Rooster Comb Hyaluronic Acid Injections

Rooster Comb Injections: What is it all about?

The comb of a rooster partly made up of a substance known as hyaluronic acid. Many already know about this substance because it is used in face creams to “plump” the skin or in fillers which are injected to remove facial fine lines. Hyaluronic acid is a natural substance produced by our own bodies and is present in joint fluid (synovial fluid) as well as in cartilage, the collagen of skin, and in our tears.


What is Hyaluronic acid?

Hyaluronic acid is a clear, gel-like substance that can lubricate, moisten, and trap water inside cartilage. Think of hyaluronic acid as being like WD-40 for your joints! The process of injecting products containing hyaluronic acid into a joint is known as viscosupplementation. These preparations are injected into the knee joint to relieve pain associated with osteoarthritis. They can be injected into a joint to treat knee pain caused by osteoarthritis (OA) in patients who have already been treated with pain relievers (e.g., acetaminophen) and other first-line treatments that did not work well. Joints affected by osteoarthritis have lost their hyaluronic acid, which is normally naturally present in the synovial fluid.  Hyaluronic acid acts as a lubricant and helps bones to move smoothly without rubbing against each other. Viscosupplementation agents can also improve joint movement. These effects can last up to 6 months.

There are no cures for osteoarthritis, so viscosupplementation will not cure osteoarthritis of the knee. Although some patients report relief of arthritis symptoms with viscosupplementation, this procedure has not been shown to reverse the arthritic process or re-grow cartilage.


It is recommended that you avoid activities such as jogging, soccer, tennis, heavy lifting, or standing on your feet for long periods of time for 48 hours after receiving these injections. Temporary pain or swelling in the knee joint may occur after receiving hyaluronic acid injection. Call your doctor if the pain or swelling in the knee persists or becomes worse after receiving this medicine.

While they are FDA-approved for knee usage only, hyaluronic acid products can be injected into the shoulder and hip joints as well.


It has been proposed that viscosupplementation is most effective if your arthritis is in its early, or mild to moderate stages


Schedule an appointment with one of our experts at Southwest Pain Management to learn about this effective treatment option for arthritis.



AUTHOR:   Dr. Robert Groysman, MD; Edited by Dr. Robert DeLillo

Dr. Robert Groysman is a Diplomate of the American Board of Anesthesiology and American Board of Pain Medicine, and a proud member of the Texas Pain Society, American Society  of Interventional Pain Physicians, and Spine Intervention Society. He participates in research, frequently attends professional conferences,  and continually adopts new procedures and techniques for relieving pain into his practice at Southwest Pain Management. 

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