Addition of intra-articular hyaluronate injection to physical therapy program produces no extra benefits in patients with adhesive capsulitis of the shoulder: a randomized controlled trial.
We examined whether adding hyaluronic acid (HA) injections to physical therapy (PT) could improve outcomes for patients with frozen shoulder. In a well-structured study, 70 participants were divided into two groups—with one receiving HA injections alongside PT, while the other focused solely on PT.
After assessing their shoulder movement, pain, and quality of life, we found no significant extra benefits from the HA injections. This suggests that continuing with just PT could be a more cost-effective approach for managing this condition.
Read More
8
Hyaluronic acid shows effectiveness
Treatment effects of ultrasound-guided capsular distension with hyaluronic acid in adhesive capsulitis of the shoulder.
We investigated how ultrasound-guided hyaluronic acid injections perform against steroid injections in treating frozen shoulder, specifically looking at pain relief and improved range of motion.
In a randomized trial with 100 participants, we treated groups either with a steroid injection or hyaluronic acid combined with capsular distension.
Both treatments proved effective, but we found that the hyaluronic acid approach particularly boosted passive external rotation more than steroids alone.
This suggests a promising option for managing this challenging condition.
Read More
7
Hyaluronic acid offers comparable benefits
Comparison of Effectiveness of Intraarticular Hyaluronate and Corticosteroid injections in Adhesive Capsulitis: A Systematic Review and Meta-analysis.
We conducted a systematic review and meta-analysis to investigate how effective hyaluronic acid (HA) injections are compared to corticosteroid (CS) injections for addressing frozen shoulder, or adhesive capsulitis.
We analyzed seven studies out of over ten thousand articles. Our findings indicate that while CS injections may provide quicker pain relief, HA injections show similar effectiveness after six to twelve weeks.
Therefore, HA could be a good option for patients needing multiple injections or looking for a treatment with fewer side effects.
Read More
Most Useful Reviews
9
Shoulder pain gone
1 people found this helpful
Hyaluronic acid earns a 5+ on the Timur scale from me. After a month of use, my shoulder joint stopped hurting. I'm now able to train 100%. I highly recommend it.
Read More
9
Disappearance of pain
After 4 weeks on this product, my shoulder pain vanished. I even discontinued my anti-inflammatory medication. I recommend it to anyone suffering from joint pain.
Read More
9
Quick improvement noted
After just a week of taking this product, my shoulder joint stopped hurting. The tablets are easy to swallow and highly effective.
We explored the effectiveness of intra-articular injections combining hyaluronic acid and tramadol in treating adhesive capsulitis, commonly known as frozen shoulder.
We compared this approach to hyaluronic acid injections alone among thirty patients. The results showed that patients receiving both treatments experienced faster pain relief without adverse effects.
However, the study also suggests that while the combination therapy is beneficial, it does not indicate a significant overall improvement over hyaluronic acid alone.
Read More
8
Innovative hydrogel shows promise
An injectable thermosensitive hyaluronic acid/pluronic F-127 hydrogel for deep penetration and combination therapy of frozen shoulder.
We explored the effectiveness of a new injectable hydrogel combining hyaluronic acid and pluronic F-127 to treat frozen shoulder, a condition that causes joint stiffness due to inflammation.
Our study revealed that this hydrogel, loaded with dexamethasone and collagenase, significantly improved joint mobility compared to traditional medication alone. The hydrogel was designed to release its drugs steadily for about 10 days, which helps break down excessive collagen that limits movement.
Overall, our findings highlight the potential of this combined hydrogel therapy as a promising option for individuals dealing with frozen shoulder.
Read More
8
Hyaluronic acid enhances treatment outcomes
Efficacy of combined ultrasound-guided hydrodilatation with hyaluronic acid and physical therapy in patients with adhesive capsulitis: A randomised controlled trial.
We assessed the impact of combining ultrasound-guided hydrodilatation with hyaluronic acid and physical therapy versus physical therapy alone on patients with frozen shoulder.
In a well-structured study involving 62 participants, half received the combined treatment while the other half followed just physical therapy.
Results showed that the group receiving the hyaluronic acid along with physical therapy experienced additional benefits, suggesting this combination could enhance recovery up to 12 weeks post-treatment.
