JOINT INJECTIONS FOR SAN LUIS OBISPO DOGS– Here’s what you need to know!!  At Mission Animal Hospital, we see painful pets on a daily basis.  As your holistic veterinarian in San Luis Obispo, we are open SEVEN DAYS A WEEK and can help you not only accurately diagnose but also holistically treat the source of your pet’s pain, using everything from herbs to laser therapy… and joint injections… to maximize their quality of life.  
Joint injections, also known as intra-articular injections, are commonly performed in human and equine medicine for the treatment of osteoarthritis. For small animals, these injections are less often performed primarily because most veterinarians don’t have the training and background needed.  That said, at Mission Animal Hospital we perform dozens of intra-articular injections annually. We recommend combining these injections with LASER THERAPY and MASSAGE  as part of a conservative pain management plan.


1) In conjunction with LASER THERAPY and NUTRITIONAL SUPPLEMENTS as part of a conservative pain management plan

2) Patients who have residual post-operative symptoms including swelling, pain, or lameness and have not responded to medical management or rehabilitation therapy

3) Patients who cannot safely use NSAID drug therapy like Rimadyl, Deramaxx, etc…. although NOW THERE IS GALLIPRANT!!

4) Patients who have end-stage inflammatory joint disease

5) Patients with progressively worsening osteoarthritis


At Mission Animal Hospital, we rely on four  products in JOINT INJECTIONS FOR SAN LUIS OBISPO DOGS:  Hyaluronic acid, corticosteroids, stem cell therapy, and platelet-rich plasma.

HYALURONIC ACID:  Hyaluronic acid is a naturally occurring fluid inside all living organisms. As a joint protective agent, HA is beneficial in lubricating joints, decreasing inflammation and degradation, and repairing cartilage. Intra-articular HA has been widely used to treat osteoarthritis in both large animals and humans. Several experimental studies have demonstrated its effectiveness in treating dogs with osteoarthritis.  HA products include Hyalovet®, Hylartin®, Legend® and Synvisc®. In studies, Hylartin®V has proven to be the most similar to the hyaluronic acid naturally occurring in the body, which is why we prefer it to other products on the market.

Recent HA study results at an eastern rehab practice showed…

a) the average dog saw improvement for up to 6 months postoperatively.

b) 70% of injected dogs responded well; 20% were judged mildly improved; 10% did not respond

For dogs who do not respond to intra-articular HA injections, corticosteroids are recommended (Depo-Medrol® or Triamcinolone).


CORTICOSTEROIDS:  Patients who do not respond to intra-articular hyaluronic acid may benefit from corticosteroids, such as Depo-Medrol® or Vetalog®. Within 12 to 24 hours after corticosteroid injections, patients have demonstrated pain relief lasting weeks or months.  In cases where corticosteroids fail to provide pain relief, it is often due to failure to correctly target the synovial space before injecting.



A) For mild arthritis and synovitis– HA once weekly for 3 weeks

B) Moderate arthritis, or non-responsive to HA– Triamcinalone once, then another injection 2 weeks later if needed.

C) Severe arthritis– Depo Medrol once, followed by another injection three weeks later if needed.


STEM CELL THERAPY:  Can offer great benefit to the patient with chronic arthritis or joint cartilage damage.

Clinical response seen to stem cell therapy in arthritic dogs:

-Significant improvement in lameness

-Increased range of motion

-Significant improvement in comfort, as judged by pet owners


PLATELET-RICH PLASMA:   Platelet-rich plasma is blood plasma with concentrated platelets that contain reservoirs of bioactive proteins and growth factors. These bioactive proteins initiate and accelerate tendon and ligament repair and regeneration.  Professional athletes that have improved with PRP include Kobe Bryant, Hines Ward and Troy Polamalu.    PRP is used not only within joints, but also  for tendon and ligament injuries.

THE MOST IMPORTANT FACT?  At Mission Animal Hospital, we’ll help you with joint injections and your dog– and any other way we can help their comfort.  We promise.


Joint Injections for San Luis Obispo dogs