(or hyaluronan according to the new nomenclature) Synvisc®, Synvisc-One®, Cingal®.

Hyaluronic acid

Hyaluron therapy can have a beneficial effect on:

• Omarthrosis (shoulder joint wear and tear)
• Gonarthrosis (knee joint wear)
• Ankle joint wear
• Coxarthrosis (hip joint wear)

Description

Hyaluronic acid is a glycosaminoglycan and occurs in the extracellular matrix (ECM) of vertebrates. Nowadays, it is obtained from animal source material (e.g. cockscomb) or biotechnologically from streptococcal cultures. Hyaluronic acid is injected directly into the joint as a viscous lubricant and shock absorber to prevent further wear in joint wear diseases (osteoarthritis) and to reduce irritation and pain.

Technique

The Synvisc-One® cartilage-protecting syringes used contain one of the basic substances of articular cartilage, hyaluronic acid. This substance is injected into the respective joint under sterile conditions. Simultaneous treatment of several joints and repeated treatment cycles are possible. For the knee joint, we recommend three injections of 2ml Synvisc® at intervals of one week or one injection of 6ml Synvisc-One®. For the shoulder, hip or ankle joint we recommend three injections 2ml Synvisc® at intervals of one week each. It is important to note that an effect can only occur if the wear is not too advanced. Furthermore, the more advanced the wear, the faster the effect of the hyaluronic acid is "used up".
A new therapy is often recommended after 9 to 12 months.

According to the manufacturer, Synvisc-One® is the only "single-injection" hyaluronic acid approved by the U.S. Food and Drug Administration (FDA). It is particularly suitable for patients who are being treated with coumarins (Marcumar®) or are time-restricted. The risk of infection is reduced with a single joint puncture, but the larger volume of 6ml is sometimes experienced as uncomfortable and the feeling of pressure in the joint can last up to 3 days. Therefore, one of the two dosages is offered individually.

Alternatively, with the CINGAL® single injection therapy, an effective treatment alternative for inflammatory arthrosis is available to you, which - thanks to the combination of hyaluronic acid and cortisone - relieves arthrotic complaints quickly and for a long time and stops the degeneration process in the cartilage. The cortisone triamcinolone hexacetonide has an anti-inflammatory effect 5 times stronger than the body's own cortisol and provides rapid pain relief. The cross-linked hyaluronic acid with a high active ingredient content remains in the joint for a long time and is thus responsible for the long-term pain relief.

Effect

Hyaluronic acid is a viscoelastic fluid with specially cross-linked haluronic acid derivatives (hylans). It replaces and supplements the body's own diseased joint fluid.

Costs

Please ask your attending physician about the costs.The therapy with hyaluronic acid is not a benefit of the statutory health insurance, not of all health insurances or professional accident insurances, in individual cases the costs may be covered by the health insurances/insurances. However, these costs are often tax deductible. 

For self-payers and privately insured persons, we bill according to the scale of fees for physicians (GOÄ).