Injection therapies are used in podiatry for a variety of joint and soft tissue conditions. When clinically appropriate they can be used as part of a wider treatment plan to help relieve pain and inflammation. Injections can be performed under local anaesthetic and ultrasound guidance.
OSTENIL is a synthetic hyaluronic acid that is injected into the joint space to decrease the pain and stiffness within the affected joint. This is done by trying to restore the balance that has been upset between the breakdown and production of hyaluronic acid in synovial fluid.
Whilst this can decrease pain and help with movement, it does not reverse the damage to the cartilage. Relief is temporary although can last for several months after a course of injections, which can be repeated.
There is a very low risk of reaction as it does not contain animal proteins and post injection soreness is also rare. The more severe the arthritis the less chance of it being effective. These injections carry less risk than steroid injections.
Depending on the joint affected, it usually requires a course of injections on a weekly basis for 3 weeks, the effects can take a few days to be noticed or after a second injection.
The injections are either a steroid on it’s own or with a local anaesthetic, sometimes a local anaesthetic is given separately as part of the treatment.
The injection itself is not a pain medication but rather an anti-inflammatory that works by preventing collagen production. The injection shuts down collagen-producing cells in the tendon or joint; this action suppresses inflammation, which is the redness and swelling caused by your body’s healing response to damage or injury, and calms nerves, which indirectly reduces pain.
The effect of the injection is usually seen within a few days, although it can take a few weeks before the full effect is seen. If an anaesthetic is used, any numbness lasts only a few hours and care must be taken.
This varies depending on the condition. The effects may last between a few weeks to several months, it may even resolve the problem.
Curacorn® has been developed using a highly viscous formulation of Hyaluronic Acid (HA). HA is a naturally occurring substance, most often found in the joints, therefore it is biocompatible with very few side effects.
The filler is injected underneath a corn or callus which causes a response in the body that provokes the formation of collagen and draws fluid towards the area. This creates a comfortable, natural cushion between the bone and the skin.
The ‘cushion’ underneath a lesion decreases the production of callus and corns, ultimately relieving the pain associated with them. The high viscosity has proved not to disperse under the pressure of walking or the forces exerted on feet from footwear.
