THE BEST TIME IS NOW.

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1 THE BEST TIME to tackle osteoarthritis knee pain IS NOW. 1. TAKE ACTION 2. Consider synvisc-one Synvisc-One (hylan G-F 20) is indicated for the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative nonpharmacologic therapy and simple analgesics, e.g., acetaminophen. Important Safety Information Before trying Synvisc-One, tell your doctor if you have had an allergic reaction, such as swelling of the face, tongue or throat, respiratory difficulty, rash, itching or hives to SYNVISC or any hyaluronan-based products. For additional Important Safety Information, please see page Talk To your doctor 1

2 1 DECIDE THAT IT S TIME TO DO SOMETHING Osteoarthritis knee pain can be frustrating and unpredictable. But one thing is for certain: you don t have to just live with it. Talking to your doctor is the best way to start exploring your options. When you do, keep the following in mind. The pain affects everyone differently An X-ray can show your grade or stage of knee osteoarthritis, but your level of pain isn t necessarily connected to it. Your osteoarthritis could be mild with a great deal of pain or severe with little pain. Your doctor is relying on you to give a clear description of how your knee feels. 1. TAKE ACTION It s caused by more than just cartilage loss In knees with osteoarthritis, the cartilage protecting the ends of the bones gradually deteriorates, joint fluid loses its shock-absorbing qualities, and bones may begin to rub against each other all of which may cause the knee pain you re feeling. my patients ask me how bad their knee osteoarthritis is, I say, You tell me. I rely on my patients to let me know how bad the pain can get and what they want to do about it. When Dr. Ruane, Primary Care Sports Medicine Physician 2

3 TAKE ACTION There s no reason to live with painful knees Get your osteoarthritis knee pain under control. Waiting could leave you with fewer options You don t need to be in constant pain to be ready for a different treatment. In fact, letting knee osteoarthritis progress for too long without talking to a doctor may leave surgery as your only option SIGNS it s Time To Take action 1 Do you plan around your knee pain? Getting older is no excuse. You shouldn t have to give things up due to pain. Is your knee pain keeping you from exercising? A lack of activity can lead to even more knee pain. 1. TAKE ACTION Your doctor is counting on you to direct your treatment Only you know how much pain you re in. Give your doctor a clear description of the pain and let him or her know that you re ready to discuss other treatment options. Remember, being honest isn t complaining. It s about finding the relief you deserve. Are your current treatments falling short? If you re still in pain, talk to your doctor about trying something different. Synvisc-One is a different way to treat osteoarthritis knee pain Synvisc-One is made from a natural substance that lubricates and cushions your knee, and can provide up to six months of osteoarthritis knee pain relief with just one injection.* *As shown in a medical study comparing Synvisc-One to an injection of salt water. 3

4 2 CONSIDER A DIFFERENT TYPE OF TREATMENT Synvisc-One (hylan G-F 20) is a different way to treat osteoarthritis knee pain. It s made from a natural substance that lubricates and cushions the joint, and provides up to six months of osteoarthritis knee pain relief with just one injection. What is Synvisc-One? Synvisc-One is a one-injection treatment that supplements the fluid in your knee to help lubricate and cushion the joint. Synvisc-One is the #1 prescribed viscosupplement; it provides up to six months of osteoarthritis knee pain relief with just one injection. What is Synvisc-One made from? The injection contains a gel-like mixture made from a substance called hyaluronan (pronounced hy-al-u-roe-nan) that comes from chicken combs. Hyaluronan is a natural substance found in the body and is present in very high amounts in joints. The body s own hyaluronan acts like a lubricant and a shock absorber in the joint and is needed for the joint to work properly. 2. Consider synvisc-one Synvisc-One supplements your knee joint fluid to relieve the pain and improve the knee joint s natural shock absorbing abilities. Synvisc-One supplements joint fluid 2007 Tim Peters and Company, Inc. All rights reserved. timpetersandcompany.com 4

5 CONSIDER SYNVISC-ONE Fast facts about Synvisc-One (hylan g-f 20) Answers to patients most common questions. How is Synvisc-One given? Synvisc-One is a single-dose treatment that is injected directly into your knee by a doctor, usually a specialist trained in treating knee osteoarthritis, such as an orthopaedic surgeon or rheumatologist. What is the procedure like? The injection takes a few minutes and can be done in your doctor s office. Watch a video of a real patient s injection at SynviscOne.com/injectionvideo Will the injection hurt? Your doctor will likely apply a numbing agent before your Synvisc-One injection. You may feel some pressure, but it shouldn t be painful. Is it covered by insurance? Synvisc-One is covered by Medicare and most insurance plans. What happens after the injection? You can resume normal day-to-day activities immediately after the injection, but you should avoid any strenuous activities for about 48 hours. A lot of people just accept osteoarthritis knee pain as a sign of getting older. That they have to live like this. But they don t have to. Synvisc-One made the difference for me. Trudy K, Synvisc-One Patient I used to get out on the trails a lot, but I cut back. Knee pain affected my gym routine, too. I supposed I could have gone with the notion that if it hurts, don t do it. But I wanted a better answer than that. Ed B, Synvisc-One Patient I don t plan my life around my osteoarthritis knee pain anymore; I plan my life around doing the things I love that help me stay free of knee pain. Ellen E, Synvisc-One Patient How do I know if I m ready for Synvisc-One? Synvisc-One is for people with knee osteoarthritis who have not received enough pain relief from diet, exercise and overthe-counter pain medication. If you ve tried these options and are still feeling osteoarthritis knee pain, don t wait to do something. Tell your doctor you re ready to explore your options, and ask if Synvisc-One could help. 2. Consider synvisc-one 5

