSet=IAC-Documents&version=1.0

Gershon Pain Specialists
1133 First Colonial Road
Virginia Beach, VA 23454
Phone: 757-496-2050
Fax: 757-689-4357
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