I would like to add onto this review over a month later.... still in Dr. Karkare's care and now almost pain free in my knee joint. He recommended the HYALGAN shots, and thanks to the tenacity of his staff with my insurance company, they were approved and i am now into my second shot out of five.... and yes already feeling great relief. I want to point out that Dr. Karkare was very firm in advising me that everybody reacts differently to this procedure and it may not be a quick fix but it will work in the end. I, fortunately, am one of the ones to respond quickly, thankfully!!!! No one can know the pain one is in with bone on bone arthritis until you are experiencing it and I have never meant a Dr. more supportive, caring, understanding and determined to give a person relief from such pain until I had the privilege of being referred to Dr. Karkare! He is everything you want in a Dr. (bedside manner, skill and knowledge) all rolled into a very neat package! read more