Home / Fees and hours / Arthrosamid injections

Arthrosamid treatment for knee osteoarthritis

Accepting American and Canadian patients

Arbutus Physiotherapy & Health Centre in Victoria, BC welcomes patients travelling from the United States for Arthrosamid® knee injections.

Travelling from the United States for Arthrosamid® treatment?

For patients travelling internationally or from outside Vancouver Island, we offer a complimentary 15-minute consultation to discuss treatment suitability, answer questions, and help coordinate travel before committing to an in-person appointment. More information about travelling to Victoria, below.

What you can expect

Arthrosamid® is an outpatient procedure with minimal downtime. Most patients can return to light daily activities shortly after treatment.

  • First 24–72 hours: Mild knee soreness, stiffness, or swelling may occur. Light walking is encouraged.
  • First week: Avoid strenuous exercise, heavy lifting, hiking, and running.
  • Treatment results: Improvement may develop gradually over several weeks, with individual results varying.

Travelling after your injection

Patients travelling from outside Victoria may be able to fly or take a ferry home the same day or the following day, provided they feel well and are medically cleared.

We recommend avoiding heavy luggage, allowing extra time at airports, and moving regularly during longer journeys.

An overnight stay in Victoria is not routinely necessary.

Patients should seek medical assessment if they develop increasing pain, redness, swelling, or fever after treatment.

Arthrosamid  by Contura Orthopaedics, logo.
Dr. Alex Del Duca treats a patient.

Dr. Alex Del Duca

Naturopathic Physician

Dr. Del Duca has a specialized focus and passion for Pain Management and Sports Medicine-based interventional therapies.

Initial Arthrosamid screening visit

  • Appointment duration: 30 minutes
  • Appointment fee: $150 CAD
  • No injection performed
  • No referral required
  • Patients can book online

During this appointment, Dr. will review the patient’s medical history, knee symptoms, X-rays, suitability for Arthrosamid, potential benefits, risks, and alternative treatment options.
Who is a candidate for Arthrosamid injection?

Arthrosamid® is a non-surgical treatment option for adults experiencing knee pain, stiffness, and reduced mobility associated with osteoarthritis.

Who may not be a suitable candidate?

You may be a suitable candidate if you:

  • Are exploring non-surgical treatment options for knee osteoarthritis.
  • Have been diagnosed with knee osteoarthritis (Kellgren–Lawrence grades 2–4).
  • Experience ongoing knee pain, stiffness, or reduced mobility affecting daily activities.
  • Have tried conservative treatments, such as physiotherapy, exercise, or medications, without adequate relief.
  • Have experienced limited or temporary improvement from corticosteroid or hyaluronic acid injections.
  • Arthrosamid® is not appropriate for everyone.
  • A screening appointment is required to determine suitability. Certain conditions, including active infections, previous knee replacement, recent knee arthroscopy, or certain bleeding disorders, may prevent treatment.

Frequently asked questions

How much does Arthrosamid cost?

The total cost is $4,400 CAD, including the injection appointment and Arthrosamid itself.

What is the $150 (CAD) screening appointment?

It’s a 30-minute consultation with Dr. Del Duca to determine whether Arthrosamid is an appropriate treatment option for your knee.

Do I lose the $150 if I decide to get Arthrosamid?

No. If you proceed with Arthrosamid, your $150 screening fee is credited toward treatment. Your second appointment will cost $4,250 (CAD), bringing the total to $4,400.

What happens if I’m not a candidate?

You would only pay the $150 consultation fee. Dr. Del Duca can discuss other treatment options that may be appropriate for you.

What can you tell me about travelling to Victoria?

Forthcoming:

  • Information about travelling through Victoria International Airport (YYJ).
  • Ferry and other transportation options for American patients.
  • The possibility of coordinating screening and treatment on the same day for patients travelling long distances, provided they meet the clinical requirements.

Can I have the screening and injection on the same day?

Potentially, yes, especially if you’re travelling from out of town. However, that requires a different appointment arrangement. The initial assessment fee is $325 if the injection cannot proceed. If you’re suitable and the injection is performed, the total is $4,400 (CAD) instead.

Is Arthrosamid® injected using ultrasound guidance?

Yes. At our clinic, Arthrosamid® injections are performed using real-time ultrasound guidance. This allows Dr. Alex Del Duca, ND, RMSK, to visualize the knee joint and guide the needle into the appropriate location during the procedure.

Ultrasound guidance provides direct visualization of the relevant anatomy and needle placement, supporting accurate delivery of the injection without the use of radiation.

Can I book without a referral?

Yes. Arthrosamid screening appointments are available to patients without a referral.

Do I need X-rays?

Yes. We ask that you have knee X-rays from within the last three years available for review.

Can I use my extended health insurance?

You can submit your receipts to your insurance provider, but coverage depends on your plan. We recommend checking with your insurer directly.

What our patients say about us

Melissa Phillip's profile photo on Google Reviews.

Front desk staff are incredibly welcoming

“Brandon is amazing! He was able to get to the bottom of my shoulder pain and give me a treatment plan in the first visit. The clinic is bright and clean, and the front desk staff are incredibly welcoming.” Melissa Phillips
A bouquet of yellow and red tulips in a glass vase, which we see only the top of, set against a white background. Slightly left of center is the focus of the picture, which is a yellow blossoming tulip. It is sticking out from the others and bent to that the center of the flower is facing the camera. It is bright yellow with a small patch of red on each petal.

Respectful and knowledgeable

“I have been going to Arbutus for a couple of years now, in that time I have seen one if not all of the people in there. Sandy the owner is exceptional and her team are fantastic ! They all take the time to listen and are respectful and knowledgeable in their respective fields. Shout…
Sunrise over a barley field.

The future looks bright

“I met Sandy, and Mackenzie when I walked into Arbutus Physio one day. I have recently had a serious back surgery and physio was recommended by my surgeon. Simply, it has been amazing. They have a new, clean, medium-size facility, with a professional attitude from front to back. Lots of parking. Sandy is educated and…
Treatment bed in a sunny clinic room

Clinic is bright and welcoming

“The clinic is bright and welcoming, everyone was welcoming and helpful. Remy was very thorough and explained things very well as he went along.” Kytara Porter
Red flowers on a tree.

So happy to have found this place

“I am very grateful for the staff at Arbutus. I have received both IMS and physio treatments over the last few months and I am feeling wonderful. I am noticeably more flexible and no longer get aches and pains. Fawn is my regular physiotherapist (she is superb) and I have also seen Scott and Melissa…
David Lacey bikes with his child.

Friendly, helpful, professional experience

“I had friendly, helpful and professional experience with the team at Arbutus Physio. Remy was great, my recovery from injury/surgery is now complete. Thanks very much!” David Lacey