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    • John Christoforetti, MD, FAAOS
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Services Joint Injections

Joint Injections

Joint injections, also known as intra-articular injections, involve the administration of medication directly into a joint space to alleviate pain, inflammation, and improve function. These injections are commonly used in the management of various joint-related conditions, including arthritis, bursitis, tendinitis, and other inflammatory or degenerative joint diseases.

Procedure and Benefits

The procedure is performed by our trained doctors and PAs, often under the guidance of imaging techniques such as ultrasound or fluoroscopy to ensure accurate placement of the needle into the joint space. Prior to the injection, the skin overlying the joint may be cleansed, and a local anesthetic may be applied to minimize discomfort during the procedure.

Joint injections can provide significant relief for individuals experiencing joint pain and inflammation, allowing them to participate in physical therapy and other rehabilitative activities more comfortably. However, it's important to note that joint injections are typically used as part of a comprehensive treatment plan and may be combined with other conservative measures such as exercise, physical therapy, and oral medications to optimize outcomes and manage underlying joint conditions effectively. Additionally, joint injections may not be suitable for everyone, and potential risks and benefits should be discussed with a healthcare provider before undergoing the procedure.

Types of Joint Injections

Corticosteroid Injections

Corticosteroid injections, such as cortisone or triamcinolone, are potent anti-inflammatory medications commonly used to manage pain and inflammation associated with various joint conditions, including osteoarthritis, rheumatoid arthritis, bursitis, tendonitis, and synovitis. These injections work by suppressing the inflammatory response within the joint, reducing swelling, pain, and stiffness. Corticosteroid injections can provide significant relief of symptoms for weeks to months, allowing individuals to resume activities of daily living and participate in physical therapy or rehabilitation programs.

Hyaluronic Acid (Viscosupplementation) Injections

Hyaluronic acid injections, also known as viscosupplementation, involve injecting a gel-like substance similar to the natural synovial fluid found in the joint. These injections are commonly used to treat osteoarthritis of the knee, hip, or shoulder, where the natural lubricating properties of the joint fluid may be diminished. Viscosupplementation injections aim to restore joint lubrication, cushioning, and shock absorption, thereby improving joint function and reducing pain. Hyaluronic acid injections are believed to provide symptomatic relief by enhancing joint biomechanics and reducing inflammation. Multiple injections spaced over several weeks may be necessary to achieve optimal results.

The availability of hyaluronic acid injections can significantly vary based on one's insurance coverage and the specific type of injection recommended for their condition. Given the complexity of insurance policies and the necessity for prior authorization, we strongly encourage you to contact our office directly for comprehensive information tailored to your unique situation. Our team is dedicated to guiding you through the process with empathy and expertise, ensuring you receive the care and treatment that aligns with your health needs.

Platelet-Rich Plasma (PRP) Injections

Platelet-rich plasma injections involve isolating and concentrating platelets from the patient's own blood and injecting them into the affected joint to promote tissue healing and regeneration. Platelets contain various growth factors and cytokines that play key roles in the body's natural healing processes, including tissue repair and inflammation modulation. PRP injections are thought to stimulate the body's regenerative capacity, reduce inflammation, and improve joint function in conditions such as osteoarthritis, tendon injuries, ligament injuries, and other musculoskeletal disorders.

Local Anesthetic Injections

Local anesthetic injections, such as lidocaine or bupivacaine, can be injected into the joint or surrounding soft tissues to provide temporary pain relief and facilitate diagnostic procedures, such as joint aspiration or injection. These injections work by blocking pain signals from the nerves, temporarily numbing the area and providing immediate pain relief. Local anesthetic injections may be used to identify the source of joint pain, confirm the diagnosis of conditions such as arthritis or synovitis, or provide short-term pain relief in conjunction with other treatments.

  • John Christoforetti, MD, FAAOSJohn Christoforetti, MD, FAAOS
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • Gary Feldman, DPM, FACFASGary Feldman, DPM, FACFAS
    Board Certified Surgeon & Foot & Ankle Surgery
  • Peter G. Fitzgibbons, MDPeter G. Fitzgibbons, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • James s. Gardiner, MDJames S. Gardiner, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • Wayne J. Olan, MDWayne J. Olan, MD
    Director of Minimally Invasive Neurosurgery at George Washington Hospital & Board-Certified Radiologist
  • Christopher S. Raffo, MDChristopher S. Raffo, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
  • Laura Baker, PA-CLaura Baker, PA-C
    Physician Assistant
  • Jessica O'Keefe, PA-CJessica O'Keefe, PA-C
    Physician Assistant

Joint Injection Services in Maryland

Discover effective joint injection services at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Whether you're seeking relief from joint pain or inflammation due to arthritis, injury, or other conditions, our skilled specialists offer advanced injection therapies tailored to your needs. Contact us at (301) 515-0900 or conveniently schedule your appointment online to access our joint injection services. Let our experienced team help alleviate your discomfort and improve your mobility, so you can regain your quality of life and enjoy daily activities with ease.

doctor injecting the knee joint of a patient
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Bethesda Office
6710 A Rockledge Dr., Suite 130
Bethesda, MD 20817

Germantown Office
19847 Century Boulevard, Suite 205
Germantown, MD 20874

Rockville Office
1071 Seven Locks Rd.
Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.