Larisa N. Likver, MD
Pain Management Physician located in New York, NY & Bensonhurst, Brooklyn, NY
Dr. Likver is a highly skilled New York City physiatrist with significant experience providing advanced care for joint pain, including state-of-the-art visco-supplementation treatments to relieve chronic arthritis pain.
Joint Pain Q&A
What is viscosupplementation?
Viscosupplementation is a technique used to treat joints that have become damaged by osteoarthritis. During the viscosupplementation procedure, a substance called hyaluronic acid (also called hyaluronate and hyaluron) is injected into the joint space to act as a lubricant, reducing friction on the joint surfaces to relieve pain and inflammation while improving the way the joint works. When the treatment is used over time, viscosupplementation may help damaged joint surfaces heal, and injections can also help promote the body's natural production of hyaluronic acid for better joint function and a reduction in inflammation in pain in the future.
What is hyaluronic acid?
Hyaluronic acid is a substance that occurs naturally in the body's joints, helping facilitate normal, pain-free function. As we age, hyaluronic acid production can decline, increasing the risk of arthritis and joint surface damage and resulting in pain, stiffness and limited range of motion in the joint.
What is the viscosupplementation treatment like?
Viscosupplementation is performed in the office as an outpatient procedure, which means you can go home immediately afterward. During treatment, injections are made directly into the joint to serve as a natural cushion and prevent friction, pain, and inflammation. Before injecting the solution, a small amount of joint fluid may need to be removed to “make room.” The entire procedure takes just a few minutes to perform, and while a single treatment can be effective, most patients achieve optimal benefits with three to five treatments.
How will I feel after treatment?
Immediately after treatment, you may feel some discomfort at the injection site and within the joint, as well as mild swelling and stiffness. These effects resolve soon afterward. Although viscosupplementation is performed as an outpatient procedure, you may need to rest the joint following injection to enable it to recover as quickly as possible.
Insurance Providers Accepted
If you don't see your insurance listed, don't worry! Please call or email as this list can change and we accept many insurances out of network.
Words from our patients
Dr. Likver has been a true savior. She's enabled me to live an active life again. After visiting other doctors with no results I was lucky to find Dr. Likver.
I did not think that I could be cured with anything but surgery until I saw Dr. Likver. I feel like a new man.
"I am very thankful to you and your amazing team, for being so thoughtful and caring towards my persona. Your treatments helped me live my life. A big thank you."
"You are a gift from God and so is your staff. You are the best pain management doctor in the USA. You listen, you care and you understand."
"I've been a patient of Dr. Likver's for years and find her to be thoroughly accurate, pleasant & efficient. I've recommended her to several of my friends!"
"I have never had a doctor spend so much time with me discussing a course of treatment and explaining every aspect of it."
"You really took the time to treat me as an individual & get to know me. If it wasn’t for you & your excellent staff I know I wouldn't be able to work through my pains."
"Since coming to Dr. Likver my quality of life has improved tremendously. I am once again able to enjoy my life. Thank you Dr. Likver for giving me back my life."
"She effects a miraculous cure and brings the dying back to life. Both with benevolent mind and art presented respectfully by Centerian."
"This doctor really knows her stuff, and is very dedicated and enthusiastic to healing her patients."
"Dr. Likver is a physician I trust and admire. Her commitment to continuing education regarding research and new approaches is inspiring. Thank you Dr. Likver!"
"The most important thing is her manner. Her interest in you as a person and your life is genuine and I am so grateful. All in all high marks all around."