Treatment FAQ

dr. in pennsylvania who do iovera treatment for the knees

by Mrs. Mittie Krajcik Published 2 years ago Updated 2 years ago

Full Answer

What is Iovera° treatment for knee pain?

The iovera° treatment has been performed prior to knee surgery to assist in prehabilitation exercises, as well as closer to the time of surgery to help reduce pain during surgery and pain in the critical weeks 3 following surgery. The effect is temporary, helping you manage your pain.

Is Iovera FDA approved?

Is Iovera FDA Approved? Yes, this system has been approved by the FDA as an effective measure to relieve pain. This system is used in order to alleviate pain-related symptoms specifically to treat osteoarthritis condition of the knee. Is Iovera Safe?

Is the Iovera° treatment for me?

Is the iovera° treatment for me? If your knee pain is chronic, due to osteoarthritis, it can be alleviated by cryoanalgesia with the iovera° treatment. The iovera° system has also been shown to help in reducing opioid consumption in patients after surgery.

Did Keli McDonough have Iovera therapy before her knee replacement?

Bekki Turner and Keli McDonough were among those early patients. Both opted for knee replacements, and like most, completed one surgery before scheduling the next. They did not have Iovera therapy before their first surgery.

How much does iovera treatment cost?

It's important to be aware that the global period for CPT 64640 and 64624 is 10 days. This may impact the TKA reimbursement if the iovera° treatments and TKA are performed on the same day....Professional component samples.6464064624Total Facility RVUs3.484.29Physician Fee Schedule (non-facility)$257.12$409.052 more rows

Is iovera treatment covered by insurance?

The price of an iovera° treatment is determined by the doctor. The iovera° treatment may be covered by insurance with varying reimbursement amounts. Patients are encouraged to ask their physician or insurance provider for more information regarding their individual insurance reimbursement and payment options.

How long does an iovera shot last?

The iovera® treatment does not include injection of any substance – drugs, opioids or narcotics. The effect of this treatment is immediate and can last up to 90 days.

Is the iovera procedure painful?

While the treatment should not be painful, it is normal to experience pressure, a sensation of cold, warmth, tingling and/or tapping during treatment. This altered sensation during treatment is an indication that the treatment is working.

How long does it take Iovera to work?

An early study suggests that more than 80 percent of patients show clinically important pain relief after 30 days. What is unique about iovera is that it works immediately. Just after treatment, we will confirm the level of pain relief by testing your knee.

Can I drive after Iovera treatment?

Most patients are able to drive back home after receiving iovera® treatment and can resume basic activities on the same day.

Is iovera FDA approved?

The US Food and Drug Administration (FDA) has cleared the iovera device, from Myoscience, Inc, for the relief of pain and symptoms associated with knee osteoarthritis (OA) for up to 90 days. Myoscience is located in Fremont, California.

How is iovera administered?

How is iovera° administered? Dr. Strasburger does the injection using a handheld device guided by imagery of your knee in a simple, safe, in-office procedure. He typically does several injections that “freeze” the nerves in your knee responsible for pain signals.

Is iovera a drug?

The iovera° treatment uses the body's natural response to cold to treat nerves and immediately reduce pain—without the use of drugs. Treated nerves are stopped from sending pain signals for a period of time, followed by a restoration of function.

What are Lovera injections?

IMMEDIATE AND LONG-LASTING PAIN RELIEF IndicationThe iovera° system is used to destroy tissue during surgical procedures by applying freezing cold. It can also be used to produce lesions in peripheral nervous tissue by the application of cold to the selected site for the blocking of pain.

How long does a cryo nerve block last?

Complications Associated with Neurolytic Blocks Recovery occurs after several weeks, and relief lasts 2 weeks to 5 months [103].

When to use Iovera?

The iovera° treatment has been performed prior to knee surgery to assist in prehabilitation exercises, as well as closer to the time of surgery to help reduce pain during surgery and pain in the critical weeks 3 following surgery. The effect is temporary, helping you manage your pain.

What to discuss before Iovera treatment?

Prior to treatment, your physician will discuss any daily medications you take, such as blood thinners or pain medications, as well as your health history and any health conditions you may have. Please discuss your treatment history with your physician before your scheduled iovera° treatment appointment:

How long does iovera last?

How long do results last? The treatment effect is immediate and lasts until the nerve has fully regenerated. Treatment results may vary by individual and the location of treatment. In general, nerves regenerate at a rate of approximately 1 to 2 mm per day. In a randomized, multicenter study focused on knee osteoarthritis, 77% of iovera° patients experienced a reduction in pain for up to 90 days. 1

What kind of results can I expect from iovera?

What kind of results can I expect? Results from the iovera° treatment can be felt immediately after treatment. When the treatment is applied to a specific nerve, it will interrupt that nerve’s ability to send a pain signal, providing an immediate reduction in pain.

Can I return to activity after Iovera?

How soon can I return to activity? Post-treatment activity instructions are at the discretion of your physician. You may return to non-strenuous activity immediately after receiving the iovera° treatment. However, your physician may have additional instructions prior to any planned surgery. Consult your physician regarding appropriate levels of activity.

