What is hyaluronic acid?
Hyaluronic acid is a protein found in the joint fluid. Under load, hyaluronic acid changes its structure. When the joint is heavily loaded, e.g. when running, it is better "lubricated" and the joint partners slide over each other. In the case of arthrosis (wear and tear of the joint), the structural change is reduced and there is pain when the joints are loaded.
We use purely synthetic hyaluronic acid and can thus restore the lubricating function. Due to the gel-like structure, a thicker injection needle is necessary here, so we locally anaesthetise the corresponding injection site.
For which joints is the therapy?
In principle, all joints can be treated. The focus is on the hip, knee and shoulder joints. But injections are also possible in the ankle and wrist joints.
Recent studies have shown that the intervertebral joints of the spine can also be treated. In this case, the small intervertebral joints are located by means of ultrasound and then injected after local anaesthesia.
What does hyaluronic acid do?
The hyaluronic acid stabilises the existing cartilage. No new cartilage is formed.
After about 3 months, the body's own hyaluronic acid is again present in the joint. Cell activation occurs in the destroyed cartilage and the lubricating function is restored.
It should be emphasised, however, that no healing of the cartilage takes place here, but only a symptomatic therapy that leads to pain reduction. This delays cartilage degradation and prosthetic replacement of the cartilage.
Who is eligible for the therapy?
Hyaluron therapy is considered for patients with third or fourth degree cartilage damage. It is important that there is still a joint space. If there is no joint space left, the hyaluronic acid cannot work because it cannot build up new joint cartilage.
How long does the effect last?
On average, one can assume 8 to 10 months of pain reduction. The longest interval so far was 3 years. Clinical studies have shown that a booster with only one injection can achieve renewed relief after one year.
What does hyaluronic acid therapy cost?
Hyaluronic acid therapy is not part of the statutory health care system. Here, the costs must be covered by the patient as part of an individual health service.
11. what is the recovery process?
This question is very individual and cannot be answered in general terms. It depends on the individual case and in particular on the type of surgical intervention. In any case, it will take several weeks before you can walk again without crutches after a knee operation, and it usually takes up to six months, and in some cases even 12 months, before you can put full weight on your knee again.
In the case of a cartilage cell transplant, for example, the knee can usually only be loaded normally again one year after the operation. The recovery process for cruciate ligament tears is also very long; full weight-bearing is not permitted until six months at the earliest. This is more difficult to assess in the case of meniscus surgery. Whatever knee surgery you have, it is very important that physiotherapy begins immediately after the operation and that the recovery process is well supervised by specialists. Therefore, do not miss the follow-up examinations under any circumstances. They help to ensure that the
Whatever knee surgery you get, it is very important that immediately after the operation physiotherapy begins and that the recovery process is professionally well accompanied. Therefore, do not miss the follow-up examinations under any circumstances. They help to ensure that the operation is worthwhile for you and that you can hopefully move (almost) pain-free again.