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Hyaluronic Acid

The primary function of Hyaluronic Acid (HA), is to hold water that keeps your tissues moist. Each molecule of hyaluronic acid has the potential to hold one thousand times its weight in water. 

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Hyaluronic acid is naturally produced by your body. It’s mainly found in your skin, connective tissues, and your eyes. This is part of the reason it’s so great at reducing the appearance of aging and protecting your joints. It’s also an important component of synovial fluid, which is a lubricating agent in your joints. Not only does HA show up in your synovial fluid, but it’s also found in joint cartilage where it coats the cells for lubrication.

Particulate Injectable Steroids

Triamcinolone (Kenalog) and Methylprednisolone Acetate (Depo-Medrol), are useful in joint injections such as the shoulder or knee.

Cortisone

“Cortisone” Is a generic term referring to a corticosteroid which are strong anti-inflammatory’s used to alleviate conditions that stem from over activity of the inflammatory process. 

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Corticosteroids act in a similar way to NSAIDs such as Ibuprofen (Motrin or Advil), and naproxen (Aleve). However, they are much more potent because they act on a preliminary enzyme, resulting in a more focused blockade of inflammation.

Corticosteroids can be helpful in treating a myriad of an inflammatory conditions, namely outbreaks of pain related to arthritis or gout. It can also be useful in breaking the cycle of pain associated with chronic injuries. Steroids are also used to control the effects of poison ivy, and asthma attacks.

Non-Particulate Injectable Steroids

Methylprednisolone Sodium Succinate (Solu-Medrol) and Dexamethasone (Decadron) are more effective in soft tissue steroid injections due to less chance of fat atrophy and skin pigmentation changes.

Case Studies

Hyaluronic Acid

Hyaluronic acid injection is used to treat knee pain caused by osteoarthritis (OA) in patients who have already been treated with pain relievers (e.g., acetaminophen) and other treatments that did not work well.

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Steroids

Steroids like Cortisone are generally well tolerated by the majority of the population and are a great tool in the fight against noxious inflammation. 

Schedule an appointment to learn if this is the right treatment plan for you.

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