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Joint & Soft Tissue Injections

Knee Pain

At Pain and Wellness Group we perform joint and soft tissue injections where a needle is used to take out fluid or to put in medicine to relieve pain and inflammation. These injections can be used to diagnose or treat many different conditions, including rheumatism, tendonitis, carpal tunnel syndrome, and bursitis.


When pressure is applied to a healthy resting muscle, it should give way to the pressure, then release. When a muscle is damaged or overworked, it can lose its ability to relax. Over time, unrelaxed muscles can form painful knots, called trigger points.

Myofascial trigger points, or muscle knots, are hyperirritable spots in the fascia—a thin sheath of fibrous tissue—surrounding skeletal muscle. Trigger points feel like a bulge or lump in the taut bands of muscle under the skin and are often painful to the touch. They most commonly develop in the neck, shoulder, and back. In addition to being painful, trigger points also limit the mobility and strength of muscles.

Sometimes, unexplained pain radiates from the trigger point’s local tenderness to broader areas. Compression of a trigger point may elicit tenderness, referred pain, or local twitch response. Trigger points are more complex than normal muscle spasms and must be treated with injections.

Activation of trigger points may be caused by a number of factors, including acute or chronic muscle overload, disease, psychological distress, homeostatic imbalances, direct trauma to the area, collision trauma, radiculopathy, and infections.

Therapeutic treatment of trigger points includes the injections of local anesthetics for pain relief and injection of corticosteroids for suppression of inflammation.


Trigger point injections can be used to treat fibromyalgia, tension headache, and myofascial pain syndrome.

We use two very small injections for trigger point injections:

This medication is an anesthetic and is injected into damaged joints or muscles to numb the area. Lidocaine has been found to quickly relieve pain and can help in the diagnosis of shoulder impingement syndromes.

This non-toxic, natural alternative to traditional medicines has been used for decades. It is a biological medicine, which means it is derived from a naturally occurring organism. Sarapin can be used anywhere in the body and will not weaken or damage bones, tendons, or cartilage. It is used to treat chronic pain by reducing inflammation and providing pain relief. It works by stopping pain signals in the nerves of the spine. It does not affect any other nerve functions or motor functions.

Joint Injections

A blend of lidocaine and sarapin is injected into the ailing joint. Joint injections are used to treat arthritis, tendonitis, bursitis, and other inflammatory-related conditions.

These are three of the main injections we perform:

Hip Joint Injections
Arthritic or just mechanical stress in the hip can be extremely painful. If you are experiencing hip pain, a hip joint injection may help improve range of motion, alleviate pain, decrease inflammation in the affected areas, and help diagnose the direct cause of pain. By directly injecting numbing medicine into the joint, the amount of immediate pain relief experienced will help confirm or deny the hip joint as the source of pain.

Along with the numbing medication, time-release cortisone is also injected into the joints to reduce inflammation, which often provides long-term pain relief.

Shoulder Injections
Shoulder injections can be an effective way to treat chronic shoulder pain or inflammation. It can be beneficial in patients with osteoarthritis and other musculoskeletal disorders.

Sacro Iliac Injections
The sacroiliac (SI) joints lie next to the spine and connect the sacrum with the hip on both sides By injecting the SI joint with an anti-inflammatory and anesthetic combination, pain and inflammation can be lessened and even eliminated. These injections are most therapeutic.

These injections are used primarily to diagnose or treat lower back pain and/or sciatica symptoms associated with SI joint dysfunction.

Post-Injection Care

A trigger point can resolve after only one injection. This can happen when a patient has one isolated trigger point, and especially if the cause of the trigger point has been removed (such as a minor trauma or movement that will no longer be performed). In cases where trigger points are caused by chronic conditions such as fibromyalgia and myofascial pain syndrome, injections may be administered on a regular or as-needed basis.

After an injection, the affected area should be rested from strenuous activity for several days because of the small possibility of local tissue tears. Other than that, treatment with anti-inflammatory medications and ice packs are recommended to alleviate the temporary discomfort.

Contact our one of our offices today to learn if soft tissue or joint injections are the right treatment for your joint pain.