Cingal Injection Toronto & Oakville

Cingal at Upper Room Clinic

Cingal is a one-shot treatment for knee osteoarthritis that pairs two proven therapies in a single syringe: cross-linked hyaluronic acid, which cushions and lubricates the joint, and triamcinolone hexacetonide, a corticosteroid that calms inflammation. The steroid works quickly, often within days, while the hyaluronic acid supports the joint over the following months. In the pivotal clinical trial, a single Cingal injection reduced knee pain significantly more than placebo through 26 weeks, and gave faster relief in the first few weeks than hyaluronic acid alone.

Cingal is approved by Health Canada for pain from knee osteoarthritis. It is not yet approved in the United States, which makes Canada one of the few places in North America where patients can access it. Every Cingal injection at Upper Room Clinic is performed by a physician, at both our Davisville, Toronto and Oakville locations.

Two treatments in one. Hyaluronic acid and a corticosteroid in a single 4 mL injection, so you get fast relief and longer-lasting support from one procedure.
Quick visit. The injection itself takes a few minutes, and most people walk out and carry on with their day.
Transparent pricing. $600 per knee, plus a $175 physician consultation. Some extended health plans cover hyaluronic acid injections, so it's worth checking with your insurer.
Physician-performed. Assessed, injected, and followed up by our physicians at our Davisville, Toronto and Oakville clinics.

Is Cingal Right For Me?

Cingal is designed for adults with knee osteoarthritis whose pain hasn't settled with conservative care, such as exercise, physiotherapy, weight management, or simple pain relievers. Common reasons patients ask us about Cingal include:

Knee osteoarthritis confirmed on x-ray or diagnosed by your doctor
Knee pain, stiffness, or swelling that limits walking, stairs, or sport
Pain that keeps coming back despite physiotherapy and over-the-counter medication
Cortisone shots that help, but wear off too quickly
Wanting to explore non-surgical options before considering knee replacement
Waiting on a surgical date, or not a candidate for surgery right now
Living in the US, where Cingal is not yet available

The Benefits

Because Cingal combines a viscosupplement with a corticosteroid, it does two jobs that would usually take two separate treatments.

Fast relief. The corticosteroid starts calming inflammation within days. In trials, Cingal relieved pain faster in the first weeks than hyaluronic acid on its own.
Long-lasting results. In clinical trials, pain relief from a single injection lasted up to six months.
One injection, not a series. Some hyaluronic acid treatments take three to five weekly injections. Cingal is a single visit.
Physician-performed safety. You're assessed before treatment, and our physician is with you through the injection and follow-up.
A non-surgical option. Less pain can make it easier to stay active and keep up with physiotherapy while you and your doctor plan next steps.

What to Expect

CONSULTATION

TREATMENT

AFTER CARE

PRICING & COVERAGE

Every Cingal injection starts with a consultation with one of our physicians. We review your history, examine your knee, and look at any x-rays or imaging you have. If your knee isn't a good fit for Cingal, we'll tell you, and talk through other options like PRP, prolotherapy, or Arthrosamid. Sharing your family doctor's information at this stage helps us coordinate imaging and keep your GP in the loop.

The injection itself takes just a few minutes. Your physician cleans the skin over your knee and injects Cingal directly into the joint. Many patients notice the corticosteroid working within a few days, with the hyaluronic acid supporting the joint over the months that follow.

Most people walk out and return to normal daily activities the same day. Mild soreness, warmth, or swelling around the knee can occur for a day or two. Avoid strenuous activity like running or heavy lifting for the first 48 hours, and let us know if swelling or pain gets worse instead of better.

Cingal is $600 per knee, and the physician consultation is $175. OHIP doesn't cover Cingal, but some extended health plans cover hyaluronic acid injections. We'll provide a detailed receipt so you can submit a claim.

During Treatment

After a brief assessment and cleaning of the skin, your physician injects Cingal directly into the knee joint. The injection takes only a few minutes. Some people notice temporary soreness, warmth, or swelling around the knee for a day or two. We recommend avoiding strenuous activity such as running or heavy lifting for the first 48 hours. Cingal isn't suitable if you have an infection in or around the knee, a bleeding disorder, or are pregnant or breastfeeding, and uncontrolled diabetes needs careful review because of the steroid component, so we go over your history before every injection.

Why Choose Upper Room Clinic

Cingal injections at Upper Room Clinic are led by Dr. Biljana Kostovic, a physician with over 30 years of clinical experience spanning Emergency Medicine, Pain Medicine, and integrative care. We look at knee pain as part of the bigger picture. Alongside Cingal we offer PRP, prolotherapy, and Arthrosamid, so we can recommend the option that actually fits your knee rather than the only one we stock.

With locations in Davisville, Toronto and Oakville, you don't need a referral to be seen, though it helps to share your family doctor's information and any recent knee x-rays with us so we can coordinate your care. Book a discovery call, and if Cingal is a good fit, we'll schedule your injection at whichever location suits you.