2730 South Val Vista Dr. #188 Gilbert, AZ
6625 South Rural Road, #104 Tempe, AZ
Gilbert: Monday-Thursday: 7:30AM-5:30PM
Tempe: Monday, Thursday: 7:30AM-6:30PMTuesday, Wednesday: 7:30AM-5:30PM
Together, we can relieve and manage pain caused by inflammation or irritation of the joint and surrounding structures with Joint Injection.
A joint injection is an injection of a steroid or other medication for pain management into a joint; any areas where two bones move against each other and are surrounded by a joint capsule. This procedure is usually done by a licensed chiropractic doctor.
The pain medicine injected, usually a steroid, is meant to reduce the inflammation and/or swelling of tissue in the joint space. This may in turn reduce pain, and other symptoms caused by inflammation or irritation of the joint and surrounding structures.
The actual injection takes only a few minutes.
The injection typically consists of a local anesthetic and a low-dose steroid medication.
The procedure involves inserting a needle through skin and deeper tissues. So, there is some minor discomfort involved. However, we sometimes numb the skin and deeper tissues with a local anesthesia using a very thin needle before inserting the needle into the joint. This process makes this procedure very comfortable for most of our patients.
No. This procedure is done with a small gauge needle usually with or without any local anesthetic.
It is done with the patient in whatever position allows the best access into the joint. Shoulders, elbows, wrists, fingers and knees are often injected with the patient sitting. Hips, knees, ankles and toes are often injected with the patient lying down. The skin is cleaned with antiseptic solution and then the injection is carried out. A band-aid is usually applied.
Immediately after the injection, you may feel that your pain may be gone or quite less. This is due to the local anesthetic injected. This will last only for a few hours. Your pain will return and you may have a sore joint for a day or two. This is due to the mechanical process of needle insertion as well as initial irritation from the steroid itself. You should start noticing pain relief starting the 3rd to 5th day or so.
You may want to have a ride home. We advise the patients to take it easy for a day or so after the procedure. You may want to apply ice to the affected area. Perform the activities as tolerated by you.
Unless there are complications, you should be able to return to work the next day. The most common thing you may feel is a sore joint.
The immediate effect is usually from the local anesthetic injected. This wears off in a few hours. The cortisone starts working in about 3 to 5 days and its effect can last for several days to a few months.
If the first injection does not relieve your symptoms in two to three weeks, you may be recommended to have one more injection. If you respond to the injections and still have residual pain, you may be recommended for further injections on an as-needed basis, depending on the underlying condition of the joint.
It is sometimes difficult to predict if the injection will indeed help you or not. The patients who have recent onset of pain or milder pain may respond much better than the ones with a chronic pain, longstanding pain or severe pain.
Generally speaking, this procedure is safe. However, with any procedure there are risks, side effects and possibility of complications. The most common side effect is pain – which is temporary. The other risks involve, infection, bleeding, worsening of symptoms etc. The other risks are related to the side effects of steroids: These include weight gain, increase in blood sugar (mainly in diabetics), water retention, suppression of body’s own natural production of cortisone etc. Fortunately, the serious side effects and complications are uncommon.
If you are allergic to any of the medications to be injected, if you are on a blood thinning medication, if you have an active infection going on, or if you have poorly controlled diabetes or heart disease, you should not have a joint injection or at least consider postponing it, if postponing would improve your overall medical condition.
If you have any questions, don’t hesitate to reach out to us. Our board-certified medical providers, pain management doctors and chiropractors are hear to help you. Call us at 844-844-5300 today to schedule your appointment.
Trigger points are tender muscles that sent a pattern of pain to other areas of the body when palpates or touched. These tender points are usually felt as knots or bands. Trigger points can be localized to one area or the body such as the muscles that support the neck. They can also occur in multiple areas throughout the entire body.
Trigger points can become problematic for a number of reasons. Patients may develop trigger points because of injury to muscle tissue. Examples of muscular injury include:
Trigger points may also occur because of an underlying structural problem. Here are a few examples of spinal abnormalities and conditions commonly associated with trigger points:
A trigger point injection is an injection of a substance into a tender muscle. Examples of substances injected include local anesthetics, corticosteroids, Ketorolac, saline solution, and dextrose.
Local anesthetics act to increase blood flow by dilating blood vessels in the muscle. This helps to rid the muscle of inflammatory substances that accumulate when muscles go into spasm. Corticosteroids are anti-inflammatories. These medications help to block inflammation. Inflammatory substances in the muscle produce pain by sensitizing nerve endings and receptors. In addition, the physical force of the fluid helps to break muscle spasm and adhesions.
Trigger point injections are very safe. patients may feel some injection site tenderness following the infection as the local anesthetic wears off. it may take a few days for the anti-inflammatory action of the steroid to take effect. Patients will sometimes feel a little dizzy for up to an hour if multiple trigger points are injected with a large dose of local anesthetic.
A definitive answer is not possible because it depends on the nature of the patient’s condition. The local anesthetic will numb the area for 1 to 3 hours. The corticosteroids remain in the tissue in active form for about one month. The major benefit of trigger point injections is to allow the patient to move effectively so he/she can participate in a rehabilitative program. Trigger point injections loosen muscle groups thereby improving patient progress in physical therapy and joint mobilization.
If trigger point injections are not effective in reducing your pain, other modalities or interventional pain management are available to control pain depending on your condition, such as:
The goal of pain management is to achieve optimal comfort, function and quality of life with minimal side effects from analgesic therapy.
In some cases, specific conditions will require prescription management or Pharmacological Intervention by our pain doctors in conjunction with therapy in the office. The health and safety of our patients is priority. Therefore the above combination of therapy is sometimes what is necessary to help our patients get back into action and have a wonderful quality of life.
Treatment strategy in dealing with painful orthopedic conditions is the use of anti-inflammatory steroid injection. If a patient is receiving a low-dose steroid injection in one of our facilities, they will receive the lowest amount of corticosteroids in their injection. The primary focus of having a low-dose steroid injection is to numb and comfort the surrounding tissues of a painful area.
Low dose steroid injections can help a patient with immediate pain relief. Often times reducing the amount of steroid used in our injections along with the combinations of other natural therapies in our office help our patients achieve fast, safe and effect pain relief!
We provide low dose steroid injections for orthopedic pain, joint inflammatory, ligaments, nerves, tendons and overuse painful syndromes.
Should you have further queries on the above you may visit us during All Star Health pain clinic operating hours, on Mondays to Thursdays 7:30am -6:30pm. Please feel free to contact us.
Gilbert: Monday-Thursday: 7:30AM-5:30PM
Tempe: Monday, Thursday: 7:30AM-6:30PM Tuesday, Wednesday: 7:30AM-5:30PM
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