Name of the Procedure:

• Common name: Intra-articular Hyaluronic Acid Injection
• Medical term: Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg (HCPCS Code J7332)

Summary

This procedure involves injecting a small amount of Hyaluronic Acid (Triluron) directly into a joint, often the knee. It aims to provide pain relief and improve mobility in people with arthritis or joint conditions.

Purpose

• Conditions Addressed: Primarily used to treat osteoarthritis in the knee but can be used for other joints.
• Goals: Reduce joint pain, improve joint function, and delay the need for more invasive treatments like surgery.

Indications

• Patients experiencing moderate to severe knee pain due to osteoarthritis.
• Those who have not responded adequately to other treatments such as physical therapy, pain medications, or corticosteroid injections.

Preparation

• Patients may be advised to avoid certain medications such as blood thinners before the procedure.
• Diagnostic tests like X-rays or MRIs may be performed to assess the joint condition.

Procedure Description

1. The patient lies down in a comfortable position with the affected joint accessible.
2. The skin around the joint is cleaned with an antiseptic solution.
3. Local anesthesia may be applied to numb the area.
4. A fine needle is inserted into the joint space, and Triluron is carefully injected.
5. The needle is removed, and the injection site is covered with a small bandage.

• Tools Used: Fine needle, syringe, antiseptic solution.
• Anesthesia: Local anesthesia is typically used; sedation is usually not required.

Duration

The procedure typically takes about 15-30 minutes.

Setting

Usually performed in an outpatient clinic or doctor’s office.

Personnel

• Doctor or orthopedic specialist.
• Nurse or medical assistant.

Risks and Complications

• Common Risks: Mild pain or swelling at the injection site, temporary discomfort.
• Rare Risks: Infection, allergic reaction, bleeding, or joint inflammation.

Benefits

• Pain relief can often be noticed within a few days to a couple of weeks.
• Improved joint mobility and overall function.
• The effects can last several months, providing a significant quality of life improvement.

Recovery

• Post-procedure, patients may be advised to rest and avoid strenuous activities for a day or two.
• Ice packs may be used to reduce swelling or discomfort.
• Follow-up appointments may be necessary to monitor the joint's condition and repeat the procedure if needed.

Alternatives

• Oral pain medications or anti-inflammatory drugs.
• Physical therapy.
• Corticosteroid injections.

• Surgical options such as arthroscopy or joint replacement.

• Pros and Cons, Alternatives:

  • Medications: Easier but may have side effects or limited effectiveness.
  • Physical Therapy: Non-invasive but may not provide sufficient relief for severe cases.
  • Surgery: More permanent relief but involves higher risks and longer recovery times.

Patient Experience

• During the procedure, patients may feel mild discomfort from the needle insertion but typically no significant pain.
• Post-procedure, some soreness or mild swelling may be experienced, which can be managed with ice and over-the-counter pain relievers.
• Most patients can return to normal activities within a day or two, with noticeable improvements in joint pain and mobility developing over the next few weeks.