Повний спектр ортопедичних послуг від діагностики до реабілітації. Надаємо допомогу при пошкодженнях і захворюваннях суглобів, а також при спортивних травмах.
Rehabilitation After Arthroscopy: What You Need to Know
After joint arthroscopy, it is necessary to restore movement, weight-bearing ability, muscle strength, and the capacity to tolerate everyday activity.
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Shoulder and Arm Pain: Causes and Treatment
The shoulder has a wide range of motion, which makes it particularly sensitive to injuries, overuse, and inflammatory changes.
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Intra-Articular Injections: Indications and Risks
Intra-articular injections are a common treatment option for joint pain. They may provide relatively rapid relief, improve mobility, and help a person return to everyday activities.
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#shoulder
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Ankylosing Spondylitis: What It Is, Symptoms, and Diagnosis
Ankylosing spondylitis, also known as Bechterew’s disease, is a chronic inflammatory condition that affects the spine and sacroiliac joints. Over time, it can limit mobility and significantly affect quality of life.
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Osteoarthritis of the Joints: Symptoms, Causes, and Treatment
Osteoarthritis is a chronic disease of the entire joint in which the articular cartilage gradually deteriorates, bone tissue changes, and the surrounding joint structures function less effectively.
#hand
#knee
#elbow
#shoulder
#thigh
Rheumatoid Arthritis: Symptoms and Rheumatoid Factor
Rheumatoid arthritis is a systemic autoimmune inflammatory disease that affects the joints, tendon sheaths, and other tissues throughout the body.
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De Quervain’s Disease: Symptoms and Treatment Methods
De Quervain’s disease, also known as De Quervain’s tenosynovitis, is a condition affecting the first extensor compartment of the wrist. The thumb tendons pass through a narrowed tunnel and begin to glide with pain.
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Hygroma: Causes and Effective Treatment
A hygroma is a superficial, bony formation near a joint or tendon canal that most often appears on the hand, wrist, or fingers.
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Trigger Finger (Stenosing Tenosynovitis)
Stenosing ligamentitis disrupts the normal gliding of the finger tendon and gradually makes the usual hand movements more difficult. At first, a person feels stiffness, then a painful clicking appears, and at later stages the finger becomes fixed in a bent position.
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Why Does a Finger Hurt: Main Causes and Treatment
Pain in the finger appears after injury, overload, inflammation or compression of the nerve. The symptom itself does not indicate one specific problem, because the source of discomfort can be a joint, tendons, ligaments, nerve or surrounding soft tissues.
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Joint Contracture: Causes, Symptoms, Types, and Treatment Methods
Joint contracture is a persistent decrease in range of motion due to changes in the soft tissues and other structures around the joint. This condition interferes with everyday activities and can significantly worsen quality of life.
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Can You Run with Osteoarthritis?
When running with arthrosis is possible, in which cases it is strictly not recommended, and what alternatives should be considered in order to maintain movement without harm to the joints - says Vasily Mellen, orthopedic surgeon and traumatologist of Mashtaler Ortho&Trauma Clinic.
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What Are Compression Stockings?
When people think about treatment of the musculoskeletal system, they usually imagine surgery, fixation, and exercise. However, there is another component that works almost unnoticed while significantly affecting the recovery process: compression stockings.
#foot
#knee
Rehabilitation and Life After Hip Replacement
The pain that caused sleepless nights, restricted movement, and changed daily habits disappears. In the first days after surgery, patients notice that it becomes easier to stand up and sit down. It is a relief to stop thinking about every step.
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Innovative Bikini Approach for Hip Replacement Surgery
Bikini approach is a relatively new, minimally invasive method that is distinguished by its delicacy, less trauma and expressive aesthetics.
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Donor Meniscus Transplantation
This is an important milestone, as the procedure has been performed only eight times in Ukraine.
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Anterior Cruciate Ligament (ACL) Tear
The anterior cruciate ligament connects the femur and the tibia, helping stabilize the knee during bending, pivoting, and walking.
#knee
Super Inductive System
Super Inductive System (also known as High-Intensity Magnetotherapy) is a modern, effective, and safe method of pain treatment that works without invasive intervention.
Intra-Articular Hyaluronic Acid Injections in Lviv
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Intra-articular hyaluronic acid injections are an orthopedic procedure during which a hyaluronic acid product is injected directly into the joint cavity. This improves the gliding of joint surfaces, supports cushioning, and reduces discomfort during movement. In traumatology and orthopedics, this method is most commonly used for osteoarthritis, age-related changes, joint overload, after injuries, or during recovery after surgery.
Orthopedic hyaluronic acid injections into joints are not a universal solution, but they can show excellent results when there are clear indications for this type of treatment. That is why at Mashtaler Ortho&Trauma in Lviv, these injections are performed only after a consultation with an orthopedic trauma specialist, assessment of the joint condition, and selection of the appropriate product. In orthopedics, hyaluronic acid injections are often used as part of a comprehensive treatment plan that also includes rehabilitation and appropriate load management.
One of the key advantages of the procedure at the clinic is injection under ultrasound guidance. The doctor sees the position of the needle and the joint structures in real time, ensuring the most accurate administration of the product while making the procedure more controlled.
