English to Russian Medical Other

Dr. Beta is a sports medicine physician who has been practicing for 8 years.
He has a very large practice, working with several other physicians.
He treats and diagnoses OA of the knee, along with the typical variety of concerns one might find in any sports medicine practice.
He doesn’t believe there is much of a change in clinical outcomes for patients treated with viscosupplementation.
He feels that steroids work well and are his first treatment option after prescription painkillers have failed.
He feels that it is better *to hold viscosupplementation back* as a final option that he can try before referral to an orthopedic surgeon