Sodium hyaluronate, or hyaluronic acid, is a gel-like substance found throughout the human body. It is used biologically to provide friction-free movement between different tissue layers and to cushion joints. For example, it is found in high concentrations in normal synovial joint fluid and in tendon sheaths (the tunnels surrounding many tendons in the human body).
In recent years, musculoskeletal medicine has sought more effective solutions for patients who have not responded to physical rehabilitation or other treatments for degenerative musculoskeletal pain. Corticosteroid injections, while beneficial in the short term, have been shown to potentially accelerate degenerative changes when used repeatedly, sometimes leading to worse long-term outcomes. Hyaluronic acid injections, by contrast, do not have any known harmful effects for chronic musculoskeletal pain disorders and are therefore often preferred over corticosteroids.
In the UK, NHS prescribing policies are based on cost-effectiveness, and the NICE guidelines currently state that there is insufficient evidence to support widespread use of hyaluronic acid injections, as their short-term benefits are similar to those of corticosteroids. However, as explained above, corticosteroids may be detrimental in the longer term for these conditions, leaving patients with limited options. Internationally, hyaluronic acid has been used successfully for many years in countries with advanced healthcare systems, producing favourable results.
If you would like to discuss the benefits of hyaluronic acid injections, please contact me below with any questions. The main products I use when injecting hyaluronic acid are listed with their manufacturer details and differences.
If you would like to discuss the benefits of hyaluronic acid injections, please contact me below with any questions.