We conducted a study to explore whether intraarticular injections of hyaluronic acid (HA) could effectively treat chronic, nonradicular low back pain as compared to glucocorticoids. Sixty patients participated in a well-structured clinical trial where they received either HA or glucocorticoid injections.
Both treatments resulted in significant pain relief, improved function, and enhanced quality of life. Notably, HA was found to be just as effective as glucocorticoids, and showed even better long-term benefits without any reported side effects.
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9
Hyaluronic acid reduces post-surgical fibrosis
Efficacy of topical cross-linked hyaluronic acid hydrogel in preventing post laminectomy/laminotomy fibrosis in a rat model.
We examined how cross-linked hyaluronic acid (cHA) hydrogel can help reduce epidural fibrosis after back surgeries, which is a common cause of ongoing pain. In our study with rat models, we compared groups that received cHA to those that did not.
The results showed that cHA treatment led to lower levels of fibrosis and overall healthier spinal structures. The treated groups had more space around the spinal cord and less thickening of protective membranes. Overall, we found that cHA is promising for managing post-surgical back pain by effectively reducing scar tissue formation.
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2
No significant benefit from HA
Viscosupplementation in lumbar facet joint arthropathy: a pilot study.
We assessed the effectiveness of hyaluronic acid (HA) injections for lumbar facet joint arthritis in a small pilot study involving thirteen patients. Each participant underwent a thorough evaluation before treatment, using questionnaires to gauge pain levels and disability. After a precise HA injection, we followed up with evaluations six weeks later.
Unfortunately, our findings indicated that there was no significant improvement in back pain or symptoms following the treatment. This suggests that HA may not be effective for managing lumbar facet joint arthritis at this stage.
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Most Useful Reviews
9
Knee pain relief
3 people found this helpful
I have ordered this product multiple times. I'm very pleased with it as it truly works for my knee pain. If I skip even a day, the pain returns, so I consistently take it.
Read More
10
Effective cartilage restoration
1 people found this helpful
Glucosamine from Schiff is impressive! It restores joint cartilage and reduces inflammation and pain. I've tried many brands, but this one stands out. I take two tablets daily with vitamin C. If you find this useful, please like it!
Read More
9
Pain-free experience
1 people found this helpful
After suffering from arthritis and trying various glucosamine brands, this product genuinely transformed my life, giving me a pain-free existence. I highly recommend it.
We examined how cross-linked hyaluronic acid (cHA) hydrogel can help reduce epidural fibrosis after back surgeries, which is a common cause of ongoing pain. In our study with rat models, we compared groups that received cHA to those that did not.
The results showed that cHA treatment led to lower levels of fibrosis and overall healthier spinal structures. The treated groups had more space around the spinal cord and less thickening of protective membranes. Overall, we found that cHA is promising for managing post-surgical back pain by effectively reducing scar tissue formation.
Read More
9
Hyaluronic acid effective for back pain
Intraarticular hyaluronic acid versus glucocorticoid injections for nonradicular pain in the lumbar spine.
We conducted a study to explore whether intraarticular injections of hyaluronic acid (HA) could effectively treat chronic, nonradicular low back pain as compared to glucocorticoids. Sixty patients participated in a well-structured clinical trial where they received either HA or glucocorticoid injections.
Both treatments resulted in significant pain relief, improved function, and enhanced quality of life. Notably, HA was found to be just as effective as glucocorticoids, and showed even better long-term benefits without any reported side effects.
Read More
8
Hyaluronic acid improves tissue repair
Augmentation and repair tissue formation of the nucleus pulposus after partial nucleotomy in a rabbit model.
We examined the effects of hyaluronic acid in healing back pain linked to disc degeneration. In our study, New Zealand white rabbits undergoing a partial nucleotomy received either PGA/HA implants or bioactivated fibrin, while controls underwent the procedure without any treatment.
Our results indicated that the use of PGA/HA implants led to more effective tissue repair, evidenced by a significant increase in type II collagen content, compared to the untreated controls. However, there was no change in the water content of the discs over the six-month period, highlighting that while tissue repair may improve, it may not directly enhance disc hydration or overall disc function.
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8
Sacroiliac joint pain treatment review
Anatomy and pathophysiology of the sacroiliac joint.
We explored the complex nature of chronic pain in the sacroiliac joint, which has long sparked debate due to its anatomical position. This makes accurate diagnosis challenging, often requiring advanced techniques like guided injections.
