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I spoken with a few others who have had the HA injections with really good success. Think it only last about 1 year but worth the $950-$1500, or ? price. I take HA capsules every day as a preventative, can't say apples to apples if it has helped, but my knees are fine, so far, so it hasn't hurt. Good luck with any treatment and your Camino!I am starting the Camino next April. I have osteoarthritis in both knees but have been able to walk the Camino Francis and Camino Portugués in the last couple of years. Recently my knees have been quite painful even after walking just ten kilometres so I visited an orthopaedic surgeon and he said I was eventually heading towards partial knee replacements but suggested I try Durolane hydraulic acid injections in the knees a month or so before I begin the Camino. Has anyone had these injections and what results did they achieve? Looking forward to any opinions as I’d hate to break down a few days in.
I had it done and it didn't work for me. I have arthritis in both knees. What has worked for me is getting an injection of cortisone a month before I go and it lasts a whole year for me.I spoken with a few others who have had the HA injections with really good success. Think it only last about 1 year but worth the $950-$1500, or ? price. I take HA capsules every day as a preventative, can't say apples to apples if it has helped, but my knees are fine, so far, so it hasn't hurt. Good luck with any treatment and your Camino!
Did you go to your GP or did you have to go to an orthopaedic specialist for the injection?I had it done and it didn't work for me. I have arthritis in both knees. What has worked for me is getting an injection of cortisone a month before I go and it lasts a whole year for me.
orth specialistDid you go to your GP or did you have to go to an orthopaedic specialist for the injection?
@ConstantineMy advice is seek a good professional to establish the degree of arthritis, etc, pick a plan to follow, do good PT and exercise for the knee, try dietary changes. And recognize that the plan you begin with (oral medications, X injection, Y injection, etc) will be trial and error; you will change the plan as you see what works and what doesn't. Try not to spend too much money (exercise and dietary changes are perhaps the least expensive and the best for you)
@Constantine
From a patient's point of view, I agree totally. But physiotherapy is not inexpensive in Canada, and I hate exercising. I don't mind too much spending thousands of dollars on my teeth (a recent necessity) but spending hundreds on physiotherapy seems both expensive and futile. I have tried it with no results, except for a diminution in my bank account. However, I admit that my hatred of exercise, except for walking 1,000 km on camino, which I like just fine, may have caused me to be less faithful to the exercises or less persistent. What I end up with is the admission that I like eating a lot more than I like exercising, and am more eager to keep in shape for it.
Thanks for the advice.As a physician I have no qualms about giving medical adviceso here it is.
1) Everybody's knee conditions will be slightly different; it really is in your interest to have a specialist (orthopedist) examine you, get XRays, MRI, etc to try to delineate the source of your pain problem
2) Based on that, any of the above mentioned treatments (oral non-steroidal anti-inflammatory meds (Diclofenac, Ibuprofen, Celebrex, Arcoxia, etc), corticosteroid injections into the joint, hyaluronic injections, various preparations of stem cell injections, etc are all shown to work in some people but not in others.
Be careful of the "anecdotal fallacy" where one person's experience (an anecdote) is generalized to pertain to a larger population ~ that is NOT the case. "X medication worked for me, so...." Or "Y treatment caused me to have this reaction, so..." Those are of limited value and are often misleading. You really have to look at studies done on large numbers of people ~ some will get relief, some will not, a small percentage will have an adverse reaction, etc....
3. Strengthening the muscles, etc around the knee can work wonders to relieve knee pain, even in osteoarthritis. Step ups, squats, lunges etc are *not* necessarily off limits but again, you need to be under the supervision of a qualified physical therapist or exercise physiologist or athletic trainer. Many orthopedic docs do not ascribe to this but I can tell you it definitely has value.
4. Dietary changes. Anti-inflammatory diets (and what's the definition of that?) do work. One example would be a strict vegan diet and no gluten (some include no alcohol or caffeine for no good reason that I have ever heard but keep them in small quanities). Try 5-7 days on that diet. It can be miracle working but is hard to sustain.
