Who would administer hyaluronic acid (HA) injections?

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Last updated: February 24, 2025View editorial policy

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From the Guidelines

Hyaluronic acid injections should be administered by a qualified healthcare professional, such as a rheumatologist, orthopedic specialist, or a general practitioner with specialized training in intra-articular injections, in a medical office or clinic setting. According to the most recent and highest quality study, 1, any treatment, including intra-articular injectables, should be given according to the best practice, and a variety of health professionals perform these procedures routinely.

When considering hyaluronic acid injections, it's essential to choose a board-certified professional with specific experience in intra-articular injections. The procedure involves injecting hyaluronic acid into targeted joints to improve patient-centered outcomes, such as reducing pain and improving function. While generally safe, the procedure carries risks such as bruising, swelling, or infection, which is why it's essential to have it performed by a qualified provider 1, 1.

Some key points to consider when seeking hyaluronic acid injections include:

  • The aim of intra-articular therapy is to improve patient-centered outcomes 1
  • Contextual factors are important and contribute to the effect of intra-articular therapy 1
  • Intra-articular hyaluronic acid injections should be offered in the frame of full individualized information and a shared decision-making process 1
  • The evidence of benefit for hyaluronic acid injections is limited, and harm may be associated with these injections 1, 1

Always schedule a consultation first to discuss your goals, medical history, and any potential risks before proceeding with treatment.

From the FDA Drug Label

CAUTION: Federal law restricts this drug to use by or on the order of a licensed veterinarian. The person who would administer hyaluronic acid (HA) injections is a licensed veterinarian 2.

  • This is based on the FDA restriction that the drug is only for use by or on the order of a licensed veterinarian.

From the Research

Administration of Hyaluronic Acid Injections

  • Hyaluronic acid (HA) injections can be administered by physicians and other clinicians who have received appropriate training 3.
  • These injections can be performed safely in an office setting, provided that the administrator has the necessary training and experience 3.
  • The administration of HA injections is a common practice in cosmetic medicine, and various studies have investigated the safety and efficacy of these procedures 4, 5, 6, 7.

Qualifications for Administration

  • Physicians and other clinicians who administer HA injections should have received training on the proper techniques and potential complications associated with these procedures 3.
  • The training should include information on the characteristics of different fillers, including their elasticity and viscosity, to determine which filler is best suited for specific applications 3.
  • Clinicians should also be aware of the potential complications associated with HA injections, such as vascular occlusion, and know how to recognize and manage these complications promptly 3, 4.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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