While there are various treatment options available for sacroiliac joint syndrome, no single method has proven to be ideal. However, using hyaluronic acid through intra-articular viscosupplementation has shown promise in delivering long-lasting pain relief, promoting healthy joint function, and enhancing synovial fluid properties.
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7
Safety and feasibility confirmed
Safety and Feasibility of Intradiscal Administration of Matrilin-3-Primed Adipose-Derived Mesenchymal Stromal Cell Spheroids for Chronic Discogenic Low Back Pain: Phase 1 Clinical Trial.
We explored the safety and feasibility of using hyaluronic acid alongside specially prepared stem cells to treat chronic low back pain. In a small study involving eight patients, everyone received a single injection while being monitored over six months.
Thankfully, there were no reported complications, and six out of eight participants showed meaningful improvements in pain and disability scores. While radiological changes were noted in four patients, the overall findings highlight the potential of this treatment as a safe option for chronic disc-related pain. However, further research is needed to confirm its effectiveness.
I have ordered this product multiple times. I'm very pleased with it as it truly works for my knee pain. If I skip even a day, the pain returns, so I consistently take it.
Read More
10
Effective cartilage restoration
1 people found this helpful
Glucosamine from Schiff is impressive! It restores joint cartilage and reduces inflammation and pain. I've tried many brands, but this one stands out. I take two tablets daily with vitamin C. If you find this useful, please like it!
Read More
9
Pain-free experience
1 people found this helpful
After suffering from arthritis and trying various glucosamine brands, this product genuinely transformed my life, giving me a pain-free existence. I highly recommend it.
Read More
7.5
Pain relief achieved
4 people found this helpful
This should be taken by anyone with joint and back pain. I have ongoing backache from a spine operation and my mother suffers from similar pains at 76. We’ve used Aflutop every six months for five years, but this glucosamine can be taken continuously and is beneficial. After three months, my pain stopped, aided by a course of massage. I'm normally hard to convince, but glucosamine has proven effective for me and my mother.
Read More
7.5
Joint pain relief
3 people found this helpful
Multiple uses. Almost immediate relief for my back pain. I also give this to my 125lb Great Pyrenees for hip and leg pain. I can tell she is having less difficulty getting up and laying down and walks a bit faster.
Back pain is a common ailment that affects millions of people worldwide and can vary significantly in intensity and duration. It can be classified into two main categories: acute and chronic. Acute back pain often arises suddenly due to a specific injury or strain, while chronic back pain persists for a longer duration, typically defined as lasting for 12 weeks or more. The pain can occur in various regions of the back, including the lower, middle, or upper sections, and may be accompanied by additional symptoms such as stiffness, muscle spasms, or reduced mobility.
Causes of back pain can range from poor posture, overexertion, or lifting heavy objects incorrectly to more serious conditions such as herniated discs, arthritis, or spinal abnormalities. Treatment options usually depend on the underlying cause and may include rest, physical therapy, medications, or, in some cases, surgical interventions. Maintaining a healthy lifestyle through regular exercise, proper ergonomics, and strength training can help prevent back pain and improve overall spinal health.
Glucosamine Chondroitin formulas are dietary supplements commonly used to support joint health and alleviate symptoms associated with osteoarthritis. These formulas typically contain glucosamine, a naturally occurring compound in the body that contributes to the formation and repair of cartilage, and chondroitin sulfate, which helps cartilage retain water and maintain its elasticity. Together, these ingredients are believed to promote joint function, reduce pain, and improve overall mobility, particularly in individuals who experience wear and tear on their joints due to age, physical activity, or injury.
The efficacy of glucosamine and chondroitin supplements can vary from person to person, and while some users report significant relief from joint discomfort, scientific studies on their effectiveness have produced mixed results. It's essential to consult with a healthcare provider before adding these supplements to your routine, especially if you have existing health conditions or are taking other medications. Many brands also blend these ingredients with additional vitamins, minerals, or herbal extracts to enhance their joint-supporting benefits, making it crucial to read labels and choose formulas that fit your specific needs.
Glucosamine and chondroitin formulas are commonly marketed as supplements that promote joint health and alleviate pain associated with osteoarthritis. While some studies suggest they may provide relief for joint pain, their effectiveness specifically for back pain has not been conclusively established. The theory is that these compounds contribute to the maintenance and repair of cartilage, which might indirectly benefit the spine; however, research results have been mixed.
