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Damage to cartilage on the kneecap will not typically require surgery for a full recovery. Cartilage defects may range from minor tears to severe wearing away of the cartilage beneath the femur and above the tibia. These differences in the severity of degradation will affect the treatment decision, as will the degree of activity that the patient wishes to pursue after treatment.
Some patients, even with quite severe damage, may choose to not undergo surgery. However, damaged cartilage cannot rebuild itself, surgery will be required to produce additional cartilage-like material to supplement cushioning in the joint. |
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NSAIDs
NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
Pain resulting from inflammation or swelling.
Pain after injury.
Joint pain and arthritis.
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The effectiveness for Synvisc varies from patient to patient. Some patients may feel relief after the first injection, although the remaining injections will still be necessary
Patients typically have pain relief for an average of 8 to 9 months, although the injections may provide relief for up to 12 months. If the patient responds well to the treatment, Synvisc injections can be repeated after their effectiveness wears off.
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Mild pain at the injection site, which will decrease immediately after the treatment.
Some patients experience a mild rash, bruising, or sensation of heat at the injection site.
Synvisc is an avian product; patients allergic to eggs, poultry or feathers are likely to have more severe allergic reactions and may not be good candidates for Synvisc treatment. |
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