04/13/2026
We are both knee surgeons, and one of the most important conversations we have with patients is about what we can do before talking seriously about surgery.
Injections are a big part of that. The two we use most often are cortisone and hyaluronic acid, also called gel shots.
Cortisone has a bad reputation because it has been overused, and repeated injections can weaken tissues that are not designed to see that much steroid in the joint. When we use it sparingly and in the right situation, though, it is a very effective, fast‑acting anti‑inflammatory for a painful, inflamed knee.
The downside is that cortisone usually does not last very long, which is why we talk with patients about other options. Hyaluronic acid gel injections act more like a lubricant. HA is something your body naturally makes inside the joint, but once inflammation or early arthritis sets in, you do not make as much or as good a quality. Carefully adding it back can help with more chronic pain and stiffness and support longer‑term comfort.
If you are dealing with:
* A big flare of knee pain
* Day‑to‑day knee pain or early arthritis
* A desire to avoid or delay surgery
it's worth asking at your next visit whether cortisone, HA gel, or another injection makes sense for your knee. The right plan is always based on an examination and review of imaging.