What happens after hyaluronic acid injections in the knee?
Hello Doctor, my mother is 53 years old and receives regular hyaluronic acid injections in her knees.
Can I let her soak in hot water and apply heat to her knees every day? If so, how should I control the duration? Thank you for your response.
Fangfang, 20~29 year old female. Ask Date: 2012/08/20
Dr. Zhang Jiahao reply Orthopedics
Hello: Soaking in hot water and applying heat to the knees can be beneficial for your mother's knees and can be done daily.
After receiving hyaluronic acid injections, there will be small puncture wounds on the knee, and it is advised to avoid water exposure or soaking on the same day.
If there is redness, swelling, heat, or pain in the knee on that day, heat application should also be paused.
Each heat application should last about 25 minutes, avoiding excessive heat, and can be done once in the morning and once in the evening.
Reply Date: 2012/08/20
More Info
After your mother receives hyaluronic acid injections in her knees, it is generally safe for her to use heat therapy, such as soaking in warm water or applying heat packs, but there are important considerations to keep in mind.
Firstly, immediately after the injection, it is advisable to avoid submerging the knee in water or applying heat for the first 24 hours. This is primarily to prevent any potential infection at the injection site, as there may be small puncture wounds where the needle entered. During this initial period, if your mother experiences any redness, swelling, or increased pain, it is best to refrain from heat therapy altogether and consult her physician.
Once the initial 24-hour period has passed without any complications, she can begin to incorporate heat therapy into her routine. Heat therapy can help alleviate pain and stiffness in the joints by increasing blood flow, relaxing muscles, and promoting healing. For your mother, daily heat therapy can be beneficial, but it should be done with caution.
Here are some guidelines for using heat therapy safely:
1. Duration: Each heat application should last about 15 to 25 minutes. This is sufficient time for the heat to penetrate the tissues without risking burns or overheating the skin.
2. Temperature: Ensure that the heat is warm, not hot. The application should be comfortable and should not cause any discomfort or pain. You can use a warm towel, heating pad, or warm water soak, but always check the temperature before applying it to the skin.
3. Frequency: It is generally safe to apply heat therapy once or twice a day, depending on her comfort level and the severity of her symptoms. Morning and evening sessions can be beneficial, especially if she experiences stiffness after waking up or after a day of activity.
4. Monitoring: Always monitor her response to heat therapy. If she experiences increased pain or discomfort during or after the application, it may be necessary to adjust the temperature, duration, or frequency of the treatments.
5. Consultation: Regular follow-ups with her healthcare provider are essential. If she continues to experience significant pain or discomfort after the injections, it may be necessary to reassess her treatment plan.
In summary, after the initial 24 hours post-injection, your mother can safely use heat therapy to help manage her knee pain, provided she follows the guidelines mentioned above. Heat therapy can be a valuable adjunct to her ongoing treatment with hyaluronic acid injections, potentially enhancing her comfort and mobility. However, it is crucial to remain vigilant about any signs of complications and to maintain open communication with her healthcare provider regarding her treatment and any changes in her symptoms.
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