
Who Is a Good Candidate for Viscosupplementation?
At SamWell Institute for Pain Management, where Dr. Jay M. Shah and Dr. Kevin Ko work to reduce pain stemming from a wide range of conditions, one of our most effective treatments for joint pain is viscosupplementation.
This minimally invasive therapy has been gaining popularity among patients experiencing joint issues, particularly those with osteoarthritis. But who exactly would benefit most from this treatment? And how does it work?
Here, we explore viscosupplementation, its science, benefits, and how to determine if you're a good candidate for this therapy.
Viscosupplementation — AKA knee gel injections
Viscosupplementation is an injection of hyaluronic acid (HA) that alleviates pain in the joints, most commonly the knees. HA is a naturally occurring substance in your joints that acts as a lubricant and shock absorber, allowing your bones to move smoothly.
When joint conditions like arthritis occur, the level of hyaluronic acid in the joint decreases, making movement more difficult and painful. Viscosupplementation replenishes the hyaluronic acid, potentially restoring joint comfort and function.
When does viscosupplementation help?
Viscosupplementation is most commonly used to treat knee osteoarthritis, but it can also be helpful for other joint issues. This therapy is FDA-approved for knee treatments, but some providers may use it off-label for conditions in the hips, shoulders, or wrists.
Specific conditions that benefit from this treatment include:
- Osteoarthritis (mild-to-moderate cases)
- Chronic joint stiffness and pain
- Loss of joint range of motion due to cartilage degradation
Dr. Shah and Dr. Ko use advanced imaging techniques like fluoroscopy and ultrasound to ensure they inject the hyaluronic acid precisely where it’s needed.
How viscosupplementation works
The science behind viscosupplementation lies in restoring the lubricating and cushioning properties of your joint’s fluid.
First, the HA injection improves viscosity, mimicking the properties of healthy synovial fluid.
Second, the HA restores your joint’s shock absorption abilities, helping to reduce pain and improve mobility.
Over time, the HA may even have mild anti-inflammatory effects, although its primary role is lubrication.
While the effects aren’t usually immediate, patients often begin to notice reduced pain and improved function after completing a series of three to five weekly injections.
Who is a good candidate for viscosupplementation?
Though viscosupplementation is a promising therapy, it isn’t the right fit for everyone. The best candidates generally meet the following criteria:
Mild-to-moderate osteoarthritis patients
Especially those who haven’t found sufficient relief from over-the-counter pain relievers or physical therapy.
People who want to delay surgery
If surgery, like joint replacement, isn’t immediately necessary, viscosupplementation can serve as an interim solution.
Those unable to take NSAIDs
If you have gastrointestinal issues, allergies, or other contraindications for nonsteroidal anti-inflammatory drugs, viscosupplementation provides an effective alternative.
Younger patients or those in good health
This therapy can also benefit younger individuals with early signs of joint problems who want to maintain an active lifestyle.
When viscosupplementation may not be suitable
Dr. Shah and Dr. Ko generally don’t recommend viscosupplementation if you have the following issues:
- Advanced, end-stage arthritis where the joint space is nearly or completely eroded
- Joint infections or active inflammation in the treated area
- A history of allergic reactions to HA or animal-derived products
If you’re unsure whether you’re a candidate, don’t worry; we carefully evaluate your medical history, current symptoms, and imaging studies to determine if viscosupplementation is right for you.
Reasons to consider viscosupplementation
Viscosupplementation is a great option when more conservative methods, such as exercise therapy, weight loss, or painkillers, haven’t provided the relief you need. It’s particularly valuable for individuals who want to remain active but experience pain during daily activities, such as walking, climbing stairs, or bending.
Advantages of viscosupplementation:
- Minimally invasive: There’s no surgery or prolonged recovery period
- Targeted relief: Immediate injections focus on the affected joint, with few side effects
- Compatible with other treatments: Works with PT or other noninvasive measures
- Long-lasting results: Pain relief can last six months or more in many cases
Potential drawbacks to keep in mind:
- It may take several weeks or more to experience full relief
- Temporary side effects, such as mild swelling or tenderness at the injection site
- Variable efficacy, with some patients experiencing limited relief
If joint stiffness and pain interfere with your life, viscosupplementation could be the solution you’re looking for. Call SamWell Institute for Pain Management, or schedule your consultation online to discover how viscosupplementation can help support your active, pain-free lifestyle.
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