How to talk to your doctor about osteoarthritis (OA) knee pain

INSTRUCTIONS
You probably visited EUFLEXXA.com because you or someone close to you is in pain.When pain from OA of the knee limits your ability to do the things you want or need to do, you should talk to your doctor about treatment options.

The questions below allow you to create a personalized report of your knee pain (or of the knee pain suffered by a person in your care). Share your answers with your doctor at your next appointment and ask whether EUFLEXXA may be right for you.

  • Step 1:
    Fill out this form
  • Step 2:
    Download
  • Step 3:
    Print
  • Step 4:
    Bring to your doctor to make the most of your next appointment
    About how long ago did your knee pain start?
  • More than 3 years ago
  • More than 1 year ago
  • 6 month to 1 year ago
  • Within the past 6 months
    To the best of your memory, rate your average knee pain at the following points in time on a scale from 0 (no pain) to 10 (unbearable pain). 3 months ago:
  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • During the past 7 days:
  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
    What daily activities are you less able to do because of knee pain? Check all that apply.
  • Walking (to the mailbox, through a grocery store, to and from your car, etc)
  • Going up and down stairs
  • Getting in and out of a car
  • Standing up after long periods of sitting or after bending to pick something up
  • Other
  • My knee pain does not affect my daily activities
    Which treatments have you tried to reduce your knee pain? Check all that apply.
  • Exercise and/or physical therapy
  • Over-the-counter pain relievers (Tylenol®, acetaminophen, or anti-inflammatory medications such as Advil®, Motrin®, ibuprofen, Aleve®, naproxen, etc.)
  • Prescription pain relievers (oral or topical)
  • Steroid injections
  • Hyaluronic acid injections
  • Surgery
  • Other (such as platelet-rich plasma “PRP,” transcutaneous electrical nerve stimulation “TENS,” acupuncture, bracing, etc)
    Have you been diagnosed with OA of the knee by a doctor or other healthcare professional?
  • Yes
  • No
  • Not Sure
    Do you have x-rays or imaging studies that were performed (not just reports)?
  • Yes (Please bring with you to your 1st appointment)
  • No
    Check here if you would be interested in participating in a special program that allows your physician to track your symptoms during your EUFLEXXA treatment experience.
  • Yes (If your doctor decides EUFLEXXA is right for you, ask about participating in the EUFLEXXA Partnership Program.)
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Whether you think you have OA of the knee or have already been diagnosed, there’s more to know.

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