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Intra-articular injections are medications administered directly into the joints to treat various joint conditions like arthritis, gout, bursitis, tendinitis, psoriatic arthritis, carpal tunnel syndrome, and sometimes osteoarthritis. Medications such as corticosteroids, local anaesthetics, hyaluronic acid, or Botox, when administered to the joints, help relieve pain and inflammation. To administer the injection, a hypodermic needle is inserted through which the medications are administered. The intra-articular injections also provide diagnostic information, post-operative pain control, and remove extra fluid from the joints. This method of pain control is highly beneficial to patients, as the procedure poses less risk to the tendons, ligaments, and nerves while providing fast and long-lasting relief. If you are looking for the best Intra intra articular injection procedure in Dhakuria, visit Manipal Hospitals.
Intra-articular injections are recommended for patients dealing with acute and chronic pain in joints that do not subside with oral medications. Commonly treated conditions are osteoarthritis, rheumatoid arthritis, and cartilage or meniscus tears. The joints that can be injected with the shots are the knee, hips, shoulder, wrists, ankles, spine, joints of hands and feet, and sometimes joints between the ribs and breastbone.
Corticosteroids help reduce inflammation
Hyaluronic acid is used for lubricating the joint and improving its motion range
Local anaesthesia helps provide a temporary analgesic effect
Corticosteroids help reduce inflammation by decreasing macrophages, mast cells, lymphocytes, and phagocytosis. It also reduces the release of lysosomal enzymes, inflammatory mediators (interleukin-1), and prostaglandins to relieve pain. It can also prevent the degradation of cartilage.
Our healthcare provider's team will position you to make sure the procedure can be completed with the least amount of discomfort. The injection site is cleansed with a sterilising solution, and a local anaesthetic is given to numb the area. Sometimes, an ultrasound may be used to facilitate the proper positioning of the syringe needle. A thin needle is directly inserted into the joint. After the steroid medication is administered, the needle is removed, and pressure is applied to stop bleeding. During the entire procedure, you will be constantly monitored by the team. Once the administration of the injection is complete, a bandage may be placed if necessary. The entire procedure takes about an hour.
The effectiveness of intra-articular injection depends on the medications as well as the technique for injection.
Effectiveness of steroid injections
Hydrocortisone is a short-acting injection that lasts a few days
Methylprednisolone works for 1 to 2 weeks
Betamethasone-based injections last 2 to 8 weeks
Triamcinolone-based injections can last for weeks or months
Effectiveness of hyaluronan injections
The hyaluronan injections are recommended to buy more time for Knee Replacement Surgery when other anti-inflammatory medications are no longer effective. It provides relief for up to a year with only 3 to 5 sessions. The injections can be re-administered when their effect wears off.
The effectiveness of Plasma-rich protein (PRP) injections can last up to 2 years
Intra-articular injections can be painful. Therefore, your healthcare provider will numb the area with a local anaesthetic before injecting the medication. The pain can linger for a few hours after intra-articular injection administration.
It might take about a week to notice improvements in pain and inflammation following an intra-articular injection. Depending on the results, the injections can be repeated 3 to 4 times a year for sustained pain relief. Regular follow-ups will determine the need for future injections.
Diabetic patients may experience a temporary increase in blood sugar levels after injection, which resolves in a few days after the procedure. Therefore, it is important to control blood sugar levels before and after the procedure.
The main benefit of intra-articular joint injections is to reduce pain and inflammation. Other benefits include:
Patients can tolerate the injections well
Intra-articular injections can be administered in an outpatient setting
Minimally invasive procedure
Provides immediate pain relief
Provides alternate treatment options when pain relief cannot be achieved with another treatment method
Since steroid injections to a specific body part are minimally absorbed by other areas of the body, many of the side effects that occur with systemic steroid usage do not occur with local steroid injections. Systemic side effects like increased blood pressure, weight gain, or osteoporosis do not occur with local steroid administration.
The risks associated with intra-articular injections are minimal, and severe complications are rare. Potentially common side effects include:
Vasovagal response (passing out)
Increased pain
Infection
Bleeding
Permanent skin changes
Allergic or unexpected drug response
Unintended nerve injury
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