ARTHRITIS PAIN: TREATING KNEE ARTHRITIS WITH HYALURONIC ACID

Knee osteoarthritis can be a painful and disabling problem. Physiatrists are highly trained in cutting edge, non-surgical treatments based on the latest medical information available. Some physiatrists are involved in ongoing research on hyaluronic acid used in conjunction with exercise to relieve arthritis pain.

Studies show:

· Hyaluronic acid is an important part of normal knee joint fluid.

· Hyaluronic acid plays a role in joint protection and lubrication.

· Individuals suffering from osteoarthritis have less hyaluronic acid in the synovial fluid in their joints leading to poor joint lubrication and increased pain.

· Numerous studies have found injectable hyaluronic acid to be safe in humans and effective in decreasing pain and improving function.

What you should know:

· Injectable hyaluronic acid is available from multiple companies and marketed under different names including Hyalgan, Orthovisc, Supartz and Synvisc.

· Hyaluronic acid injections are currently approved for osteoarthritis of the knees, and are done in a series of three to five injections depending on the brand used.

· When treatment is considered, a doctor must take a patient's medical history and medication side effects into consideration.

· Individuals allergic to eggs and/or feathers cannot have these injections.

· Hyaluronic acid injections are being studied in other joints including the hips and shoulders.

What you can do:

· A physical medicine and rehabilitation physician (physiatrist) who is expert in non-surgical management of knee osteoarthritis can evaluate you.

· Check with your local physiatrist on the latest treatments available.

· Knee osteoarthritis should be managed with a comprehensive program including:

o Oral and injectible medications as needed.

o Regular low-impact exercise, with stretching and strengthening exercises of the lower limbs.

o Weight reduction in overweight individuals.