Menu
Viscosupplementation Authority

Viscosupplementation: The Complete Guide to HA Injections

Hyaluronic acid injections (also called "gel shots" or viscosupplementation) are one of the most effective non-surgical treatments for joint arthritis. This comprehensive hub covers everything you need to know about HA injections for knee, shoulder, and hip pain.

Medically Reviewed Content by Medical Review Team, MD

Reviewed Jan 24, 2026

8+
FDA-Approved Brands
6-12 months
Typical Relief Duration
Yes
Medicare Coverage
15-30 min
Procedure Time

What is Viscosupplementation?

Viscosupplementation is a medical treatment that injects hyaluronic acid (HA) directly into an arthritic joint. Hyaluronic acid is a natural substance found in healthy joint fluid that provides cushioning and lubrication.

When you have osteoarthritis, your joint fluid becomes thinner and less effective. HA injections help restore the natural cushioning, reducing pain and improving mobility without surgery.

  • FDA-approved for knee osteoarthritis
  • Provides 6-12 months of pain relief
  • Non-surgical, minimally invasive procedure
  • Covered by Medicare and most insurance

Fluoroscopic Guidance: Why It Matters

Studies show that blind injections miss the target up to 30% of the time. Fluoroscopic (X-ray) guided injections ensure the medication reaches exactly where it's needed.

What to Ask Your Provider

"Do you use imaging guidance for joint injections?" Fluoroscopic or ultrasound guidance significantly improves accuracy and outcomes.

Insurance Coverage for HA Injections

Viscosupplementation is covered by Medicare Part B and most private insurance plans when medically necessary for knee osteoarthritis.

Medicare Part B

Generally covers FDA-approved HA injections with proper documentation of knee osteoarthritis diagnosis.

Private Insurance

Most plans cover HA injections. Prior authorization may be required. Coverage varies by brand.

Typical Requirements for Coverage

  • Documented diagnosis of knee osteoarthritis
  • Failed conservative treatment (NSAIDs, PT)
  • Not a candidate for knee replacement
  • 6-month interval between injection series

Is Viscosupplementation Right for You?

Take our quick assessment to see if you may be a candidate for HA injections based on your symptoms, medical history, and treatment goals.

Take the Assessment