Introduction

Osteoarthritis is a widespread joint condition that often affects the knees and hips, causing pain, stiffness, and difficulty moving. Managing this long-term condition can be challenging, especially when painkillers and physical therapy don’t offer enough relief or cause unwelcome side effects. As a result, many people are looking for effective, non-surgical ways to ease their discomfort and get moving again. One such treatment gaining attention is joint lubrication therapy using hyaluronic acid injections – a scientifically supported option that aims to soothe joints and improve mobility without the need for surgery.

Understanding Hyaluronic Acid and Its Role in Joint Health

Hyaluronic acid is a natural substance found in the synovial fluid – a thick, gel-like liquid that cushions and lubricates our joints. In healthy joints, it plays a vital role by reducing friction during movement and helping to absorb shocks, protecting the cartilage from damage. However, osteoarthritis alters the quality and amount of this fluid, making it thinner and less effective. As a result, joints become stiffer and more painful. By injecting hyaluronic acid directly into the joint, doctors aim to restore this protective fluid’s thickness and cushioning effect, helping to reduce pain and improve the joint’s natural function.

The Hyaluronic Acid Injection Procedure: What to Expect

The injection procedure is simple and minimally invasive. First, the skin over the joint is thoroughly cleaned, and a local anaesthetic may be used to make the process comfortable. Using a fine needle, the hyaluronic acid is injected directly into the joint space. Each session usually takes only a few minutes. Most patients receive a series of injections — often one each week for three to five weeks — depending on the treatment plan tailored by their healthcare provider.

Those best suited to this treatment typically have mild to moderate osteoarthritis in the knee or hip and have not achieved sufficient relief from medicines or physiotherapy. After the injections, most people can return to their daily routines quickly, but they may be advised to avoid heavy exercise for a short time to get the most benefit.

How Hyaluronic Acid Injections Relieve Pain and Improve Mobility

These injections work by thickening the synovial fluid, restoring its viscosity and elasticity, so the joint surfaces glide smoothly over each other. This cushioning effect takes pressure off the damaged cartilage, reducing pain. Hyaluronic acid also has mild anti-inflammatory effects, which can help to calm swelling and irritation inside the joint. Furthermore, improved lubrication supports a better exchange of nutrients to the cartilage, which may help slow the progression of osteoarthritis.

Beyond joint health, hyaluronic acid has been valued in other areas of medicine too. For instance, it is described as “a highly effective and viable alternative” for aesthetic treatments like smoothing fine lines on the face (Fagien & Cassuto, 2012). This versatility speaks to its unique properties and its growing role in different therapies.

Together, these effects can help many people experience less pain and greater ease of movement, allowing them to return to everyday activities with more comfort.

Clinical Evidence, Expert Perspectives, and What Patients Can Expect

A growing number of clinical studies back up the benefits of hyaluronic acid injections for easing osteoarthritis pain. While some patients enjoy significant relief lasting several months, others may notice more modest improvements — results can vary from person to person. Specialists regard these injections as a useful part of a broader treatment plan, especially for those wanting to avoid surgery.

Notably, research in related fields has shown promising results: one study found that 93.3% of patients receiving hyaluronic acid injections achieved complete symptom resolution at six months, with many still benefiting a year later (Callegari et al., 2011). This highlights the lasting potential of this treatment.

At MSK Doctors, experts such as Professor Paul Lee bring extensive experience in orthopaedics and cartilage care to create personalised, supportive programmes. This professional environment ensures patients receive treatments best suited to their individual needs.

Important Considerations and Responsible Advice

While hyaluronic acid injections are generally safe, some people might experience mild swelling, soreness, or stiffness around the injection site shortly after treatment. The cost of therapy is another factor worth considering.

Importantly, not every patient will respond the same way, so it is critical to discuss treatment options thoroughly with a qualified healthcare professional who understands your unique situation. Always seek personalised advice before proceeding. For individual medical guidance, please consult a healthcare provider.

References

Callegari, L., Spanò, E., Bini, A., Valli, F., Genovese, E. A., & Fugazzola, C. (2011). Ultrasound-guided injection of a corticosteroid and hyaluronic acid. Drugs in R&D, 11(2), 137-145. https://doi.org/10.1007/bf03259803

Twomey, K., Lehn, B., & Vasani, S. (2018). Management of leaking tracheoesophageal puncture with hyaluronic acid injection. Head & Neck, 40(7), 1573-1576. https://doi.org/10.1002/hed.25162

Fagien, S., & Cassuto, D. (2012). Reconstituted injectable hyaluronic acid. Plastic & Reconstructive Surgery, 130(1), 208-217. https://doi.org/10.1097/prs.0b013e318254b3f6