Many individuals report subjective improvements in pain and mobility after using glucosamine and chondroitin, but the scientific community remains divided on their true benefit for back pain. If you're considering these supplements, it’s important to consult with a healthcare provider to ensure they’re appropriate for your situation. Additionally, combining such supplements with other treatments—such as physical therapy, exercise, or over-the-counter pain relief—may enhance their effects. As always, it’s crucial to prioritize a comprehensive approach to pain management rather than relying solely on supplements.
Based on user reviews, results from taking glucosamine for back pain can vary, but many users report noticeable improvements within a few weeks to a few months. For instance, one user indicated that their pain reduction became significant within just a few weeks of starting the supplement Read Review. Another user noted that after consistently taking the product for three months, their back pain ceased entirely, attributing this relief in part to massages as well Read Review.
Several individuals emphasized the importance of continuous use for optimal results. One user highlighted that skipping even a single day of taking glucosamine led to a return of pain, suggesting that regular consumption is key for sustained relief Read Review. Overall, while some users report quicker relief, others suggest a longer duration of continuous usage is necessary to fully experience the benefits and alleviate back pain.
The use of hyaluronic acid as a supplement for back pain has generated mixed results in scientific research. On the one hand, several studies have indicated potential safety and a degree of effectiveness in certain contexts. For example, a study involving stem cells combined with hyaluronic acid showed meaningful improvements in pain and disability for six out of eight participants, suggesting that this treatment could be a safe option for chronic disc-related pain [1]. Moreover, another study found that combining hyaluronic acid with rehabilitative exercises led to significant pain relief and improved quality of life compared to exercise alone [5].
However, the overall effectiveness of hyaluronic acid for back pain remains questionable. Some studies, including a systematic review, have shown it did not yield significant benefits compared to other treatments like corticosteroids [4]. Additionally, another clinical trial found no substantial improvements in back pain with hyaluronic acid injections among patients with chronic low back pain linked to degenerative conditions [6]. While there are promising aspects to hyaluronic acid for specific types of back pain and in combination with other therapies, the inconsistency in findings means that more research is needed to establish definitive recommendations concerning its use.
Users report a variety of improvements in their symptoms after taking glucosamine. Many have indicated a significant reduction in joint and knee pain, highlighting experiences of returning to normal activities after previously suffering from severe discomfort. For instance, one user stated that by doubling their dose, they were able to walk again with minimal discomfort within a week, showing a rapid response to the supplement Read Review. Another individual, who had struggled with arthritis and tried multiple brands, described a transformative experience that allowed them to live pain-free, emphasizing a substantial positive change in their quality of life Read Review.
Consistency appears to be crucial for many users, as some have experienced a resurgence of pain after missing doses. One user specifically mentioned that skipping even one day led to the return of their knee pain, reinforcing the need for regular intake to maintain benefits Read Review. Moreover, individuals dealing with chronic conditions have reported that, after continued usage, their overall pain levels significantly decreased, with one user noting complete pain cessation after three months of use Read Review. While the results may vary, the consistent theme among user reviews is that glucosamine can lead to meaningful improvements in joint health and pain management.
Users report positive experiences when combining glucosamine with other supplements and medications for managing back pain. For example, one user mentioned taking glucosamine alongside vitamin C, noting its effectiveness in restoring joint cartilage and reducing inflammation, showcasing a beneficial combination Read Review. Another review highlights the effective pairing of glucosamine with Advil, particularly for someone dealing with shoulder pain after construction-related injuries, indicating that this combination helped keep their pain manageable Read Review.
Additionally, one user emphasized the success of glucosamine in conjunction with massage therapy to aid their back pain relief; as they experienced complete cessation of pain after three months, demonstrating the potential benefits of using glucosamine in a broader pain management regimen Read Review. These testimonials suggest that while glucosamine can be effective on its own, users often find enhanced results when combining it with complementary treatments.
Users report varying experiences with the dosage of Glucosamine Chondroitin formulas when used for back pain. One reviewer indicated that they took double the recommended dose to achieve relief from severe pain due to arthritis, resulting in significant improvement within a week Read Review. Another user shared their experience with a consistent daily intake, emphasizing that their knee pain returned if they missed even a day of their regimen Read Review. This suggests that a regular, possibly higher, intake may be beneficial for those with chronic pain, specifically in the back and joints.
