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Large Joint Injections

Large Joint Injections offered at Advanced Physical Medicine included the following joint injections for pain management: Knee, Shoulder and Sacroiliac (SI) joints.

Common indications for joint, bursa, or soft tissue injection include:

  1. Insertion of therapeutic agents (eg, lidocaine, hyaluronic acid, Sarapin) to relieve inflammation and pain not responding to conservative treatment.
  2. To aid in evaluation and diagnosis by relieving pain (such as differentiating a rotator cuff tear from severe tendinitis).

Common Sites and Indications for Injection

large joint injections for young caucasian bodybuilder having a shoulder painThe following conditions are common indications for injections in the family medicine setting.
1. Subacromial bursa — rotator cuff (RC) tendinitis, bursitis, impingement syndrome, biceps tendinitis, frozen shoulder.

2. Acromioclavicular (AC) joint — arthritis, osteolysis.
3. Glenohumeral joint — frozen shoulder, glenohumeral joint arthritis.

1. Osteoarthritis
2. Pes Anserine bursitis
3. Iliotibial band tendinitis (near lateral femoral condyle)
4. Fat pad

Sacroiliac Joint
The sacroiliac (SI) joint can be a source of low back pain. Injection of this joint can be diagnostic or therapeutic. Inflammation of the nerves to this region, causing pain is the indication for injecting into this large joint.

Contact Advanced Physical Medicine for your Large Joint Injections needs.