Viscosupplementation with Hyaluronic Acid in Recife
Viscosupplementation with hyaluronic acid for treatment of knee osteoarthritis in Recife. Outpatient procedure guided by ultrasound.
What is Viscosupplementation?
Viscosupplementation is the intra-articular injection of hyaluronic acid, a substance naturally present in synovial fluid that acts as a lubricant and shock absorber for the joint.
Hyaluronic acid restores the viscoelastic properties of synovial fluid, reducing friction, inflammation, and pain in osteoarthritis.
In osteoarthritis, there is a progressive reduction in the concentration and molecular weight of hyaluronic acid in the synovial fluid, leading to loss of protective properties and increased joint friction. Viscosupplementation replenishes this substance, restoring joint function.
How Does the Procedure Work?
1. Preparation
Strict asepsis and local anesthesia if necessary
2. Injection
Ultrasound-guided application for precision
3. Recovery
Immediate return, avoid exertion for 48h
Duration: The procedure is quick, taking about 10-15 minutes. It is performed in the office with the patient awake, without the need for hospitalization.
Indications for Viscosupplementation
Knee osteoarthritis (gonarthrosis) grades 1-3
Chronic joint pain with failure of conservative treatment
Functional limitation due to pain when walking or climbing stairs
Active patients who wish to delay the need for surgery
Contraindicated prolonged use of oral anti-inflammatories
Benefits of Viscosupplementation
Lasting Pain Relief
Significant pain reduction for 6-12 months
Improved Mobility
Restoration of joint function and range of motion
Slows Osteoarthritis Progression
Chondroprotective effect proven in studies
Safe Procedure
Low risk of complications, well tolerated
No Recovery Time
Immediate return to daily activities
Reduces Need for Medications
Decreases dependence on painkillers and anti-inflammatories
Protocol and Expected Results
Number of Applications
Generally 1 to 3 applications, depending on the type of hyaluronic acid used. High molecular weight products may require only 1 application.
Onset of Effect
Gradual improvement over 2-4 weeks after the last application. Some patients report immediate improvement, others after a few weeks.
Success Rate
70-80% of patients report significant improvement in pain and function. Higher success rate in mild to moderate osteoarthritis (grades 1-2).
Frequently Asked Questions
What is viscosupplementation with hyaluronic acid?
Viscosupplementation is the intra-articular injection of hyaluronic acid, a substance naturally present in synovial fluid that acts as a lubricant and shock absorber for the joint. Hyaluronic acid restores the viscoelastic properties of synovial fluid, reducing friction, inflammation, and pain in osteoarthritis.
Does viscosupplementation hurt?
The application is guided by ultrasound and done with a fine needle, causing minimal discomfort. Local anesthesia can be done if necessary. After application, it is normal to feel mild discomfort for 24-48h, which improves with local ice and relative rest.
How long does the effect last?
The effect of viscosupplementation lasts on average 6 to 12 months, depending on the degree of osteoarthritis, physical activity, and type of hyaluronic acid used. High molecular weight products tend to have a longer-lasting effect. It can be repeated after this period.
Who can get viscosupplementation?
It is indicated for patients with mild to moderate knee osteoarthritis (grades 1-3) who have not obtained adequate improvement with oral medications and physiotherapy. It is not indicated in advanced osteoarthritis (grade 4) with severe joint deformity, active infection, or allergy to the product.
Does insurance cover viscosupplementation?
Some health plans cover viscosupplementation upon prior authorization and detailed medical report. Coverage varies according to the plan and contract. Contact us to verify your insurance coverage.
Insurance
Viscosupplementation can be covered by some health plans upon prior authorization. Consult the list of accepted insurance plans.
Clinically Reviewed by:
Dr. Helio Widson Alves Pinheiro
Pain Medicine, Acupuncture
CRM/PE 21167 | RQE 2217, 2808
This content is informative and does not replace individual medical evaluation.
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Physician specializing in Acupuncture and Pain treatment, and Technical Manager of Intrador's two units. Graduated in Medicine from the Federal University of Pernambuco (UFPE) in 2007, he holds a Specialist Title in Acupuncture and a Certificate in Pain, both recognized by the Brazilian Medical Association (AMB).
Note: This content is for educational and informational purposes only. The information is based on scientific evidence and the clinical practice of the Intrador team, but it does not replace individualized medical evaluation. Conduct, indications, and treatments must be defined after medical consultation.
Clinical reviewer: Dr. Helio Widson Alves Pinheiro · Pain Medicine | Acupuncture · CRM/PE 21167 | RQE 2217, 2808
Published on: January 17, 2026
Reviewed on: January 29, 2026
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