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Joint Injections

What are soft tissue corticosteroid joint injections?

At NP Clinic, soft tissue corticosteroid joint injections are used as a treatment of muscle and joint inflammatory reactions. Inflammation can be caused by any injury, acute or chronic, and is a release of damaged cells and tissue debris to stimulate immune response. The corticosteroid reduces inflammation through the limitation of capillary dilation and permeability of vascular structures, and through the release of destructive enzymes that eliminate the injury tissue debris.

What conditions can injection therapy treat?

Soft tissue and joint Injection therapy is used to relieve inflammation. Inflammation is related to many muscle and joint injuries, including the following:

• Muscle strains
• Trauma
• Polyarthritis
• Connective Tissue Disease
• Degenerative Joint Disease
• Tendonitis
• Bursitis
• Arthritis
• Neoplasm
• Inherited Congenital Disorders
• Miscellaneous Systemic Diseases

• Osteoarthritis
• Bursitis
• Gouty Arthritis
• Posttraumatic Osteoarthritis (frozen shoulder syndrome)
• Rheumatoid arthritis
• Muscle trigger points
• Carpal tunnel
• Fasciitis
• Ganglion cysts
• Neuromas
• Synovitis

Areas of treatment may include:

• Shoulder
• Knee

Hyalgan is an alternative option when basic over the counter pain killers and physical therapy does not work for an osteoarthritic knee(s). Most insurance will cover this product with preauthorization and recent x-ray imaging of the knee(s).

• Hand and Wrist
• Elbow
• Hip

Initially, inflammation begins as a reminder to the patient to protect the injury. Later, it becomes counterproductive as the extra tissue may constrict blood flow and hinder healing through hardening or scarring of tissue. The injection therapy aids in the removal of the inflamed tissue and helps to accelerate healing.

How often can I get a cortisone shot?

Upon doctors’ discretion, the number of corticosteroid shots allowed in a joint is limited to every six weeks at most. However, it is suggested that injection therapy should not be received more than three to four times a year.

Who can get injection therapy?

It is important that you consult with your primary care clinician if you are a candidate for any soft tissue or joint injection.

What can I do to maximize the productivity of my cortisone shot?

The use of a corticosteroid paired with stretching, and treatment modalities, such as ice and heat, have been shown to be the most effective when treating musculoskeletal and joint injury pain and inflammation.


Information contributed from “Corticosteroid Injections of Joints and Soft Tissues”, a journal written by Jess D Salinas, Jr, MD and chief edited by Consuelo T Lorenzo, MD This article can be found at: