mam powazny problem z przetlumaczeniem tego tekstu, nie jest on dlugi
moze ktos bylby taki mily i sprobowal go przetlumaczyc, z gory dziekuje.

Although they are not NSAIDs, steroids, such as cortisone, prednisone,
etc., warrant some mention here also. In a sense, cortisone acts like a
COX-2 inhibitor. Sometimes they are temporarily helpful, but they
should be taken only with extreme caution.

Two other products, Synvisc and Hyalgan, are sometimes used to help
augment the synovial fluid in the knees. They are based upon hyaluronic
acid. The regimen consists of three to five injections over a period of
time. The rationale is that these viscous materials will act a little
like an artificial synovial fluid in a knee in which osteoarthritis has
left the real synovial fluid thin and watery. This should provide some
temporary relief. It is quite an expensive treatment in the US. I have
only known three people who have tried this approach. None of them were
happy with the results. I would suggest that anyone who is interested
in this approach should check out the Internet search engines with the
words "Synvisc" and "Hyalgan" to find out what other people's
experience with these two products has been. Although the information
from the manufacturers and physicians may be interesting also, the
findings of those people who have received these injections should be
given significant weight, because they have no financial interests at
stake.

As another issue, I wonder if anyone can explain to me why Synvisc
purchased in the United States costs 14 times as much as the same
product (by Synvisc!) when purchased in Japan? Reference: Boston
Business Journal, Sept. 29, 2003, by Mark Hollmer.