Joint injections involve treatment of painful or swollen joints by injection of either a type of medicine known as a corticosteroid or Platelet Rich Plasma (PRP). Corticosteroids are not the same as anabolic steroids. PRP is derived from a small quantity of your own blood to harvest platelets and growth factors to aid healing. These injections are used to treat swollen or painful joints, such as after an injury or in arthritis. The injection is performed by a doctor directly into the painful joint. This is also called an intra-articular injection. The joints most often injected are the shoulder, elbow, knee, hand/wrist and hip. These injections are also used to treat painful tendons and bursitis (when a small bag of fluid which cushions a joint gets inflamed). They're sometimes used to treat muscle pain when it's in a particular area. The injections usually help relieve pain and swelling, and make movement easier. The benefits can last for several months.
At Hardwick Medical Clinic we are CQC registered to perform Joint Injection treatments and have a number of Doctors with special training in this procedure.
Injections of steroid medication can be given into the tissues to help with inflammatory conditions for example: bursitis (knee, elbow, wrist or shoulder), a tendon (tendinitis such as tennis elbow, plantar fasciitis, rotator cuff tendinitis, frozen shoulder, and many other conditions and injuries.
We usually inject a small amount of steroid. We often inject some local anaesthetic, which is a painkiller, into your joint. Your clinician will also decide whether to inject a local anaesthetic at the same time. This does not reduce inflammation but will allow almost immediate temporary pain relief.
The local anaesthetic will start to reduce your pain within a few minutes of the injection. This pain relief will last for 1-2 hours. The steroid will take longer to start working; sometimes it can be nearly 1-2 days after the injection before you start to feel better. The joint you have had injected will hopefully feel better for up to 3-6 months and sometimes longer, but everybody is different so it may not last this long.
Generally, you will be able to leave after your injection.
Complications are when problems occur during or after the procedure.
Certain unwanted but mostly temporary effects are possible after having the procedure. Side-effects of steroid joint injections may include: More pain and swelling in the injected area – this usually settles within a couple of days A flushed or red face – this usually only lasts for a few minutes but can last an hour or two.
Alternatives treatments to steroid joint injections will depend on what’s causing your pain. They may include PRP injections, steroid tablets, anti-inflammatory and painkilling medicines and physiotherapy. Ask your doctor about the options available to you.
PRP treatment is the procedure based on using growth and healing factors from your own blood to promote rejuvenation of muscular skeletal tissue. This therapy has been used in surgeries to promote cell regeneration since 1987. PRP therapy is used to treat the following muscular skeletal conditions.
Platelet Rich Plasma (PRP) therapy involves taking blood and spinning it in a centrifuge to separate, blood cells, platelets and plasma. The fraction containing platelets also contains growth factors and other essential factors for healing. Numerous important proteins are present in PRP: platelet-derived growth factor (PDGF), transforming growth factor (TGF), platelet factor interleukin (IL), platelet-derived angiogenesis factor (PDAF), vascular endothelial growth factor (VEGF), epidermal growth factor (EGF), insulin-like growth factor IGF and fibronectin. Our methods harvest a very pure and concentrated PRP fraction containing these important growth and healing factors which can then be injected into the area of injury or inflammation where they can promote rejuvenation and healing.
We extract PRP from a small quantity of your own blood, usually taken from the arm. During the treatment we draw blood and spin it in a centrifuge to separate it into: blood cells, platelets and plasma. The blood cells are excluded and the remaining plasma and platelets are spun again in the centrifuge to produce a very concentrated mix of platelet-rich plasma containing growth and healing factors. The PRP we harvest from your own blood is then injected into the areas required.
Promoting Natural Healing in the muscular skeletal tissue. PRP therapy can help activate and promote healing. The high level of platelets and Growth Factors stimulates the body’s own natural healing capabilities, restoring normal tissue composition. PRP treatment can avoid the need for long term medication use, such as steroids and pain relive as well as surgery.
Stop taking aspirin or ibuprofen 7 days before the procedure. Drink plenty of fluids the day before the procedure.
This is an in-clinic procedure that can take 20-30min. The procedure involves a blood draw, preparation of the PRP, and the injection:
As injecting PRP involves using a person’s own platelets, they do not usually experience any adverse reactions or allergic reaction to the injection. However, the fallowing complication may occur:
PRP treatment can achieve 80-90% improvement in pain and function. However more than one treatment, at times 2-3 treatments 4-6 weeks apart, may be required to archive full recovery. Full effect of PRP can take up to 6 months to fully develop as tissue regeneration process may take time.
To learn more about ageing and how it affects our skin, you can read more here.Additional treatments may be available, please contact us for more information about this or any other procedures.