The Orthopaedic Surgeon may recommend injections to relieve joint pain and inflammation as a part of an overall plan of care. Injections may be recommended in conjunction with other treatments before surgical intervention is considered. Relief is usually felt within a few days following the injection and may last up to six months. Injections are effective in the temporary relief of pain and inflammation.
- Corticosteroids – Corticosteroid injections are used to treat osteoarthritis of the hips, knees, and shoulders.
- Enzymes – The enzyme collagenase clostridium histolyticum is injected into the palm of the hand to treat Dupuytren’s contracture, a thickening of the tissue under the skin in the palm of the hand. As the tissue thickens, knots and a thick cord develop causing the finger to bend inward. The injection relaxes and weakens the cord allowing the cord to be broken so that fingers can be straightened and functional.
- Hyaluronic Acid Injections – A solution of hyaluronic acid is injected into the knee to restore the normal properties of normal joint fluid. This injection may be used for patients who are not good candidates for knee replacement surgery
- Platelet Rich Plasma (PRP) – This injection uses the patient’s blood and platelets to promote healing. It is used to treat osteoarthritis pain. Early research suggests PRP injections can alter the body’s immune response and help reduce inflammation. Most insurance companies do not cover the cost of PRP injections.