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Hip, Knee & Shoulder Joint Injections

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Hip, Knee & Shoulder Joint Injections

Hip, Knee & Shoulder Joint Injections

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Joint pain, which can severely limit mobility and diminish quality of life, may arise from various causes such as injuries or a chronic condition like arthritis. Effective treatment is necessary to relieve pain and restore function.

One common treatment approach involves joint injections. These are particularly beneficial for treating pain in the hip, knee, and shoulder joints.

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Understanding Joint Pain

Joints are points where two or more bones meet, and they are designed to provide flexibility, support, and range of motion to the body. When joints become damaged or diseased, pain, inflammation, and stiffness can ensue, leading to reduced mobility and quality of life.

Joint pain can result from a variety of conditions. Arthritis, including osteoarthritis and rheumatoid arthritis, is one of the most common causes. Other possible causes include injuries, such as sprains and strains, bursitis, tendinitis, and gout. Chronic conditions like fibromyalgia can also lead to joint pain.

What Are Joint Injections?

Joint injections, which involve injecting medication directly into the joint capsule, are a common treatment for joint pain, particularly for the shoulders, hips, and knees, alleviating pain and inflammation. Joint injections can provide both therapeutic and diagnostic benefits. Therapeutically, the injected medication usually includes a corticosteroid, an anti-inflammatory drug, and a local anaesthetic to numb the joint, providing significant relief. Diagnostically, if a joint injection leads to pain relief, it confirms that the joint is the source of the pain.

Types of Joint Injections

There are several types of joint injections that can be used to treat hip, knee, and shoulder pain:

Steroid Injections

Steroid is an anti-inflammatory medication. It is typically injected along with a local anaesthetic into the joint. Steroid injections can help reduce inflammation and provide pain relief for several weeks to months.



Hyaluronic Acid Injections

Viscosupplementation with hyaluronic acid can help lubricate and cushion joints, particularly beneficial for individuals with arthritis. Hyaluronic acid is a naturally occurring substance in the joint fluid that helps cushion the joint. With osteoarthritis, the quality of hyaluronic acid in the joint can degrade. Injecting it into the joint can help improve joint lubrication, reduce pain, and improve mobility.

Are You a Candidate for Joint Injections?

Joint injections are effective in reducing pain for individuals who have not responded to more conservative treatments, such as physical therapy, medication, and lifestyle modifications. These injections are particularly beneficial for those experiencing shoulder, hip, and knee pain.

While joint injections can provide substantial relief from pain, they are not a cure for the underlying condition causing the pain. They are a part of a broader treatment plan that may also include physical therapy, exercise, and self-care strategies.

What Happens During a Joint Injection for Pain Relief?

  • Pre-Procedure Preparation: To ensure a smooth and less painful joint injection process, you are first positioned comfortably on the examination table. The targeted area around the joint is then thoroughly cleaned to minimise the risk of infection. A local anaesthetic is applied to numb the area.
  • Injection: A fine needle is meticulously inserted into the joint capsule for the injection. Medication, which could include steroids, hyaluronic acid, or local anaesthetics, is then injected directly into the joint.
  • Immediate Assessment: Following the injection, an immediate evaluation is conducted by your doctor to assess your initial response, as some individuals may experience instant relief from pain.
  • Post-Injection Care: The area may be iced to minimise swelling. You are observed for a short period for any immediate side effects or complications. It’s important to note that some people might not experience instant relief, as the effectiveness of the injection can vary from person to person. Based on the initial response to the treatment, further evaluation or subsequent treatments may be scheduled.

Are There Any Risks to Joint Injections?

  • Infection: Risk of infection at the injection site.
  • Bleeding or Bruising: Especially a concern for patients on blood-thinners.
  • Allergic Reaction: To the medication used, although rare.
  • Increased Pain: Flare-up of joint pain following the injection, which is usually temporary
  • Nerve Damage: Though extremely rare, it is a potential risk.
  • Adverse Effects on Skin and Soft Tissue: Such as thinning or lightening of the skin

Hip, Knee, and Shoulder Joint Injection Aftercare

  • Immediate Rest: Avoid strenuous activity for a few days.
  • Ice the Area: To reduce swelling and alleviate pain.
  • Monitor for Symptoms: Such as redness, increased swelling, or increased pain.
  • Pain Medication: Over-the-counter medication may be recommended.
  • Follow-up Appointment: Scheduled to assess the effectiveness and plan next steps.
  • Physical Therapy: May be recommended as part of a comprehensive treatment plan.

After a knee injection, rest for 24 to 48 hours, then gradually resume light walking. After a shoulder injection, avoid strenuous lifting for at least seven days, but you can walk normally. For the hip, limit activity for around seven days. Always follow the specific aftercare instructions provided by your healthcare provider to ensure optimal recovery and effectiveness of the treatment.

Meet Our Doctor
The Pain Clinic - Pain Management
Pain Management
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Anaesthesia
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The Pain Clinic The Pain Clinic - Dr. Ho Kok Yuen

Dr. Ho Kok Yuen

MBBS, MMed (Anaes), FAMS (Anaes), GDSM (Sports Med)
Specialist, Pain Management & Anaesthesiology
Credentials of Excellence
  • Fellow, Interventional Pain Practice (FIPP) with the WIP
  • European Society of Regional Anaesthesia & Pain Therapy Diploma of Pain Medicine (ESRA-DPM)
  • European Diploma in Pain Medicine (EDPM), European Pain Federation EFIC
  • Graduate Diploma in Sports Medicine (GDSM), Lee Kong Chian School of Medicine (LKCMed)
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Frequently Asked Questions (FAQs)

About Joint Injections

What conditions are typically treated with joint injections?

Joint injections are typically used to treat a range of conditions that cause joint pain and inflammation. These include various forms of arthritis, such as osteoarthritis and rheumatoid arthritis, tendinitis, bursitis, and gout. Joint injections are particularly effective in treating pain in the shoulder, hip, and knee joints. They may also be used when other treatment methods, such as medication or physical therapy, have not provided sufficient relief.

Is a joint injection painful?

A local anaesthetic is used to numb the area around the joint before the injection, which helps reduce any pain. The needle used for the injection is also very fine to cause as little discomfort as possible. Some patients may experience a feeling of pressure or slight stinging during the injection, but this is usually temporary. After the procedure, there might be some soreness in the joint for a few hours, but this typically subsides as the medication begins to take effect.

How long does a joint injection last?

Steroid injections can help reduce inflammation and provide pain relief for several weeks to months but the duration varies depending on individual responses. For acute inflammation, the injection typically provides relief long enough for the body to heal. However, in cases of chronic inflammation, symptoms may gradually return over time. Additionally, the effects of hyaluronic acid injections can extend up to 12 months, offering a longer period of improvement.

Insurance and Health
Network Coverage

We work with various insurance partners to assist with your hospitalisation and surgery claims. In some instances, pre-approval from your insurer allows direct billing between the hospital and insurer so that you will have peace of mind during your treatment. We are MOH-accredited so you may also utilise MediSave for your hospitalisation expenses.

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