If you are experiencing persistent knee pain due to osteoarthritis and seeking ways to manage your discomfort without surgery, viscosupplementation injections might be a suitable option. These injections are a safe and effective way to manage pain and potentially delay the need for more invasive procedures.

Understanding Viscosupplementation Injections

Also referred to as knee gel injections, viscosupplementation injections involve introducing a gel-like substance called hyaluronic acid directly into the affected knee joint. Hyaluronic acid is a naturally occurring substance found in the fluid that surrounds our joints, where it acts as a lubricant and shock absorber. In healthy joints, hyaluronic acid allows for smooth and pain-free movement. However, in people with osteoarthritis, the natural levels of hyaluronic acid diminish, coupled with thinning of the cartilage, leading to increased friction, pain, and stiffness.

Viscosupplementation injections aim to replenish the hyaluronic acid in the knee joint, effectively restoring lubrication and cushioning. This can help reduce pain and improve joint function. It is a particularly suitable treatment option for individuals with mild to moderate osteoarthritis who are seeking non-surgical pain relief.

Benefits of Viscosupplementation for Knee Pain

Viscosupplementation offers several benefits for individuals with knee pain caused by osteoarthritis. These injections can provide significant relief from pain and stiffness, allowing for improved mobility and a better quality of life.

The benefits include:

Pain relief:

Viscosupplementation injections can effectively reduce knee pain, making everyday activities more comfortable.

By restoring lubrication in the joint, these injections can improve knee joint movement and flexibility.

Viscosupplementation may help delay the need for surgical interventions, such as knee replacement surgery.

It is a safe and minimally invasive procedure with minimal downtime.

Who Should Consider Knee Gel Injections?

Knee gel injections typically recommended for specific groups of people experiencing knee pain.

Ideal candidates for viscosupplementation include:

  • Patients with mild to moderate knee osteoarthritis who are seeking non-surgical pain relief.
  • Individuals who have not found adequate relief from standard treatments, such as physiotherapy or oral medications.

However, there are instances where viscosupplementation may not be the most appropriate treatment option. These include:

  • Patients with advanced osteoarthritis or bone-on-bone joint damage, where the joint has severely deteriorated.
  • Individuals with an allergy to hyaluronic acid or any of the related substances used in the injection.

The Viscosupplementation Injection Procedure

While non-surgical treatments are often effective for trigger finger, surgery may be recommended in certain situations:

Pre-Injection Evaluation

Before undergoing viscosupplementation injections, you will have a consultation with our orthopaedic specialist to assess your suitability for the procedure. This evaluation may involve imaging tests, such as X-rays or MRI, to confirm the condition of your knee joint and ensure that viscosupplementation is an appropriate treatment option.

The viscosupplementation injection procedure in our centre in Singapore is typically performed in the following steps:

  1. Clean and sterilise the injection site: The skin around your knee joint will be thoroughly cleaned and sterilised to prevent infection.
  2. Locate the knee joint: By manual palpation, our specialist will be able to locate the ideal injection site within your knee joint.
  3. Numb the area: A local anaesthetic will be injected into your knee joint to numb the area and minimise discomfort during the procedure.
  4. Remove excess fluid (if necessary): In some cases, if there is excess fluid in your knee joint, your doctor may use a hollow needle to draw out this fluid before injecting the hyaluronic acid.
  5. Inject the hyaluronic acid: The hyaluronic acid will be carefully injected into your knee joint using a sterile needle.
  6. Cover the injection site: Once the injection is complete, the needle will be removed, and the injection site will be covered with a small bandage.

The entire procedure typically takes about only 5 to 10 minutes.

While individual responses to viscosupplementation may vary, many patients experience noticeable pain relief. Here is a general timeline of what you can expect:

  • 4 to 6 weeks: Noticeable pain relief is typically observed within 2 to 5 weeks after the injection.
  • 6 to 12 months: The beneficial effects of viscosupplementation can last for 6 to 12 months, and in some cases, even longer.

Following your injections, you will have follow-up appointments with our specialist to monitor your progress and assess the effectiveness of the treatment.

Risks and Considerations

Viscosupplementation injections are generally safe and well-tolerated. However, like any medical procedure, there are potential risks and considerations. Possible side effects, though usually mild and temporary, may include:

  • Mild swelling or discomfort at the injection site.
  • Rare cases of infection or allergic reaction.

It is important to discuss your medical history and any concerns you may have with our doctor before undergoing the procedure.

When comparing viscosupplementation with other non-surgical treatment options for knee osteoarthritis, such as physiotherapy or corticosteroid injections, it is important to consider your individual needs and preferences. Each treatment has its own benefits and limitations, and our doctor can help you determine the most suitable option for your specific condition.

Choosing the Right Specialist for Viscosupplementation in Singapore

When considering viscosupplementation injections, it is essential to choose an experienced orthopaedic specialist in Singapore who is skilled in administering these injections and managing knee osteoarthritis. 

At Centurion Orthopaedic Centre, we have extensive expertise in managing knee osteoarthritis using various techniques and treatment modalities, including knee gel injections. We are committed to providing non-invasive pain management solutions to help our patients regain their mobility and improve their quality of life.

Frequently Asked Questions About Viscosupplementation Injections

How many injections will I need for effective treatment?

The number of viscosupplementation injections needed can vary depending on the specific type of hyaluronic acid used and your individual condition. Our centre uses a single injection preparation so patients do not have to do repeated injections on a weekly basis.

While you should avoid strenuous activities for the first 72 hours after the injection, you can generally resume light physical activity and gradually increase your activity levels as advised by our doctor.

While viscosupplementation injections are most commonly used for knee osteoarthritis, they may also be used to treat other joints affected by osteoarthritis, such as the hip, ankle, or shoulder. The suitability of this treatment for other joints will depend on your specific condition and the advice of our orthopaedic specialist.

The cost of viscosupplementation injections in Singapore can vary depending on several factors, including the specific type of hyaluronic acid used, the number of injections required, and the clinic or hospital where you receive the treatment. It is advisable to consult with our orthopaedic specialist to discuss your individual needs and obtain a personalised quote for the procedure.

Insurance coverage and Medisave claimability for viscosupplementation injections can vary depending on your specific policy and whether you require any other associated treatments at the same time as the viscosupplementation injection. It is advisable to check with your insurer and our clinic to understand your coverage and any out-of-pocket expenses you may incur.