Does Iovera have any side effects?

The iovera° treatment is a focused therapy; therefore, there are no side effects to the entire body. Nothing is injected into the treatment area by the iovera° system. Therefore, very few, if any, localized side effects due to the iovera° treatment have been observed and side effects are mild.

Can Iovera help with knee pain?

If your knee pain is chronic, due to osteoarthritis, it can be alleviated by cryoanalgesia with the iovera° treatment. The iovera° system has also been shown to help in reducing opioid consumption in patients after surgery. Postsurgical pain is considered to be acute pain.

Who is on the knee pain team?

Our knee pain team includes orthopaedic surgeons and specialists, neuro-orthopaedic surgeons and cartilage experts who work together to create personalized treatment and rehabilitation plans. This means more eyes on your case, which results in a better outcome for you.

What is the root cause of knee pain?

In many individuals, arthritis is the main condition that causes pain. However, there are many other types of conditions that can cause discomfort, swelling and stiffness. We evaluate and treat the full range of knee issues, so regardless of how minor or complex yours might be, you can rest assured that we have the technology and expertise to handle it.

Does Penn Medicine have a female athlete program?

Penn Medicine offers a specialized female athlete program, the only multidisciplinary center of its kind in the region and one of only a few female athlete centers in the country, which focuses on active women and their injuries.

How does Iovera work?

Iovera works by using the body’s natural response to cold to turn off pain receptors at the site and treat your knee pain. It is an in-office, minimally invasive, and non-surgical procedure to treat knee pain. In this procedure, a needle cooled with nitrous oxide is used.

What is used to freeze the nerves in the knee?

In this procedure, a needle cooled with nitrous oxide is used. Then with the help of ultrasound, the pain management specialists are able to pinpoint the peripheral nerves in the knee that are sending pain signals to the brain, and freeze them, to mask the pain.

What is the procedure for knee pain?

Read more! Knee Pain can be very debilitating and disabling. Iovera is a revolutionary medical procedure that addresses knee pain and provides relief. This technology disrupts the transmission of pain signals to the brain by taking advantage of the body’s natural response to cold.

Why is the knee splint used?

This system is used in order to alleviate pain-related symptoms specifically to treat osteoarthritis condition of the knee.

Does Iovera work for gout?

Gout. Obesity. With the use of Iovera, the patient can tolerate the pain associated with physical therapy and continue the rehabilitation of the knee. The uniqueness of Iovera is that it works immediately. Just after treatment, the level of pain relief can be confirmed by testing the condition of your knee.

Is Iovera good for knee pain?

Iovera treatment is very effective for people who are experiencing knee pain due to the following conditions: Ligament strains and sprains. Osteoarthritis. Anterior knee pain. Overuse. Fractures around the knee. Gout. Obesity. With the use of Iovera, the patient can tolerate the pain associated with physical therapy and continue ...

Did Cindy McCoy have knee replacements?

Cindy McCoy’s knees were worn out. “I was falling constantly,” McCoy said. But now, after two knee replacements, she’s moving pain-free. She credits injections she had before the operations. “It would cut down on the pain, cut down on how long you would do the pain medication and the recovery time,” McCoy said.

Is cold therapy used for knee replacement?

It’s a big new field — drug-free pain relief. One approach being used by a growing number of orthopedic surgeons is cold therapy before surgery. Cindy McCoy’s knees were worn out.

What is the iovera system?

Indication The iovera° system is used to destroy tissue during surgical procedures by applying freezing cold. It can also be used to produce lesions in peripheral nervous tissue by the application of cold to the selected site for the blocking of pain.

How many facilities can you add to Find a Doctor?

You may add up to 6 different facilities you are affiliated with to be displayed on the Find a Doctor tool.

Can Iovera° be incorporated into my practice?

If you have incorporated iovera° into your practice , ensure patients who are looking for treatment options to manage their pain can find you by completing the form below.

What is Iovera for knee replacement?

Iovera is a non-opioid nerve block treatment performed a week to two weeks before the knee replacement surgery. Physician's assistant Cody Giedd used an Iovera device to numb the nerves in Root's left knee on Friday — about a week before that knee was to be replaced. Her surgeon, Dr. Robert Jones, spoke to the News-Leader about ...

How does Iovera work?

Iovera therapy uses cold therapy to temporarily disrupt the nerves from sending pain signals. Using a handheld device and an ultrasound to guide them, doctors target the nerves with small needles and liquid nitrous oxide.

Is knee surgery less painful?

New non-opioid therapy makes knee surgeries less painful, recovery quicker. Trish Root remembers when her father had both of his knees replaced back in 1999. He was hospitalized for a week, Root recalled, and in a great deal of pain for some time. "It was slow walking for a long time," she said. Root, who is also set to have both knees replaced, ...

Do women sit still with new knees?

With new knees, the women are finished sitting still , the release said.

Did Keli McDonough have Iovera before knee replacement?

Bekki Turner and Keli McDonough were among those early patients. Both opted for knee replacements, and like most, completed one surgery before scheduling the next. They did not have Iovera therapy before their first surgery. “It was pretty painful,” McDonough recalled of the first surgery.

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