A (b)(6) y/o female who presented to the (b)(6) ed on (b)(6) 2017 due to severe bilateral knee pain following synvisc one injection on (b)(6) 2017 in the pain clinic.The pt's pain was focal to both knee joints made acutely worse with palpation and ranging of the knees, right worse than left.The pt has noted effusion of the knee with out-pouching in the superolateral aspects.Concern for reaction to the synvisc (intra-articular) or extravasation of the material outside the knee joint cause swelling and pain.X-rays and labs were normal.She has no systemic symptoms of infection and knee's were not overtly concerning for septic joint.Knees were aspirated (20 cc total for both knees) with clear fluid that was aseptic.Overall felt to likely be a pseudoseptic knee reaction to the synvisc one.Treatment with ice, compression, and nsaids.She was seen in the clinic 2 days later, and from there underwent further aspiration and injection with intra-articular steroids to reduce inflammation.
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