Name of the Procedure:

• Common Names: Durolane Injection, Hyaluronic Acid Injection
• Medical Terms: Hyaluronan or derivative, intra-articular injection

Summary

Durolane injection involves injecting hyaluronic acid into a joint to alleviate pain, usually in the knee. This procedure aims to supplement the joint's natural fluid, enhancing lubrication and cushioning to reduce discomfort and improve mobility.

Purpose

• Medical Conditions Addressed: Osteoarthritis, joint pain, joint inflammation
• Goals: Reduce pain, enhance joint function, delay the need for surgical intervention

Indications

• Symptoms: Persistent joint pain, stiffness, and impaired mobility due to osteoarthritis
• Patient Criteria: Adults with mild to moderate osteoarthritis who have not responded adequately to analgesics or physical therapy

Preparation

• Pre-Procedure Instructions: Patients may be advised to avoid certain medications such as blood thinners.
• Diagnostic Tests: X-rays or MRI may be required to confirm the extent of joint damage.

Procedure Description

1. Preparation: The skin around the injection site is cleaned and sterilized.
2. Anesthesia: Local anesthesia may be applied to minimize discomfort.
3. Injection: The hyaluronic acid (Durolane) is injected directly into the joint space using a syringe and needle.
4. Post-Injection: The site is cleaned and bandaged if necessary.

Duration

• The injection process typically takes about 10-20 minutes.

Setting

• This procedure is usually performed in an outpatient clinic or a doctor's office.

Personnel

• Primary: Orthopedic surgeon or a trained healthcare provider
• Support: Medical assistant or nurse

Risks and Complications

• Common Risks: Pain at the injection site, swelling, and mild bruising
• Rare Complications: Infection, allergic reaction, joint stiffness or weakness

Benefits

• Expected Benefits: Significant pain relief and improved joint mobility, often noticeable within days to weeks
• Duration of Relief: Symptom relief can last for several months

Recovery

• Post-Procedure Care: Rest the joint for 24-48 hours, applying ice if necessary. Avoid strenuous activities for a few days.
• Recovery Time: Generally, minimal; patients can often resume normal activities within a day or two.
• Follow-Up: Follow-up appointments may be scheduled to assess the procedure's effectiveness and overall joint health.

Alternatives

• Other Options: Oral pain relievers, physical therapy, corticosteroid injections, joint replacement surgery
• Pros and Cons: Durolane injections offer non-surgical relief without the side effects associated with long-term use of pain relievers. However, unlike surgery, it does not provide a permanent solution.

Patient Experience

• During Procedure: Patients may feel a slight pinch or pressure at the injection site.
• After Procedure: Mild discomfort or soreness at the injection site, which typically resolves within a day or two. Pain relief and improved joint function should be noticeable within a few weeks.
• Pain Management: Over-the-counter pain medications and ice packs can be used if needed.