6 CONSIDER SYNVISC-ONE Find out how patients responded in a Synvisc-One (hylan G-F 20) medical study. In order to determine how well Synvisc-One reduced osteoarthritis knee pain during five common activities (walking on a flat surface, going up stairs, resting during the night, sitting or lying down, and standing upright), a medical study* of 253 patients with knee osteoarthritis was conducted and the side effects were tracked. Osteoarthritis knee pain relief results with Synvisc-One The study showed that patients who received Synvisc-One had significantly less osteoarthritis knee pain over six months and felt significantly better than the saline control group. Most patients reported pain relief starting at week four. Side effects with Synvisc-One The most common side effects are pain, swelling, heat, redness and/or fluid build-up around the knee. In a medical study less than 6% of patients experienced these side effects, which were generally mild and did not last long. The types and frequencies of side effects were similar between the Synvisc-One and the saline control groups. No serious side effects were seen in the injected knee during the study that were related to the use of Synvisc-One. In a medical study* of 253 patients 71 % 71% of patients reported pain relief with Synvisc-One *Chevalier X, Jerosch J, Goupille P, et al. Single, intra-articular treatment with 6 ml hylan G-F 20 in patients with symptomatic primary osteoarthritis of the knee; a randomised, multicentre, double-blind, placebo controlled trial. Ann Rheum Dis. 2010;69(1): doi: /ard Consider synvisc-one 6

7 3 MAKE THE MOST OF YOUR DOCTOR VISIT A little preparation can go a long way when it comes to talking about osteoarthritis knee pain with your doctor. STEP 1 Schedule the appointment Osteoarthritis knee pain doesn t go away on its own. Talking to a doctor about your options is the only way to find the relief you deserve. If you need help finding a doctor We ve included a list of local doctors who provide Synvisc-One in this kit. For a more complete list, visit SynviscOne.com/doctor STEP 2 Be specific Once you re at the appointment, be direct with the doctor about your level of pain. Be sure to give specific examples of how the pain is affecting your activity level, your mood, how you plan your day, etc. STEP 3 Ask about Synvisc-One (hylan G-F 20) Your doctor is counting on you to keep him or her informed of your level of osteoarthritis knee pain. If you haven t received enough osteoarthritis knee pain relief from diet, exercise and over-the-counter pain medication, say you re still in pain and ask if Synvisc-One could help. 3. Talk To your doctor 7

8 Talk To your doctor Bring this Knee Pain Assessment to your doctor to help get the most out of your appointment. Indication Synvisc-One (hylan G-F 20) is indicated for the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative nonpharmacologic therapy and simple analgesics, e.g., acetaminophen. How much knee pain do you currently experience with the following activities? If your pain varies, use circles to indicate the pain on good days and squares for pain on bad days. No pain Lots of pain Walking / Standing Going up or down stairs At night while in bed Sitting Exercising Driving List the activities you avoid because of your osteoarthritis knee pain: Important Safety Information for Synvisc-One Before trying Synvisc-One, tell your doctor if you have had an allergic reaction, such as swelling of the face, tongue or throat, respiratory difficulty, rash, itching or hives to SYNVISC or any hyaluronan-based products. Allergic reactions, some which can be potentially severe, have been reported during the use of Synvisc-One. Should not be used in patients with an infected knee joint, skin disease or infection around the area where the injection will be given, and should be used with caution when there is swelling of the legs due to problems with venous stasis or lymphatic drainage. Synvisc-One is only for injection into the knee, performed by a doctor or other qualified health care professional. Synvisc-One has not been tested to show pain relief in joints other than the knee. Tell your doctor if you are allergic to products from birds such as feathers, eggs or poultry or if your leg is swollen or infected. Synvisc-One has not been tested in children ( 21years old), pregnant women or women who are nursing. You should tell your doctor if you think you are pregnant or if you are nursing a child. Talk to your doctor before resuming strenuous weightbearing activities after treatment. The side effects sometimes seen after Synvisc-One include (<2% each): pain, swelling, heat, redness, and/or fluid build-up in or around the knee. Tell your doctor if you experience any side effects after treatment with Synvisc One. Please go to synviscone.com/pi for full Prescribing information Genzyme Corporation, a Sanofi Company. All rights reserved. Synvisc-One, SYNVISC and GENZYME are registered trademarks of Genzyme Corporation. SAUS.HYL Talk To your doctor

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