Hyaluronic acid is usually safer than cortisone, but some people react to the gel, causing inflammation that can mimic infection. If pain, swelling, or redness spike after the shot, see your doctor right away — infections need urgent care. Most importantly: - Gel shouldn’t be mixed with cortisone - Injections must be done with image guidance - Sterile technique matters If gel didn’t help, you still have options — PRP, BMAC, and proper diagnosis can make all the difference. | Dr. Dwight Lin, MD
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