CingalHow does Cingal work? Cingal is a viscous (thick) is for intra articular injection, as a sterile mixture of hyaluronan with a steroid. The hyaluronan is highly purified and made from bacterial fermentation. Hyaluronan is a natural chemical found in the body. High amounts of hyaluronan are found in the joint tissues and in the fluid that fills the joints. The bodys own hyaluronan acts as a lubricant and a shock absorber in the joint. It is needed for