In these instances, viscosupplementation may offer an alternative treatment for joint pain relief. Additionally, there could be an adverse effect of this treatment for prolonged use and to those allergic to corticosteroids. Steroid treatment is used with caution for diabetes because steroids can raise blood sugar levels. Steroid injections will provide more immediate relief from pain with a faster recovery, but the relief will be more short term. Like “gel shots”, steroids are injected directly into the joint space and can reduce pain more quickly. They are most effective in treating inflammatory conditions, such as rheumatoid arthritis, bursitis, gout, plantar fasciitis, psoriatic arthritis, reactive arthritis.Ĭorticosteroids sometimes also referred to as cortisone injections can help relieve pain and reduce inflammation in the body including ankle, elbow, hip, knee, shoulder, spine, and wrist. These injections include corticosteroid medication and a local anesthetic. What are the differences between gel shots and corticosteroid shots?Ĭorticosteroid, or steroid injections, are another treatment option recommended by the American College of Rheumatology to improve joint function. Injecting “gel shots” to the damaged, arthritic joint can help facilitate movement and reduce pain. Gel shots, or viscosupplementation, involve the injection of a gel-like fluid called hyaluronic acid (HA) into your joint to act as synovial fluid. Synovial fluid is a naturally occurring substance found within the joints which acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber. In osteoarthritis, loss of the joint synovial fluid contributes to joint pain and stiffness. Osteoarthritis is a condition in which the cartilage around the joint wears down and can’t protect the bones that make up the joint. Osteoarthritis is the most common form of arthritis that often affects the knee. Gel shots, or viscosupplementation, is most commonly used for knee pain secondary to arthritic change that has not been sufficiently responsive to physical therapy and/or medication. Osteoarthritis and cartilage, 27(11), 1578-1589.What is viscosupplementation or “gel shots?” OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Inflammatory pseudoseptic reaction to synvisc-one injection requiring diagnostic arthroscopy. Danilkowicz, R., Robinson, M., Steffes, M., & Marcus, M.Appropriate use criteria for hyaluronic acid in the treatment of knee osteoarthritis in the United States. K., Altman, R., Dasa, V., Myrick, K., Rosen, J., Vad, V., … & Just, C. Journal of translational medicine, 14(1), 246. Intra-articular injection of two different doses of autologous bone marrow mesenchymal stem cells versus hyaluronic acid in the treatment of knee osteoarthritis: multicenter randomized controlled clinical trial (phase I/II). M., Sánchez-Echenique, C., … & Villarón, E. European Cells and Materials, 37, 186–213. dvances of hyaluronic acid in stem cell therapy and tissue engineering, including current clinical trials. López-Ruiz, E., Jiménez, G., Álvarez de Cienfuegos, L., Antich, C., Sabata, R., … Gálvez-Martín, P.Image-guided hyaluronic acid injection and knee bracing significantly improve clinical outcomes for high-grade osteoarthritis. Hyaluronic acid injections in medicare knee osteoarthritis patients are associated with longer time to knee arthroplasty. Cochrane database of systematic reviews, (2). Viscosupplementation for the treatment of osteoarthritis of the knee. Bellamy, N., Campbell, J., Welch, V., Gee, T.Current Sports Medicine Reports, 10(5), 279–284. Use of Viscosupplementation for Knee Osteoarthritis. Hyaluronic acid injections for osteoarthritis of the knee: predictors of successful treatment. Ricci M et al (2017) Clinical comparison of oral administration and viscosupplementation of hyaluronic acid (HA) in early knee osteoarthritis. Clinical and translational medicine, 7(1), 6. Recent advances in hyaluronic acid based therapy for osteoarthritis.
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