Knee Injections Never Gave Patient Knee Pain Relief

By Dr Schnee · May 24, 2010 · Filed in Knee Pain, Testimonial · No Comments »

“Both knees hurt when I tried to walk for any distance.  The pain caused me to stop and sit whenever I could.  I could never squat, or bend my knees even as much as a 45 degree angle.  Exercise with any movements that required bending or sitting for an extended time without propping my right knee up was difficult.  The orthopedic surgeon x-rayed both knees and said I would need total knee replacements when I couldn’t stand the pain anymore.  He also gave me cortizone shots in both knees about twice over a period of a year or more.  Neither shot gave me knee pain relief longer than a couple of days.

Since completing Cold laser treatments with Dr. Schnee it is now possible for me to stand for at least 30 minutes to an hour, which is much more than before.  There is less pain when I walk now and I hope this will continue getting better.  My overall percentage of improvement is between 40-50% or more.   I have more mobility without as much knee pain!

Alma H., Weatherford, TX

If you are suffering from knee pain and you want to avoid knee surgery then Dr. Schnee’s Cold Laser Knee Program may be able to help you.  Dr. Schnee’s Cold Laser Knee Program is considered a complete treatment plan that combines low-level laser therapy (cold laser therapy), non-weight bearing exercises, and other modalities that promote rehabilitation of the knee.

At the DFW Spine & Joint Center we have the ability to use five different types of cold lasers so that every patient’s program is unique depending on whether they suffer from arthritis, ‘bone on bone’, meniscus tears, bursitis, tendonitis, Baker’s Cyst, post surgical arthroscopic knee pain, or a combination of the listed conditions.

If you live in the Dallas, Fort Worth or surrounding areas call our office at 214- 596-1051 to find out if you’re a candidate for Dr. Schnee’s Cold Laser Knee Program.

Or if you would like more information about Dr. Schnee’s Cold Laser Knee Program fill out the form on the right side of this screen to get your FREE report mailed to you entitled, Amazing Cold Laser Therapy the Missing Link to Knee Pain Relief!

At the DFW Spine & Joint Center we also have programs available that can help most musculoskeletal conditions such as low back pain, neck pain, shoulder pain, sciatica, disc and nerve problems, hip, ankle, foot, hand and wrist pain, etc…

Dr. Robert Hanson,D.C. an associate at the DFW Spine & Joint Center, offers a very successful non-surgical program that treats herniated, bulging, degenerated discs, stenosis, and pinched nerves with Cold Laser Spinal Decompression Therapy.

Dr. Alexandra K. Schnee, B.S.,D.C.,-Your Cold Laser Doctor for the Non-Surgical Treatment of Knee Pain for the Dallas and Fort Worth, Texas Area-“ Dr.Schnee’s Cold Laser Knee Program Has Been Helping People with Knee Pain and Joint Pain in the Dallas, Fort Worth and surrounding areas since 2001.”

Cold Laser Therapy Helped Where Knee Injections Did Not | Dallas-Fort Worth

A patient of Dr.Schnee,D.C. from Weatherford Texas,explains how knee injections did not relieve her knee pain,cold laser therapy in Dallas Texas,did.

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Do The Series of ‘Gel Like’ Injections for Knee Pain Really Work?

By Dr Schnee · March 16, 2010 · Filed in Knee Injections, Knee Pain, Osteoarthritis · 15 Comments »

I’m referring to Hyaluronic acid injections aka rooster comb, gel  injections, viscosupplements, SYNVISC®, Hyalgen®, Euflexxa®, Supartz®, Orthovisc®, etc.

In my opinion the answer to this question is NO, NOT REALLY. Ultimately though you have to decide for yourself… Let me explain…

I have personally treated and talked to many patients who have had the series of three to five injections listed above (3-5 injections are usually administered over the course of a few weeks. Recently, SYNVISC® came out with one injection).  Most patients noticed little to no knee pain relief after the injections.  Some noticed that their knee pain and swelling got worse after the injections and they developed what’s known as a ‘hot knee’.  Others developed an allergic reaction to the shot and were unable to complete the series. Of the few that responded favorably to the injection theyonly  noticed temporary pain relief (which in all fairness the injections do claim that the relief is only temporary and usually lasts for up to 6 months).

