Joints we commonly treat
- Shoulder — arthritis, bursitis, rotator cuff irritation, and frozen shoulder
- Knee — osteoarthritis and inflammation
- Hip — arthritis and other causes of hip joint pain, as well as bursitis on the outside of the hip
Why image guidance matters
Our office has on-site ultrasound. Using ultrasound or X-ray to guide the needle helps place medicine exactly where it is intended, which is especially helpful for deep joints such as the hip.
What is injected?
Most joint injections use a local anesthetic combined with a corticosteroid to reduce inflammation. Depending on your diagnosis, your provider may discuss other options, including PRP. For ongoing knee pain from arthritis, radiofrequency ablation of the knee’s sensory nerves may also be considered.
After your injection
- Take it easy on the joint for a day or two, then return to activity as directed.
- Ice can help with soreness at the injection site.
- Steroid injections are usually limited in how often they can be repeated in the same joint; your provider will discuss timing.
Risks
All procedures carry some risk. Depending on the treatment, possible risks can include soreness or bruising where the needle was placed, bleeding, infection, a temporary rise in pain, allergic reaction to a medication, and, rarely, nerve injury. If a steroid is used, some people notice short-term flushing, trouble sleeping, or higher blood sugar. Your provider will go over the specific risks, benefits, and alternatives for your situation before you decide.
Exercises you can do at home
Staying active is an important part of most pain treatment plans. See our shoulder exercises and knee exercises for gentle stretches and strengthening options in lying, seated, and standing positions. Please ask your provider before starting, especially after a procedure.
This page is for general education and is not a substitute for an evaluation by a medical professional. Results vary, and no treatment works for everyone. Your provider will discuss whether this option is appropriate for you, along with its benefits, risks, and alternatives. Insurance coverage varies by plan — please call to verify.