Hyaluronic Acid Injections for Knee Arthritis: A Non-Surgical Solution

Miss Ella McAleese
Miss Ella McAleese
Published at: 9/1/2025

Hyaluronic Acid Injections for Knee Arthritis: A Non-Surgical Solution

Knee arthritis, particularly osteoarthritis, is a common condition that causes pain, stiffness, and reduced mobility. While it can significantly impact daily activities, non-surgical treatments like hyaluronic acid (HA) injections offer effective relief. These injections improve joint lubrication, cushioning, and function, helping patients manage symptoms and delay the need for surgery. In this article, we explore how hyaluronic acid injections work, their benefits, and what patients can expect from the treatment.

Understanding Knee Arthritis and Joint Degeneration

Knee arthritis occurs when the cartilage that cushions the ends of the bones breaks down, leading to pain, swelling, and stiffness. The synovial fluid in the joint, which provides lubrication and shock absorption, also becomes thinner and less effective, worsening symptoms.

Hyaluronic acid, a natural component of synovial fluid, can be replenished through injections to restore the joint's function and reduce discomfort.

What Are Hyaluronic Acid Injections?

Hyaluronic acid injections, also known as viscosupplementation, involve injecting a gel-like substance directly into the knee joint. This substance mimics the natural synovial fluid, providing lubrication and cushioning to reduce friction between bones and enhance movement.

These injections are particularly useful for patients with mild to moderate osteoarthritis who are not ready for surgery but need symptom relief.

Benefits of Hyaluronic Acid Injections

Hyaluronic acid injections provide several advantages for managing knee arthritis:

1. Improved Lubrication and Shock Absorption

  • HA injections restore the viscosity of synovial fluid, enabling smoother joint movement.

  • They reduce friction and mechanical stress, acting as a cushion for the knee joint.

2. Pain Relief and Reduced Inflammation

  • HA helps coat nerve endings, minimising irritation caused by joint movement.

  • It has mild anti-inflammatory effects, reducing swelling and pain over time.

3. Cartilage Protection and Repair Support

  • Hyaluronic acid may slow cartilage degradation and stimulate natural HA production in the joint.

  • It supports chondrocyte activity, promoting cartilage repair and preservation.

4. Improved Mobility and Function

  • Patients often experience better range of motion and joint flexibility, enabling them to stay active.

  • Enhanced mobility supports physical therapy and rehabilitation efforts.

5. Delay or Avoid Surgery

  • HA injections may delay the need for a total knee replacement by managing symptoms effectively.

  • They provide a non-invasive alternative for patients who are not ready for surgical intervention.

Who Can Benefit From Hyaluronic Acid Injections?

Hyaluronic acid injections are ideal for:

  • Patients with mild to moderate osteoarthritis.

  • Individuals who have not responded well to painkillers or physical therapy.

  • Active individuals seeking to reduce pain and improve mobility without surgery.

What to Expect During Treatment

  1. Consultation: A doctor assesses the severity of arthritis and suitability for HA injections.

  2. Procedure: The injection is administered directly into the knee joint, often under ultrasound guidance for precision.

  3. Post-Treatment Care: Patients can typically resume light activities the same day but should avoid strenuous exercise for 48 hours.

  4. Relief Timeline: Pain relief usually begins within 2-4 weeks and can last 6 months to a year depending on the severity of the condition and response to treatment.

Are There Any Side Effects?

Hyaluronic acid injections are generally safe, with minimal side effects, including:

  • Mild swelling or soreness at the injection site.

  • Temporary stiffness or a feeling of fullness in the knee.

Severe reactions are rare but should be reported to your doctor immediately.

Combining HA Injections With Other Treatments

Hyaluronic acid injections can be combined with:

  • Physical Therapy: Strengthening muscles around the knee to improve stability.

  • Weight Management: Reducing pressure on the knee joint.

  • Anti-Inflammatory Medications: To control pain during flare-ups.

  • Braces or Supports: Providing additional stability during activity.

Benefits of Early Intervention

Addressing knee arthritis early with HA injections can:

  • Prevent further cartilage damage.

  • Maintain joint mobility and function.

  • Delay or eliminate the need for surgery.

Conclusion: Is Hyaluronic Acid Right for You?

Hyaluronic acid injections provide an effective, non-surgical treatment option for knee arthritis. They improve lubrication, reduce pain, and enhance mobility, enabling patients to remain active and delay surgical interventions. While results vary, many patients experience significant improvements in symptoms and quality of life.

At MSK Doctors, we offer expert assessments and customised treatment plans for managing knee arthritis. If you’re experiencing knee pain or want to explore whether hyaluronic acid injections are suitable for you, contact us today to schedule a consultation.

FAQ Section

What is hyaluronic acid? Hyaluronic acid is a natural substance found in joint fluid that lubricates and cushions the joints.

How do HA injections work? They restore lubrication and cushioning in the joint, reducing friction and pain while improving movement.

Who should consider HA injections? Patients with mild to moderate osteoarthritis who are looking for non-surgical options to manage pain and stiffness.

How long does pain relief last? Relief typically lasts 6 months to 1 year, but individual results may vary.

Are HA injections painful? The procedure is generally well-tolerated, with only mild discomfort during the injection.

Can HA injections cure arthritis? No, they do not cure arthritis but effectively manage symptoms and improve joint function.

Are there any risks? Minor swelling or soreness is possible, but serious side effects are rare when administered by a trained specialist.

For more information, contact MSK Doctors to learn about personalised treatment options for knee arthritis.

 

More Articles
All Articles