Cingal Joint Injections: Hyaluronic Acid Injection
Cingal is a single injection with a combination of hyaluronic acid and corticosteroid. It is designed to target joint pain and inflammation directly.
What is Cingal®?
Cingal® is a combination injection of Hyaluronic Acid (HA) and Corticosteroid for the management of Osteoarthritis of the knee joint. It is a common and popular option for knee injections especially for patients with mild to moderate knee osteoarthritis. Due to the HA component of the Cingal® knee injections being the major component they have been approved as a medical device so does not require a prescription and has been deemed safe and effective for its intended use within knee joints in the UK.
Who can benefit from Cingal® injections?
You could benefit from Cingal® injection if you suffer with persistent knee osteoarthritis pain which has not responded to physiotherapy intervention. If you suffer with stiffness and limited joint mobility with inflammatory signs and symptoms like swelling, you could also benefit from a Cingal® injection due to the corticosteroid properties.
At Physiotherapy Matters you will always be assessed by one of our clinical specialist physiotherapists before the injections to make sure the treatment is appropriate for you.
How do Cingal® Knee Injections work?
Cingal® is an injection combined with HA and Corticosteriod. The Hyaluronic Acid (HA) is a form of Sodium Hyaluronate solution. The HA helps the knees with lubrication and cushioning. The Corticosteroid combination in the injection helps to reduce inflammation and pain in affected knee joint.
What can I expect if I decide to have a knee injection with Cingal®?
If Cingal ® is your chose of injection after you had an assessment and discussion with your physiotherapist a single injection of Cingal ® will be injected into the affected knee joint. You could experience pain relieve within 2 days after the injection due to the steroid component. The improvement stiffness with more pain relieve will improve gradually over a few weeks due to the HA combination. The reduction in symptoms can last 6-12 months depending on your activity levels and severity of arthritis.
Once the effects of the first injection wear off, you can, if you choose, have another Cingal® injection, or a single HA injection.
Are there any risks or side effects?
In Cingal® clinical studies, a low number of patients experience minor side effects. However, with any injections there are low level risks of having an allergic reaction, infections, injection site pain, bruising and bleeding, redness, rash or swelling of the joint. Due to the steroid component of the injections, there can be systemic side effects that are detailed in the patient information leaflet.
How do I book for a Cingal® knee joint injection?
We offer a 10 mins telephone triage calls for anyone wanting to ask questions about Cingal® or any of our specialist treatment options to answer any questions. We ask all patients considering Cingal© injections to book in for an initial assessment, where the Clinical Specialist Physiotherapist will assess the joint and go through the treatment options including the different injection types. If you decide to proceed with the Cingal© informed consent is obtained and the injection is carryout during the appointment time. You will be asked to stay in the waiting area of the clinic for 10-15 mins after the injection prior leaving. This is to make sure that you feel fine post-injection. Additionally, you should avoid strenuous activities for the first 24-48 hours post injection.
Frequently Asked Questions (FAQ)
How does it work?
Cingal® is a combination of hyaluronic Acid and Corticosteroid. HA is a chemical that is found naturally in your joints. The HA becomes less during wear and tear of joints which can increase stiffness and pain in joints. The HA combination in Cingal® acts as a lubrication and shock absorber in the joint. The steroid in Cingal® reduces inflammation in the joint.
Are there any risks or side effects?
there are low level risks of having an allergic reaction, infections, injection site pain, bruising and bleeding, redness, rash or swelling of the joint. Due to the steroid component of the injections, there can be systemic side effects. The skin at the injection site may become thinner or change colour. You may experience facial flushing. These reactions are normally mild and last for a very short period.
Can I have a repeat injection?
Yes, once the effects of the first injection wear off, you can have a second injection. In recent studies patient received a second Cingal® 6 months after the first one. If you don’t need the steroid combination during a second injection you can have a single HA injection.
How soon until I feel results?
Each patient is deferent, but research shows that you could experience pain relief within the first week after your injection. It is proven that the results can last up to 6 months.
Is it safe to have surgery after the injection?
If you are under a consultant or on a waiting list to have surgery on the injected joint in the next 6 months, please inform your physiotherapist about it.
If you have any questions or concerns regarding Cingal® Knee Injections please call the clinic on 0191 285 8701 for a free telephone triage call.
Price
| Cingal – containing 88 mg HA and 18 mg of Steroid per injection | 1 joint – £320 2 joints – £550 |
(Prices include cost of appointments and injections)
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