One injection. Years of relief.
The morning your knee stops being the first thing you think about.
One ultrasound-guided injection for knee osteoarthritis. Pain relief documented out to five years in clinical studies. Thornhill, Ontario, 25 minutes from Toronto Pearson International Airport.
injection
a single ultrasound-guided treatment
years of documented relief
in published clinical studies
response rate
in patients under 70
Based on published clinical studies (Bliddal et al.); individual results vary.
There is no cure for osteoarthritis. Treatment may reduce or relieve knee pain, but symptoms may not improve and in some cases may worsen. Individual results vary.
Published studies: IDA study (2-year results)ROSA subgroup analysis3-year follow-up data
A clinic built around a single treatment, delivered through a standardized protocol while being tailored to each patient’s clinical needs.
The mechanism
One injection that changes the joint
Bone-on-bone osteoarthritis
As cartilage wears, the joint space narrows and movement becomes painful.
Ultrasound-guided injection
A single injection places the polyacrylamide hydrogel precisely into the joint.
The hydrogel integrates
The non-degradable gel integrates with the synovial tissue lining the knee.
Cushioned, longer term
The joint is cushioned, with pain relief documented to five years in clinical studies.
Source: Bliddal et al. 2024, Osteoarthritis & Cartilage 32(6):770–771; Bliddal et al. 2025 (5-year follow-up, WCO-IOF-ESCEO).
How it works
From first call to lasting relief, in three steps
- Step 01
Consultation & assessment
A physician reviews your diagnosis and imaging and confirms whether the treatment is appropriate for you. The consultation fee is included in the treatment price.
- Step 02
The treatment, in a single visit
A single ultrasound-guided hydrogel injection, completed in minutes, with a prophylactic antibiotic protocol and local anaesthetic. See the treatment page for the step-by-step.
- Step 03
Recovery & follow-up
You return home the same day with a structured rehabilitation plan, and a follow-up appointment about one month later monitors your progress.
Honest candidacy
Who the treatment is for, and who it isn’t
Being candid about who this treatment doesn’t suit is part of doing it well. Your physician confirms suitability at consultation.
You may be a good fit if you have
- A diagnosis of knee osteoarthritis
- Knee pain that limits daily activity
- A preference for a non-surgical option
- Looking for a single treatment rather than repeat injections
It is not suitable with
- A prior knee replacement or other foreign material in the knee
- Arthroscopy of the knee within the past six months
- An active infection or skin disease at the injection site
- Haemophilia or uncontrolled anticoagulation
- A previous non-absorbable injectable in the knee
Cautions also apply for poorly controlled diabetes, autoimmune disorders, pregnancy, under 18 years of age. Source: IFU and consent form.
Physician-led
Consistency at every step
Your treatment is performed by Dr. Johnny Nguyen, MD, Family Medicine, practising in interventional pain medicine, Medical Director, Restoration Medical, and follows a standardized clinical protocol designed to ensure a consistent patient experience.
Every procedure is performed under ultrasound guidance, with comprehensive follow-up and outcome monitoring included as part of your care.
Read about the protocolsTransparent pricing
One price for the whole treatment
CAD $5,000
One knee
plus 13% HST
CAD $9,000
Both knees
plus 13% HST
- Physician consultation
- Ultrasound-guided procedure
- Prophylactic antibiotic protocol
- Structured rehabilitation plan
- Follow-up appointment with outcome monitoring
Ontario HST (13%) is added separately. Not covered by the Ontario Health Insurance Plan (OHIP), Ontario’s public health insurance.
USD totals are approximate, converted at today’s rate. You are billed in Canadian dollars.
For US & international patients
Approved in Canada. Built for fly-in patients.
The hydrogel was approved by Health Canada in 2024 but is not yet FDA approved, so no US clinic currently offers it. The clinic is about 25 minutes from Toronto Pearson International Airport, and the procedure is completed in a single same-day visit.
Plan your visit- Health Canada approved (2024); CE marked in Europe
- Same-day procedure, 25 minutes from the airport
- Documentation for FSA/HSA and extended health claims
Questions
Common questions
How many injections does the treatment involve?
One. The treatment is a single ultrasound-guided injection of polyacrylamide hydrogel into the affected knee. There is no course of repeat injections.
How long does relief last?
In published clinical studies, pain improvement after a single injection has been maintained out to five years. Individual results vary, and there is no cure for osteoarthritis.
Is this treatment approved in Canada?
Yes. The hydrogel was approved by Health Canada in 2024 and is CE marked in Europe. It is not currently FDA approved; US trials are ongoing.
Where is the clinic and how far is it from the airport?
The clinic is in Thornhill, Ontario, about 25 minutes by car from Toronto Pearson International Airport.
What does the treatment cost?
CAD $5,000 for one knee and CAD $9,000 for both knees. This covers the consultation, the ultrasound-guided procedure, the prophylactic antibiotic protocol, a structured rehabilitation plan, and a follow-up appointment with outcome monitoring. Ontario HST (13%) is added separately, and it is not covered by the Ontario Health Insurance Plan (OHIP), Ontario’s public health insurance.
Who is not a candidate for the treatment?
It is not suitable for people with a prior knee replacement or other foreign material in the knee, arthroscopy within the past six months, an active infection or skin disease at the knee, haemophilia or uncontrolled anticoagulation, or a previous non-absorbable injectable. Your physician will confirm suitability at consultation.
There is no cure for osteoarthritis. Treatment may reduce or relieve knee pain, but symptoms may not improve and in some cases may worsen. Individual results vary.
Book a consultation
Take the next step
A consultation reviews your diagnosis, confirms whether the treatment is suitable for you, and answers your questions. The consultation fee is included in the all-inclusive treatment price.
- Health Canada approved (2024)
- Physician-led care
- Consultation fee included
- 25 minutes from Toronto Pearson