HYALGAN® Injection for Knee Pain (Fluoroscopic Guided)

Overview
During this non-operative, outpatient procedure, the
physician injects a pain relief medication called
HYALGAN® into the knee joint. The HYALGAN will
help the knee move smoothly, reducing or relieving
the pain of osteoarthritis.


Preparation
In preparation for the injection, the physician swabs
the knee and administers a local anesthetic. The
physician positions a device called a fluoroscope
over the knee. The fluoroscope will display a
moving x-ray image of the inside of the knee. This
will ensure that the HYALGAN is injected into the
joint space.


Injecting the Dye
The physician carefully guides a needle into the
knee joint. The physician confirms the needle's
placement with an injection of dye. The dye is
clearly visible on the fluoroscope. If the dye pools in
the soft tissue at the front of the knee, the physician
adjusts the placement of the needle. When the dye
successfully reaches the space inside the joint, the
physician is ready to inject the HYALGAN.


Injecting the Medication
While leaving the needle in position, the physician
removes the dye syringe and replaces it with a
HYALGAN syringe. The physician injects the
HYALGAN into the space within the knee joint. The
HYALGAN will bond with the synovial fluid inside
the joint. It will help cushion and lubricate the joint.


End of Procedure
When the injection is complete, the physician
removes the needle and bandages the knee.
HYALGAN is administered in a series of three to
five injections given one week apart. Patients
typically begin to feel pain relief after the third
injection, and pain relief can last for up to six
months. Physical therapy will enhance the effects of
the medication.

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