There are multiple studies indicating that Hyaluronic injections are as effective as placebo injections,[1] [2] [3]and that the effect of anti-inflammatory drugs is 48 times greater than the effect of Hyaluronic acid injections (or rooster comb injections).[4]

One study indicated that the immediate pain relief patients experienced was not due to the injection itself, but from draining the fluid in the knee, a step doctors take prior to administering the injection to prep the knee.

Most patients mistakenly think that the knee injections add ‘cushioning’ or cartilage to their knee.  Unfortunately, this is not the case! IF the injections are successful the theory behind them is that they help lubricate the knee joint. The injections do NOT stimulate cartilage or increase the amount of cartilage in the knee.

Based on my personal experience and the multiple studies I have read (not the ones funded by the pharmaceutical companies, but ones written by a third party) about the injections.  I believe that there isn’t any real evidence that proves their effectiveness in the treatment of osteoarthritis knee pain.

On the other hand, I do believe that an individual should leave knee surgery as their very last option, so it’s certainly worth giving gel injections a ‘shot’.

If you suffer from knee pain due to cartilage loss, ‘bone on bone’, or osteoarthritis of the knee and you want to avoid a total knee replacement or you cannot undergo a total knee replacement due to other health problems then Dr. Schnee’s Cold Laser Knee Program™ may be the answer to your knee problem. Dr. Schnee’s Cold Laser Knee Program™ is considered a complete treatment plan that combines low-level laser treatments (cold laser treatments, cold laser therapy), and other modalities that promote rehabilitation of the knee.  Every patient’s program is different depending on whether they suffer from knee pain due to arthritis, ‘bone on bone’, meniscus tears, bursitis, tendonitis, a Baker’s Cyst, post surgical arthroscopic knee pain, or a combination of the listed conditions.  If you live in the Dallas /Fort Worth area call our office at 214- 596-1051 to find out if you’re a candidate for Dr. Schnee’s Cold Laser Knee Program or visit http://www.HelpMyKneePain.com

Or if you would like more information about Dr. Schnee’s Cold Laser Knee Program fill out the form on the right side of this screen to get your FREE report mailed to you entitled, Amazing Cold Laser Therapy the Missing Link to Knee Pain Relief!

At the DFW Spine & Joint Center we also have programs available that can help most musculoskeletal conditions such as low back pain, neck pain, shoulder pain, sciatica, disc and nerve problems, hip, ankle foot, hand and wrist pain, etc…

Dr. Robert Hanson,D.C. an associate at the DFW Spine & Joint Center, offers non-surgical cold laser therapy programs for the treatment of shoulder, neck and low back pain.  He also offers programs that combine both cold laser therapy and spinal decompression therapy for the treatment of  herniated, bulging, degenerated discs, stenosis, and pinched nerves in the low back and neck.

Dr. Alexandra K. Schnee, B.S.,D.C. practices in Irving, Texas a the DFW Spine & Joint Center,-Your Cold Laser Dallas Doctor for the Non-Surgical Treatment of Knee Pain for the Dallas and Fort Worth, Texas Area-“ Dr. Schnee’s Cold Laser Knee Program Has Been Helping People with Knee Pain and Joint Pain in the Dallas/Fort Worth Area Since 2001.”

Source:
1. Brandt KD, et al. Arthritis Rheum. 2000; 43: 1192-1203
2. Lo GH, et al. JAMA. 2003; 290: 3115-3121.
3. Karlsson J, et al. Rheumatol. 2002; 41:1240-1248.
4. Archives of Internal Medicine February 11, 2002; 162:292-298.


The Truth About ‘Gel Like’ Injections for Knee Pain | Dallas-Fort Worth
Dallas-Fort Worth Cold Laser Therapy Doctor shares information on the series of different ‘gel like’ injections you can have to help with knee pain.
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Do Hyaluronic Acid Injections for Arthritis Knee Pain Really Work?

