Understanding Osteoarthritis

OA is the result of the joint surface breaking down through a combination of mechanical and biological actions.  The most common way to describe this is with the eventual breakdown of cartilage and changes in the surrounding bone. The result? Stiffness, swelling, and pain that can limit daily activities. While OA can’t be reversed, the right treatments can significantly slow progression and improve function.

1. Hyaluronic Acid (HA) Injections – Helping to condition the synovial fluid to aid in lubrication and cushioning in your your Joints

Hyaluronic acid is a naturally occurring substance in joint fluid that provides cushioning and lubrication. In OA, HA levels decline, leading to increased friction and discomfort. HA injections help by:

• Restoring lubrication in the joint
• Reducing pain and stiffness
• Supporting better movement and shock absorption
• Promoting longer-term health by stimulating HA production in the joint (Monovisc)

Clinical studies show that HA injections can provide pain relief for several months, offering an effective option for patients looking to avoid or delay surgery. The chance for HA injections to last longer is based around products like Monovisc supporting the joints own HA production.

3. Cingal – A Hyaluronic Acid + steroid treatment

Cingal offers all the same benefits of a HA injection like Monovisc, but with one key difference: it does so within 48hr -1 week.  The steroid is not only helping the injection to work very quickly, but we know that HA works most effectively when inflammation is under control. In Cingal, the steroid first manages the inflammation in a very safe way while the HA nourishes the synovial fluid, protects the joint, and promotes the joints own HA production.

2. Shockwave Therapy – Stimulating Repair and Reducing Pain

Shockwave therapy is a non-invasive treatment that uses high-energy sound waves to stimulate healing in soft tissues and joints. It works by:

• Increasing blood flow to the affected area
• Reducing inflammation
• Encouraging tissue regeneration

For OA patients, shockwave therapy can help manage pain and improve function, especially in areas like the knee, hip, and shoulder. It’s often used alongside other treatments for the best results.

3. Manual Physiotherapy – Keeping Your Joints Moving

Movement is medicine, and manual physiotherapy plays a key role in maintaining joint mobility and strength. Our hands-on techniques help to:

• Improve joint alignment and movement patterns
• Reduce stiffness and muscle tension
• Enhance overall function and reduce reliance on pain medications

In combination with tailored exercise programs, manual therapy ensures that your joints stay as healthy as possible.

A Holistic Approach to OA Management

Rather than relying on just one treatment, we take a multi-modal approach, combining the right tools and treatments that fit you. By addressing pain, mobility, and joint health simultaneously, we aim to keep you active and pain-free for longer.

If you’re struggling with osteoarthritis and want to explore your treatment options, get in touch today. Let’s create a plan to keep you moving!