There are many treatment options that may help with OA knee pain2-5
How can I treat my OA Knee Pain?
OA of the knee is a fairly common condition. While there is no cure for it, the good news is that there are various treatment options that can help relieve your pain and maximize the way your knee functions.6
The Pros and Cons of Treatment for OA of the Knee2-5
Treatments
Over-the-counter or prescription pain relievers
Pros
Help relieve pain
Cons
Relief only lasts a short amount of time
Corticosteroids
Pros
Help relieve pain
Cons
May have side effects like pain, stiffness, and swelling of the joint
Can lead to further cartilage breakdown
Hyaluronic acid (HA) injections
Pros
Help reduce pain and inflammation and improve function
Minimal complications
Cons
Some HA injections may cause more swelling of the joint
What makes HA Injections Different from Other Treatments?
HA is found naturally throughout the body, especially in the knee joint. Healthy HA has high molecular weight and a linear structure. It works with the natural knee fluid to cushion and lubricate the knee so it can withstand the demands of daily life. Unfortunately, HA in the knee can decrease and breakdown over time which may lead to increased pain, swelling, and injury. That’s where HA injections can help.2,8,9
HA injections are administered by your doctor and are injected directly into your knee, but not all HA’s are the same. HA injections with high molecular weight and a linear structure may provide additional benefits.9,10
High Molecular Weight LINEAR HA’s MAY Provide2,9,10:
Physical Benefits
Provides lubrication
Increases shock absorption
Cellular Benefits
Reduces pain and inflammation
Helps protect cartilage and decreases future wear and tear
Helps your body create more of your own naturally made HA
Understanding and Treating OA of the Knee
Gaining a better understanding of OA of the knee is the first step towards finding a treatment that works for you. This owner’s manual will help educate you on what causes OA of the knee and how different treatment options can help.
- Rolling 12 month average of IQVIA claims data based on unique patients (November 2021).
- Altman RD, Manjoo A, Fierlinger A, et al. The mechanism of action for hyaluronic acid treatment in the osteoarthritic knee: a systematic review. BMC Musculoskeletal Disorders. 2015;16:321.
- Arroll B, Goodyear-Smith F. Corticosteroid injections for osteoarthritis of the knee: meta-analysis. BMJ. 2004;10(328):1-5.
- Kompell A, Roemer F, Murakami A, et al. Intra-articular corticosteroid injections in the hip and knee: perhaps not as safe as we thought? Radiology. 2019;293:656-663.
- Migliore A, Procopio S. Effectiveness and utility of hyaluronic acid in osteoarthritis. Clin Cases Miner Bone Metab. 2015;12(1):31-33.
- Altman RD, Rosen JE, Bloch DA, et al. A double-blind, randomized, saline-controlled study of the efficacy and safety of EUFLEXXA for treatment of painful osteoarthritis of the knee, with an open-label safety extension (the FLEXX Trial). Semin Arthritis Rheum. 2009;39(1):1-9.
- Grace L, McAlindon T, Hawker G, et al. Symptom assessment in knee osteoarthritis needs to account for physical activity level. Arthritis Rheumatol. 2015;67(11):2897-2904.
- Sirin D, Kaplan N, Yilmaz I, et al. The association between different molecular weights of hyaluronic acid and CHAD, HIF-1α, COL2A1 expression in chondrocyte cultures. Exp Ther Med. 2018;15:4205-4212.
- Nicholls M, et al. A comparison between rheological properties of intra-articular hyaluronic acid preparations and reported human synovial fluid. Adv Ther. 2018;35:523-530.
- Yang C, Cao M, Liu H, et al. The high and low molecular weight forms of hyaluronan have distinct effects on CD44 clustering. J Biol Chem. 2012;287(51):43094-43107.
- Smith MM, Ghosh P. The synthesis of hyaluronic acid by human synovial fibroblasts is influenced by the nature of the hyaluronate in the extracellular environment. Rheumatol Int. 1987:7(3):113-122.
- Concoff A, Sancheti P, Niazi F, Shaw P, Rosen J. The efficacy of multiple versus single hyaluronic acid injections: a systemic review and meta-analysis. BMC Musculoskelet Disord. 2017 Dec 21;18(1):542. doi:10.1186/s12891-017-1897-2
- Loknauth J, Driscoll KE, Bendele A, Niazi F, Liang A, Larsen CC. Viscosupplementation may preserve tibial cartilage and collagen in osteoarthritis: findings from a preclinical model of osteoarthritis. J Exp Orthop. 2020 May 31;7(1):39. doi: 10.1186/s40634-020-00256-4