Joint Injection Therapy in Delhi (Non‑PRP)
Joint Injection Therapy in Delhi offers image‑guided corticosteroid and viscosupplementation injections to reduce pain and improve movement in selected conditions. We do not offer PRP; our focus is accurate diagnosis, targeted non‑PRP injections, and a clear home program so you can move comfortably. We do not provide in‑house physiotherapy; we share written protocols and coordinate with your physiotherapist for criteria‑based recovery.
Ultrasound/fluoro‑guided injections • Corticosteroid • Hyaluronic acid (viscosupplementation) • No PRP • Structured aftercare
About Joint Injection Therapy in Delhi
Joint injection therapy provides focused pain relief and inflammation control when medication, activity modification, or braces aren’t enough. Using ultrasound or fluoroscopy guidance, we place medication precisely into the joint or bursa to improve comfort and movement. Our program emphasizes correct indications, accurate placement, and a simple at‑home plan—so you get predictable relief with minimal downtime. We do not offer PRP; our injections are corticosteroid or hyaluronic acid (viscosupplementation) based.
As Orthopedic Surgeons, we align injection decisions with the larger treatment pathway: footwear/orthoses, exercise milestones, weight‑bearing advice, and surgical options only where necessary. The aim is fewer flare‑ups, better function, and confident steps back to routine.
Who Benefits & Conditions We Treat
Knee osteoarthritis
Pain with walking or stairs; morning stiffness; swelling after activity. Corticosteroid for flares; viscosupplementation for selected patients seeking smoother motion.
Shoulder pain
Subacromial bursitis, impingement, rotator cuff‑related pain, adhesive capsulitis (frozen shoulder) early phase—guided subacromial or glenohumeral injections support rehab.
Hip, ankle & small joints
Hip OA (fluoro/US guidance), ankle OA, thumb CMC arthritis; targeted injections ease daily function and enable exercises.
Bursitis & others
Trochanteric and pes anserine bursitis; selected post‑surgical stiffness; diagnostic anesthetic injections to confirm pain sources.
If imaging or exam suggests structural issues requiring surgery, we’ll discuss options and timelines transparently.
Injection Types (Non‑PRP)
- Corticosteroid injections: Reduce inflammation and pain during flares (e.g., triamcinolone, methylprednisolone). Onset: 24–72 hours; duration varies weeks to months. Useful for OA flares, bursitis, and adhesive capsulitis (with rehab).
- Hyaluronic acid (viscosupplementation): For knee OA symptom relief in selected patients. Acts as a lubricant/cushion; single‑shot or 3‑shot series options. Onset: 2–6 weeks; response varies by severity and activity.
- Local anesthetic diagnostic blocks: Short‑acting numbing medicine to clarify whether a joint/bursa is the pain generator—helps plan definitive treatment.
We do not provide PRP or other biologics. If you are considering PRP, we can explain pros/cons and refer appropriately.
Image Guidance & Accuracy
Accurate placement improves outcomes and reduces complications. We use:
Ultrasound guidance
Real‑time visualization of needle and soft tissues for shoulder, knee, ankle, small joints, and bursae; avoids nearby nerves/vessels.
Fluoroscopy (X‑ray) guidance
Contrast‑confirmed placement for deeper joints (e.g., hip) or when US windows are limited.
Aseptic technique
Skin prep, sterile drape, single‑use needles; dose and site documented; post‑injection advice provided in writing.
What to Expect & Aftercare
- Visit plan: Brief exam, imaging review, consent, and site marking; ultrasound or fluoroscopy setup.
- During injection: Skin clean, local anesthetic, a few seconds of pressure; most are done in minutes.
- After injection: 10–15 minutes observation; written instructions for activity, ice, and warning signs.
- Pain response: Local anesthetic may give immediate relief; steroid benefit builds over 1–3 days; HA takes longer.
- Activity: Relative rest 24–48 hours; resume light activity as comfort allows; progress per written milestones.
Minor post‑injection soreness is common and settles with ice/analgesics. Seek help for fever, spreading redness, or severe pain.
Safety, Risks & Contraindications
Common and usually mild
Temporary soreness, flare reaction, facial flushing, transient blood‑sugar rise (steroid), small bruise.
Uncommon but important
Infection (very rare with sterility), allergic reaction, tendon irritation/weakness if injected into tendon, post‑injection spike in pain (short‑lived).
Contraindications
Active infection, uncorrected bleeding disorder, uncontrolled diabetes, or allergy to injectate components. We review medications before the procedure.
We use the lowest effective dose and limit frequency to protect cartilage and soft tissues.
Diabetes, Blood Thinners & Repeat Injections
- Diabetes: Expect a short‑term glucose rise after steroid; we advise closer monitoring and coordination with your diabetologist.
- Blood thinners: Many injections are safe without stopping therapy; we individualize based on drug/type and site; never stop a medicine without guidance.
- Frequency limits: Typically no more than 3–4 steroid injections per year per joint, spaced 8–12 weeks; HA schedules depend on product (single vs series).
- Surgical planning: Injections near planned joint replacement follow timing rules—we’ll advise appropriate buffers.
We document product, dose, lot, and site to keep your long‑term plan safe and organized.
Rehab & Home Program
Injections work best when paired with targeted activity. We provide written, criteria‑based milestones and coordinate with your physiotherapist; we do not provide physiotherapy in‑house. Plans may include footwear/orthoses, gait tweaks, range and strength goals, and pacing to prevent overload.
- Knee OA: Quad/hip abductor focus, step/sit‑stand practice, walking dose and terrain advice.
- Shoulder: Scapular control, rotator cuff activation, posture and sleep positions, gradual overhead work.
- Hip/ankle: Gluteal strength, balance, calf loading; footwear and insole modifications.
Cost & Insurance
Costs depend on joint/site, guidance (ultrasound vs fluoroscopy), product (steroid type or hyaluronic acid brand), and whether a series is planned. Many insurers cover medically necessary image‑guided injections; coverage for viscosupplementation varies by policy. We verify benefits and provide a transparent estimate before scheduling your Joint Injection Therapy in Delhi.
- Insurance pre‑authorization & benefits check
- Clear estimate: product + guidance + professional fee
- Package options for multi‑injection HA series
How to Prepare
Records & imaging
Bring X‑rays/MRI/ultrasound and prior injection/surgery notes; diabetics should bring recent glucose logs.
Medications
Share blood thinners, diabetes meds, and allergies; do not stop medication without advice.
Hygiene & clothing
Clean skin, no lotions at the site; wear clothing that allows easy access to the joint.
Travel & support
Arrange transport if your joint is very sore; plan light activity for the first 24–48 hours.
Expectations
Steroid relief builds over days; HA takes longer. We’ll provide a written plan and review date.
Where to Consult Dr. Neelabh
BLK Hospital
A-4-6, Pusa Rd, Near Rajendra Place Metro Station, New Delhi-110005
🕓 4:00 PM – 6:00 PM
Timings may vary—please call +91‑9810117204 to confirm.
FAQs
Do you offer PRP?
How long does relief last?
Is it safe if I’m diabetic?
Can I drive after the injection?
Do you provide physiotherapy?
Need Joint Injection Therapy in Delhi?
Book a consultation. We’ll confirm indications, select steroid or viscosupplementation, and plan a simple, effective home program—no PRP.