Several users found success with the formula, indicating a common sentiment that consistent use over time—often several months—yields significant relief from pain associated with conditions like arthritis and post-surgical discomfort Read Review. While some reviewers recommended specific dosages (such as two tablets daily), others suggested that adjustments might be necessary based on individual pain levels and responses Read Review. Overall, users emphasize the importance of finding the right dosage that works for their specific condition to effectively manage pain.
6
Shoulder pain decreased
I liked this drug as it helped ease the pain in my left shoulder, especially after driving. Within a few weeks, the pain significantly reduced.
7.5
Pain relief achieved
4 people found this helpful
This should be taken by anyone with joint and back pain. I have ongoing backache from a spine operation and my mother suffers from similar pains at 76. We’ve used Aflutop every six months for five years, but this glucosamine can be taken continuously and is beneficial. After three months, my pain stopped, aided by a course of massage. I'm normally hard to convince, but glucosamine has proven effective for me and my mother.
9
Knee pain relief
3 people found this helpful
I have ordered this product multiple times. I'm very pleased with it as it truly works for my knee pain. If I skip even a day, the pain returns, so I consistently take it.
9
Arthritis relief
1 people found this helpful
I have severe pain from arthritic knees and was seeking quick relief, so I doubled the recommended dose. After a week, I was walking again with minimal discomfort. The glucosamine and chondroitin work together effectively to support cartilage and reduce inflammation.
9
Pain-free experience
1 people found this helpful
After suffering from arthritis and trying various glucosamine brands, this product genuinely transformed my life, giving me a pain-free existence. I highly recommend it.
10
Effective cartilage restoration
1 people found this helpful
Glucosamine from Schiff is impressive! It restores joint cartilage and reduces inflammation and pain. I've tried many brands, but this one stands out. I take two tablets daily with vitamin C. If you find this useful, please like it!
6
Aching shoulder support
2 people found this helpful
After separating both my shoulders in construction accidents, I experience significant aching when doing manual work. This product, combined with Advil, helps keep my pain manageable.
7
Safety and feasibility confirmed
Safety and Feasibility of Intradiscal Administration of Matrilin-3-Primed Adipose-Derived Mesenchymal Stromal Cell Spheroids for Chronic Discogenic Low Back Pain: Phase 1 Clinical Trial.
We explored the safety and feasibility of using hyaluronic acid alongside specially prepared stem cells to treat chronic low back pain. In a small study involving eight patients, everyone received a single injection while being monitored over six months.
Thankfully, there were no reported complications, and six out of eight participants showed meaningful improvements in pain and disability scores. While radiological changes were noted in four patients, the overall findings highlight the potential of this treatment as a safe option for chronic disc-related pain. However, further research is needed to confirm its effectiveness.
7
Hyaluronic acid improves back pain
Collagen Peptides, in Association with Vitamin C, Sodium Hyaluronate, Manganese and Copper, as Part of the Rehabilitation Project in the Treatment of Chronic Low Back Pain.
We explored the impact of combining therapeutic exercise with dietary supplements, including hyaluronic acid, on chronic low back pain. In this study, 60 patients were split into two groups—one receiving only exercise and the other incorporating these supplements.
The results showed that those taking supplements, alongside their exercise regimen, experienced more significant relief from pain and improved quality of life compared to those who exercised alone. Thus, using hyaluronic acid with rehabilitation exercises could be a beneficial approach for managing chronic low back pain.
4
Hyaluronic acid's limited effectiveness
Management of facet joints osteoarthritis associated with chronic low back pain: A systematic review.
We examined the effectiveness of hyaluronic acid in managing chronic low back pain originating from facet joint osteoarthritis. Our systematic review analyzed various injectable treatments, focusing on outcomes from randomized clinical trials.
While steroids and local anesthetics showed promising results, hyaluronic acid did not demonstrate significant benefits, unlike other treatments we explored.
Overall, injections for this type of back pain are encouraging, especially with medial branch blocks, but the role of hyaluronic acid remains unclear.
7
Hyaluronic acid shows limited benefit
Allogeneic mesenchymal precursor cells treatment for chronic low back pain associated with degenerative disc disease: a prospective randomized, placebo-controlled 36-month study of safety and efficacy.
We evaluated the safety and effectiveness of injecting mesenchymal precursor cells and hyaluronic acid (HA) in individuals suffering from chronic low back pain linked to degenerative disc disease. In a multicenter study involving 100 participants, we measured their pain and disability levels using visual scales and questionnaires at various intervals over three years.