When Hyaluronic Acid Injections into Joints May Be Appropriate
Hyaluronic acid injections are not a “universal injection for everyone.” The doctor assesses the joint condition, symptoms, examination results, and only then determines whether this procedure may be appropriate in your specific case.
Hyaluronic acid injections into joints are most often considered for:
osteoarthritis at different stages;
pain during movement;
stiffness and limited mobility;
excessive load on the knee or hip joints;
discomfort after injuries;
changes in cartilage tissue;
the need to support the joint after surgical treatment.
In orthopedics, hyaluronic acid may also be used as part of comprehensive treatment together with physical rehabilitation, load management, and other methods selected by the doctor.
What a Patient May Experience Before Seeking Medical Advice
Patients do not seek medical attention because of pain alone. They may also notice a grinding or catching sensation in the joint, reduced mobility, clicking or crunching sounds during movement, difficulty climbing stairs, and discomfort after prolonged walking or physical activity. These symptoms should not be ignored, especially if they recur or gradually worsen over time.
Why Injections Are Performed Only After a Consultation
Even if a patient already knows the name of a product or has read reviews about hyaluronic acid injections into joints, this is not enough to choose treatment. In orthopedics, what matters is not the injection itself, but the correct determination of indications.
Before the procedure, the doctor assesses:
which joint is causing symptoms;
how pronounced the changes are;
whether there are signs of active inflammation;
the patient’s level of physical load;
whether there have been previous injuries or surgeries;
whether hyaluronic acid injections into the joint are truly needed.
At Mashtaler Ortho&Trauma, injections are performed only after a consultation with an orthopedic trauma specialist. If necessary, the doctor may recommend additional diagnostics, such as ultrasound, X-ray, or MRI.
Why You Should Not Choose the Product Yourself
Hyaluronic acid ampoules can be purchased independently, but products may differ in concentration, volume, density, and recommended administration protocol. Therefore, the choice of product should depend not on its name or price, but on the condition of the joint, the diagnosis, and the goal of treatment.
Ultrasound Guidance During Hyaluronic Acid Injection
One of the important advantages of the procedure is that the product is administered under ultrasound guidance.
The injection is performed under visual control using an ultrasound probe: the doctor sees the position of the needle, the joint itself, and important anatomical structures. This ensures the most accurate administration of the product.
Ultrasound guidance is especially important for:
the hip joint;
the shoulder joint;
complex or deep anatomical areas;
patients after injuries or surgeries;
situations where maximum injection accuracy is important.
This is why at Mashtaler Ortho&Trauma in Lviv, intra-articular hyaluronic acid injections are performed using ultrasound navigation rather than “blindly.”
Hyaluronic Acid Injection into the Knee Joint
Most often, patients seek help because of discomfort in the knees. Hyaluronic acid injection into the knee joint may be considered for osteoarthritis, overload, pain while walking, a sensation of friction, or stiffness.
Hyaluronic acid for the knee joints is selected individually. The doctor takes into account the degree of changes, the patient’s activity level, weight, physical load, and other factors.
How Many Times Can Hyaluronic Acid Be Injected into the Knee Joint?
There is no universal answer, because everything depends on the specific product, the joint’s response, and the clinical situation. Some patients may be recommended one injection, while others may need a course of injections or repeated administration after a certain period. The final treatment protocol is determined by the doctor after examination.
Can Hyaluronic Acid Be Injected into the Hip Joint?
Yes, in some cases injections may also be performed into the hip joint. However, because of its anatomical depth, this procedure requires particular precision.
That is why hyaluronic acid is injected into the hip joint under ultrasound guidance. This allows the doctor to control the procedure more accurately and work more safely.
The decision on whether such an injection is appropriate is made only after consultation and diagnostics.
Products That May Be Used for Injections
At Mashtaler Ortho&Trauma, the doctor selects the product individually, depending on the joint, the severity of changes, the patient’s complaints, previous treatment, and the expected duration of effect.
Reviscon
Reviscon is a line of hyaluronic acid products for intra-articular administration. The manufacturer, VSY Biotechnology, specializes in the development and supply of medical devices for orthopedics, including hyaluronic acid products for the treatment of osteoarthritis using intra-articular injections.
In clinical practice, such products may be considered when it is necessary to support the quality of synovial fluid, reduce friction in the joint, and improve comfort during movement. Whether Reviscon is the optimal option for a specific patient is determined by the doctor after consultation.
Chondrovital
Chondrovital is a Swedish hyaluronic acid product used for intra-articular injections.
This gel-form hyaluronic acid is used to support joint cushioning and mobility. At Mashtaler Ortho&Trauma, the decision to use Chondrovital is made after examination, assessment of the joint condition, and determination of the treatment strategy.
Promovia
Promovia is an Italian hyaluronic acid product for intra-articular administration. Different dosages of Promovia may be used at the clinic — 40 mg, 60 mg, or 100 mg — depending on the doctor’s recommendations and the characteristics of the specific joint.
