Managing Pain After Hyaluronic Acid Injections for Arthritis Relief - Orthopedics

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Pain after hyaluronic acid injection?


Hello, doctor.
My mother has osteoarthritis and has difficulty moving.
She receives hyaluronic acid injections every six months to alleviate her symptoms.
After her injection at the hospital yesterday, she returned home in excruciating pain and is completely unable to move, mentioning that she might need another injection.
I would like to know how to manage her pain symptoms and whether there might be an issue with the injection.
Thank you.

Zhou De O, 50~59 year old female. Ask Date: 2020/06/04

Dr. Zhan Xian reply Orthopedics


Hello Mr.
Zhou, it is possible to experience soreness a few days before the hyaluronic acid injection.
You can rest more and apply ice packs.
Please consult your original physician during your follow-up appointment next week.
There should be no need for a re-injection; you can continue with the original treatment plan.
Wishing you well!

Reply Date: 2020/06/04

More Info


Managing pain after hyaluronic acid injections, especially for conditions like osteoarthritis, can be a challenging experience for both patients and their caregivers. It's important to understand that while hyaluronic acid (HA) injections are commonly used to alleviate joint pain and improve mobility, some patients may experience discomfort or pain following the procedure.

Understanding the Pain After Injection
1. Normal Reaction: After receiving a hyaluronic acid injection, it is not uncommon for patients to experience some level of pain or discomfort at the injection site. This can be due to the needle puncture, the volume of the injected substance, or the body’s inflammatory response to the injection. Typically, this pain should be mild and transient.

2. Severe Pain: If your mother is experiencing severe pain that is preventing her from moving, it could be indicative of a few potential issues:
- Infection: Although rare, an infection at the injection site can cause significant pain and swelling.

- Joint Reaction: The joint may react adversely to the injection, leading to increased inflammation and pain.

- Incorrect Injection Technique: If the injection was not administered properly, it could lead to complications such as joint swelling or damage to surrounding tissues.


Immediate Management Strategies
To help alleviate your mother’s pain following the injection, consider the following strategies:
1. Rest: Encourage her to rest the affected joint as much as possible. Avoiding weight-bearing activities can help reduce pain and prevent further irritation.

2. Ice Therapy: Applying ice packs to the injection site can help reduce swelling and numb the area, providing temporary relief from pain. Ice should be applied for 15-20 minutes every hour as needed.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can be effective in managing pain and inflammation. However, it’s essential to consult with her physician before administering any medication to ensure it’s appropriate for her specific health conditions.

4. Elevation: If the injection was in a limb, elevating the affected area can help reduce swelling and discomfort.

5. Follow-Up with the Physician: It’s crucial to follow up with the healthcare provider who administered the injection. They can assess the injection site for any signs of complications and provide further recommendations or treatments if necessary.


When to Seek Medical Attention
If your mother’s pain persists or worsens, or if she develops additional symptoms such as fever, increased swelling, or redness at the injection site, it is vital to seek medical attention promptly. These could be signs of an infection or other complications that require immediate intervention.


Conclusion
In summary, while pain after hyaluronic acid injections can be a normal reaction, severe or persistent pain warrants further investigation. Employing rest, ice therapy, and appropriate pain relief can help manage symptoms effectively. Always maintain open communication with her healthcare provider to ensure she receives the best possible care tailored to her needs.

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