{"id":5908,"date":"2017-12-05T09:00:00","date_gmt":"2017-12-05T08:00:00","guid":{"rendered":"https:\/\/www.asssa.es\/en\/blog-entry\/hyaluronic-acid\/"},"modified":"2019-10-18T09:49:20","modified_gmt":"2019-10-18T07:49:20","slug":"hyaluronic-acid","status":"publish","type":"post","link":"https:\/\/www.asssa.es\/en\/hyaluronic-acid\/","title":{"rendered":"Hyaluronic acid"},"content":{"rendered":"<p>Nowadays, due to the physical demands of modern society, the sport has become one of the population&#039;s most important pastimes. Age is no longer such an important factor, and because of this, joint conditions caused by overuse, mechanical overload, wear, and tear, etc, are the reason for many medical consultations.<\/p>\n<p>\nIt is very common to see &ldquo;athletes&rdquo; of all ages doing sport with real passion, without worrying or realizing they could be causing or speeding up processes of joint deterioration if they do not take adequate precautions, especially on the lower, weight and load-bearing joints. Being overweight also causes significant happens after surgery to regulate or reshape the menisci, whose function is to maintain joint congruency and the joint space to act as&rdquo;Shock&nbsp;absorbers&rdquo;.<\/p>\n<p><strong>Degenerative osteoarthritis of the knee,<\/strong> as we have seen, is very common and increasingly prevalent In our society. One of the treatments that can be used in this condition is hyaluronic acid.<\/p>\n<p>\n<strong>What is it?<\/strong><\/p>\n<p>\nHyaluronic acid (HA) is a natural component of joint structures. It is secreted into the joint space by the synovial cell, is a component of the lamina&nbsp;splendens&nbsp;of articular cartilage and form complex macromolecules known as proteoglycans (glycosaminoglycan&nbsp;polysaccharide). It helps to maintain joint integrity. In patients with&nbsp;arthrosis, a decrease in the concentration of HA and viscosity in the synovial liquid has been observed. Administration of exogenous HA improves viscosity and reduces inflammation.<br \/>\nIt is also used in cosmetic surgery as a filler and to smooth wrinkles, although as a natural substance it is metabolized by the body and therefore has a temporary effect.<\/p>\n<p>\n<strong>What is it useful for?<\/strong><\/p>\n<p>\nHA is authorized for symptomatic treatment of pain caused by&nbsp;arthrosis&nbsp;of the knee in initial stages.<br \/>\nCartilage regeneration is a great battle which is almost always lost with age. Studies show that after infiltrating HA and subsequent arthroscopic checks after six months, noticeable improvements are seen in malaria lesions and cartilage degeneration, which may even disappear, although there was less resistance to pressure by the probe. That is why&nbsp;viscosupplementation&nbsp;or treatment with HA helps to regenerate the Surface of the joint and reduces pain.<\/p>\n<p><strong>To whom is it useful to?<\/strong><\/p>\n<p>\nAge is not the main factor for the indication but the condition of the joint is.<br \/>\nIn the majority of patients aged over 65 years old and in more advanced stages (III and IV), the treatment is not so effective and results cannot be guaranteed, although clinical experience shows improvement in joint function and pain intensity and in cases where surgery is not advisable, it can be used.<\/p>\n<p>When compared with anti-inflammatory treatment, it was seen to be as effective as these at controlling pain. Comparing HA and infiltration with corticosteroids, the symptomatic improvement was the same, with the quicker decrease in pain with the&nbsp;corticoid&nbsp;but a longer-lasting effect with the HA.<br \/>\nThis treatment does not replace other action in cases of established&nbsp;arthrosis&nbsp;whose definitive treatment is total knee arthroplasty or total knee replacement.<\/p>\n<p><strong>Is there any risk?<\/strong><\/p>\n<p>\nThe main risk is related t the administration route and technique. It has the contraindications intrinsic to joint injections. Neither is it suitable for people allergic to chicken proteins. The injection needs to be applied in sterile conditions to reduce the risk of infectious arthritis, and of course, everybody Will understand that it is a job for trained medical personnel.<\/p>\n<p>\nSigns of transitory articular information have been described for three or four days and there have been isolated cases of&nbsp;synovitis&nbsp;and anaphylaxis.<\/p>\n<p>\n<strong>Conclusion:<\/strong><\/p>\n<p>\nIntraarticular&nbsp;infiltration with hyaluronic acid is indicated in the treatment of&nbsp;arthrosis&nbsp;of the knee in the initial stages. It reduces joint pain and improves knee function in a high percentage of patients.<\/p>\n<p><em>Dr. Fernando Ruiz&nbsp;Valiente-&nbsp;Traumatology&nbsp;and Orthopaedic Surgery<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.asssa.es\/en\/insurance\/health-insurance\/\" target=\"_blank\" rel=\"noopener noreferrer\"><u><strong>ASSSA Medical Services<\/strong><\/u><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><em>The information published in this media neither substitutes nor complements in any way the direct supervision of a doctor, his diagnosis or the treatment that he may prescribe. It should also not be used for self-diagnosis.<\/em><\/p>\n<p><em>The exclusive responsibility for the use of this service lies with the reader.<\/em><\/p>\n<p><em>ASSSA advises you to always consult your doctor about any issue concerning your health.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nowadays, due to the physical demands of modern society, the sport has become one of the population&#039;s most important pastimes. Age is no longer such an important factor, and because of this, joint conditions caused by overuse, mechanical overload, wear, and tear, etc, are the reason for many medical consultations.<\/p>\n","protected":false},"author":20,"featured_media":5909,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-5908","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hyaluronic acid - ASSSA English<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.asssa.es\/en\/hyaluronic-acid\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hyaluronic acid - ASSSA English\" \/>\n<meta property=\"og:description\" content=\"Nowadays, due to the physical demands of modern society, the sport has become one of the population&#039;s most important pastimes. 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