Osteoarthritis of the knee is caused by a breakdown of the cartilage that surrounds and protects the bones of the knee joint. The cartilage acts both as a shock absorber and prevents bones from rubbing against other bones, causing pain, swelling and stiffness.

Over 1.2 million Australians suffer from osteoarthritis, and about 80% of these suffer from knee osteoathritis. It is the leading cause of musculoskeletal pain and disability.* Symptoms include stiffness and pain in joints.

Today, Dr Ameer Ibrahim can offer you hyaluronic acid injections if you are experiencing pain due to osteoathritis of the knee. The injections help restore the cushioning and lubricating properties of the knee joint and can relieve pain for up to 6 months.^​

If you are not ready for surgery and over-the-counter and prescription pain medications no longer provide pain relief, talk to Dr Ibrahim about hyaluronic acid injections as an option for managing your knee pain.

Monovisc is a viscoelastic supplement for the treatment of joint pain caused by osteoathritis.^

What is Monovisc?

How does it work?

Hyaluronic acid is vital for maintaining the function and elasticity of the synovial fluid in human joints. Osteoarthritis causes the natural hyaluronic acid to break down leaving lower concentrations of hyaluronic acid in synovial fluid.

Monovisc is designed to supplement the reduced amount of natural hyaluonic acid in synovial fluid in osteoathritic joints. The formulation of Monovisc allows for long-term relief of the symptoms of osteoathritis through lubrication and mechanical support.^

How is Monovisc administered?

Dr Ibrahim administers Monovisc through a single injection into your knee (intra-articular injection).

Local anaesthetic will be given under the skin prior to the Monovisc injection fo r patient comfort.

The injection takes a few minutes and can be given in Dr Ibrahim's consultation rooms.

What happens after an injection of Monovisc High Molecular Weight Hyaluronan?

For the first 48 hours after an injection of Monovisc High Molecular Wight Hyaluronan, it is recommended that you avoid any strenuous or high-impact activities.

Strenuous activities that should be avoided include playing tennis, jogging or heavy lifting for 48 hours post injection. Ice your knee if you have any mild pain or swelling near the injection site. Avoid standing on your feet for more than 1 hour at a time during the first 24-48 hours following the injection.

Call Dr Ibrahim's rooms or go to the emergency department immediately if any signs of infection appear (red, excessive drainage, fever) and always comply with Dr Ibrahim's instructions.

How long will it last?

Monovisc is intended to provide long lasting pain relief through 6 months for the pain and symptoms associated with osteoathritis.# It is intended for patients who do not get adequate pain relief from simple pain relievers like acetaminophen, from exercise, or from physical therapy.**

Are there side effects associated with


Mild to modeate episodes of transient swelling and discomfort

have occasionally been observed.^

Where can I find more information?

More information can be found on the Monovisc website

The following article further highlights the use of Monovisc to treat knee osteoarthritis - Knee osteoarthritis: Maximising the non-surgical approach


* Australian Physiotherapy Association 2018. APA Knees [online]. Accessed 25 October 2018

# Dernek B et al Efficacy of single dose HA products with 2 different structures in patients with early-stage knee osteoathritis. J. Phys Ther. Sci.25:3036-3040,2016

^ MONOVISC Instructions for Use

** Arnold W et al. Viscosupplementation: managed care issues for osteoathritis of the knee. J Manag Care Pharm. 2007 May;16(4 Suppl): S3-19

© 2019 by Dr Ameer Ibrahim