Promovia is used as a synovial fluid prosthesis: the product helps support its viscoelastic properties, improve the gliding of joint surfaces, and reduce discomfort during movement.
Other Products
The doctor may also consider other hyaluronic acid products, including Hyalubrix, Ostenil Plus, or ArthroPatch. They may differ in concentration, volume, molecular weight, and recommended administration protocol. The patient does not need to decide independently which product to choose: the product is selected after consultation and diagnostics.
If You Are Considering Hyaluronic Acid Injections
You should start not with choosing a product, but with a consultation with an orthopedic trauma specialist. The doctor will assess the condition of the joint, explain possible treatment options, and tell you whether hyaluronic acid injections into joints may be appropriate in your case
Why Patients Choose Mashtaler Ortho&Trauma
Mashtaler Ortho&Trauma is a specialized orthopedics and traumatology clinic in Lviv that works with diseases and injuries of the musculoskeletal system.
Patients come to the clinic because of:
joint and muscle pain;
osteoarthritis;
sports injuries;
consequences of overload;
postoperative recovery;
limited mobility.
We receive positive feedback about hyaluronic acid injections into joints from patients who report more comfortable movement and reduced discomfort after treatment.
It is also important that injections at the clinic are performed under ultrasound guidance and only after a doctor’s consultation, rather than as a standard procedure without an examination.
Frequently Asked Questions
Is It Painful to Have an Injection into a Joint?
Some discomfort is possible during the procedure, but most patients tolerate the injection well. Sensations may depend on the condition of the joint, the person’s sensitivity, and the presence of inflammation.
Can I Buy Hyaluronic Acid for Joint Injections in Ampoules Myself?
It is not advisable to choose the product yourself. Different products have different density, dosage, and indications. The optimal option is determined by the doctor after consultation.
What Does the Price of Hyaluronic Acid Injections into Joints Depend On?
The cost depends on the product and dosage. Current prices can be viewed in the price list below the main text of the page.
Is Hyaluronic Acid Suitable for All Joints?
Injections can be performed into different joints, but the decision always depends on the clinical situation, symptoms, and examination results.
Why Is Ultrasound Guidance Used During Injections, and Who Especially Needs It?
Ultrasound navigation allows the doctor to see anatomical structures and the position of the needle in real time, so the product is administered more accurately and the procedure is more controlled. It is especially important for the hip and shoulder joints, complex or deep anatomical areas, patients after injuries or surgeries, and situations where maximum precision is critical. At Mashtaler Ortho&Trauma, injections are performed under ultrasound guidance rather than “blindly.”
Do Hyaluronic Acid Injections Replace Full Joint Treatment?
No. They do not replace diagnostics or comprehensive treatment, but they can be an important part of therapy when there are indications. They are usually considered as part of a comprehensive approach together with physical rehabilitation, load management, and other methods. The decision is made after consultation with an orthopedic trauma specialist and assessment of the joint condition, and, if necessary, after additional diagnostics such as ultrasound, X-ray, or MRI.
Who Chooses the Product, and What Does the Selection Depend On?
The product is selected by the doctor after examination and determination of indications. The doctor considers which joint is causing symptoms, the severity of changes, the presence of inflammation, the level of physical load, and previous injuries or surgeries. The products themselves differ in concentration, volume, density, molecular weight, and recommended administration protocol.
Can Hyaluronic Acid Injections Be Performed into the Hip Joint?
Yes, in some cases injections into the hip joint are appropriate, but because of the anatomical depth of this joint, the procedure requires particular precision. Therefore, at Mashtaler Ortho&Trauma, it is performed under ultrasound guidance, which improves the safety and accuracy of administration. The final decision is made only after consultation and diagnostics.
How Many Injections May Be Needed, and How Often Are They Repeated?
There is no universal protocol — everything depends on the specific product, the joint’s response, and the clinical situation. For some patients, one injection is enough; others may need a course or repeated administration after a certain period. The optimal protocol is determined by the after examination.
When May Intra-Articular Hyaluronic Acid Injections Be Recommended?
The doctor may recommend hyaluronic acid injections for osteoarthritis at various stages of the disease, pain during movement, joint stiffness, overload of the knee or hip joints, persistent discomfort after injuries, cartilage damage, or during recovery after surgery. This is not a “one-size-fits-all” treatment. The decision is made individually after a thorough clinical assessment. Hyaluronic acid injections are usually used as part of a comprehensive treatment plan that also includes rehabilitation and appropriate load management.
Why Are Injections Performed Only After a Consultation, and Who Chooses the Product?
In orthopedics, what matters is not only the injection itself, but also the correct indications. Before the procedure, the doctor assesses which joint is causing symptoms, the severity of changes, whether there is inflammation, the level of physical load, previous injuries or surgeries, and whether hyaluronic acid is truly needed. If necessary, ultrasound, X-ray, or MRI may be prescribed.
The product is selected individually by the doctor, taking into account concentration, volume, density, molecular weight, and the recommended administration protocol. The clinic may use products such as Reviscon / Reviscon Mono, Chondrovital, Promovia 40/60/100 mg, Hyalubrix, Ostenil Plus, and ArthroPatch.
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