Unfortunately, our findings did not show significant improvements in back pain relief attributable to HA. While there were some safety and effectiveness indicators for the treatment, the overall benefits of HA weren't substantial enough to draw strong conclusions.
References
Lee DH, Park KS, Shin HE, Kim SB, Choi H, et al. Safety and Feasibility of Intradiscal Administration of Matrilin-3-Primed Adipose-Derived Mesenchymal Stromal Cell Spheroids for Chronic Discogenic Low Back Pain: Phase 1 Clinical Trial. Int J Mol Sci. 2023;24. 10.3390/ijms242316827
Goode AP, Cleveland RJ, Kraus VB, Taylor KA, George SZ, et al. Biomarkers and longitudinal changes in lumbar spine degeneration and low back pain: the Johnston County Osteoarthritis Project. Osteoarthritis Cartilage. 2023;31:809. 10.1016/j.joca.2023.02.005
Shavlovskaya OA. [Complex effects of physical exertion with dietary supplements Cartilox in pain syndrome effectiveness and safety evaluation]. Vopr Kurortol Fizioter Lech Fiz Kult. 2022;99:20. 10.17116/kurort20229904120
Baroncini A, Maffulli N, Eschweiler J, Knobe M, Tingart M, et al. Management of facet joints osteoarthritis associated with chronic low back pain: A systematic review. Surgeon. 2021;19:e512. 10.1016/j.surge.2020.12.004
Farì G, Santagati D, Pignatelli G, Scacco V, Renna D, et al. Collagen Peptides, in Association with Vitamin C, Sodium Hyaluronate, Manganese and Copper, as Part of the Rehabilitation Project in the Treatment of Chronic Low Back Pain. Endocr Metab Immune Disord Drug Targets. 2022;22:108. 10.2174/1871530321666210210153619
Amirdelfan K, Bae H, McJunkin T, DePalma M, Kim K, et al. Allogeneic mesenchymal precursor cells treatment for chronic low back pain associated with degenerative disc disease: a prospective randomized, placebo-controlled 36-month study of safety and efficacy. Spine J. 2021;21:212. 10.1016/j.spinee.2020.10.004
Annaswamy TM, Armstead C, Carlson L, Elkins NJ, Kocak D, et al. Intra-articular Triamcinolone Versus Hyaluronate Injections for Low Back Pain With Symptoms Suggestive of Lumbar Zygapophyseal Joint Arthropathy: A Pragmatic, Double-Blind Randomized Controlled Trial. Am J Phys Med Rehabil. 2018;97:278. 10.1097/PHM.0000000000000879
Kumar H, Ha DH, Lee EJ, Park JH, Shim JH, et al. Safety and tolerability of intradiscal implantation of combined autologous adipose-derived mesenchymal stem cells and hyaluronic acid in patients with chronic discogenic low back pain: 1-year follow-up of a phase I study. Stem Cell Res Ther. 2017;8:262. 10.1186/s13287-017-0710-3
Wu CY, Huang YH, Lee JS, Tai TW, Wu PT, et al. Efficacy of topical cross-linked hyaluronic acid hydrogel in preventing post laminectomy/laminotomy fibrosis in a rat model. J Orthop Res. 2016;34:299. 10.1002/jor.23001
Endres M, Zenclussen ML, Casalis PA, Freymann U, Gil Garcia S, et al. Augmentation and repair tissue formation of the nucleus pulposus after partial nucleotomy in a rabbit model. Tissue Cell. 2014;46:505. 10.1016/j.tice.2014.09.003
Cleary M, Keating C, Poynton AR. Viscosupplementation in lumbar facet joint arthropathy: a pilot study. J Spinal Disord Tech. 2008;21:29. 10.1097/BSD.0b013e318057720c
Fuchs S, Erbe T, Fischer HL, Tibesku CO. Intraarticular hyaluronic acid versus glucocorticoid injections for nonradicular pain in the lumbar spine. J Vasc Interv Radiol. 2005;16:1493.
Calvillo O, Skaribas I, Turnipseed J. Anatomy and pathophysiology of the sacroiliac joint. Curr Rev Pain. 2000;4:356.
Srejic U, Calvillo O, Kabakibou K. Viscosupplementation: a new concept in the treatment of sacroiliac joint syndrome: a preliminary report of four cases. Reg Anesth Pain Med. 1999;24:84.