Targeted Joint Lubrication & Shock Absorption for Ankle and Toe Arthritis in Financial District
Osteoarthritis causes the natural lubricating fluid inside ankle and foot joints to break down, leading to painful bone-on-bone friction, grinding, and stiffness during walking.
Viscosupplementation therapy injects purified hyaluronic acid directly into affected joint capsules to supplement damaged synovial fluid, reduce internal friction, and act as a natural shock absorber. At Manhattan Podiatry Group, Dr. Mark Sharobeem, DPM, utilizes ultrasound guidance to deliver precise intra-articular injections for long-lasting joint relief.
Designed to protect joint cartilage and reduce arthritic pain without the risk of tissue breakdown or tendon weakening associated with repetitive steroid injections.
Ankle (tibiotalar joint), subtalar joint, first MTP (hallux rigidus / big toe arthritis).
High-resolution in-office ultrasound for precise intra-articular placement.
Single high-molecular-weight injection or a series of 3 weekly sessions.
Provides continuous cushioning and pain relief typically lasting 6 to 12 months.
In-office ultrasound imaging identifies joint space narrowing, cartilage erosion, and exact needle entry pathways into the joint capsule.
The joint area is numbed with local anesthetic before high-purity hyaluronic acid is smoothly delivered under live ultrasound visualization.
The solution binds within the joint fluid to cushion daily impact, allowing patients to resume walking, exercise, and daily commuting with ease.
Cortisone acts primarily as an anti-inflammatory drug to temporarily reduce pain, but repeated shots can break down tissue over time. Hyaluronic acid is a biological lubricant that restores joint fluid quality and acts as a long-term shock absorber without wearing down joint structures.
Some patients notice improved joint smoothness within a few days, but peak pain reduction and fluid cushioning typically develop over 2 to 4 weeks following treatment.
Dr. Sharobeem uses local anesthetic spray and targeted numbing agents prior to the injection. Combined with ultrasound guidance, discomfort is minimal and brief.
Yes. Because hyaluronic acid is a biocompatible substance naturally occurring in the body, injections can be safely repeated every 6 to 12 months as needed to maintain joint comfort and delay surgical intervention.
Request a consultation with Dr. Mark Sharobeem, DPM, at 55 Broadway, Suite 602.
New York, NY 10006.