Can Hyaluronic Acid Injections Help My Mom's Osteoarthritis? - Rehabilitation

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Degenerative arthritis


My father is 67 years old and two years ago, he received five injections of hyaluronic acid based on his doctor's recommendation, which alleviated his knee pain.
Now my mother is experiencing issues with osteoarthritis.
Could you please advise if she can also receive hyaluronic acid injections? Thank you!

Weiren, 40~49 year old female. Ask Date: 2008/11/16

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
Here are my responses and suggestions: 1.
The administration of hyaluronic acid must comply with health insurance regulations; otherwise, it will need to be paid out of pocket.
2.
There is joint degeneration, but it is not severe enough to require joint replacement; conservative treatment (medications, rehabilitation) should be attempted for at least six months at the same hospital if ineffective.
3.
It is not advisable to administer treatment in cases of acute inflammation, infection, or drug allergies.
Lastly, I wish you peace and happiness!

Reply Date: 2008/11/16

More Info


Hyaluronic acid (HA) injections are increasingly recognized as a viable treatment option for osteoarthritis (OA), particularly in the knee joint. Your inquiry about whether these injections can help your mother, who is suffering from osteoarthritis, is quite relevant, especially considering your father's positive experience with HA injections.

Osteoarthritis is a degenerative joint disease characterized by the breakdown of cartilage, leading to pain, stiffness, and decreased mobility. As the cartilage wears away, the joint space narrows, and the bones may begin to rub against each other, causing pain and inflammation. Hyaluronic acid is a naturally occurring substance in the body, particularly in connective tissues, and is a key component of synovial fluid, which lubricates joints.

The primary purpose of HA injections is to supplement the viscosity and elasticity of the synovial fluid in the affected joint. This can help reduce pain and improve function in patients with osteoarthritis. The injections are typically administered directly into the joint space, and many patients report significant relief from pain and improved mobility after receiving HA treatments. The effects can last for several months, and some patients may benefit from multiple injections over time.

In your mother's case, since she has already received one injection of HA and is scheduled for two more, it is important to monitor her response to the treatment. If she is experiencing persistent pain, especially in the back of the knee (popliteal region), it may indicate that the HA is not adequately addressing her specific symptoms or that there are other underlying issues contributing to her discomfort. It is also worth noting that while HA injections can be beneficial, they are not a cure for osteoarthritis; rather, they are part of a comprehensive treatment plan that may include physical therapy, weight management, and pain relief medications.

Regarding the use of corticosteroids, which your mother has already received, these can provide rapid relief from inflammation and pain but are typically used sparingly due to potential side effects, especially with repeated use. If your mother has not experienced significant improvement after the corticosteroid injection, it may be worthwhile to discuss alternative treatments with her healthcare provider.

In terms of communication with her doctor, it would be beneficial to provide a detailed account of her symptoms, including the specific areas of pain, the duration of her symptoms, and her response to the HA and corticosteroid injections. This information can help the physician assess her condition more accurately and determine the best course of action moving forward.
Additionally, if your mother is unable to take anti-inflammatory medications due to her current treatment plan, discussing other non-pharmacological approaches may be helpful. These can include physical therapy focused on strengthening the muscles around the knee, aquatic therapy, or even the use of assistive devices to reduce stress on the joint.

In conclusion, hyaluronic acid injections can be a helpful treatment for osteoarthritis, but their effectiveness can vary from person to person. Given your mother's ongoing symptoms, it is crucial to maintain open communication with her healthcare provider to explore all available options and tailor a treatment plan that best addresses her specific needs.

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