Hyaluronate Lubricating Injections

Arthritis is among the most common causes of joint pain. When the smooth cartilage in a joint wears thin, the joint begins to “dry-out” resulting in pain, reduced range of motion and restricted activities. At Manalapan Spine Care we offer a long-lasting, naturally derived, FDA approved, safe and effective treatment injectable lubricant called Hyalgan.

How do “lubricating” treatments work?

Hyaluronic acid is present in normal joint fluid and responsible for its lubricating properties, which allows for the cartilage surfaces of joints to glide upon each other in a smooth fashion. Arthritis interferes with smooth joint movement, causing inflammation and pain. By injecting Hyalgan into a knee joint, the “lubrication” is restored, providing an “oil change” for the joint. Hyalgan has been shown to have anti-inflammatory properties, and in addition to improving current function, it also preserves future function protecting the remaining cartilage in the joint. The injections, which are not painful, are administered in the office using continuous ULTRASOUND GUIDANCE so you can watch the injection on a screen while it is taking place.

What are the expected results?

Hyalgan has been shown to help alleviate arthritis symptoms for up to 6 months or more, and to delay the need for more aggressive procedures. With each treatment, the function of the joint improves with the maximum effect experienced within one to three weeks after the last injection. Most patients, however, experience relief after the first injection.



Osteoarthritis is a degenerative joint disease that can affect the knee. It causes the surface layer of cartilage
to break down and wear away, and the joint’s synovial fluid to lose its ability to lubricate. This combination
causes pain, stiffness, limited joint motion, and inflammation in the knee. Osteoarthritis of the knee is often
initially treated with pain relievers such as acetaminophen, non-steroidal anti-inflammatory drugs and corticosteroid injections. However, these methods are not always effective, and can have adverse effects such as gastrointestinal problems, allergic reactions or kidney damage.

What is Viscosupplementation?

Viscosupplementation, in which injections of Hyaluronic acid are used to improve knee function, is an
alternative to pain medication for treatment of osteoarthritis of the knee. Those with osteoarthritis often have a low level of Hyaluronic acid in their joints. Hyaluronic acid, which is a naturally occurring substance found
in joint fluid, acts as a lubricant so that bones move smoothly, and as a shock absorber so that joints can bear weight. During Viscosupplementation, Hyalgan is injected directly into the knee joint; it is typically administered in a series of 1 to 5 injections over several weeks’ time.

What are the benefits?

• Reduction in pain
• Improved mobility
• Reduction in swelling & inflammation
• Effects that last for several months

Patient Testimonial

After my first injection I felt 80% better. I am able to walk for long distances and have less pain. The therapy was quick and painless. Very warm and professional office!!

Paula B.

How is the procedure performed?

The artificial Hyaluronic acid is delivered into the joint by a series of injections – usually between 3-5, ideally
a week apart. We perform all of our joint injections in the office using ULTRASOUND GUIDANCE, which ensures accurate needle placement into the joint space. In the knee, there are many structures in close proximitythe quadriceps tendon, suprapatellar fat pad, joint space, and the prefemoral fat pad. At times, these structures are within millimeters of each other.


Disclaimer: No individuals, including those under our active care, should use the information, resources or tools contained on this website to self-diagnose or self-treat any health-related condition. Diagnosis and treatment of all health conditions should only be performed by your doctor of chiropractic or other licensed health care professional.