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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.
· 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.