By Dr Schnee · March 15, 2010 · Filed in Health, Knee Injections, Knee Pain · No Comments »

No! Not according to a study published in the Journal of the American Medical Association.

Researchers found that hyaluronic acid injections (rooster comb injections) given in the knee joint (for instance Hyalgan, Synvisc, Artzal, Suplasyn, BioHy, or Orthovisc) at best, had a small effect in the treatment of knee OA (osteoarthritis) compared with a placebo injection … Approximately 80% of the treatment effect of intra-articular hyaluronic acid was accounted for by the placebo effect of an intra-articular injection. 

The study concluded that there was no real evidence to show that hyaluronic acid injections are more effective than placebo injections.

Even though the US Food and Drug Administration approved hyaluronic acid injections for the treatment of arthritis knee pain its effect is still controversial.  Unfortunately, the reason that hyaluronic acid injections are controversial is that most of the research studies published about the injections have been funded by the developers of the drug and therefore are considered bias.

The study mentioned above was performed by a third party, and to our knowledge was not funded by a drug company.

If you are suffering from osteoarthritis knee pain then Dr. Schnee’s Cold Laser Knee Program is considered a complete treatment system that combines low-level laser treatments (cold laser treatments), and other non-invasive modalities that promote rehabilitation of the knee. 

 Every patient’s program is unique depending on whether they suffer from knee pain due to arthritis, ‘bone on bone’ knee pain, meniscus tears, bursitis knee pain, tendonitis knee pain, a Baker’s Cyst, post surgical arthroscopic knee pain, or a combination of the listed conditions.  If you live in the Dallas -Fort Worth area call our office at 214- 596-1051 to find out if you’re a candidate for Dr. Schnee’s Cold Laser Knee Program.

Or if you would like more information about Dr. Schnee’s Cold Laser Knee Program fill out the form on the right side of this screen to get your FREE report mailed to you entitled, Amazing Cold Laser Therapy the Missing Link to Knee Pain Relief o visit http://www.helpmykneepain.com

At the DFW Spine & Joint Center we also have programs available that can help most musculoskeletal conditions such as low back pain, neck pain, shoulder pain, sciatica, disc and nerve problems, hip, ankle, foot, hand and wrist pain, etc…

Dr. Robert Hanson, a Dallas cold laser chiropractor,and an associate at the DFW Spine & Joint Center, offers various non-surgical programs for the treatment of low back and neck pain.  His cold laser programs address neck and back pain from herniated, bulging, degenerated discs, stenosis, and pinched nerves.

Dr. Alexandra K. Schnee, B.S.,D.C.,-Your Cold Laser Doctor for the Non-Surgical Treatment of Knee Pain for the Dallas and Fort Worth, Texas Area-“ Dr. Schnee’s Cold Laser Knee Program Has Been Helping People with Knee Pain and Joint Pain in the Dallas/Fort Worth Area Since 2001.”

Source:
Grace H. Lo, MD; Michael LaValley, PhD; Timothy McAlindon, MD, MPH; David T. Felson, MD, MPH Intra-articular Hyaluronic Acid in Treatment of Knee Osteoarthritis. JAMA. 2003;290:3115-3121.

Arthritis Knee Pain Not Helped by Hyaluronic Acid Injections | Dallas-Fort Worth

Dr. Schnee,D.C., Dallas Cold Laser Therapy Doctor shares study about Hyaluronic Acid Knee Injections, stating they work just as well as a placebo.

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Are Synvisc Shots (Rooster Comb) Better then Cortisone Shots for Osteoarthritis Knee Pain?

