Hyaluronic acid is a long polysaccharide chain, that is naturally present in the human body. It is found in the highest concentrations of fluids in the joints. OSTENIL® PLUS is an isotonic solution of highly purified hyaluronic acid, developed specifically for the treatment of osteoarthritis.
The injection can help to reduce the irritability and severity of your symptoms to allow continued rehabilitation and conservative treatments.
A specialist physiotherapist, who has undertaken further injection training to assess and administer the injection safely.
You should avoid the injection if you:
You may also be asked to wait for 20 minutes following injections to ensure there is no allergic reaction to the medication.
The skin is cleaned with antiseptic, a needle is gently put into the affected area and the solution is injected through a needle.
You should expect to feel some pain during the procedure. All efforts will be made to minimise discomfort. Whilst the area that is going to be injected can remain sore for the next 48 hours, it is usually safe to take over the counter pain relief to relieve symptoms. (Subject to your own allergies)
You will probably not notice any benefits immediately after the first injection, but you should gradually start to feel less pain and stiffness over the next few weeks. The improvement in your symptoms is likely to persist for several months, depending on the progression of the degenerative change in the joint being treated.
When the effects of your OSTENIL® injections begin to wear off, you can safely choose to have another injection if your clinician agrees it is appropriate.
This will depend on severity of your symptoms and effects of the first injection. However, there are no specific limits on the amount of injections.
Some people will need a phone or face – face follow up appointment, others will be able to manage independently without follow up appointment. You can discuss the most appropriate next steps with your clinician.
A medicine which can help relieve inflammation (swelling) and pain. It is sometimes called steroid for short.
No, these medications are called anabolic steroids which mimic the effect of the male sex hormone testosterone.
The injection delivers steroid medication directly to the site of pain, which is usually more effective, and has less side effects than taking steroid tablets. The injection should reduce pain for least 6 weeks and allow you to slowly return to your normal activities or to engage with a period of rehabilitation.
You can, and that may be more appropriate for some people. However, taking regular pain-relieving medications for a weeks or months may cause side effects, and therefore a steroid injection can be preferred.
Yes, if you:
Your clinician will discuss these factors with you when deciding whether it is safe for you to have the injection
They include the following and a more detailed list can be found on the manufacturer’s information:
You will be asked to wait for 30 minutes after the injection to ensure there is no allergic reaction to the drugs.
If you are on Warfarin your INR will have to be checked within 48 hours before having the injection and then rechecked within 72 hours post injection.
If you are on Rivaroxaban, Apixaban, Dabigatran or Edoxaban we would normally ask you to stop taking the medication 12 hours before having the injection, provided that your underlying condition is stable and your GP/Consultant is agreeable for the injection to take place.
This varies from person to person. On average pain will reduce for at least 6 weeks, which should allow time to slowly increase normal activities or to engage with rehabilitation.
We will ask you to stay in the waiting area for up to 30 minutes to monitor for any adverse reactions, after this you should keep the injected area clean for the rest of the day, and reduce activities of the injected body part for 5-7 days. Your clinician will provide advice specific to your situation.
One injection of OSTENIL® PLUS can reduce pain and improves function in knee OA over 6 months.