Hyaluronic acid (HA) injections, aka viscosupplementation or “Gel shots”
Hyaluronic acid shots, also called viscosupplementation or “gel shots,” are a safe and effective option for people who want relief from knee pain, wear-and-tear arthritis, and joint stiffness without relying on steroid injections or surgery. These injections add a high-quality gel-like substance into the joint to improve lubrication, reduce inflammation, and support better joint function.
As we age or after an injury, joint fluid becomes thinner and watery instead of thick and viscous. Children naturally have very viscous synovial fluid that acts as a lubricant and shock absorber. Adults with chronic joint pain and arthritis often have joint fluid that no longer protects the joint well, leading to more friction, swelling, and symptoms. Hyaluronic acid shots supplement this lost lubrication and help the joint glide more smoothly.
While gel shots do not regenerate cartilage, research shows they can slow down the arthritis process, reduce pain and swelling, and delay or even avoid the need for knee surgery. More than one million patients worldwide have received this treatment, supported by multiple level-I clinical trials. Although most commonly used for the knee joint, gel injections can also help other joints including the shoulder, wrist, fingers, and toes.
Success with gel shots depends on three factors:
- Proper patient selection
- A skilled provider
- Use of ultrasound guidance and high-quality gel formulations
Courtney performs every injection using ultrasound guidance to ensure accuracy and safety.
What Hyaluronic Acid Is
Hyaluronic acid is a naturally occurring substance found in synovial fluid. It is responsible for providing lubrication, reducing friction, and supporting joint movement. The gel products used at Full Circle are high molecular weight formulations that stay in the joint for an extended period. They are either derived from rooster combs or produced through bacterial fermentation for patients with poultry allergies.
During treatment, the gel is injected directly into the affected area under ultrasound guidance. Depending on the product, you may receive a single shot or a short series of weekly injections.
Goals of Hyaluronic Acid Shots
The treatment aims to:
- Decrease knee pain and chronic joint pain
- Reduce inflammation
- Improve joint function
- Slow the progression of osteoarthritis
- Delay or avoid knee surgery
These injections support a smoother weight-bearing surface in the joint and help many patients return to daily activities with less discomfort.
How Hyaluronic Acid Shots Work
Your visit includes:
- Local numbing to reduce discomfort
- Inject the gel product into the joint using ultrasound guidance (takes about 30 seconds and is usually not painful)
- Rest for the remainder of the day/evening (may exercise just before the injection if desired)
The actual injection takes less than 30 seconds. Most patients describe the procedure as tolerable with minimal discomfort.
What to Expect After Treatment
Mild soreness or a feeling of “fullness” may occur for two to three days. Some patients experience these symptoms for up to a week. Most patients do not have significant pain.
What you can do:
- Use anti-inflammatory or pain-relief medications such as acetaminophen, ibuprofen, naproxen
- Ice the area as needed
- Return to physical therapy or sport by day three unless directed otherwise
It typically takes several weeks to experience significant relief. Most patients begin feeling the full effect between four and six weeks, with benefits lasting several months. In ideal candidates, relief may last up to two to three years.
RISKS AND COMPLICATIONS?
Risks are low. Research shows very few complications from the gel products themselves. Most risks are related to the injection process, including temporary pain, mild swelling, or rare infection.
NEXT STEP?
A consultation is the best way to determine whether hyaluronic acid shots are right for you. Courtney will review your medical history, imaging, severity of knee osteoarthritis, prior treatments, and your activity goals.
We look forward to helping you find meaningful pain relief and improved joint function.
FAQ
Hyaluronic acid shots, also called gel shots or viscosupplementation, add a thicker, more protective fluid back into the knee joint. They help reduce inflammation, improve joint lubrication, and support smoother movement. Many people choose them to delay surgery and reduce pain from wear and tear.
Some gel shot products are single shot formulations. Others work best as a short series of three to five shots spaced about one week apart. Courtney will recommend the option that fits your joint health, activity level, and overall medical history.
Yes. Gel shots are considered safe and carry very low risk. Side effects are usually limited to temporary soreness or mild swelling at the injection site.
Most people start noticing improvement after four to six weeks. Relief can last several months and sometimes up to two or three years in ideal candidates.
Yes. Gel shots can help reduce pain and swelling, improve joint function, and slow down the wear and tear associated with knee osteoarthritis.
Yes. Although most commonly used for knees, hyaluronic acid can also be used for shoulders, wrists, fingers, and toes when appropriate.
Steroids reduce inflammation quickly but do not support long term joint health. Gel shots improve lubrication and joint mechanics, and they do not weaken tissue over time.
Most patients go back to light daily activities the same day. Some feel mild soreness for a couple of days. You can usually return to physical therapy or sport by day three unless otherwise advised.