Rheumatology Joint Injections

Joint Injections (also called intra-articular injections)

Steroid injections reduce inflammation and can be a quick and effective treatment for swollen, painful joints. They are often used in rheumatology to settle troublesome joints in people with rheumatoid arthritis and other types of inflammatory arthritis. They are also used to treat painful tendons and bursitis (swelling of the fluid filled sac that cushions a joint). The benefit can last up to 2-3 months, however, how quickly it works and how long it lasts will depend on your condition. If a joint injection is thought to be of benefit to you, a referral will be made to the injection clinic. Injection clinics are run at WRH and KTC.

How Should I Prepare?

Ask someone to bring you to the appointment and arrive in plenty of time. Wear comfortable and loose-fitting clothing, especially around the area to be injected. You will be asked some questions to ensure it is safe for the procedure to go ahead. If you have an active infection or any wounds or ulcers, it may not be advisable to have a steroid injection. The procedure will be fully explained to you and your consent requested.

How is the Procedure Performed?

The area to inject will be identified and examined. Aseptic technique will be used throughout. The area will be cleaned and sometimes a freezing spray is used to numb the area. The injection will usually contain some anaesthetic along with the steroid. The injection site will be covered with a plaster. It is recommended that the injected area is rested for 24 hours to ensure maximum benefit. The effects of your injection will be reviewed at your next clinic appointment.

Side Effects

Most people don’t have any side effects. It may be a little uncomfortable during and after the procedure. It is safe to take painkillers. Often the injection site can feel more painful for 24 hours, especially once the anaesthetic wears off, this should settle over the next 24-48 hours. If you have any concerns following the procedure you can call the rheumatology advice line. If you feel you are experiencing a serious adverse reaction you should call 111 or 999.