By Dr Schnee · March 10, 2010 · Filed in Knee Injections, Knee Pain · No Comments »

The Journal of Bone and Joint Surgery (American) published a study comparing the results of cortisone and Synvisc injections in patients diagnosed with osteoarthritis knee pain. One hundred patients with knee osteoarthritis were randomized to receive an injection in the knee joint of either Hylan G-F 20 (Synvisc) or a corticosteroid, and they were followed for six months. The patients treated with Hylan G-F 20 (Synvisc) received one course of three weekly injections. The patients treated with the corticosteroid received one injection at the time of enrollment in the study, and they could request one more injection any time during the study. An independent, blinded evaluator assessed the patients with the Osteoarthritis Western Ontario and McMaster UniversityIndex (WOMAC), a modification of the Knee Society rating system, and the visual analog pain scale.

Researchers concluded that after a six month follow up that there were no detected differences in knee pain or function between patients treated with Hylan G-F 20 injections (Synvisc) then those treated with a cortisone shot.  Interestingly, women demonstrated significantly less response to knee treatments than men did for both treatments on all three outcome scales.

If you suffer from knee pain due to cartilage loss, ‘bone on bone’, or osteoarthritis of the knee and you want to avoid a total knee replacement or you cannot undergo a total knee replacement due to other health problems then Dr. Schnee’s Cold Laser Knee Program may be the answer to your knee problem. Dr. Schnee’s Cold Laser Knee Program is considered a complete treatment protocol that combines low-level laser treatments (cold laser treatments), and other modalities that promote rehabilitation of the knee.  Every patient’s program is unique depending on whether they suffer from knee pain due to arthritis, ‘bone on bone’, meniscus tears, knee bursitis, knee tendonitis, a Baker’s Cyst, post surgical arthroscopic knee pain, or a combination of the listed conditions.  If you live in the Dallas – Fort Worth area call our office at 214- 596-1051 to find out if you’re a candidate for Dr. Schnee’s Cold Laser Knee Program.

Or if you would like more information about Dr. Schnee’s Cold Laser Knee Program fill out the form on the right side of this screen to get your FREE report mailed to you entitled, Amazing Cold Laser Therapy the Missing Link to Knee Pain Relief!

At the DFW Spine & Joint Center we also have programs available that can help most musculoskeletal conditions such as low back pain, neck pain, shoulder pain, sciatica, disc and nerve problems, hip, ankle foot, hand and wrist pain, etc…

Dr. Robert Hanson, a Dallas Cold Laser Chiropractor, and an associate at the DFW Spine & Joint Center, offers unique non-surgical cold laser treament protocols for the treatment of neck and back pain for herniated, bulging, degenerated discs, stenosis, and pinched nerves in the low back and neck.

Dr. Alexandra K. Schnee, B.S.,D.C. practices in Irving, TX at the DFW Spine & Joint Center,-Your Dallas Cold Laser Doctor for the Non-Surgical Treatment of  Knee Pain for the Dallas and Fort Worth, Texas Area-“Helping People with Knee Pain and Joint Pain in the Dallas – Fort Worth Area Since 2001.”

Source:
Seth S Leopold, MD, Brigham B Redd, MD, Winston J Warme, MD, Paul A Wehrle, MD, Patrick D Pettis, LVN and Susan Shott, PhD. The Journal of Bone and Joint Surgery (American). Corticosteroid Compared with Hyaluronic Acid Injections for the Treatment of Osteoarthritis of the Knee.85:1197-1203 (2003).

Which Shots Relieve Knee Pain: Synvisc Shots or Cortisone Shots | Dallas-Fort Worth

Dr.Schnee,D.C. Dallas Cold Laser Doctor in Irving Texas, compares and contrasts Synvisc Shots to Cortisone shots for your knee pain Dallas-Fort Worth.

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The information on this website is for educational purposes only. No medical treatment claims are made or implied. Results will vary.

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Dr. Schnee’s Cold Laser Therapy Knee Program: Unique protocols that combine multiple cold laser therapy systems and other types of knee therapy for the treatment of knee pain: Irving, Dallas, Arlington, Carrollton, Grapevine, Southlake, Colleyville, North Richland Hills, Bedford, Hurst, Euless, Fort Worth, Grand Prairie, Farmers Branch, Lewisville, Garland, McKinney, Plano, Frisco.