Hyaluronic Acid / ACP

Joint, cartilage and synovial fluid

In a synovial joint, the opposite ends of the bones are enclosed in a capsule. The joint capsule is filled with a viscous fluid, the synovial fluid. Inside it is covered by the so-called synovial membrane. The bone ends are covered by the smooth and very resistant joint cartilage.

This cartilage tissue is exclusively nourished by the synovial fluid. This is produced by the synovial membrane. Sufficient movement is necessary for optimal distribution in the joint. Only a good nutritional situation of the cartilage ensures its sufficient elasticity. Therefore, it is resistant to abrasion and wear.

What does synovial fluid do and what role does hyaluronic acid play?

• Hyaluronic acid is the most important component of synovial fluid. It acts as a shock absorber, spacer, lubricant and filter.
• It is a shock absorber and thus also protects the cartilage from abrasion.
• It keeps the tissue at a distance and protects the cartilage surfaces from wear due to abrasion.
• It lubricates the joint and helps it to move easily and freely.
• It acts as a filter that allows nutrients to enter the cartilage, but prevents harmful cells and substances from entering.

What happens with arthrosis?

Arthrosis is the typical wear and tear of joints

The joint cartilage is gradually rubbed off and loses its elasticity. As a result, the cartilage becomes less resilient and no longer fully fulfils the protective function for the underlying bone structures. Once destroyed, cartilage tissue cannot be replaced by newly formed tissue. This is very important for understanding arthrosis, its progression and prevention.

But also the hyaluronic acid in the synovial fluid is subject to some changes. It is constantly degraded and formed again. Normally there is a balance between the degradation of the old hyaluronic acid and the production of new hyaluronic acid. In arthrosis, however, this balance is disturbed.

Arthrosis is a common health problem that develops with age. In almost 70% of people over 65 years of age, typical signs of osteoarthritis can be seen on X-rays. However, this does not necessarily lead to complaints. Nevertheless arthrosis can also occur in younger people, usually because the joints have been overloaded.

Arthrosis is accompanied by pain, inflammation and limited mobility.

The occurrence of arthrosis is favoured by

• Obesity
• Sports with a higher injury rate
• Malposition of the joints
• Inactivity (due to immobilization of a joint or lifestyle)
• inflammations
• Professions in which heavy loads must be lifted and carried

What is Hya-ject® and how does it work?

Hya-ject® is a liquid containing hyaluronic acid. It is injected into the joint gap to improve the synovial fluid. Hya-ject® restores the normal balance between degradation and regeneration of hyaluronic acid.

The injected hyaluronic acid gradually improves the synovial fluid again. This reduces pain and restricted movement.

Hyaluronic acid is a vital part of healthy joints!

The hyaluronic acid in Hya-ject® is produced according to a modern process called fermentation. Thus it does not contain the occasionally harmful chicken egg white.

Many thousands of patients have already been treated with Hya-ject® without any negative side effects being observed. With hyaluronic acid in Hya-ject® you can expect the best possible treatment success.

What can I expect from a Hya-ject® treatment?

Depending on the severity of the disease, we recommend up to 5 injections for a complex hyaluronic acid treatment. In the case of more than one injection, these are carried out at weekly intervals.

In the course of the treatment you will notice a decrease in pain and an increase in mobility. Hyaluronic acid treatment can improve arthritis symptoms for 6-12 months.

Treatment with Hya-ject® may be repeated as often as necessary.

How can I actively support the Hya-ject® treatment?

Measures for osteoarthritis of the knee, shoulder or hip joint:

• Lots of movement with dosed load.
• Reduction of possible overweight.
• exercise to strengthen the muscles surrounding the joint.
• Upholstery as a shock absorber presses loaded joints.
• Regular movement exercises to maintain the mobility of the joints in the long term.

Hya-ject® hyaluronic acid injection for painless joint movement, e.g. in osteoarthritis

The injection of hyaluronic acid into the joint space is a natural treatment when osteoarthritis causes pain and limited mobility. Hya-ject® can be used for the treatment of all so-called “synovial joints”. In addition to the knee joint, these are for example the hip, shoulder and ankle joint, but also the smaller joints, such as finger, thumb saddle or toe joints.

Fermentative production – Good compatibility

Average molecular weight – optimal efficacy

Fully sterile syringe – for maximum safety

Approved for all joints – Broad range of applications

Hya-ject® is a medical device and does not require a pharmacy, the application must be carried out by a doctor.

Hya-ject® is available in the following sizes:

• 1er syringe, PZN number, 8770677
• 3er syringes, PZN number, 8896786
• 5er syringes, PZN number, 8770683

Autologous conditioned plasma (ACP)

With the help of so-called autologous conditioned plasma (ACP), injuries to muscles and tendon connections and bony structures as well as arthrosis can be treated effectively and very well.

For years, this therapy has been successfully used in our practice not only for competitive athletes but also for hobby athletes as well as injuries in the tendon, muscle and joint areas.

Various healing processes can be positively influenced by the growth factors contained in human blood. Many scientific studies have already shown this. These findings are used in the application of this blood to achieve an improvement in pain course immobility. In the meantime, it has been proven that the ACP procedure increases both the density of thrombocytes and the concentration of growth factors compared to whole blood.

This therapy has been intensively reported on in renowned journals (2009 Sanchez et al, Hall et al., Alsousou et al.) for various indications (soft tissue, cartilage and bone healing show encouraging and good results.

How does ACP therapy work?

In our practice, after taking a small amount of venous blood (10ml) from the arm vein, a special separation procedure is performed to extract the relevant important growth factors. (Centrifugation)

The part of the blood that contains the body’s own regenerative and arthrosis-inhibiting components can be obtained here. A specially developed double tip ensures sterile extraction and injection of the growth factors. The effect of the ACP therapy is based on the release of the growth factors from the thrombocytes. These can initiate self-healing and regeneration processes in the affected areas where injections are performed. Various cell types are activated (chondrocytes, osteoblasts and stem cells) and the production of collagen and proteoglycans (the basic building blocks of cartilage) are modulated and improved.

Excellent results in stage 1-3 of cartilage damage in large and small joint centers extremities and vertebral joints

Injuries to muscles, tendons and ligaments

The most common cause of injuries to muscles, tendons and ligaments is mechanical overloading, incorrect loading and direct injuries during sport.

The musculature is subject to strains, fiber tears or even complete muscle tears, while strain on the tendons and ligaments can lead to prolonged irritation, partial or even complete tears.

Through the ACP therapy, healing processes can also be significantly accelerated.

Fields of application

• torn muscle fibre
• tears or partial tears of the ligaments (ankle joint, knee joint, shoulder)
• chronic tendinitis (Achilles tendon, tennis elbow and knee tendon)
• Even after many surgical procedures, autohaemotherapy with ACP can be used for accelerated healing
• Cruciate ligament and Achilles tendons as well as rotator cuff injury
• Arthroscopic knee joint therapies
• bone fracture operations
• operative therapy on tendons and muscles

Costs of ACP therapy

The assumption of costs for ACP medical treatment should be clarified in advance with the private health insurance company or the payer. The total costs including material for an injection amount to approx. 150 per treatment. Depending on the diagnosis and indication, between 3 and 5 ACP injections are performed.

You are welcome to obtain evidence that you can present to your private health insurance company or the respective cost unit in our practice.