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MUSCLE AND Joint Injections

A joint injection (intra-articular injection) is a procedure used to treat osteoarthritis or other inflammatory joint conditions in conjunction with an exercise program. Often times a painful swollen joint will limit ones ability to continue a home exercise program or physical therapy. The general principle of a joint injection is to provide relief of local inflammation by placing a combination of steroid medication (a potent anti-inflammatory) and anesthetic (for temporary soothing) directly into the joint (source of pain and inflammation).

We perform many different types of joint injections in our office. In some instances we may choose to utilize the aide of fluoroscopy for certain types of injections such as lumbar facet joint injections, sacroiliac (SI) joint injections, and hip joint injections. Fluoroscopy allows us to view a continuous x-ray on a monitor screen enabling us to better visualize the placement of the needle for your injection.

Injection therapy can be a good option for acute pain or for pain not responding to more conservative treatments such as oral anti inflammatory medications and/or physical therapy.

Trigger points are hyperirritable nodules located within skeletal muscles. They are often associated with taught muscle bands. Palpation of trigger points will create discomfort or pain. Trigger Point Injections have been shown to be an effective treatment modality in addition to physical therapy, heat, stretching and massage therapy. The procedure takes place during your regular office visit. Your Physician will insert a small needle into the trigger point and inject saline, lidocaine, or steroids into the muscle. The procedure causes only mild discomfort and takes just a few minutes.