Read More
8
Hyaluronic acid shows effectiveness
Treatment effects of ultrasound-guided capsular distension with hyaluronic acid in adhesive capsulitis of the shoulder.
We investigated how ultrasound-guided hyaluronic acid injections perform against steroid injections in treating frozen shoulder, specifically looking at pain relief and improved range of motion.
In a randomized trial with 100 participants, we treated groups either with a steroid injection or hyaluronic acid combined with capsular distension.
Both treatments proved effective, but we found that the hyaluronic acid approach particularly boosted passive external rotation more than steroids alone.
This suggests a promising option for managing this challenging condition.
Read More
8
Hyaluronic acid effects unclear
Dynamic movement of the long head of the biceps tendon in frozen shoulders.
We assessed the effectiveness of hyaluronic acid treatment for frozen shoulder in a study involving 87 patients. Each participant had severe pain and limited movement, with some receiving hyaluronic acid injections prior to surgery.
After arthroscopic capsular release, we observed that improvements in shoulder function correlated with the severity of tendon adhesions. While all patients exhibited enhanced movement and strength post-surgery, hyaluronic acid's specific benefit remains unclear. Ultimately, it appears while some treatments help, hyaluronic acid may not have played a significant role.
Hyaluronic acid earns a 5+ on the Timur scale from me. After a month of use, my shoulder joint stopped hurting. I'm now able to train 100%. I highly recommend it.
Read More
9
Disappearance of pain
After 4 weeks on this product, my shoulder pain vanished. I even discontinued my anti-inflammatory medication. I recommend it to anyone suffering from joint pain.
Read More
9
Quick improvement noted
After just a week of taking this product, my shoulder joint stopped hurting. The tablets are easy to swallow and highly effective.
Read More
9
Easier shoulder movement
Good. My frozen shoulders have become much easier. It seems to work for me.
Read More
7.5
Comfort restored
3 people found this helpful
I've noticed an effect! Initially sceptical of dietary supplements, I avoided drugs with many contraindications. After three weeks of this medication, my shoulder joints are much more comfortable, and there’s no more finger crunching. I haven’t felt this good in ages and will continue taking it.
Frozen shoulder, medically known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. It typically develops gradually and can severely limit the range of motion. The condition often progresses through three stages: the freezing stage, where pain increases and movement becomes restricted; the frozen stage, where pain may lessen but the shoulder remains stiff; and the thawing stage, where mobility gradually improves. While the exact cause of frozen shoulder is still not entirely understood, it is commonly associated with age, recent shoulder injury, or conditions such as diabetes, which may increase the risk of developing the ailment.
Hyaluronic acid is a naturally occurring substance in the body, particularly abundant in connective tissues, skin, and eyes. It plays a crucial role in retaining moisture, making it vital for maintaining healthy skin hydration and elasticity. As a humectant, hyaluronic acid can hold up to 1,000 times its weight in water, which is why it's a favored ingredient in many skincare products. When applied topically, it helps to draw moisture into the skin, leaving it plump and well-hydrated.
In addition to its hydrating properties, hyaluronic acid has gained popularity for its potential anti-aging benefits. It helps to diminish the appearance of fine lines and wrinkles by creating a smoother skin texture. Many experts recommend incorporating hyaluronic acid into your skincare routine, particularly if you have dry or dehydrated skin, as it can complement other treatments and products effectively. Overall, hyaluronic acid is an essential component for those seeking to enhance their skin’s moisture levels and achieve a youthful glow.
Based on user reviews, the timeline for seeing results from hyaluronic acid supplements for frozen shoulder can vary. Some users report significant relief as quickly as one week after starting the supplement. For instance, one reviewer mentioned that their shoulder joint stopped hurting after just a week of use Read Review. Other users have noted improvements within two to four weeks, with several indicating their pain had vanished or significantly decreased during this timeframe Read ReviewRead Review.
Beyond four weeks, many users continue to report positive outcomes, with some experiencing nearly complete relief from discomfort after three months of consistent use Read Review. In general, while some users notice relief quickly, others may require a longer duration before fully achieving the desired benefits. Overall, a structured course of several weeks may be necessary for noticeable effects.
