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Blue Ridge Pain Management Associates

Interventional Procedures

Joint Injections

Corticosteroid or viscosupplement placed into a painful shoulder, hip, knee or other joint under image guidance.

Time in the office

The injection itself takes only a minute or two once the joint is located and numbed, and most appointments are complete within 20 minutes.

When relief starts

Relief typically begins within three to seven days as the anti-inflammatory effect builds, and benefit commonly lasts from several weeks to a few months depending on the joint and the severity of arthritis.

What it is

Joint injections deliver anti-inflammatory medication directly into an arthritic or inflamed joint, where it acts locally rather than throughout the body.

We use image guidance for deep joints such as the hip to ensure the medication reaches the joint space.

What to expect, step by step

The skin is cleaned and numbed; the injection itself takes only a minute or two.

Ultrasound or fluoroscopy is used where accuracy requires it.

Most appointments are complete within 20 minutes.

Recovery

Resume light activity the same day; avoid strenuous loading of the joint for 24 to 48 hours.

A temporary increase in soreness in the first day is common.

Typical results

Relief typically begins in three to seven days.

Benefit commonly lasts weeks to several months.

Injections work best when used to enable a strengthening program for the surrounding muscle.

Risks and considerations

Serious complications are uncommon, but no procedure is risk-free and you deserve the honest version before you consent.

  • Temporary increase in joint soreness for a day or so, sometimes called a steroid flare
  • Small risk of infection introduced into the joint, which is why sterile technique is essential
  • Thinning of nearby skin or fat with repeated injections in the same spot
  • Temporary blood sugar elevation in patients with diabetes
  • Cumulative cartilage effects with frequent, repeated steroid injections into the same joint over time

Common questions

Is this a steroid injection or a gel injection?
Both options exist depending on the joint and your goals. Corticosteroid reduces inflammation and is used broadly, while viscosupplement gel is sometimes used in knees to supplement joint lubrication. Your provider will discuss which is appropriate.
Which joints can be injected?
Commonly the shoulder, hip, knee, ankle and small joints of the hand or foot. Deeper joints such as the hip typically require image guidance to ensure the medication actually reaches the joint space.
Can I keep exercising the joint after the injection?
Light activity is fine right away, but avoid strenuous loading of the treated joint for 24 to 48 hours. Once soreness settles, the injection is often used as a window to begin or restart a strengthening program.
How many injections can one joint have per year?
Most physicians limit steroid injections in a single joint to a small number per year to protect the cartilage. Your provider will discuss a specific plan for your joint and condition.

Ready to get a real diagnosis?

Most patients are seen within two weeks. Call our office or send a request and our staff will help you choose the most convenient location.