Pilot Study of Therapy With Hylan G-F 20 Exercise Capacity

Exclusion Criteria

• •Grade I and IV OA.
• •History of viscosupplementation in any joint in the past 12 months at the time of baseline visit.
• •Isolated patello-femoral OA or isolated anterior knee pain (patello-femoral OA co-existing with tibia femoral KOA may be included).
• •Symptomatic bilateral knee OA (unless the contra-lateral knee involvement is limited to radiographic OA and not symptomatic).
• •Ipsi-lateral symptomatic OA of hip or ankle; contra-lateral symptomatic OA of hip, knee, or ankle, or clinical evidence of hip disease.
• •Clinically apparent tense effusion or other acute inflammation of the target knee at baseline.
• •History of:
• •* Septic OA of any joint
• •* Inflammatory arthropathy such as rheumatoid arthritis, gout, pseudogout, lupus, crystalline arthropathy, chondrocalcinosis and other rheumatology diagnosis in judgment of the investigator.
• •Active infection of lower extremity (e.g., cellulitis).
• •Prosthetic implant in hip and/or lower extremities.
• •Any clinical indication for arthroscopic surgery at the time of enrollment.
• •Planned surgeries during the trial period (e.g., scheduled/awaiting for arthroscopy or a knee replacement procedure for OA of the knee).
• •Plans to initiate other OA treatments including, but not limited to non-pharmacologic, pharmacologic, surgical, chiropractic, acupuncture, yoga, Tai chi, physical therapy during the study period
• •Any other intra-articular knee joint injection during the study.
• •History of systemic and/or intra-articular steroid injection in target knee within six months of baseline visit.
• •History of arthroscopic surgery in affected knee in past 12 months at baseline visit.
• •Cruciate/collateral knee ligament instability, ligament laxity, or meniscal instability of target knee.
• •Significant alignment deformity such as varus/valgus of target knee in the judgment of the investigator.
• •Venous or lymphatic stasis in either leg.
• •Peripheral vascular disease.
• •Concurrent multi-system or multi-limb trauma.
• •Pregnancy or mothers who are breastfeeding. Urine pregnancy test will be administered at baseline for women of childbearing potential.
• •On chronic opioid analgesic therapy that cannot be altered. Chronic is defined as ≥6 months.
• •Known contraindication to acetaminophen.
• •Currently enrolled in another clinical trial or history of trial enrollment within three months at baseline.
• •Plans to move/relocate significantly out of area during study period.
• •Workman's Compensation beneficiary at base line visit.
• •The presence of secondary diagnosis such as neuropathy (any type), radiculopathy, or other nervous system conditions in the judgment of the investigator, contributing to other lower extremity pain that limits activity.
• •Physical Therapy for OA of the lower extremity within 6 months prior to enrollment into the study.
• •Any musculoskeletal condition besides OA of the knee that limits exercise or normal daily function.
• •Acute coronary conditions that are deemed inappropriate for participating in an exercise program.
• •Pulmonary conditions limiting functional capacity.
• •Known allergy to hylan G-F 20 or any, of its components, or to avian proteins, eggs, feathers, down or poultry.