Hyaluronic Acid Injections

A New & Effective Treatment For Knee Arthritis

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Registered Physiotherapists CSP & HCPC

What is Hyaluronic Acid?

Hyaluronic Acid is a naturally occurring substance in the human body. It is found in high concentration within all healthy joints. It forms part of the synovial fluid. It lubricates, acts as a shock absorber, filters inflammatory molecules, blocks pain receptors and facilitates nutrition of joints.

As we get older, the concentration and quality of the Hyaluronic Acid within joints diminishes. It becomes more watery and less effective at protecting the joint. It is thought that this is a contributory factor in the development of joint pain and stiffness associated with arthritis. Hyaluronic Acid can be produced synthetically and injected into arthritic joints to reduce pain and stiffness. As well as the immediate boost in the concentration of good quality Hyaluronic Acid following the injection, the injection also stimulates the joint to start producing more good quality Hyaluronic Acid of its own.

What Conditions can be treated with Hyaluronic Acid Injections?

Hyaluronic Acid can be used to treat:

Arthritic Joints – highly recommended especially for Mild-Moderate Knee Arthritis.

Tendon Pain – worth considering as an alternative to Cortisone or PRP Injections.

Most of the research has focused on the effectiveness of Hyaluronic Acid in the treatment of arthritic joints – predominantly knee arthritis. Studies show that it is can be very effective in the management of mild to moderate knee arthritis.

Hyaluronic Acid Injections are an effective alternative to Cortisone Injections in the treatment of pain associated with mild to moderate knee joint arthritis. Research has shown that Hyaluronic Acid Injections are as effective as taking regular strong anti-inflammatory medication and Cortisone injections, but they do not have the same potential risk factors associated with these other options.

Unlike a Cortisone Injection, the effect of a Hyaluronic Acid Injection is often not immediate. It can take 3-4 weeks to notice a significant reduction in knee pain. However, the duration of pain relief following a Hyaluronic Acid Injection is generally longer than a Cortisone Injection in patients with Mild-moderate knee arthritis. Cortisone works very quickly, but on average only lasts around 4 months, whereas Hyaluronic Acid Injections are slower to work, but often provide relief for 6-9 months.

Combining Cortisone Injections and Hyaluronic Acid injections can be a very effective method of managing a flare-up of mild to moderate knee arthritis. The Cortisone Injection provides immediate relief of pain and stiffness and the Hyaluronic Acid Injection extends the period of pain relief and improved function.

Our Injection specialist - Gareth Tremain, has used Cortisone and Hyaluronic Acid Injections in combination for several years and his clinical finding match that of the research. The combination of the two Injections produces better patient satisfaction than using either in isolation.

Hyaluronic Acid Injections can also be combined with PRP Injections. There is some research which suggests that a combination is also better than either in isolation.

Despite the National Institute for Clinical Excellence (NICE) concluding that Hyaluronic Acid Injections are an appropriate option for management of chronic pain associated with knee arthritis, it is not available on the NHS in Wales.

Research on the use of Hyaluronic Acid Injections to treat tendon pain is promising for several chronic conditions such as Tennis Elbow, Patellar Tendinopathy and Achilles Tendinopathy. It is thought to help by blocking pain receptors, modulating inflammation, facilitating local tendon nutrition and reduces friction between the tendon and other local structures. Hyaluronic Acid Injections may be a useful alternative to Cortisone Injections for some tendon conditions that are unresponsive to more conservative treatments.

Gareth Tremain - Cortisone Injection
Injection Therapist
Gareth Tremain

Gareth has a wealth of knowledge and specialist skills. He has a degree in Sport & Exercise Science as well as a degree in physiotherapy. Gareth has completed extensive Masters Degree level training in injection therapy and is qualified to perform a wide range of Ultrasound- Guided joint and soft tissue injections – including Cortisone, PRP, Hyaluronic Acid and High Volume injections for Frozen Shoulder and Chronic Tendon Pain.

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How many Hyaluronic Acid Injections do I need?

At iPS we use Ostenil Plus which has been developed for single injection use. Some patients opt to have 2 Ostenil Plus Injections (1 week apart) if they are in severe pain and want to maximise the effect of the treatment. From our clinical experience, 2 injections of Ostenil Plus (1 week apart) seem is more effective than 1, but there is no research to back this up, just our own clinical observations.

How often can I have a Hyaluronic Acid Injection?

There is no limit on the number of Hyaluronic Acid / Ostenil Plus Injections you can have. Research has shown that there are no significant side effects from repeated use. This is a major advantage over Cortisone Injections.

When you feel the benefit of the Hyaluronic Acid Injection is wearing off, you can simply book in for a repeat injection.

What do I need to do after a Hyaluronic Acid Injection?

It is not uncommon to experience some post injection pain and stiffness for a few days after a Hyaluronic Acid Injection. Therefore we recommend that you limit your activities for a few days. Following this you should gradually increase your activity and work on exercises recommended by your physiotherapist.

How much does a Hyaluronic Acid / Ostenil Plus Injection cost?

We offer Hyaluronic Acid Injections at our physiotherapy clinics at extremely competitive prices. Our preferred brand of Hyaluronic Acid is Ostenil Plus. We have tried other brands, but found this one to be the most cost effective option.

1 x Ultrasound-Guided Hyaluronic Acid (Ostenil Plus) Injection £285 *

1 x Unguided Hyaluronic Acid (Ostenil Plus) Injection £210*

*Consultation fee to be added to Injection fee (£67.50 for 45mins, £45 for 30mins)

*Significant discount if an additional Ultrasound-Guided Ostenil Plus Injection administered within same consultation e.g. both knees in same consultation.

*Ultrasound-Guided Injection recommended for most Ostenil Plus Injections, due to importance of accuracy of needle placement.

How do I book an Appointment?

You can book an Injection Clinic Appointment via our online booking system (see link below). You will be required to pay the cost the consultation at time of booking. If you proceed with an injection, you will be required to pay the additional cost immediately following the appointment.

Alternatively, you can contact our admin office on 03456 252 252 Monday to Friday 8.30-5pm or email to request a call back.

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Injection Clinic Appointments

Injection Clinic – Full Assessment (+ Injection/s if appropriate)

Time: 45 Minutes

Cost: £67.50 (additional fees will apply if you proceed with injection)

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Injection Clinic – Follow-up Injection/s

Time: 30 Minutes

Cost: £45 (additional fees will apply if you proceed with injection)

Book Online

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