My advice is seek a good professional to establish the degree of arthritis, etc, pick a plan to follow, do good PT and exercise for the knee, try dietary changes. And recognize that the plan you begin with (oral medications, X injection, Y injection, etc) will be trial and error; you will change the plan as you see what works and what doesn't. Try not to spend too much money (exercise and dietary changes are perhaps the least expensive and the best for you)
Good Luck!
I also had cortisone injections in my knee last June. Made a huge difference. Walked the Camino Ingles in October and still feeling greatI had it done and it didn't work for me. I have arthritis in both knees. What has worked for me is getting an injection of cortisone a month before I go and it lasts a whole year for me.
I also had cortisone injections in my knee last June. Made a huge difference. Walked the Camino Ingles in October and still feeling greatI had it done and it didn't work for me. I have arthritis in both knees. What has worked for me is getting an injection of cortisone a month before I go and it lasts a whole year for me.
what are HA capsules?I spoken with a few others who have had the HA injections with really good success. Think it only last about 1 year but worth the $950-$1500, or ? price. I take HA capsules every day as a preventative, can't say apples to apples if it has helped, but my knees are fine, so far, so it hasn't hurt. Good luck with any treatment and your Camino!
I am starting the Camino next April. I have osteoarthritis in both knees but have been able to walk the Camino Francis and Camino Portugués in the last couple of years. Recently my knees have been quite painful even after walking just ten kilometres so I visited an orthopaedic surgeon and he said I was eventually heading towards partial knee replacements but suggested I try Durolane hydraulic acid injections in the knees a month or so before I begin the Camino. Has anyone had these injections and what results did they achieve? Looking forward to any opinions as I’d hate to break down a few days in.
Another option is to change your diet. On my camino to Muxía I walked with a french lady, Bernadette. She had very bad knees several years ago. She was not even able to move within her flat and do her household without crutches. By a surgeon she was reccomended to have both knees replacest. Instead she went to another doctor, who suggested her to change her diet. Basically this meant: no gluten, no milk (lactose), lots of vegetables, some beef twice a week and fat fish (salmon, herring, macarel....) three times a week, no or only very little alcohol. Her knees recovered and she had been able to walk the entire Norte without pain. As I walked the whole 30 km from Fisterra to Muxía in her company, I can tell you that I did not think that she had an issue with her knees anymore. If I were you I would try that diet.
I totally agree with you it does last and on the Camino, it flares up at times but I use an ointment I buy in Spain called Radio Salil. You have to ask for it cause it's not displayed.I gave it a try and like Albertagirl just found myself $500 poorer. For me cortisone was the only injection that helped and usually lasts me around 10-12 months. I know it is not a forever solution but will get as many years as I can out if it. Good luck!
I am 56 and I walked the Camino Frances from St Jean to Fisterra last September after having both of my knees replaced in 2011. I had those shots in my knees the years before replacement and they didn't help, but they were quite painful to get. Maybe they work for some and I was willing to give them a shot, but they did nothing for me.I am starting the Camino next April. I have osteoarthritis in both knees but have been able to walk the Camino Francis and Camino Portugués in the last couple of years. Recently my knees have been quite painful even after walking just ten kilometres so I visited an orthopaedic surgeon and he said I was eventually heading towards partial knee replacements but suggested I try Durolane hydraulic acid injections in the knees a month or so before I begin the Camino. Has anyone had these injections and what results did they achieve? Looking forward to any opinions as I’d hate to break down a few days in.
I am able to walk the whole Camino with just injection of cortisone in both knees, as well the other injections didn't do it for me. my orthopedic specialist will not do a knee replacement states will not help. nevertheless, everyone do what you can. I plan on being out there in 2019. meI am 56 and I walked the Camino Frances from St Jean to Fisterra last September after having both of my knees replaced in 2011. I had those shots in my knees the years before replacement and they didn't help, but they were quite painful to get. Maybe they work for some and I was willing to give them a shot, but they did nothing for me.
