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The Canadian Journal of Naturopathic Medicine is a peer reviewed publication for naturopathic doctors and other health professionals. Today, we are talking to the editor, Dr Philip Rouchotas, ND and contributor Dr Alex Del Duca, ND about hyaluronic acid injections for joint pain.
Hundreds of human trials have used this therapy to date, and although hyaluronic acid injections are not permitted by naturopaths across all of North America, many jurisdictions do allow its use. Today’s discussion is about common issues around this innovative injection strategy.
Key Take-Aways
Scope of Review
This review takes a look at results from injectable hyaluronic acid studies as a better approach compared to the use of oral hyaluronic acid in the past. The review focuses on injectable hyaluronic acid only in patients living with osteoarthritis.
The article represents an analysis of current literature and summarizes the findings, as well as includes recommendations for effective and accurate injection of hyaluronic acid.
Summary of Results
Review of the literature showed that hyaluronic acid can be effective for the early stages of osteoarthritis because these injections help hydrate, lubricate, and nourish damaged tissue.
These injections actually replace synovial fluid and help cushion the joints. There is also good evidence for the use of hyaluronic acid in the early stages of life.
Is Use Restricted to Knee Joints?
Most procedures are performed on the hips and knees. However, off label use for shoulders and joints in the hand can work quite well.
Does it Help with Pain?
A variety of products exist in Canadian and American markets containing hyaluronic acid alone, as well as hyaluronic acid mixed with corticosteroids. Both types of products reduce friction in joints during activity, which in turn results in less inflammation. Which in turn reduces pain.
How Long Do the Benefits Last?
If a patient can be identified as a good candidate for these injections early, they will enjoy benefits over a longer period. Current studies that review concomitant hyaluronic acid injections have revealed that a second injection of hyaluronic acid in the knee can provide much longer lasting relief than only a first injection.
Available Forms of Hyaluronic Acid
Older hyaluronic acid products are of animal origin, while newer ones use a non-animal stabilized hyaluronic acid. With this new synthetic form one can very often obtain better, more consistent results and fewer flare ups.
Key Quotes
“The review of the literature yielded the results that hyaluronic acid can be effective for the early stages of osteoarthritis; and effectively these injections can help hydrate, lubricate and nourish damaged tissue.” Dr Alex Del Duca, ND
“This is what's called the residency time, and the residency time of that product in your knee can actually last longer if you've had another injection on top of it previously.” Dr Alex Del Duca, ND
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The opinions expressed in this Nutramedica program are those of the guests and contributors. They do not necessarily reflect the opinions of Nutritional Fundamentals For Health Inc.
This video is intended for licensed or registered health professionals and students of health professions only. These statements have not been evaluated by the Food and Drug Administration. Information contained in these programs are not intended to diagnose, treat, cure or prevent any disease.
