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.




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

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.