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Osteoarthritis Treatment
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<blockquote data-quote="BigTex" data-source="post: 229689" data-attributes="member: 43589"><p>Shoulder osteoarthritis is not as common as osteoarthritis of the hip or knee, but it is estimated that nearly 1 in 3 people over the age of 60 have shoulder osteoarthritis to some degree. I personally have had some great success using 1% sodium hyaluronate injections in my knee (intra articularly). These injections are done in a series of three, having 1 injection each week. They are done by injecting the 1% sodium hyaluronate directly into the joint. I have severe osteoarthritis, which is bone on bone and tends to be very painful After 3 injection I can go 6 months with very minimal to no pain. Sure beats having surgery and I can continue my activity. </p><p></p><p>However, while it has been approved for use in the knee, the FDA has not bothered approving it for use in the hip or shoulder meaning many times replacement surgery becomes the only alternative. Paying cash for the injections is an option but with Euflexxa costing over $1300 with GoodRx, it is out of range for most. Insurance will not pay for off label uses in the shoulder or hip.</p><p></p><p>Saito S, Furuya T, Kotake S. <strong>Therapeutic effects of hyaluronate injections in patients with chronic painful shoulder: a meta-analysis of randomized controlled trials.</strong> 2010. In: Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-. Available from: <a href="https://www.ncbi.nlm.nih.gov/books/NBK79765/" target="_blank">Therapeutic effects of hyaluronate injections in patients with chronic painful shoulder: a meta-analysis of randomized controlled trials - Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews - NCBI Bookshelf</a></p><p></p><h2>Authors' conclusions</h2><p>Hyaluronate injections were effective in relieving pain and were safe for the treatment of patients with chronic painful shoulder, but further research was needed.</p></blockquote><p></p>
[QUOTE="BigTex, post: 229689, member: 43589"] Shoulder osteoarthritis is not as common as osteoarthritis of the hip or knee, but it is estimated that nearly 1 in 3 people over the age of 60 have shoulder osteoarthritis to some degree. I personally have had some great success using 1% sodium hyaluronate injections in my knee (intra articularly). These injections are done in a series of three, having 1 injection each week. They are done by injecting the 1% sodium hyaluronate directly into the joint. I have severe osteoarthritis, which is bone on bone and tends to be very painful After 3 injection I can go 6 months with very minimal to no pain. Sure beats having surgery and I can continue my activity. However, while it has been approved for use in the knee, the FDA has not bothered approving it for use in the hip or shoulder meaning many times replacement surgery becomes the only alternative. Paying cash for the injections is an option but with Euflexxa costing over $1300 with GoodRx, it is out of range for most. Insurance will not pay for off label uses in the shoulder or hip. Saito S, Furuya T, Kotake S. [B]Therapeutic effects of hyaluronate injections in patients with chronic painful shoulder: a meta-analysis of randomized controlled trials.[/B] 2010. In: Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-. Available from: [URL='https://www.ncbi.nlm.nih.gov/books/NBK79765/']Therapeutic effects of hyaluronate injections in patients with chronic painful shoulder: a meta-analysis of randomized controlled trials - Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews - NCBI Bookshelf[/URL] [HEADING=1]Authors' conclusions[/HEADING] Hyaluronate injections were effective in relieving pain and were safe for the treatment of patients with chronic painful shoulder, but further research was needed. [/QUOTE]
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