These injections can allow for significant pain relief from common joint related disorders. Conditions for which this procedure is frequently used include osteoarthritis, rheumatoid arthritis, psoriatic arthritis, adhesive capsulitis (frozen shoulder), bursitis, rotator cuff disease, trauma, gout and avascular necrosis.
Steroids can be injected into the joint space via a needle. This can be done with either live x-ray guidance or via palpation of bony landmarks to guide entrance into the joint. Steroids (cortisone) are potent anti-inflammatories which can provide substantial reduction of joint pain. For your knee, you and your provider may discuss using a visco-supplementation-Synvisc injection to help re-provide cushion and fluid if you have advanced osteoarthritis.
Although extremely rare, risks may include bleeding; infection; allergic reaction to the medication; damage to the joint, tendons and muscles; and prolonged increase in pain. Your experienced pain management provider at the JLR Center for Pain Medicine will take all necessary precautions to try to prevent these complications.