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It is injected into the joint capsule, to act as both a shock absorber and a lubricant for the joint. [ 3 ] [ 4 ] [ 5 ] Thus sodium hyaluronate is used as a viscosupplement, administered through a series of injections into the knee , increasing the viscosity of the synovial fluid , which helps lubricate, cushion and reduce pain in the joint. [ 6 ]
The needle size, length and type should be selected based on the site, depth and patient's body habitus. 22–24G needles are sufficed for most injections. [1] As an example, ultrasound-guided hip joint injection [16] can be considered when symptoms persist despite initial treatment options such as activity modification, analgesia and physical ...
A 2011 study reported histologically confirmed hyaline cartilage regrowth in the knee. The successful protocol involved arthroscopic microdrilling/ microfracture surgery followed by postoperative injections of autologous peripheral blood progenitor cells (PBPCs) and hyaluronic acid. [15]
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Severe cases may require fine-needle aspiration of the bursa fluid, sometimes coupled with cortisone injections. [11] However, some studies have shown that steroid injections may not be an effective treatment option. [14] After the bursitis has been treated, rehabilitative exercise may help improve joint mechanics and reduce chronic pain. [15 ...
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