Hyaluronic Acid Injections - Lumbar Facet Joints
Hyaluronic Acid Injections for Lumbar Facet Joint Pain: What You Need to Know
If you’re struggling with chronic lower back pain caused by facet joint arthritis, you’re not alone. Facet joint pain is a common issue, especially in the lumbar spine (lower back), and it can significantly impact your quality of life. While treatments like physical therapy, chiropractic care, and corticosteroid injections are often effective, some patients may benefit from a newer approach: hyaluronic acid (HA) injections.
In this blog post, we’ll explore what hyaluronic acid is, how it works, and the latest research on its use for lumbar facet joint pain. We’ll also break down the different types of HA products available and help you understand which one might be right for you.
What Are Facet Joints, and Why Do They Hurt?
Facet joints are small, stabilizing joints located between the vertebrae in your spine. They allow for smooth movement and flexibility while supporting your spine’s weight. However, like any joint, they can develop osteoarthritis over time, leading to pain, stiffness, and inflammation.
When conservative treatments like chiropractic adjustments, physical therapy, or anti-inflammatory medications don’t provide enough relief, hyaluronic acid injections may be a promising option.
What Is Hyaluronic Acid, and How Does It Work?
Hyaluronic acid is a natural substance found in your body’s synovial fluid and cartilage. It acts as a lubricant and shock absorber for your joints, helping them move smoothly and pain-free. In people with osteoarthritis, the natural HA in the joints breaks down, leading to increased friction, inflammation, and pain.
HA injections aim to:
- Restore lubrication to the joint.
- Reduce inflammation.
- Promote healing of damaged cartilage.
What Does the Research Say?
Studies on HA injections for lumbar facet joint pain show mixed but promising results. While more research is needed, many patients experience significant pain relief and improved mobility after HA injections, especially when other treatments haven’t worked. Key findings include:
- HA injections may provide longer-lasting pain relief compared to corticosteroids.
- They are particularly helpful for patients with mild to moderate facet joint arthritis.
- HA is generally safe and well-tolerated, with fewer side effects than corticosteroids.
Types of Hyaluronic Acid Products
Not all HA products are the same. They differ in molecular weight, source, and how long they last in the joint. Here’s a breakdown of the most common options:
1. Hyalgan
- Derived from rooster combs.
- Low- to medium-molecular-weight HA.
- Requires 3–5 weekly injections.
2. Orthovisc
- Non-animal-derived (made through bacterial fermentation).
- High-molecular-weight HA.
- Requires 3–4 weekly injections.
3. Synvisc and Synvisc-One
- Derived from rooster combs.
- Cross-linked HA for longer-lasting effects.
- Synvisc-One is a single-injection option.
4. Durolane
- Non-animal-derived (NASHA technology).
- Cross-linked HA for durability.
- Single-injection option.
5. Synolis
- Non-animal-derived.
- Contains sorbitol for added anti-inflammatory benefits.
- Requires 2–3 weekly injections.
Which HA Product Is Best for Lumbar Facet Joint Pain?
The best HA product for you depends on several factors, including:
- The severity of your arthritis.
- Your preference for injection frequency (single vs. multiple injections).
- Whether you prefer a non-animal-derived product.
- Cost and insurance coverage.
For mild lumbar facet joint arthritis, we often recommend:
- Orthovisc or Synolis: These non-animal-derived options provide excellent lubrication and anti-inflammatory benefits.
- Durolane: A single-injection option for patients who prefer convenience.
What to Expect During Treatment
HA injections are performed under fluoroscopic or ultrasound guidance to ensure precise placement into the facet joint. The procedure is minimally invasive and typically takes less than 30 minutes. Most patients experience little to no discomfort during the injection.
After the procedure, you may notice:
- Gradual pain relief over several weeks.
- Improved mobility and function.
- Effects lasting 3–6 months or longer, depending on the HA product used.
Is HA Right for You?
Hyaluronic acid injections are not a one-size-fits-all solution, but they can be an excellent option for patients with chronic facet joint pain who haven’t found relief with other treatments. If you’re considering HA injections, we’ll work with you to determine the best product and treatment plan for your specific needs.
Take the Next Step Toward Pain Relief
If you’re tired of living with lower back pain, hyaluronic acid injections may be the solution you’ve been looking for. We specialize in personalized, evidence-based care to help you get back to doing the things you love.
Contact us today to schedule a consultation and learn more about how hyaluronic acid injections can help you find lasting relief from facet joint pain.