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Viscosupplementation (Gel) Injections

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Explore the Benefits of Viscosupplementation (Gel) Injections

Hyaluronic Acid Injections (HA Injections), also referred to as Viscosupplementation, offer a nonsurgical approach to alleviate osteoarthritis symptoms. Derived from the body’s natural compounds, Hyaluronic Acid is isolated and purified for injectable use.

In osteoarthritis, HA chains become shortened, leading to reduced joint fluid viscosity. Viscosupplementation injections are believed to enhance joint lubrication, reduce inflammation, alleviate pain, and improve functionality.

FDA-approved since 1997 for knee osteoarthritis, HA injections typically provide relief lasting 6-12 months or longer. While insurance coverage is often available, we recommend confirming with your provider. Our office ensures compliance with FDA guidelines and obtains pre-certification as needed.

Recent research indicates potential benefits in shoulder and ankle arthritis, although shoulder HA injections lack FDA approval. For cost inquiries, our billing department is available to assist.

Hyaluronic Acid: An Overview

  • A naturally occurring compound aiding healthy cartilage maintenance.
  • Injection aims to restore synovial fluid viscoelasticity, minimizing friction between cartilage during joint movement.
  • Beyond lubrication, HA offers chondroprotective functions, promoting tissue health and regeneration.

Clinical Evidence and Recommendations

  • Guidelines present conflicting recommendations, with some supporting HA injections for knee osteoarthritis.
  • Studies demonstrate pain reduction, enhanced functionality, and delayed surgery in knee osteoarthritis patients.

Why Choose Dr. Engelen?

  • Our focus on minimally invasive procedures and orthobiologics ensures optimal patient outcomes.
  • Utilizing ultrasound guidance for injections, we prioritize precise medication delivery into the joint, enhancing success rates.
  • Accredited by the American Institute of Ultrasound Medicine (AIUM), we uphold stringent standards in diagnostic ultrasound and guided procedures.

References:

  1. Barbour KE, Helmick CG, Boring M, Brady TJ. Vital Signs: Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation – United States, 2013-2015. MMWR Morb Mortal Wkly Rep. 2017;66(9):246-253.
  2. de Rezende MU, de Campos GC. Viscosupplementation. Rev Bras Ortop (English Ed). 2012;47(2):160-164.
  3. Felson DT, Zhang Y. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum. 1998;41(8):1343-1355.
  4. McGrory B, Weber K, Lynott JA, et al. The American Academy of Orthopaedic Surgeons Evidence-Based Clinical Practice Guideline on Surgical Management of Osteoarthritis of the Knee. J Bone Joint Surg Am. 2016;98(8):688-692.
  5. Peck J, Slovek A, Miro P, et al. A Comprehensive Review of Viscosupplementation in Osteoarthritis of the Knee. Orthop Rev (Pavia). 2021 Jul 10;13(2):25549.
  6. Sasaki A, Sasaki K, Konttinen YT, et al. Hyaluronate inhibits the interleukin-1beta-induced expression of matrix metalloproteinase (MMP)-1 and MMP-3 in human synovial cells. Tohoku J Exp Med. 2004;204(2):99-107.
  7. Wang CT, Lin YT, Chiang BL, Lin YH, Hou SM. High molecular weight hyaluronic acid down-regulates the gene expression of osteoarthritis-associated cytokines and enzymes in fibroblast-like synoviocytes from patients with early osteoarthritis. Osteoarthr Cartil. 2006;14(12):1237-1247.
  8. Yasuda T. Hyaluronan inhibits prostaglandin E2 production via CD44 in U937 human macrophages. Tohoku J Exp Med. 2010;220(3):229-235.

Why Choose Dr. Engelen for Viscosupplementation (Gel) Injections?

Unmatched Expertise

Dr. Engelen is renowned for his deep expertise in sports medicine and diagnostic imaging, ensuring accurate and reliable ultrasound results.

Personalized Patient Care

Every patient receives tailored care plans and attention to ensure comfort and clarity throughout the diagnostic process.

Advanced Technology

Utilizing the latest in ultrasound technology, Dr. Engelen provides detailed imaging that supports effective treatment planning.