Can Hyaluronic Acid Injections Help Elderly with Weak Legs?

Can hyaluronic acid injections be used for weakness in the legs?

Hello, Doctor: I would like to inquire about the use of hyaluronic acid injections.
My mother-in-law is 94 years old and has experienced degeneration in her legs due to aging.
She can walk but requires a cane.
A relative suggested that we could take her to an orthopedic clinic for hyaluronic acid injections to improve her mobility.
Is this correct? If so, can this be handled at a hospital orthopedic outpatient clinic? Does health insurance cover this treatment? How many injections are typically needed? Would receiving more injections lead to better outcomes? We live near New Taipei City Hospital in Xinzhuang and would like to take her there.
Thank you.

Mrs. Zhang, 30~39 year old female. Ask Date: 2005/11/02

Dr. Chen Xingyuan reply Orthopedics

Dear Mrs.
Chang,
Hyaluronic acid is one of the important components of cartilage matrix, and injecting hyaluronic acid acts like adding oil to a car, providing a lubricating effect.
Aside from the pain associated with the injection itself, there are generally few other side effects.
For some patients with mild to moderate osteoarthritis of the knee, there is indeed some therapeutic effect; many patients find that after a treatment course (one injection per week for five consecutive weeks), they can continue for three to six months with reduced or no need for pain medication, and experience smoother movement when going up and down stairs.
However, due to the high cost of the medication, there are many regulations and restrictions from the National Health Insurance (NHI).
The conditions for NHI coverage are as follows:
1.
Patients with degenerative knee arthritis pain who have not responded to conservative treatment and general medication, and who do not meet the criteria for knee joint replacement.
2.
Patients must not use NSAID pain relievers, steroid injections, or undergo knee joint replacement during the injection period, nor can they receive rehabilitation treatment on the same site.
3.
The dosage and administration must follow the guidelines set by the Department of Health: one injection per week, one vial per injection, for a total of five weeks per treatment course, and no more than two treatment courses per year.
Our orthopedic department can administer hyaluronic acid injections, but whether it can be done will depend on the medical records and X-ray examinations to ensure compliance with NHI regulations.
Wishing you health and safety!
Sincerely,
Dr.
Chen

Reply Date: 2005/11/02

More Info

Hyaluronic acid (HA) injections have gained popularity as a treatment option for osteoarthritis, particularly in older adults experiencing joint pain and mobility issues. In your case, considering your 94-year-old mother who has experienced degeneration in her legs and requires a cane for support, HA injections may be a viable option to explore.

Understanding Hyaluronic Acid Injections
Hyaluronic acid is a naturally occurring substance in the body, primarily found in connective tissues, skin, and synovial fluid, which lubricates joints. In the context of osteoarthritis, HA injections aim to supplement the natural hyaluronic acid in the joint, potentially improving lubrication, reducing pain, and enhancing mobility. The injections are typically administered directly into the affected joint, such as the knee, and can provide relief for several months.

Efficacy and Considerations
Research indicates that HA injections can be effective for individuals with mild to moderate osteoarthritis. They may help alleviate pain and improve function, allowing for better mobility. However, the effectiveness can vary from person to person. Some patients report significant improvement, while others may experience minimal benefits. It is essential to have realistic expectations and understand that HA injections are not a cure for osteoarthritis but rather a means to manage symptoms.

Treatment Protocol
Regarding the treatment protocol, HA injections are usually administered in a series. The typical regimen may involve one injection per week for three to five weeks, depending on the specific product used and the physician's recommendation. It is crucial to consult with an orthopedic specialist who can assess your mother’s condition and determine the appropriate treatment plan.

Insurance Coverage
In terms of insurance coverage, HA injections may or may not be covered by health insurance, depending on the specific policy and the medical necessity as determined by the healthcare provider. It is advisable to check with your insurance provider and the healthcare facility regarding coverage and out-of-pocket costs.

Safety and Precautions
While HA injections are generally considered safe, there are some precautions to keep in mind. Patients with acute infections, skin diseases near the injection site, or allergies to HA should avoid these injections. Additionally, it is essential to discuss any other medical conditions or medications your mother is taking with her healthcare provider to ensure that HA injections are appropriate for her.

Conclusion
In summary, hyaluronic acid injections may offer potential benefits for your mother’s mobility and pain management related to osteoarthritis. However, it is crucial to consult with an orthopedic specialist who can evaluate her specific condition and recommend the best course of action. They will also provide guidance on the number of injections needed and whether they are covered by insurance. By taking these steps, you can help ensure that your mother receives the most appropriate and effective care for her needs.

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