The aging leads to numerous changes in the human body, and most of them are unpleasant. Of all the signs of old age, two of the less pleasant are more wrinkles and less flexible joints. However, these two appear to respond to a more-unlikely remedy resonance, a substance found in cockscombs (as well as in some plant and in the human body) called hyaluronic acid (HA).
Jason Theodosakis, a physician and co-author of The Cure arthritis states that “This substance is very similar to egg white, just not as thick. In the joints, that serves to facilitate the movement and absorb impact. “ on the sides, which gives volume and shape of the skin.
The hyaluronic acid comes in supplement, cream and injectable form. However, it seems that not all varieties of hyaluronic acid work equally well. That is, some of the claims made for HA are more credible than others. It is even believed that besides joint buffer and fill wrinkles, tablet form, in particular, can also lead to longevity.
According to Theodosakis, this statement was the discovery of a village in Japan where people lived to an unusually old age, and some speculated that it could be due to HA-rich vegetables they ate. However, this is based on the single theory, and has never been proven.
Although it has been shown that HA is very beneficial for the knees and wrinkles, experts say the best variety to feel its benefits remains the use of injectable varieties. Apart from the beliefs of those who lean toward less invasive approaches, it appears that the shots may have some advantages for arthritis and aging skin.
This remarkable acid has gained its popularity in cases of wrinkles in December 2003 and again in April, when the FDA approved injectable Restylane and hylaform, respectively, for use in fillings of wrinkles around the nose and mouth. Restylane is extremely useful because its effects last longer than collagen’s-four to six months, compared with collagen three.
Furthermore, collagen treatments require previous allergy tests. Hylaform has similar effects, but not always last as long as Restylane.
Joshua Fox, director of Advanced Dermatology in Roslyn, New York, and a spokesman for the American Academy of Dermatology, said: “It is good for someone who does not have a lot of sagging and does not need much added volume . And for some people, it provides a more natural appearance than collagen. ”
Theodosakis states that you should be wary of any cream or lotion HA whose label says it can do the same for an injection would. “They will not reduce your wrinkles more than any other moisturizer. The use of these creams topically has as much scientific sense as putting your head in a dictionary to read it. The active ingredient can not be absorbed-its molecules are too big” – .., Add
patients, use and risks
This treatment is suitable for those who want a wrinkle-reducing insurance with more lasting results that you can be obtained from collagen. Insurance companies would not cover the expenses, however.
Users should find a cosmetic surgeon who regularly use Restylane in practice, and should have one or two days out of the public eye if redness or swelling appears. Moreover, users should stop taking Wort, Ginkgo Biloba, or high doses of vitamin E before treatment due to its anticoagulant effects.
Naomi Lawrence, a dermatologic surgeon at Cooper University Hospital in Camden, New Jersey, says “Many people do not realize these cause more bruising.” Lawrence adds that aspirin may do the same, so one should stop taking it two weeks before the treatment, unless medically necessary. A vaccine is most often enough, and it costs about $ 600.
Side effects usually disappear in less than a week, and about 25 to 50 percent of patients experience some pain, redness and / or inflammation at the injection sites.
It was several years ago when the FDA approved hyaluronic acid for the treatment of arthritis of the knee, when it gained its popularity. natural cushioning of the joint, which is something arthritis conventional treatments can not offer is strengthened. Most other medicinal treatments, at least, target the inflammation that occurs (and painless) when the bones of the joint rub against each other. Cortisone injections work the same way also.
Dennis Wen, a physician and associate professor of family and community medicine at the University of Missouri School of Medicine, Columbia says professor “With osteoarthritis, the fluid in the knee that usually provide cushioning and support thins . HA seems to add thickness to liquids and therefore helps move the knee with less friction and pain. ”
However, this does not mean that all suffering from knee pain should receive injections of HA. The best candidates are people who have more or less exhausted the resources of traditional arthritis, do not respond to supplements, and want to avoid surgery. However, some potential users of the HA may first need surgery to clean up any remaining loose cartilage or bone chips that may be causing problems.
People who do well with glucosamine and chondroitin arthritis supplements do not seem to get any benefit further from HA, according to Theodosakis.
He later says there is still an unknown problem regarding pain relief and why it lasts much longer than the HA actually stays in your knee. Namely, hyaluronic acid disappears within days or even hours, but the pain stays away from six to 12 months. However, this treatment gives positive results in about half of patients.
In addition, patients can quickly determine whether this treatment works effectively in their cases, which is not the case with other types of arthritis therapy. “If it will help, you should start to feel better within a couple of weeks,” says Theodosakis.
HA treatment: patients, use, risks
These treatments should be performed in patients suffering from osteoarthritis of the knee does not feel relief from other methods. Usually there are three or five weekly injections of one of three formulas: Synvisc more recently approved (also naturally (the synthetic version of HA), Hyalgan (natural selection)), and Orthovisc). Medicare and most insurance companies cover the costs, which are around $ 1,000 to $ 1,500.
If arthritis causes pain in joints other than the knee, patients may remain injections, but insurance will not cover the cost, since it is an off-label use. The orthopedic surgeon Robert Nirschl, in Arlington, Virginia, which has the last word on the shoulders and thumbs adds that “a joint is a joint” however.
This treatment does not cause common complications or side effects. Theodosakis states that rarely, some patients have a severe inflammatory reaction to Synvisc, and joint swelling, most often after the second or third injection. Usually, ice and facilitate an anti-inflammatory asthma attack, but if an infection develops, antibiotics may be needed.