Hyaluronic acid (HA) has been investigated as a treatment option for frozen shoulder, with varied findings on its effectiveness. Several studies indicate that while HA injections provide some relief and improved mobility for patients with adhesive capsulitis, they often do not surpass the benefits offered by corticosteroids or physical therapy. For instance, a systematic review highlighted that while both HA and corticosteroid injections can reduce pain, corticosteroids tend to offer quicker relief ([2]). Additionally, another study noted that while HA could improve range of motion, its pain relief was found to be similar to that of traditional treatments, which raises questions about its standalone effectiveness compared to corticosteroids ([8]).
Moreover, a study focusing on a combined treatment approach indicated that HA might enhance treatment outcomes when used alongside corticosteroids, showing notable improvements in pain and mobility ([16]). However, some research also suggested that patients receiving HA injections alongside physical therapy did not experience significant additional benefits compared to those solely undergoing physical therapy ([12]). In conclusion, while HA shows potential for alleviating symptoms of frozen shoulder, especially when combined with other treatments, the scientific consensus suggests it may not be the most effective option when considered in isolation.
Based on user reviews, many individuals have reported varying levels of improvement in their joint symptoms after using hyaluronic acid supplements. A number of users have experienced a rapid cessation of pain; for example, one reviewer noted that their shoulder joint stopped hurting after just a week of taking the supplement Read Review. Others have observed complete relief from shoulder pain after four weeks, feeling confident enough to discontinue their anti-inflammatory medications Read Review. Some users indicated that after three months of consistent use, they saw a notable decrease in discomfort and an increase in overall joint comfort Read Review.
In terms of anecdotal experiences, users have praised the supplement for its ability to improve mobility and reduce pain associated with both frozen shoulder and other joint-related issues. Positive feedback includes reports of diminished discomfort during physical activities and significant ease of movement Read ReviewRead Review. However, it's essential to remember that individual results can vary widely; while many report positive outcomes, a handful of users have expressed dissatisfaction, citing no improvement in their symptoms Read Review. Overall, the collective experiences show a promising trend towards effective relief for many users.
Based on user reviews, many individuals have reported positive experiences when combining hyaluronic acid supplements with other products like chondroitin and fish oil to manage their frozen shoulder symptoms. One user mentioned that they believed chondroitin and hyaluronic acid could substantially aid in healing shoulder pain, indicating a synergistic effect when used together Read Review. Another reviewer pointed out that while they found relief from their shoulder tear, adding fish oil supplements could further enhance the results, suggesting that combining different supplements can lead to better outcomes Read Review.
Overall, users seem to advocate for a combined approach, pairing hyaluronic acid with other supplements to maximize relief from joint discomfort associated with frozen shoulder. Feedback indicates that such combinations can improve overall effectiveness and promote faster regeneration of tissue, which several users have experienced after surgery or injury Read Review. However, it's important to note that individual responses can vary, as some reported dissatisfaction with the sole use of hyaluronic acid without any combination with other supplements Read Review.
Users report varying experiences with the dosage of Hyaluronic Acid for treating Frozen Shoulder, emphasizing a positive overall effect on joint pain. Many found relief after different durations of usage, seemingly depending on individual body responses. For instance, one user noted that after just one week of taking the supplement, their shoulder joint pain diminished significantly Read Review. Another user experienced a complete cessation of shoulder pain after four weeks, even feeling confident enough to discontinue their anti-inflammatory medication Read Review.
The consensus seems to favor consistent use over a few weeks, with some users suggesting a three-month course for maximum effectiveness Read Review, while others reported relief after one month of use Read Review. It's important to note that individual reactions can vary; one user even reported a worsening of symptoms linked to an allergic reaction after beginning supplementation Read Review. Overall, while many users have found relief with Hyaluronic Acid, the right dosage may differ by person and should be approached with caution.
9
Quick improvement noted
After just a week of taking this product, my shoulder joint stopped hurting. The tablets are easy to swallow and highly effective.
9
Disappearance of pain
After 4 weeks on this product, my shoulder pain vanished. I even discontinued my anti-inflammatory medication. I recommend it to anyone suffering from joint pain.
