Musculoskeletal GP

Services

• Ultrasound guided injection including cortisone and Cingal®
  
• Osteoporosis assessment
  
• Pre- op assessment + bag
  
• Return to work clearance
  
• Metabolic Assessment
  
• Post surgical rehabilitation aids
  
• Referrals for imaging
  
• Fast tracked referrals to orthopaedic specialists
  
• WorkCover

Viscosupplementation involves the injection of hyaluronic acid (HA) into a joint, most commonly the knee. HA is a substance naturally present in joint fluid, where it helps with lubrication and shock absorption.

In osteoarthritis, the natural HA becomes diluted and degraded. Dr Lam may offer HA injection as part of a broader management plan for selected patients with mild to moderate osteoarthritis, particularly when other conservative treatments such as exercise, weight management, and simple analgesics have provided insufficient relief.

Clinical evidence on the effectiveness of HA injections is mixed; some patients report temporary improvements in pain and function over several months, while others experience little or no benefit. Possible risks include temporary joint pain, swelling, and a small risk of post-injection flare or joint infection. HA injection is not a cure for osteoarthritis and does not reverse joint damage.

Dr Lam can help you understand whether this option may be appropriate for your individual circumstances, and how it fits alongside other evidence-based treatments.

Cingal is a single-injection treatment that combines two components: hyaluronic acid (HA), a substance naturally present in joint fluid that helps with lubrication and cushioning, and a corticosteroid that reduces inflammation.

Dr Lam may offer Cingal as part of a broader management plan for selected patients with mild to moderate osteoarthritis of the knee or hip, particularly when other conservative treatments such as exercise, weight management, and simple analgesics have provided insufficient relief.

Clinical studies have reported that some patients experience pain reduction within days of the injection, with effects that may last up to six months in some individuals. Statistically significant improvements in pain, function, and quality of life have been observed following a single Cingal injection, and pain medication use has been shown to decrease in some patients. However, as with any medical treatment, individual responses vary; some patients experience little or no benefit, and clinical evidence on long-term outcomes continues to evolve.

Possible risks include temporary pain, swelling, warmth, or redness at the injection site. Serious complications such as joint infection are rare. Cingal is not a cure for osteoarthritis and does not reverse existing joint damage. Repeat injections may be considered, with studies suggesting a similar safety profile to the initial injection. Dr Lam can help you understand whether Cingal may be appropriate for your individual circumstances, and how it fits alongside other evidence-based treatments.