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Date: 12.01.2016
From: Lucy

Subject: Radionuclide Syvonectomy - Knee

I've been advised to have a Radionuclide Syvonectomy procedure for my knee to help with my RA. It seems a good idea as had reactions to Methotrexate and am not keen to go back onto drugs as its only one joint affected.
It seems a good idea to get the lining killed off as this is where the swelling is, and I'm keen to have it done, but am worried if there are any side effects or negatives that I can't find online/haven't thought of?
Has anyone had this procedure done? I'm struggling to find anything other than scholar articles online.
Thanks
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Date: 12.01.2016
From: sleek fox

Subject: Re: Radionuclide Syvonectomy - Knee

Lucy, I've got no idea what this procedure is but wanted to wish you luck. Could you ask the consultant if there are any patients who would be willing to talk to you about it?
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Date: 13.01.2016
From: Lucy

Subject: Re: Radionuclide Syvonectomy - Knee

Thank you. It appears its a fairly 'old' method but it was only as I saw a different consultant to normal that it was suggested.

It appears to be a radio-active chemical (Y-90) is injected into the knee (similar to a steroid injection) and then you have a cast so you do not move the knee for 3 days to ensure the chemicals do not travel. This will then kill the synovial lining of the knee joint. This then (hopefully) ensures that the swelling goes and then the lining cannot attack itself to keep swelling. Which sounds great....just worried if there are other side effects of not having a lining in the knee.

I've an appointment Friday to discuss further so may ask if there are others who he has treated. I'm then am booked in for the end of the month with the nuclear medicine department for the procedure!
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Date: 13.01.2016
From: sleek fox

Subject: Re: Radionuclide Syvonectomy - Knee

Best of luck with it, Lucy. I'll be interested to hear how it goes.
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