Knee Pain Treatment


Dr. Joseph Fretta provides a non-surgical treatment for BONE-ON-BONE Degenerative Arthritic Knee Pain.

The causes of knee pain are:

  • Degenerative Arthritis
  • Torn Meniscus
  • Damage to Ligaments
  • Poor Results from Knee Replacements

Dr. Fretta’s approach to knee pain treatment varies, depending upon the severity of the problem. For mild to moderate knee problems the treatment may incorporate a series of injections which include the following steps:


Steroid Injection

An injection of a steroid called Methylprednisolone mixed with lidocaine, a local anesthetic.  The lidocaine immediately eliminates pain for several days. The steroid stops the inflammation which causes the pain. Dr.Fretta utilizes an X Ray Fluoroscopy machine for accuracy and to assure the solution is injection precisely in the right location.


VITTI-PURE Injection

VITTI-PURE contains umbilical cord tissue abundant in young growth factors supporting repair of joints. Vitti-Pure can be used for many different things, such as torn shoulder rotator cuffs, early onset hair loss, skin rejuvenation, and any moderate muscle or bone damage. For Moderate cases of damaged knees, whether it be arthritis, or a torn meniscus, Dr. Fretta utilizes Vitti-Pure a week following the steroid injection.


VITTI-PURE -A PRP Alternative for Repair and Rejuvenation

Vitti-Pure contains much higher levels of biological materials and growth factors than found in the blood of adult patients. VItti-Pure is more effective than PRP. Over Time the body naturally produces fewer growth factors for repair and rebuilding as represented in the chart below. This indicates the slowing bio-availability of growth factors as we age which PRP Therapy Relies on.

Sodium Hyaluronate Acid Injection- 2 Weeks Later

Now that the damaged area has healed, after the Vitti-Pure, Dr. Fretta will inject a Sodium Hyaluronate acid. He does 3 weekly injections which creates a cushion in the joint preventing bone on bone joint deterioration again. (This part of the treatment is covered by most major insurance).


For more severe cases an injection of stem cells is required, which is stronger than Vitti-Pure in healing tissue, bone and cartilage repair. This is usually needed in elderly patients with long standing damage to knees and joints.



Most insurance will cover the steroid injection. Out of pocket cost is $150

Vitti-Pure is not covered by insurance. The price is $550 for an injection.

Stem cells are not covered by insurance. The price is $2,000.

Trivisc injections when not covered by insurance are at $550 an injection. Most plans and medicare cover Trivisc.