Frequently Asked Questions

You’re not wrong—blind injections can work, but ultrasound gives you instant confirmation. You see the structure, you see the needle, and you watch the injectate go exactly where you want it. Especially when you're aiming for peritendinous or small fascial planes, the accuracy boost is huge. Plus, patients like seeing it too.

They’re made to spread better in dense tissue. Joint HAs are thick and meant to stay put in synovial fluid. Soft-tissue versions are more mid-weight—still viscous, but they move and coat structures without pooling awkwardly. You really notice it when you inject around a tendon and see that nice, even layer form.

Then I talk them through it. PRP is great, but it’s more involved—costly, and for tendons and ligaments it’s usually a very painful procedure with many, many days of down-time after the procedure. HA is quicker, less downtime, and works well when the issue in many of the same types of situations as PRP.. You can always do PRP later if they don’t respond amazing to HA.

Yup—don’t go into the tendon. Stay just outside, in the sheath or bursal layer. You want that nice hypoechoic halo around the structure. 

A little. I usually have patients rest or modify for 24-48 hours. After that, it's a gradual return, especially if it's a tendon. If you’re layering this with physio, coordinate when to reintroduce load. No heavy lifting or sprint drills the next day, basically.

Sure—if there’s an infection risk, obvious inflammation (like RA), or if the tissue’s hugely torn. Also if they’ve had bad reactions to HA before. But generally, it’s exceptionally  well-tolerated and safe.

Very good. It’s not a miracle cure, but for many of the cases I see, they get a lot of improvement.