TYPES OF INJECTIONS

Overview

A Hyaluronic Acid injection (HA) helps  lubricate the knee to treat painful cartilage conditions. It involves the injection of hyaluronic acid into the knee over the period of several sessions. Injections are administered in our office once a week, for three weeks.

You will typically start to experience effects of the injections within 1-2 weeks after the final injection. The effects of the treatment can last 6 months. After six months have passed, you can repeat the treatment.

Hyaluronic acid is: An injectable synthetic version of the fluid that naturally exists in your knee.

Common brands of Hyaluronic Acid injections include:

• Euflexxa
• Supartz
• Orthovis
• Synvisc
• Hyalgan 

Injection Treatment

Obtaining HA injections can be a difficult process, and it often takes approximately a month to receive them. Many times these injections require extra effort to be covered by insurance companies.

To improve your experience, please review the following guidelines:

Office Responsibilities

1. Write prescription for the medication
2. Submit prescription to medication portal
3. Prior authorization from insurance

Your Responsibilities

4. Contact the specialty pharmacy regarding the status of your medication

• If you are notified that the medication requires pre-certification, please contact the us. We are responsible for pre-certification
• Continue to check in with the specialty pharmacy regarding the status of your medication

5. Give consent to the specialty pharmacy for the shipping of your medication.

Ship to:

Hospital for Special Surgery
East River Building, 6^th Floor, Room 619
Office of Dr. Beth Shubin Stein
523 East 72^nd Street
New York, NY 10021

Office Responsibilities

6. We will contact the patient when injections arrive to schedule appointments.

Overview

A Platelet Rich Plasma (PRP) injection serves to support and speed up the healing process for soft tissue conditions. It involves first creating PRP from your blood using a centrifuge to spin your blood sample at high speeds and separate the platelets. These platelets are then injected into the inflamed or injured tissue to aide in a quick recovery.

Platelet Rich Plasma is: A concentrated plasma mixture of platelets(a small cell fragment) that serve to stimulate the healing and clotting process.

Chronic conditions that can benefit from PRP Injections include:

• Arthritis
• Chronic tendon injuries
• Acute ligament injuries
• Acute muscle injuries
• Post-operatively to reduce healing time

Injection Treatment

There are 3 steps to your PRP injection, they are:

1. Your injection treatment starts with the creation of PRP from your own blood.  A blood sample is obtained in the office on the same day as the procedure.
2. Next,  a centrifuge is used to separate the platelets from the rest of the cells in your blood sample, resulting in a platelet rich plasma.
3. PRP is then injected to the inflamed or injured tissue using ultrasound guidance to ensure precise placement.

After the injection, it is normal to have increased pain in or around the injection site for  up to several days. It may take days or weeks for you to start to feel the effects of your injections. 

General Precautions

• Insurances typically do not cover the expense of the procedure
• Out of pocket expense is $1,000.00 per injection and is paid on the day of the procedure
• For Meniscal Repair PRP Series Only, 3 injections for reduced rate of $1,500.00
• Anti-inflammatory medicines should be stopped before and after PRP treatment is given.
• Avoid exercise after the injection for 3-7 days before beginning a rehabilitation exercise programs

ReNu is a regenerative osteoarthritis (OA) treatment that uses a single injection of nonsteroidal prescription treatment to relieve pain and other symptoms of orthopedic and sports injuries. One injection can provide up to a year’s worth of benefits, and can potentially help you delay or completely avoid surgery. ReNu has helped patients across the country to return to normal daily routines, and return to healthy exercise gradually.

ReNu treatment is typically reserved for patients suffering from pain and discomfort that have experienced minimal to no relief from oral treatments, like NSAIDs (Nonsteroidal Anti-Inflammatory Drug ), or other injections.

ReNu Injections are made of: Amniotic membrane and fluids that are donated after healthy babies are born via C-section. These substances are 100% natural and safe.

ReNu treatment is typically used to treat:

Osteoarthritis in:

• Knees
• Hips
• Ankles
• Hands/Wrists

Sports injuries, like

• Partial rotator cuff tear
• Bursitis
• Epicondylitis

Orthorpedic injuries, including:

• Adhesive capsulitis
• Tendinosis
• Plantar fasciitis

ReNu Injection Treatment

On the day of your ReNu injection you can expect:

• A single injection, administered at your doctors office.
• Your doctor may decide to numb the injection area to prevent minor pain or discomfort.

General Precautions:

For general discomfort, apply ice to the site of the injection for 10 to 15 minutes.

• Avoid strenuous exercise, heavy lifting, or bending for at least 2 days after your injection.
• Avoid taking an NSAID for 2 weeks after you injection, as it can affect ReNu’s biologic response.