This is a pleasant 60-year-old female who comes in after the second injection of synvisc into the bilateral knees last week for the third injection and states she had a very difficult time after the last injections, she really could not get out of bed or weight-bear for a day.She has significant swelling, no obvious redness.This lasted a couple of days and has improved, there is certainly not back to preinjection levels but she stated that this was far worse than after the first synvisc series 2 weeks ago which she also had some discomfort and intolerance.She has had these in the past and did well with them.She states no poultry or egg allergy/intolerance.She has been icing, using over-the-counter anti-inflammatories and tylenol.She does not feel that the knees are back to her preinjection's level yet.No history of anaphylaxis.Diagnosis for use: bilateral osteoarthritis.
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