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Inspired by the Sanskrit word Shuchi (Pure), we deliver trusted pharmaceutical products focused on purity, wellness, and safety.
You may have knee osteoarthritis if you experience one or more of the following common signs and symptoms:
– Increase pain in the knee during activity, but gets a little better with rest
– Swelling or tenderness around the knee
– Feeling of warmth in the joint
– Stiffness in the knee, especially in the morning or when you have been sitting for a while
– Decrease in mobility of the knee, making it difficult to get in and out of chairs or cars, using the stairs, or walking
– Creaking, crackly or popping sound that is heard when the knee moves
For proper diagnosis and treatment, we strongly advise you to consult a specialist doctor for further examination. Clinical examination and X-rays will help the doctor to make a diagnosis for OA.
If you have joint pain or stiffness that doesn’t go away, make an appointment with your doctor.
If you have knee osteoarthritis pain and the pain is not controlled by lifestyle changes, exercise and physical therapy or simple oral painkillers, you could be a candidate for Zuroflex-HL treatment.
To find out if Zuroflex-HL might be right for you, please consult your doctor.
Patient-Related Factors:
Treatment-Related Factors:
Other Factors:
In principle, there are no known restrictions in receiving Zuroflex-HL injection to treat knee OA pain.
However, the treatment should you receive it will be decided between you and your consulting doctor.
We advise you to inform your doctor if you have:
Before your knee gel injection (viscosupplementation), discuss all medications, allergies, and medical conditions with your doctor, and potentially discontinue certain medications like blood thinners or NSAIDs as advised.
Allergies: Tell your doctor about any allergies, especially to latex or medications.
Medical Conditions: Mention any other medical problems, especially joint effusion (excess fluid in the knee).
Medications: Review all medications, including over-the-counter drugs, supplements, and herbal remedies, as some may interact with the injection or need to be stopped temporarily.
Blood Thinners: If you are taking blood thinners, your doctor may advise you to stop them or adjust your dosage before the procedure.
Anti-inflammatory drugs: You may need to stop taking NSAIDs (like ibuprofen) a few days before the procedure.
Infection: If you have any signs of infection near the knee joint, inform your doctor.
Chemotherapy: If you are currently receiving chemotherapy, inform your doctor.
Fasting: You may be advised to fast before the procedure, but confirm with your doctor.
Hydration: Drink plenty of water on the day of the procedure.
Avoid Activities: Avoid strenuous activities or heavy lifting for a few days before the injection.
Relax: Try to relax your leg muscles during the injection, which may help make the procedure more comfortable.
While not always mandatory, blood investigations are sometimes recommended before knee gel injections (viscosupplementation) to assess overall health and identify potential risks or contraindications.
Reasons for Blood Investigations:
Assessing Overall Health: Blood tests can help determine if a patient has any underlying conditions, such as infections, bleeding disorders, or other medical problems that might affect the safety or effectiveness of the injection.
Identifying Contraindications: Certain conditions, like active infections or allergies, could make knee injections unsafe or potentially harmful.
Monitoring for Complications: In rare cases, knee injections can lead to complications like infection or bleeding, and blood tests can help detect these issues early.
Evaluating Platelet-Rich Plasma (PRP) Injections: If PRP injections are being considered, blood tests are crucial to assess the patient's platelet count and function, as PRP relies on a high concentration of platelets.
Assessing for Blood Clotting Issues: If the patient has a history of blood clotting problems, blood tests can help determine the risk of complications related to the injection.
Types of Blood Tests:
Complete Blood Count (CBC): This test checks the number and types of blood cells, which can help identify infections or bleeding disorders.
Coagulation Tests: These tests assess the blood's ability to clot, which is important for patients with a history of bleeding or clotting problems.
Inflammatory Markers: These tests can help identify inflammation in the body, which can be a sign of infection or other underlying conditions.
Allergy Tests: If there's a concern about allergies to the injection material, allergy tests can help identify potential risks.
The injection procedure will take up to 5-10 minutes.
First, the doctor will disinfect the knee area, using povidone which is a brownish-yellow solution, this process will take about 1-2 minutes. Next, the doctor will further clean the area with alcohol solution.
[Optional] Your doctor may inject a small dose of local anesthesia such as lignocaine to numb the knee area so that you would not feel any sensation.
Within the next 5-10 seconds, Zuroflex-HL is injected and the whole procedure is completed!
Like any other injection, patient might feel little pain or discomfort during the injection. However, some doctors might apply a topical drug to numb the skin or inject a small dose of local anesthesia such as lignocaine prior to giving the Zuroflex-HL injection, which helps to minimize any pain or discomfort during the HA injection.
After a knee gel injection, rest your knee, avoid strenuous activities for 48 hours, apply ice for swelling and pain and follow your doctor's specific instructions.
Immediate Aftercare (First 48 hours):
Rest: Avoid activities that put excessive strain on your knee.
Cold Application: Apply ice packs to the injection site for 10-15 minutes 3-4 times a day to reduce swelling and pain. Wrap the ice pack in a towel to protect your skin.
Pain Relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage any pain or discomfort.
Avoid Soaking: Don't take baths, use hot tubs, or go swimming for the first 24-48 hours.
Keep the site dry: Keep the injection site dry and clean, and keep a bandage over the site for 24 hours.
Avoid heat: Don't apply heat to the injection site for the first 24 hours.
Activities to Avoid:
Strenuous activities: Avoid activities that put excessive strain on your knee, such as jogging, soccer, tennis, heavy lifting, sports activities, or standing for long periods.
Prolonged weight-bearing: Avoid prolonged weight-bearing activities for the first 48 hours.
What to Expect:
Mild Pain and Swelling: Some people experience mild pain or swelling at the injection site, which usually subsides within a few days.
Stiffness: Your knee may feel stiff or have a spongy sensation for a few days.
Pain Relief: You may not feel relief from your knee pain until after your last injection, and it may take several weeks to see improvement.
Important Notes:
Follow your doctor's instructions: It's crucial to follow your doctor's specific instructions regarding aftercare and activity restrictions.
Contact your doctor: If you experience any severe pain, swelling, or other concerning symptoms, contact your doctor immediately.
Physical Therapy: Your doctor may recommend physical therapy to help strengthen the muscles around your knee and improve mobility.
Multiple Injections: You may need multiple injections to see the full benefits of the treatment.
The common but temporary side effects reported are redness, warmth, and swelling and injection site pain. However, these side effects will normally go away after 24 – 48 hours after the knee injection treatment. If the side effects persist for more than 7 days, please consult your doctor for further examination.
In India, insurance coverage for Hyaluronic Acid (HA) injections for osteoarthritis of the knee can vary depending on the insurance plan and the specific circumstances.
Day care based HA injections are generally not covered under insurance. HA injection used during Arthroscopic surgery may be covered under insurance based on your plan.
The approval of the insurance coverage is subjective to the policy of your insurance company as applied.
The cost of HA injections can vary depending on the clinic, the type of hyaluronic acid used, and the expertise of the administering doctor.
The cost of hyaluronic acid knee injections in India typically ranges from ₹10,000 to ₹30,000 per injection.
