Hyaluronic Acid Joint Injections

What are Hyaluronic Acid (HA) injections?

Hyaluronic acid (HA) is a natural substance that is found in your skin, joints, eyes, connective tissues, lips and gums, scalp, and hair follicles. The main role of HA is to retain moisture, act as lubricate, support structures and aid repair.

What Is Hyaluronic Acid (HA)?

Hyaluronic acid (HA) is a natural substance that is found in your skin, joints, eyes, connective tissues, lips and gums, scalp, and hair follicles. The main role of HA is to retain moisture, act as a lubricate, support structures and aid repair.

In joints specifically, HA acts as a lubrication and shock absorber, helping joints move smoothly and in turn reduces pain. When there is osteoarthritis presented into the joint the hyaluronic acid levels decrease leading to pain and joint stiffness. Injecting HA into the joint can relieve some of those affects making the joint less painful and easier to move, consequently improving quality of life.

These injections are often called viscosupplementation, which means they can help restore the normal ‘viscosity’ or thickness of the joint fluid. Versus Arthritis also document Hyaluronan Injections as a treatment option https://www.versusarthritis.org/about-arthritis/treatments/drugs/hyaluronan-injections/

These injections are often called viscosupplementation, which means they can help restore the normal ‘viscosity’ or thickness of the joint fluid.

Versus Arthritis also document Hyaluronic Acid (HA) Injections as a treatment option https://www.versusarthritis.org/about-arthritis/treatments/drugs/hyaluronan-injections/

When to use?

Hyaluronic acid injections are used when there is not enough relief from over-the-counter painkillers like paracetamol and ibuprofen. When the patient is not ready or eligible for joint replacement surgery or when the patient would want to delay the need of joint replacement. In combination with physiotherapy and exercise rehab has the best outcomes. There are different types of hyaluronic acid injections differing in molecular weight (how thick the fluid is), number of injections needed and the source (synthetic or animal sources).

Popular brands include  Ostenil , Sinovial, Sinogel (HA and Chondroitin), Cingal (HA and steroid), and Monovisc.

The main benefits of HA injections:

  • HA injections are non-surgical and minimally invasive.
  • It may delay the need for a joint replacement.
  • It can reduce joint pain for 6 months or more
  • It can improves quality of life.

The risks and side effects of HA injections can be minimal. There can be mild swelling or soreness at the injection site, temporary stiffness, or warmth in the joint and in rare cases an allergic reaction or infection.

The patient should always consult with a doctor or physiotherapist when unsure if HA injections are the right option for them! The main goal of hyaluronic acid injections is to provide joint lubrication which can reduce the joint pain and improve movement, especially in patients with osteoarthritis. It is not a cure, but it can be a valuable part of a non-surgical treatment plan and management. If paired with physiotherapy, strength training and weight management it can provide the best outcomes!

The are many deferent HA injections available. Please call our clinic on 0191 285 8701 if you would like to know more. One of our qualified physiotherapist will give you a call to discuss and answer all your questions before booking in for an initial assessment.

Types of HA joint injections

Product HA dosage Injection schedule Typical joint used for
Ostenil Mini – 1ml 10mg of HA per injection Weekly x3 injections Small joints (fingers, toes, wrist, and elbow)
Ostenil Standard – 2ml 20mg of HA per injection Weekly x3 injections Large joints (knee, shoulder, and ankle)
Ostenil Plus – 2ml 40mg of HA per injection Single injection Large joints (knee, shoulder, and ankle)
Sinovial HL 32 – 1ml 32mg of hybrid HA Single injection Small joints (fingers, toes, wrist, and elbow)
Sinovial HL 64 – 2ml 64mg of hybrid HA Single injection Large joints (knee, shoulder, and ankle
Sinogel 3ml 72mg of HA and 48mg of Sodium Chondroitin Single injection Large joints (knee, shoulder, and ankle
Cingal – 4ml 88mg of HA and 18mg of Steroid Single injection Knee only (licensed) – other joints off-label
Monovisc – 4ml 88mg of HA Single injection Knee (primary) or other joints under specialist care

Find out more about HA joint injections

Monovisc injections

Monovisc injections are designed for a single injection of Hyaluronic Acid (HA) treatment targeting only the knee joints Osteoarthritis. The … read more

Sinovial Joint Injections

Sinovial injections are best suited for patient’s with mild to moderate levels of osteoarthritis in joints like the knee, ankle … read more

Cingal Knee Injections

What is Cingal®? Cingal® is a combination injection of Hyaluronic Acid (HA) and Corticosteroid for the management of Osteoarthritis of … read more

Ostenil Joint Injections

Ostenil® is a treatment for the symptoms of osteoarthritis. It can be used in the knee, or in any of the other joints in the body that are classified as ‘synovial’.

Resources downloads

HA Cingal and Monovisc Leaflet

Download

Hyaluronic Acid Injection Patient Information Leaflet

Download

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