Viscosupplementation (Hyaluronic Acid Injections)

Supporting Joint Function While Addressing the Bigger Picture

Viscosupplementation involves the injection of hyaluronic acid into a joint, most commonly the knee, to support joint lubrication and movement. It is sometimes considered for individuals with joint wear-and-tear changes who continue to experience symptoms despite conservative measures.

At The Pain Relief Clinic, hyaluronic acid injections are used selectively, with careful assessment and clear explanation, as part of a broader medical strategy — not as a standalone fix.

Many patients who explore viscosupplementation are looking to:

• Improve joint comfort and movement
• Reduce reliance on repeated pain medication
• Delay or avoid surgery where possible
• Continue daily activities with better function

What Is Hyaluronic Acid and Why Is It Used?

Hyaluronic acid is a naturally occurring substance found in joint fluid. In healthy joints, it helps:

• Lubricate joint surfaces
• Absorb shock during movement
• Support smooth, pain-free motion

In joints affected by degeneration or wear, the quality and quantity of natural hyaluronic acid may be reduced. Viscosupplementation aims to temporarily supplement joint fluid to improve joint mechanics and comfort.

When Viscosupplementation May Be Considered

Hyaluronic acid injections may be discussed when:

• Joint discomfort persists despite physiotherapy or oral medication
• Symptoms affect walking, standing, or daily activities
• Imaging shows degenerative or wear-related changes
• Surgery is not desired or not appropriate at this stage

Each case is assessed individually to determine whether viscosupplementation is reasonable and appropriate.

Understanding the Limitations

It is important to understand what viscosupplementation can and cannot do:

• It does not reverse joint degeneration
• Effects are typically temporary, not permanent
• Response varies between individuals
• It does not correct alignment, strength, or movement issues
• It works best when combined with rehabilitation and load management

For these reasons, injections are viewed as a supportive tool, not a cure.

How The Pain Relief Clinic Approaches Viscosupplementation

At The Pain Relief Clinic, injections are not offered in isolation.

The process typically involves:

• Medical consultation and assessment
• Review of symptoms and functional limitations
• Review of imaging where appropriate
• Discussion of expected benefits, risks, and alternatives
• Consideration of physiotherapy and non-invasive options alongside injections

This ensures patients can make informed decisions, with a clear understanding of where injections fit within their overall care plan.

For Patients Who Wish to Reduce Medication Dependence

Many patients exploring viscosupplementation do so because they:

• Prefer not to rely on long-term oral medication
• Are concerned about medication side effects
• Want a solution that supports movement and activity

Hyaluronic acid injections may help reduce symptom burden temporarily, allowing patients to focus on rehabilitation, strengthening, and lifestyle adjustments that support longer-term joint health.

Frequently Asked Questions

Is viscosupplementation the same as a steroid injection?

No. Hyaluronic acid injections aim to support joint lubrication, while steroid injections are primarily used to reduce inflammation. They serve different purposes and have different considerations.

Will one injection permanently fix my joint problem?

No. Viscosupplementation does not cure joint degeneration. Any benefit is typically temporary and varies between individuals.

How long do the effects last?

If effective, symptom improvement may last several months. Duration varies depending on the individual and the condition of the joint.

Do I need imaging before this injection?

Imaging is often helpful to confirm the nature of joint changes and ensure the injection is appropriate, though this depends on individual circumstances.

Can this replace physiotherapy?

No. Injections do not restore strength, movement patterns, or stability. Physiotherapy and rehabilitation remain important for long-term outcomes.