Having joint problems is always complicated, but if we add problems of osteoarthritis or chondromalacia on an already deteriorated knee, then we need to find the greatest number of solutions that relieve pain in order to continue doing our daily life with the least possible discomfort.
The indications of the traumatologist or rheumatologist who is treating us should always be followed , if we are not very convinced we can ask one or two more opinions from other traumatologists, in the end each specialist has preferences that may favor our body more than others.
Hyaluronic acid is a molecule that has not been used in traumatology for as long as in other aesthetic medical fields, for example to give shape and volume to the lips , but little by little new studies are coming out that complement the scarce that there were previously with data every time more conclusive.
Information on Hyaluronic Acid
Hyaluronic Acid is a non-sulfurized glucosaminoglycan polysaccharide, its cross-linked version is used for injections and medical applications due to its higher molecular weight.
If you want to know all the information and uses that HA has, it is best that you go through this very complete article to know the properties, benefits and side effects of Hyaluronic Acid.
Uses of Hyaluronic Acid in Traumatology and Rheumatology
If you have already read the previously recommended article, you will know that HA is almost a newcomer in this medical branch. The majority of studies that had until recently were nothing conclusive, including the World Arthritis Foundation came to the conclusion that so far could not be verified satisfactory results arrived to 100% with AH in different types of arthritis (rheumatoid arthritis and osteoarthritis).
A joint study of the Rheumatology Services of various hospitals (Virgen Macarena University Hospital, Jiménez Díaz Foundation, Severo Ochoa Hospital, Nuestra Señora del Carmen Hospital and General University Hospital) concluded that intra-articular injections of HA are beneficial in patients with knee osteoarthritis .
You may also be interested in this other analysis that was carried out in 2013, in which more than 4500 patients participated in almost 30 clinical trials, published in the Clinical Medicine Insights , in which they reached a positive conclusion on the therapeutic effects of infiltrations of AH in the knees with osteoarthritis and osteoarthritis .
In addition, and in cases of chondromalacia, infiltrations of platelet growth factors can also be used to repair damaged tissues and accelerate cell regeneration. These injections are composed of proteins from blood extracted and centrifuged from the patient to obtain rich plasma that reduces recovery time.
When you should and should not use Sodium Hyaluronate in Arthritis or Chondromalacia
Specifying the medical resolution is not our task nor can we do it, but in the case of people reluctant to all kinds of treatments and even to travel to the different medical services, if we can guide them so that they make the most correct decision as soon as possible .
Knee joint problems due to osteoarthritis are a delicate issue that should not be overlooked, think that 90% of body weight when walking is supported by the membranes that cover the bones of the knee, if in any case we notice a discomfort of any kind when doing the joint game we should be attentive in case it is a simple puncture or it is maintained.
When we have wear and tear of any kind (chondropathy) or an arthritic disease that deteriorates our joints, cartilage, ligaments, etc., we should not delay in going to our orthopedic surgeon or rheumatologist and they examine us what causes the pain to finally decide what treatment for chondromalacia we must apply .
One of the most conclusive tests to verify synovial fluid spills, continued cartilage wear or any other problem derived from the symptoms that we have, is ultrasound, with which the doctor will have an exact vision of the situation of our joint.
In some cases our specialist will not be able to apply HA treatment , generally it is due to having a too pronounced inflammation, that the joint is not infected and that there are wounds in the areas where it should be infiltrated.
We have already stressed that you should go to your specialist, but something just as important is to decide who and how the treatment will be applied , so we will avoid complications in our health derived from a bad application of the infiltrations and improve our quality of life first.
Who can administer hyaluronic acid treatment to the knee?
Do not think that a puncture is just a puncture, this area of the body is a very complex joint with dozens of tendons, ligaments, cartilage and muscles among other things that should not be taken lightly.
Being so complex, we only have to let ourselves be treated by a specialist in specific facilities and with all the required equipment. Viscosupplementation is a widely used technique in different joints, such as the hip, ankle, elbow, etc., in all of them an injection in the wrong place can make the HA useless to cause problems in ligaments or cartilage due to the needle.
How are intra-articular infiltrations performed
As a general rule, a viscosupplementation HA treatment in a knee with arthritis requires between 2 to 5 injections , it depends a lot on the doctor and the patient, each body reacts differently.
The HA injections intraarticular are not performed continuously, be performed with a time including 2 to 4 weeks. Let’s not forget that HA does not cure any disease, but it lubricates, cushions and acts as an analgesic on the affected area and the possible symptoms of the disease, therefore the benefits are not appreciated until 3-5 weeks after the first injection. and depending on each organism they should have a minimum duration of 4 to 6 months.
Although we apply the treatment, we must always continue with the recommendations that the specialist tells us , from losing weight, exercising, to taking supplements to try to improve the symptoms and achieve a possible regeneration of the damaged cartilage. If we do not follow them, surely the benefits that we obtain with intra-articular injections of HA will be offset by other complications.
Contraindications and side effects of HA treatment in the knee
In the ” AH Information ” section we find a link to an article that specifies most of the cases and problems that may be encountered. For knee treatments they do not differ much from the usual ones mentioned, except for some particularities that we specify.
- In patients with calcium pyrophosphate deposition arthropathy (chondrocalcinosis ), the specialist must be very careful not to worsen the lesion.
- If we have suffered a synovial fluid leakage, we must empty the excess fluid in the joint before being able to perform the infiltrations.
- HA is generally injected with other components, check with the orthopedic surgeon / rheumatologist that we are not allergic to any of them.
- If we suffer from varicose veins, we must notify the specialist to testify whether the application of injectables is feasible.
- As in all HA applications, pregnant and lactating women should avoid it until the end of these periods.
Surely the typical side effects of injections and infiltrations will appear such as small bruises, some itching, lumps due to hardness or redness but it is nothing remarkable if we are not allergic.
Possible risks after applying HA treatment to the knee
After the application, very marked side effects do not usually appear, in some cases there may be pain, swelling and stiffness that will be treated with paracetamol and if they do not remit with anti-inflammatories, but all these are temporary and in a short period of time they should disappear.
Most commonly, patients notice unusual sensations in the treated joint, such as muscle strain or stretching, but these perceptions will diminish after 3 days.
Recommendations for after infiltration
Rest should be kept for a period of 2 days due to the need to assimilate the injected compound and to reduce inflammation and pain in the area.
Once we feel better we cannot forget the recommendations of our traumatologist, they will generally refer to weight loss, physical exercise and slimming regimen, in some cases the use of flexible orthopedic insoles will be required, avoiding high heels in the case of women and knee pads or poles to relieve less weight on the knee affected by osteoarthritis or other disease.
As we have seen, the problems generated in joints tend to have quite a few headaches, so we must be careful with any type of injury and save the required rest so as not to fall into later deterioration of any kind and to improve the disease.
Tell us how well the treatment has been if it has been applied to you, as well as doubts to be resolved to include them in the article after its publication and improve it so that anyone who has them can find a quick solution without wasting a lot of time.
Please, try to share the article so that it can reach the maximum number of people who have any undiagnosed symptoms and try to solve that unknown joint deterioration of the knee.
Kathie Sand always saw the world of beauty as the terrain on which to build her professional career, a goal that was clear to her when she was only 15 years old. Her great concern to expand knowledge led her to settle in Paris where she studied hand in hand with the best beauty professionals and with the most advanced techniques for skin care.