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Arthritis Gel Lubrication Injections

Did you known that Hyaluronic Acid (HA) gel lubrication injections can be injected into any joint?

Common brand name gel lubrication injections include Synvisc, Orthovisc, Euflexxa, and Durolane to name a few.

Did you know that Hyaluronic Acid (HA) gel lubrication injections when combined with Platelet Rich Plasma PRP are superior to a gel lubrication injections given alone, not just in terms of pain releif but with the added effect of regenerating and preserving cartilage?

If your orthopedist is still injecting Hyaluronic Acid (HA) gel lubrication injections combined with steroids they are 25 years behind the times and doing you a disservice.

Dr. Silberman specializes in the diagnosis and management of degenerative osteoarthritis.  It is no longer the disease of our grandparent's.  We are now seeing arthritis in 40 year olds and even younger.

Injection therapies offered by Dr. Silberman at New Jersey Sports Medicine for Arthritis include:

1. Hyaluronic Acid (HA) gel lubrication injections combined with Platelet Rich Plasma (PRP)

2. Hyaluronic Acid (HA) injections, also known as gel lubrication injections or viscosupplementation

3. Platelet Rich Plasma (PRP) injections

4. Stem Cell Bone Marrow Aspirate Concentration injections

Hyaluronic Acid  (HA) injected together with Platelet Rich Plasma has recently been shown to be superior than hyaluronic acid injection alone and platelet rich plasma injected alone for the treatment of osteoarthritis, both in terms of clinical improvement and markers of inflammation.  Dr. Silberman can inject any joint under US guidance and has injected HA plus PRP in patient's knees, hips, shoulders, ankles, and wrists.

Osteoarthritis is a chronic disease of cartilage deterioration.  Up until recently the treatment of arthritis has solely been palliative which neither stops the progression of deterioration or replace the worn cartilage.  Platelet Rich
Plasma (PRP)
and Stem Cell Therapy are two of novel treatments performed by Dr. Silberman postulated to stop the degradation and replace the degraded cartilage.

A 2017 article demonstrates how Platelet Rich Plasma (PRP) protects against cartilage degradation in arthritis by:

1. Increasing the proliferation of chondrocytes, the only cells located in cartilage, whose job it is to produce and maintain your cartilage,

2. Reversing senescence (deterioration with age) and increasing quiescent cells (non-aging cells that can withstand stress and preserve key functional features), and

3. Significantly decreasing chondrocyte apoptosis (cell death).

Combining PRP with hyaluronic acid (HA) substantially increases the migratory ability of the proliferative cells upwards of 335%, when combining PRP with HA.


A study in Osteoarthritis Cartilage, October 2017, found that patients with knee osteoarthritis who underwent meniscus surgery had a three fold increase in the risk for future total knee replacement surgery.

X-ray and diagnostic ultrasound on site can give rapid diagnosis of arthritis without need for MRI.

Dr. Silberman performs orthopedic injections and aspirations under ultrasound guidance minimizing pain and complications.

Dr. Silberman has repeatedly diagnosed and treated lyme arthritis, lupus, rheumatoid arthritis, gout, celiac disease, gluten sensitivities, and food allergies in many patients who failed diagnosis and treatment by other physicians.

You don't have to be an athlete to be seen at New Jersey Sports Medicine.  
Dr. Silberman specializes in the care of all individuals and orthopedic pain.


Yu W, Xu P, Huang G, Liu L. Clinical therapy of hyaluronic acid combined with platelet-rich plasma for the treatment of knee osteoarthritis. Exp Ther Med. 2018 Sep;16(3):2119-2125. doi: 10.3892/etm.2018.6412. Epub 2018 Jul 6. PMID: 30186448; PMCID: PMC6122407.

Karasavvidis T, Totlis T, Gilat R, Cole BJ. Platelet-Rich Plasma Combined With Hyaluronic Acid Improves Pain and Function Compared With Hyaluronic Acid Alone in Knee Osteoarthritis: A Systematic Review and Meta-analysis. Arthroscopy. 2021 Apr;37(4):1277-1287.e1. doi: 10.1016/j.arthro.2020.11.052. Epub 2020 Dec 3. PMID: 33278533.

Saturveithan C, Premganesh G, Fakhrizzaki S, Mahathir M, Karuna K, Rauf K, William H, Akmal H, Sivapathasundaram N, Jaspreet K. Intra-articular Hyaluronic Acid (HA) and Platelet Rich Plasma (PRP) injection versus Hyaluronic acid (HA) injection alone in Patients with Grade III and IV Knee Osteoarthritis (OA): A Retrospective Study on Functional Outcome. Malays Orthop J. 2016 Jul;10(2):35-40. doi: 10.5704/MOJ.1607.007. PMID: 28435559; PMCID: PMC5333655.

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