Precise Delivery
Medication delivered directly to the source of pain using imaging guidance
Major Joint Injections
Targeted relief for knee, hip, shoulder, and other major joint pain
About Major Joint Injections
Major joint injections are minimally invasive procedures that deliver medication directly into large joints of the body, such as the knee, hip, shoulder, ankle, or elbow. These targeted injections can provide significant pain relief and improved function for patients suffering from arthritis, injury, or other joint conditions.
Dr. Hemani offers two primary types of joint injections: corticosteroid (steroid) injections and viscosupplementation with hyaluronic acid. Each serves a different purpose and may be recommended based on your specific condition, joint health, and treatment goals. These injections are performed with precision guidance using ultrasound or fluoroscopy to ensure accurate placement of the medication.
Quick Procedure
Typically performed in 15-30 minutes as an outpatient
Improved Function
Reduces pain and enhances mobility and quality of life
Who Can Benefit
Major joint injections are particularly beneficial for patients with:
- Moderate to severe joint pain that hasn't responded adequately to oral medications, physical therapy, or other conservative treatments
- Osteoarthritis of major joints, particularly the knee, hip, or shoulder
- Joint inflammation from rheumatoid arthritis or other inflammatory conditions
- Patients who need pain relief but wish to delay or avoid joint replacement surgery
- Individuals experiencing joint pain that interferes with daily activities, sleep, or quality of life
- Patients who cannot take oral anti-inflammatory medications due to side effects or other medical conditions
Dr. Hemani will conduct a thorough evaluation, including physical examination and review of imaging studies, to determine if joint injections are appropriate for your specific condition and which type would be most beneficial.
Types of Joint Injections
Dr. Hemani offers two primary types of joint injections, each with specific benefits and applications:
Corticosteroid (Steroid) Injections
Corticosteroid injections deliver powerful anti-inflammatory medication directly into the joint to reduce inflammation, swelling, and pain. These injections typically contain a corticosteroid medication combined with a local anesthetic.
Benefits:
- Rapid relief of pain and inflammation
- Effects typically begin within 24-48 hours
- Relief can last from several weeks to several months
- Particularly effective for inflammatory conditions
Best For:
Inflammatory arthritis, acute flare-ups of osteoarthritis, bursitis, tendinitis, and synovitis. These injections are often used when rapid relief is needed.
Hyaluronic Acid Injections (Viscosupplementation)
Hyaluronic acid injections supplement the natural fluid in your joint to improve lubrication and cushioning. Hyaluronic acid is a naturally occurring substance in joint fluid that provides lubrication and shock absorption.
Benefits:
- Improves joint lubrication and function
- May provide longer-lasting relief than steroid injections
- Effects typically last 6 months or longer in responsive patients
- May slow the progression of joint degeneration in some cases
Best For:
Osteoarthritis, particularly of the knee. These injections are most effective for mild to moderate osteoarthritis and are often used when steroid injections are not appropriate or have not provided adequate relief.
Choosing the Right Injection
Dr. Hemani will recommend the most appropriate type of injection based on several factors:
- Your specific diagnosis and condition
- The joint involved and degree of damage
- Your previous response to treatments
- Whether rapid inflammation reduction or long-term lubrication is the primary goal
- Your overall health and any contraindications to specific medications
In some cases, a combination approach may be recommended, using steroid injections for acute flare-ups and hyaluronic acid for longer-term management.
Frequently Asked Questions
Schedule a Consultation
If you're suffering from chronic pain, Dr. Hemani can help determine if any of our procedures are right for you. Contact us today to schedule your consultation.
Medical Disclaimer: The information provided on this page is for educational purposes only and is not intended as medical advice. Please consult with Dr. Hemani or another qualified healthcare provider for personalized medical advice.