Name of the Procedure:

• Common Name: Hyaluronan Injection, Euflexxa Injection
• Medical Term: Intra-Articular Injection of Hyaluronan or Derivative, Euflexxa (HCPCS Code J7323)

Summary

Euflexxa is a type of hyaluronic acid injected directly into the knee joint to alleviate pain caused by osteoarthritis. This non-surgical procedure aims to supplement the natural hyaluronic acid in the joint, improving lubrication and cushioning.

Purpose

• Medical Conditions Addressed: Osteoarthritis of the knee.
• Goals/Expected Outcomes: To reduce knee pain, improve joint function, and enhance mobility.

Indications

• Symptoms: Persistent knee pain, stiffness, and reduced mobility that has not responded to other treatments.
• Patient Criteria: Patients diagnosed with osteoarthritis, typically after other conservative treatments (e.g., NSAIDs, physical therapy) have failed.

Preparation

• Pre-Procedure Instructions: No fasting is required. Patients might need to avoid certain medications (e.g., blood thinners) as advised by their healthcare provider.
• Diagnostic Tests: Often includes imaging tests like X-rays or MRIs to confirm osteoarthritis and assess joint health.

Procedure Description

1. Sanitization: The skin around the affected knee is cleaned with an antiseptic solution.
2. Local Anesthesia: A local anesthetic may be applied to numb the area.
3. Needle Insertion: A fine needle is inserted into the knee joint.
4. Euflexxa Injection: The hyaluronan solution (Euflexxa) is injected into the joint space.
5. Completion: The needle is carefully removed, and the injection site is covered with a small bandage.

• Tools Used: Sterile syringe, fine needle, Euflexxa solution.
• Anesthesia: Local anesthetic is often used for patient comfort.

Duration

The procedure typically takes about 15-30 minutes from start to finish.

Setting

The injection is usually performed in an outpatient setting, such as a doctor’s office or outpatient clinic.

Personnel

• Primary Provider: Orthopedic surgeon or a trained healthcare professional.
• Supporting Staff: Nurse or medical assistant.

Risks and Complications

• Common Risks: Pain at the injection site, temporary swelling, minor bruising.
• Rare Risks: Infection, allergic reaction, bleeding in the joint, increased pain.

Benefits

• Expected Benefits: Pain relief, improved joint lubrication, enhanced mobility.
• Timeline: Benefits may be noticed within a few days to weeks, lasting several months.

Recovery

• Post-Procedure Care: Avoid strenuous activities for 48 hours. Apply ice to reduce swelling if needed.
• Recovery Time: Most patients can resume normal activities within a day or two.
• Follow-Up: Regular follow-up appointments to monitor progress.

Alternatives

• Non-Surgical: Oral pain relievers (NSAIDs), physical therapy, corticosteroid injections.
• Surgical: Knee arthroscopy, partial or total knee replacement.
• Pros and Cons: Hyaluronan injections are less invasive with minimal downtime but may require repeat treatments. Surgical options offer more permanent solutions but come with higher risks and longer recovery periods.

Patient Experience

• During: Mild discomfort or pressure during the injection.
• After: Possible soreness at the injection site for a few days. Pain management includes over-the-counter pain relievers. Icing the area can alleviate temporary swelling or soreness.