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Hyaluronic Acid Joint Injections

Board-Certified Orthopedic Surgeon

Restoring Cushion, Lubrication, and Comfort for Healthier Joints

​At Divina Dermatology & Cosmetic Center, we offer Hyaluronic Acid (HA) joint injections administered by Dr. Mark Mikhael, our board-certified orthopedic surgeon specializing in joint preservation and regenerative musculoskeletal care.
These injections provide a natural cushioning effect that helps reduce pain, restore mobility, and delay the need for surgery—particularly in patients with osteoarthritis or joint wear-and-tear.

AREAS OF USE

Hyaluronic acid is a smooth, gel-like substance that your body naturally produces to keep joints lubricated and moving easily.
Over time (or with injury or arthritis) the natural HA in your joints decreases, leading to friction, stiffness, and pain. Injecting medical-grade HA directly into the joint restores this lost lubrication, creating smoother motion and improved comfort.

Areas Treated

  • Knee: For arthritis, cartilage wear, or post-surgical stiffness

  • Hip: For early to moderate osteoarthritis or labral inflammation

  • Shoulder: For rotator cuff arthritis, impingement, or chronic pain

  • Ankle: For post-injury degeneration or instability

  • Other small joints: Wrist, elbow, or base of the thumb in select cases

Benefits of Hyaluronic Acid Injections

  • Restores smooth joint movement and lubrication

  • Decreases inflammation and stiffness

  • Delays or avoids the need for surgical intervention

  • Improves overall comfort and mobility

  • Can be combined with PRP injections for enhanced regenerative results

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Step-by-Step: Hyaluronic Acid Joint Injection with Dr. Mikhael

  1. 1. Consultation & Evaluation

    • Dr. Mikhael performs a detailed assessment, reviewing your medical history, imaging, and symptoms. He determines whether HA therapy is right for your condition—or whether a regenerative approach like PRP or a combination plan would provide better results.

  2. Joint Mapping & Preparation

    • Once the target joint is confirmed, the skin is cleansed and numbed with a topical or local anesthetic.
      If needed, ultrasound guidance ensures exact needle placement for optimal precision and comfort.

  3. Injection Procedure

    • A small amount of sterile, pre-filled hyaluronic acid gel is injected directly into the joint space. The procedure typically takes 10–15 minutes, with minimal discomfort and no incision or downtime.

  4.  Immediate Recovery

    • You can return to normal light activity the same day. Mild soreness, fullness, or pressure at the injection site is normal and resolves within 24–48 hours. Most patients notice gradual improvement within 1–2 weeks.

  5.  Results Timeline

    • Week 1–2: Joint begins to feel less stiff and swollen.

    • Week 3–6: Pain continues to decrease as the joint becomes better lubricated.

    • Month 2–6: Maximum improvement; patients often experience easier movement and better endurance.

Results typically last 6–9 months, and repeat sessions can be scheduled semi-annually or annually depending on activity level and severity..

How Many Treatments Will I Need?

Most orthopedic concerns require 1–3 sessions spaced 4–6 weeks apart. Chronic tendon injuries or multi-site arthritis may need a series. Many patients schedule maintenance once or twice per year, depending on activity level and goals.

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Dr. Mikhael-  Injection Specialist

  • Dr. Mikhael’s orthopedic expertise ensures your treatment is delivered with medical precision and tailored to your joint anatomy.

  • Personalized protocols tailored to joint anatomy, tissue quality, and activity goals

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Before Your Appointment:

  • Avoid anti-inflammatory medications (NSAIDs) for 24–48 hours prior unless otherwise advised.

  • Eat a light meal and hydrate well before your visit.

  • Wear loose clothing that allows access to the treatment area.

  • Bring any imaging (X-rays or MRIs) if available.

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Aftercare & Activity

  • Avoid strenuous activity or heavy exercise for 24–48 hours.

  • Use ice packs for any swelling or soreness.

  • Refrain from high-impact workouts (running, jumping) for the first few days.

  • Maintain gentle stretching and mobility as comfort allows.

  • Continue physical therapy as recommended by Dr. Mikhael.

Frequently Asked Questions

1.  How many injections do I need?

  • Treatment frequency depends on the product formulation and the severity of your joint condition. Some advanced HA products require just one injection, while others are performed as a series of three to five injections, spaced one week apart. Dr. Mikhael will recommend the ideal schedule based on your age, activity level, and imaging results. Many patients repeat the treatment every 6–12 months to maintain joint lubrication and long-term comfort.

2. Is it safe? and what are the side effects​

  • Hyaluronic acid injections are very safe and have minimal side effects. Mild swelling or warmth at the injection site is temporary. Because the product mimics a naturally occurring substance, allergic reactions are rare. In rare cases, fluid buildup or infection can occur, which Dr. Mikhael will discuss in your consultation.

3. How long will it take to notice results?

  • Improvement usually begins within 1–2 weeks as the injected gel spreads and reduces friction within the joint. Full results can take 4–6 weeks as the fluid integrates and inflammation decreases. Most patients report smoother movement, less stiffness, and improved daily function during this period.

4. Can it be combined with other treatments?

  • Yes. Many patients see the best outcomes by combining HA injections with PRP therapy, Botox for muscle tension, PRP, or physical therapy. These treatments work synergistically: PRP enhances tissue healing while HA restores lubrication, creating a more comprehensive joint rejuvenation plan.

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