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Medical Care

Joint Injections

Joint Injections can be very helpful to reduce localized pain and inflammation in the involved joint to make rehabilitating the surrounding tissues much easier. Types of joint injections include:

Natural Ant-Inflammatory Injections

To help reduce joint inflammation, we may consider using a non-cortisone based substance called Traumeel.  Traumeel is a natural, homeopathic based, anti-inflammatory.  Cortisone, although a great anti-inflammatory, is destructive to the joint and surrounding tissues.  Traumeel is a natural substance and does not have the detrimental side effects that cortisone carries.


For knee osteoarthritis (OA) patients, Visco Supplementation can be offered to help provide extra cushion in the knee joint.  Common names for Visco Supplementation include Supartz and SinVisc.

Trigger Point Injections

What is a Trigger Point?  

Trigger Points are painful areas of muscle that are tender and may feel like tight bands or knots when pressed. Pressing on the trigger point will “trigger” pain at the area of pressure and often in other areas. For example, pressing on a trigger point at the top of the shoulder may send pain down the arm or up into the neck.

Trigger points are overactive muscle areas that can come from stress, using the muscle too much, or problems with spine or posture. They are most often treated by improved posture, reduced stress, and exercise. Sometimes, these treatments will not correct a painful trigger point, and your doctor may want to treat the problem with a trigger point injection.

How Are Trigger Points Injected?

When doing this treatment, the medical provider will locate the trigger point(s), clean the skin, and insert a fine needle through the skin into the trigger point area, that may cause a small “twitch”. You may be able to feel this twitch. It tells us that the trigger point has been reached.  A small amount of medicine is then pushed into the area of the trigger point.

Most trigger point treatments take 15 seconds, or less, each area.   Following the injection, we like to perform therapies including soft tisse work to help work the medicine in which we find has a better lasting response then leaving it a lone by itself.