Spinalogy Blogs

Periarticular Injection
March 14th ,2023

Periarticular Injection

Periarticular means area surrounding the joint. Periarticular injections usually consist of local anaesthetic agents, non-steroidal anti-inflammatory drugs, corticosteroids, dilution with normal saline etc.

Periarticular injections of local anaesthetics and corticosteroids have emerged as alternative treatment in non-surgical pain management. They provide symptomatic relief in osteoarthritis. One study has shown the positive effects of periarticular injection of methylprednisolone for the treatment of pain in the region of the sacroiliac joint in nonspondylarthropathic patients. Pain significantly reduced at 1 month of follow-up as compared with saline-injected controls.

Periarticular injections of corticosteroids inhibit proinflammatory mediators in synovial tissue resulting in pain relief.  These injections are indicated in Osteoarthritis of joints, tennis elbow, golfers’ elbow, de quervains tenosynovitis, tendinopathies etc.

This is an OPD basis procedures. Doctor will observe radiograph of targeted joint before the injection.  The injection procedure are done in aseptic precautions and patient is observed for 30 mins post injection and after that can go home. There are few contraindications for periarticular injections such as –

  1. Broken skin or cellulitis at injection site.
  2. Septic effusion of bursa or periarticular structure.
  3. Acue systemic infection
  4. Unstable joint
  5. History of allergy to any component of injection solution
  6. Intraarticular fracture site.

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