Rooster Comb Injections

Viscosupplementation of the Knee Raleigh NC

Dr. Kanaan is a board-certified sports medicine physician and regenerative medicine specialist. He is dedicated to providing comprehensive care to patients suffering from knee pain in Raleigh, NC.

When you schedule an appointment at Wake Non Surgical Ortho you will not just receive care from our highly-trained team of orthopedic specialists, but also Dr. Kanaan himself. For more information, please contact our office at (919) 719-2270 and schedule an appointment today! 

What is VISCOSUPPLEMENTATION, or as some people call it, a rooster comb injection?

Viscosupplementation (Rooster Comb) Injections:  They are made from a natural substance called hyaluronic acid that has almost no side effects. They act like a lubricant in the joint (like WD-40) and reduce both friction and pain. This is also a same day procedure that is done in the office, rather than in the hospital.

What Are Lubricant Injections for Knee Pain Relief? 

If you are tired of living with knee pain caused by arthritis or joint inflammation and you’ve been told joint replacement or surgery is your only solution, there are actually several nonsurgical options to consider. At Wake Nonsurgical Ortho & Sports Medicine, one of the many options we offer is viscosupplementation, a so-called rooster comb injections.

There are several different brands of viscosupplements including Euflexxa, Synvisc, Hyalgan, Supartz, Gelsyn, Triluron, and Orthovisc. Each of these products has subtle differences in terms of HA concentration, viscosity, number and of injections required. These injections can be used in almost any joint and are particularly effective for use in the knee, hip, ankle and shoulder. Proper placement of HA into the joint is essential in order to obtain beneficial effects. Therefore we ALWAYS use ultrasound guidance to verify the needle placement.

What is the Viscosupplementation process?

These injections are a non-invasive treatment for knee and joint pain in which a natural lubricant is injected into the knee to reduce friction and inflammation – a major cause of pain, swelling, and loss of motion. Made from hyaluronic acid, the main component in synovial fluid, the naturally-occurring lubricating fluid in the knee, these injections are natural, safe, and have few to no side effects.

They are given in series of three, one week apart,  in a same-day, in-office procedure. Unlike the weeks of recovery and pain from joint replacement, viscosupplementation can have you going about your day in almost no time at all. These injections are successful in reducing pain caused by arthritis, and many of our patients experience long-lasting effects.

Best of all, this treatment is covered by insurance with little to no cost to you, depending on your coverage!

Is This Covered by Insurance?

Almost ALL insurance carriers (including Medicare) will cover the cost of the injections, although you may have to pay your “percentage” based on whatever type of healthcare plan you carry.  Medicare will usually cover these injections in full , with no out of pocket costs to the patient.

Schedule an Consultation for Viscosupplementation

Viscosupplementation of the knee is a highly effective way to treat patients who are suffering from chronic knee pain. Board-certified orthopedic specialist Dr. Kanaan specializes in non-surgical and minimally invasive orthopedic treatments. He will take the time to diagnose your symptoms and provide the best treatment for you. To see if rooster comb injections are right for you, call our office at (919) 719-2270 and schedule an appointment with Wake Nonsurgical Ortho & Sports Medicine.

Request Appointment

*NOTE TO PATIENTS: If you are interested in PRP, Stem Cells, or Lubricant Injections you will need to schedule a “NEW PATIENT visit”  to discuss your medical history with Dr. Kanaan first.  This is usually covered under your insurance plan.   We will sometimes make exceptions for patients traveling over 3 hours to our clinic.


3237 Blue Ridge Rd.

Raleigh, NC 27612

Phone: (919) 719-2270

Mon-Fri: 8 am- 3pm

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