I had those shots in my knees the years before replacement and they didn't help, but they were quite painful to get. Maybe they work for some and I was willing to give them a shot, but they did nothing for me.
I got many of those injections in my knee, about every 6-9 months, for years before getting my replacement. Excellent results - within a day or two I'd be back to walking without pain, and they last for months.I am starting the Camino next April. I have osteoarthritis in both knees but have been able to walk the Camino Francis and Camino Portugués in the last couple of years. Recently my knees have been quite painful even after walking just ten kilometres so I visited an orthopaedic surgeon and he said I was eventually heading towards partial knee replacements but suggested I try Durolane hydraulic acid injections in the knees a month or so before I begin the Camino. Has anyone had these injections and what results did they achieve? Looking forward to any opinions as I’d hate to break down a few days in.
I agree and have done all of the above.Thanks for the advice.
I am able to walk the whole Camino with just injection of cortisone in both knees, as well the other injections didn't do it for me. my orthopedic specialist will not do a knee replacement states will not help. nevertheless, everyone do what you can. I plan on being out there in 2019. me
I am able to walk the whole Camino with just injection of cortisone in both knees, as well the other injections didn't do it for me. my orthopedic specialist will not do a knee replacement states will not help. nevertheless, everyone do what you can. I plan on being out there in 2019. me
Did the cortisone injections eventually cause any further damage to your knees? My doctor advised me against them and the orthopaedic specialists suggested it was an alternative to Synvisc but can cause further damage to ligaments and cartilage etc. He described it as a “smart bomb”. i’m certainly tempted because they are a lot less expensive.I am able to walk the whole Camino with just injection of cortisone in both knees, as well the other injections didn't do it for me. my orthopedic specialist will not do a knee replacement states will not help. nevertheless, everyone do what you can. I plan on being out there in 2019. me
I have a bad knee, ACL reconstruction done years ago, partial meniscus tear, minimal cartilage. I wear a rigid knee brace for any hiking and other activity. My sports medicine doctor thinks I am too young at 50 for a knee replacement ???
Did the cortisone injections eventually cause any further damage to your knees? My doctor advised me against them and the orthopaedic specialists suggested it was an alternative to Synvisc but can cause further damage to ligaments and cartilage etc. He described it as a “smart bomb”. i’m certainly tempted because they are a lot less expensive.
. . . Meat-and-fat-centric dieting can help some people, but apart from some . . .
I have osteoarthritis and need a knee replacement. My surgeon did not approve of me doing the 500 miles from SJdPP. So I am starting from Sarria and he is more comfortable with that.I am starting the Camino next April. I have osteoarthritis in both knees but have been able to walk the Camino Francis and Camino Portugués in the last couple of years. Recently my knees have been quite painful even after walking just ten kilometres so I visited an orthopaedic surgeon and he said I was eventually heading towards partial knee replacements but suggested I try Durolane hydraulic acid injections in the knees a month or so before I begin the Camino. Has anyone had these injections and what results did they achieve? Looking forward to any opinions as I’d hate to break down a few days in.
I had those shots, they were extremely painful to actually get and did nothing, but that's just my experience. I ended up replacing my knees have been pain free since recovery and walked the Camino Frances in 2018. Good luck to you.I am starting the Camino next April. I have osteoarthritis in both knees but have been able to walk the Camino Francis and Camino Portugués in the last couple of years. Recently my knees have been quite painful even after walking just ten kilometres so I visited an orthopaedic surgeon and he said I was eventually heading towards partial knee replacements but suggested I try Durolane hydraulic acid injections in the knees a month or so before I begin the Camino. Has anyone had these injections and what results did they achieve? Looking forward to any opinions as I’d hate to break down a few days in.
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