7.5
Effective pain relief
1 people found this helpful
I tried this product based on a positive review. I experienced pain in my knees, hips, elbows, and shoulders, making it hard to walk, but after a week, the pain was alleviated, and I truly felt it helped.
7.5
Scepticism waned
Initially, I was concerned about pain in my knee and shoulder joints, doubting any change was possible. However, after completing a 3-month course, my opinion changed dramatically; the discomfort in my joints has disappeared, though I did not notice a change in my skin.
9
Shoulder pain gone
1 people found this helpful
Hyaluronic acid earns a 5+ on the Timur scale from me. After a month of use, my shoulder joint stopped hurting. I'm now able to train 100%. I highly recommend it.
9
Easier shoulder movement
Good. My frozen shoulders have become much easier. It seems to work for me.
0
Worsened shoulder condition
16 people found this helpful
Unfortunately, I found hyaluronic acid to be ineffective. Instead of improvement, my right shoulder now crunches and aches continuously after starting this supplement. I suspect it may be an allergic reaction, as my condition worsened.
7.5
Good product overall
1 people found this helpful
I purchased this product searching for relief from my shoulder pain. I believe chondroitin and hyaluronic acid supplements can substantially aid in healing your shoulder. It's genuinely a good product.
7.5
Shoulder tear improvement
I believe this helped me with my shoulder tear, likely from years of heavy bench pressing. However, it's essential to take additional supplements, like fish oil, for better results.
7.5
Post-surgery aid
An excellent remedy for strengthening joints, I used it after shoulder surgery. It significantly assisted in the faster regeneration of tissue and joints.
7
Hyaluronic acid offers comparable benefits
Comparison of Effectiveness of Intraarticular Hyaluronate and Corticosteroid injections in Adhesive Capsulitis: A Systematic Review and Meta-analysis.
We conducted a systematic review and meta-analysis to investigate how effective hyaluronic acid (HA) injections are compared to corticosteroid (CS) injections for addressing frozen shoulder, or adhesive capsulitis.
We analyzed seven studies out of over ten thousand articles. Our findings indicate that while CS injections may provide quicker pain relief, HA injections show similar effectiveness after six to twelve weeks.
Therefore, HA could be a good option for patients needing multiple injections or looking for a treatment with fewer side effects.
7
Hyaluronic acid shows potential benefits
The use of hyaluronic acid in the treatment of shoulder capsulitis: a systematic review.
We explored the use of hyaluronic acid (HA) injections for treating adhesive capsulitis, commonly known as frozen shoulder. The systematic review analyzed seven studies, comparing HA outcomes with traditional treatment methods.
We observed significant improvements in range of motion and pain relief in patients using HA. Interestingly, when compared to cortisone injections, HA delivered similar results. However, the variety of treatments in the studies made it challenging to draw solid conclusions.
While HA may not directly determine final outcomes, it could support early mobilization during the painful initial phases of frozen shoulder, helping prevent prolonged immobility.
8
Combined therapy shows benefits
Intraarticular injection of sodium hyaluronate plus steroid versus steroid in adhesive capsulitis of the shoulder.
We aimed to assess how well a combination treatment of hyaluronic acid and a corticosteroid helps people with frozen shoulder. In our study of 30 participants, we found that those receiving the combined injections showed notable improvements in pain and shoulder movement after six months.
The hyaluronic acid treatment seems to enhance outcomes, likely due to its effects on joint tissue and fluid management. While both treatment groups experienced benefits, the combination therapy proved to be particularly effective for healing adhesive capsulitis.
3
No additional benefits from HA injections
Addition of intra-articular hyaluronate injection to physical therapy program produces no extra benefits in patients with adhesive capsulitis of the shoulder: a randomized controlled trial.
We examined whether adding hyaluronic acid (HA) injections to physical therapy (PT) could improve outcomes for patients with frozen shoulder. In a well-structured study, 70 participants were divided into two groups—with one receiving HA injections alongside PT, while the other focused solely on PT.
After assessing their shoulder movement, pain, and quality of life, we found no significant extra benefits from the HA injections. This suggests that continuing with just PT could be a more cost-effective approach for managing this condition.
