What if I still have pain from my Osteoarthritis after the simpler treatments?

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I often recommend cortisone injections if simpler methods fail. These are our most potent therapy. If effective, they can be repeated in 3-4 months. Alternatively, there are injectable "lubricants" such as Synvisc and Hyalgan. These require 3-5 weekly injections. They are expensive and provide only temporary benefits.