Joint Injections – knee, hip, shoulder, wrist, ankle

When patients are suffering from pain that radiates from an individual joint, one of the possible treatments that could offer successful relief is joint injections. In most cases, the injections will consist of two different drugs. The first is a short-term local anesthetic and the second is a long-lasting anti-inflammatory steroid. The anesthetic will offer short-term pain relief immediately, but it can take between 48 and 72 hours for the anti-inflammatory to start working, at which point the patient will start to experience the longer lasting pain relief.

Joint pain in the shoulders, hips or knees can be treated using sacroiliac joint injections.

These procedures may vary depending on where the injection is required. Hip joints are deep and tight, so a long thin needle is required. A specific x-ray technique (fluoroscopy) is used to guide the needle into the hip to avoid nerve damage.

When the needle is in place, an injection containing a combination of rapid pain relief and a steroid-based anti-inflammatory is administered. The relief is usually immediate.

When knee injections are offered, x-ray guidance is not usually required, and the procedure can be carried out in the doctor’s office. A sacroiliac injection is only given in the knee to reduce pain caused by arthritis. The most common drug administered is a corticosteroid, which is a potent anti-inflammatory.

Shoulder injections can be used to treat a variety of aches and pains as well as treat numbness or tingling in the shoulder. Similar to knee injections, it is corticosteroid that is injected into the joint and no x-ray guidance is required.

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