References
Wang Z, Shen M, Wu S. Efficacy comparison of sodium hyaluronate, corticosteroids, and autologous platelet-rich plasma in the treatment of primary frozen shoulder. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2024;49:1271. 10.11817/j.issn.1672-7347.2024.240219
Uhm KE, Chang MC. Comparison of Effectiveness of Intraarticular Hyaluronate and Corticosteroid injections in Adhesive Capsulitis: A Systematic Review and Meta-analysis. Pain Physician. 2024;27:387.
Zhang J, Song Y, Zhu L, You Y, Hu J, et al. An injectable thermosensitive hyaluronic acid/pluronic F-127 hydrogel for deep penetration and combination therapy of frozen shoulder. Int J Biol Macromol. 2024;263:130342. 10.1016/j.ijbiomac.2024.130342
Wu SY, Hsu PC, Tsai YY, Huang JR, Wang KA, et al. Efficacy of combined ultrasound-guided hydrodilatation with hyaluronic acid and physical therapy in patients with adhesive capsulitis: A randomised controlled trial. Clin Rehabil. 2024;38:202. 10.1177/02692155231200089
Ahn Y, Moon YS, Park GY, Cho SC, Lee YJ, et al. Efficacy of Intra-articular Triamcinolone and Hyaluronic Acid in a Frozen Shoulder Rat Model. Am J Sports Med. 2023;51:2881. 10.1177/03635465231188524
Mao B, Peng R, Zhang Z, Zhang K, Li J, et al. The Effect of Intra-articular Injection of Hyaluronic Acid in Frozen Shoulder: a Systematic Review and Meta-analysis of Randomized Controlled Trials. J Orthop Surg Res. 2022;17:128. 10.1186/s13018-022-03017-4
Akhtar M, Nadeem RDA, Shah Gillani SF, Cheema OI, Nadeem MR. Comparison of intra articular NSAID (ketorolac) injection versus hyaluronic acid injection for the mean decrease of pain score (according to UCLA shoulder rating scale) in the management of adhesive capsulitis. Pak J Pharm Sci. 2019;32:953.
Papalia R, Tecame A, Vadalà G, Russo F, Perna M, et al. The use of hyaluronic acid in the treatment of shoulder capsulitis: a systematic review. J Biol Regul Homeost Agents. 2017;31:23.
Kim KH, Suh JW, Oh KY. The effect of intra-articular hyaluronate and tramadol injection on patients with adhesive capsulitis of the shoulder. J Back Musculoskelet Rehabil. 2017;30:913. 10.3233/BMR-160641
Lim TK, Koh KH, Shon MS, Lee SW, Park YE, et al. Intra-articular injection of hyaluronate versus corticosteroid in adhesive capsulitis. Orthopedics. 2014;37:e860. 10.3928/01477447-20140924-51
Park KD, Nam HS, Lee JK, Kim YJ, Park Y. Treatment effects of ultrasound-guided capsular distension with hyaluronic acid in adhesive capsulitis of the shoulder. Arch Phys Med Rehabil. 2013;94:264. 10.1016/j.apmr.2012.10.002
Hsieh LF, Hsu WC, Lin YJ, Chang HL, Chen CC, et al. Addition of intra-articular hyaluronate injection to physical therapy program produces no extra benefits in patients with adhesive capsulitis of the shoulder: a randomized controlled trial. Arch Phys Med Rehabil. 2012;93:957. 10.1016/j.apmr.2012.01.021
Kanbe K, Inoue K, Inoue Y. Dynamic movement of the long head of the biceps tendon in frozen shoulders. J Orthop Surg (Hong Kong). 2008;16:295.
Calis M, Demir H, Ulker S, Kirnap M, Duygulu F, et al. Is intraarticular sodium hyaluronate injection an alternative treatment in patients with adhesive capsulitis?. Rheumatol Int. 2006;26:536.
Tamai K, Mashitori H, Ohno W, Hamada J, Sakai H, et al. Synovial response to intraarticular injections of hyaluronate in frozen shoulder: a quantitative assessment with dynamic magnetic resonance imaging. J Orthop Sci. 2004;9:230.
Rovetta G, Monteforte P. Intraarticular injection of sodium hyaluronate plus steroid versus steroid in adhesive capsulitis of the shoulder. Int J Tissue React. 1998;20:125.