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La viscosupplémentation ou infiltration d’acide hyaluronique

12 April 2023

Viscosupplementation or infiltration of hyaluronic acid

Hyaluronic acid can be used for aesthetic as well as medical purposes. It is a viscous liquid naturally present in the body and tolerated by everyone, but in what cases is its use recommended?

What is viscosupplementation?

Viscosupplementation or infiltration by injection of hyaluronic acid is a medical technique commonly used to treat osteoarthritis, a disease that affects the joints and can cause pain as well as a reduction in mobility. This non-surgical technique involves the injection of hyaluronic acid into the affected joint, which helps relieve pain and improve joint function.

 

Understanding the treatment by injection of viscous fluids

The treatment by injection of viscous fluids, also known as viscosupplementation, is a therapeutic option used to relieve pain and improve joint function in individuals with osteoarthritis. This procedure involves injecting a gel rich in hyaluronic acid directly into the affected joint. Hyaluronic acid is a substance naturally present in synovial fluid that lubricates our joints and absorbs shocks.

In the context of osteoarthritis, the quantity and quality of this acid may decrease, leading to an increase in friction between the bones and thus an intensification of pain. Therefore, the injection of a viscous fluid such as hyaluronic acid can help restore the normal level of synovial fluid in the affected joint. This would not only improve its ability to move but also significantly reduce the pain experienced.

It should be noted that although this method may provide some relief in the short term, it does not constitute a definitive remedy for osteoarthritis. Indeed, it primarily aims to manage symptoms rather than treat or reverse the disease itself. Nevertheless, for many patients suffering from moderate to severe osteoarthritis who have not found improvement with other conservative treatments such as oral or topical analgesics, viscosupplementation remains a viable option.

The role of viscous fluid injections in osteoarthritis

Viscous fluid injections play a crucial role in the treatment of osteoarthritis, particularly that which affects the knee and hip joints. These injections, also known as infiltrations, involve introducing a viscous liquid directly into the joint to improve its lubrication and cushioning. This treatment aims to reduce pain and enhance the patient's mobility.

In more technical terms, the injected liquid often consists of a derivative of hyaluronic acid, a substance naturally present in healthy joints. When a person suffers from osteoarthritis, the concentration of hyaluronic acid generally decreases within the affected joints. Therefore, these injections help restore this concentration and thus alleviate the symptoms associated with osteoarthritis.

Many patients have reported positive results following viscous fluid injections for their knee or hip osteoarthritis. However, it is important to note that this type of treatment may not be suitable for everyone. Some individuals may not respond as well to the treatment or may experience undesirable side effects such as mild post-injection inflammation. Therefore, it is essential for each patient to discuss with their doctor before opting for this type of treatment to assess whether it is appropriate for them.

The potential benefits of viscous fluid injection

The effectiveness of viscous fluid injections relies on their ability to mimic the synovial fluid naturally present in the joint. The latter plays a crucial role in lubricating and nourishing the cartilage, thereby allowing for pain-free mobility. As osteoarthritis progresses, this fluid tends to degrade, diminishing its capacity to fulfill these essential functions. Injections then serve to compensate for this loss by restoring the viscoelastic properties of synovial fluid.

A study conducted by physicians showed that patients who received these injections reported a significant improvement in their condition. This was reflected in a reduction of pain and an increase in joint function, thereby contributing to a better quality of life for these individuals. Furthermore, some research suggests that the treatment may also have a protective effect on existing cartilage.

However, it is important to note that although promising, these results vary from patient to patient. The patient's overall condition before the start of treatment can play a major role in its overall effectiveness. Therefore, it is always recommended to have an in-depth discussion with your doctor before opting for this type of therapy in order to best assess your expectations and specific needs.

How does the injection work?

Hyaluronic acid is a substance naturally present in the human body, where it plays an important role in lubricating the joints. It makes up the synovial fluid or "synovia." However, in cases of osteoarthritis, hyaluronic acid degrades and no longer effectively fulfills its lubrication function, which can cause pain and stiffness in the joints. Injections can be performed in most joints, from the hip to the knee.

The viscosupplementation by injection of hyaluronic acid aims to restore the viscosity and lubrication of the affected joint, which reduces pain and improves mobility. The treatment is usually performed on an outpatient basis by a qualified healthcare professional, such as a physician or rheumatologist.

The number of injections required varies depending on the severity of the condition, but it is common to administer between one and five injections, at intervals of a few days to a few weeks. Hyaluronic acid injections are generally considered safe, with few serious side effects, such as pain at the injection site, bruising, or slight swelling.

The advantages of viscosupplementation through hyaluronic acid injection are numerous. It can relieve pain and improve the mobility of the affected joint, thereby allowing patients to regain a normal quality of life. Furthermore, it is non-surgical, which means it can be an effective alternative to more invasive surgical treatments, such as joint replacement.

For whom?

However, it is important to note that viscosupplementation through the injection of hyaluronic acid is not suitable for all patients with osteoarthritis. It is generally recommended for patients with mild to moderate osteoarthritis and may not be effective for more severe cases. Patients with allergies or sensitivities to hyaluronic acid or other substances used in the treatment should also avoid this technique.

How to choose the right professional for viscous fluid injection

Choosing the right professional for the injection of viscous fluids is a crucial step in the process. It is important to seek a specialist who has a good understanding of the function and structure of joints, as well as the potential effects of this type of treatment. The professional should be able to clearly explain how the injection can help reduce pain and improve mobility, taking into account individual specifics such as weight, age, and lifestyle.

It is also important to take into account the professional's duration of experience in this particular field. An experienced practitioner will likely have dealt with a large number of cases similar to yours and will therefore be better equipped to anticipate or manage any potential issues that may arise during or after the treatment. Furthermore, it is essential that they are qualified to perform intra-articular injections accurately in order to avoid any unnecessary complications.

Finally, do not hesitate to ask the professional about their medical background and their success rate with this specific procedure. This will give you a clear idea of whether or not they are competent in their work. Remember that your comfort and quality of life largely depend on the correct choice of doctor to administer these viscous injections.

The duration and effectiveness of treatment by injection of viscous fluids

The duration of treatment with viscous fluid injections, such as Arthrum, varies depending on the severity of osteoarthritis and the specific needs of the patient. Generally, injections are administered once a week for three to five weeks. However, some patients may require additional or more frequent treatments to maintain the benefits. It is important to note that while this treatment can help relieve pain and improve mobility, it does not cure osteoarthritis.

The available data on the effectiveness of treatment through the injection of viscous fluids is encouraging. Numerous studies have shown a significant improvement in painful symptoms in a large portion of the population treated with this method. The injection not only helps to reduce pain but also increases the level of physical activity possible for patients with osteoarthritis, thereby greatly contributing to their quality of life.

However, like any other invasive medical intervention involving a needle, this type of treatment is not without risks or possible side effects. Potential complications include local infections at the injection site or temporary discomfort after the treatment. Therefore, despite its obvious potential benefits for the health of individuals suffering from advanced osteoarthritis who have responded poorly to other commonly used conservative treatments such as physical therapy or oral analgesics; it is crucial that a qualified professional administers these injections to minimize risks and maximize the effectiveness of the treatment.

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