Thumb arthritis and hyaluronic acid injections


I have severe osteo in my body. My right thumb joints are bone on bone. I have had several injections but with no help. Can the rooster cone injections help or is there another alternative to surgery? That is my next treatment option the doctor says.


HI Gail,

Usually once there is progression of arthritis to bone-on-bone, surgery is the most effective treatment.  Injections of hyaluronic acid are of limited value in bone-on-bone, end-stage joints.  Plus, most of the injections are in doses more appropriate for the big joints (knees, for example).   Good luck !!

Joan Bathon, M.D.

About Joan Bathon, M.D.

Dr. Bathon was a Co-Deputy Director of the Division of Rheumatology at Hopkins Bayview. She was also the founder and director of the Hopkins Arthritis Center.