Joint Injections

Integrated Spine, Pain & Wellness Treatments

Joint Injections

Joint Injections

Image-guided Guided Steroid Injection for Knee Pain

This is a non-operative, outpatient procedure designed to provide relief for patients with arthritis of the knee. The technique allows the physician to inject an inflammation-reducing steroid with maximum accuracy. This may be performed using a fluoroscope (X-Ray) or ultrasound.

Hip Injection

The hip joint is a large joint where the leg joins the pelvis. The pain usually stems from arthritis, injury or overuse.

The injection typically includes anesthetic medicine that is placed into the joint, and depending upon the amount of immediate pain relief experienced will help confirm or rule out the joint as a source of pain. If there is no pain when the joint is numb, then the joint is likely to be the source of pain.

Along with anesthetic medicine, the injection may include a corticosteroid to reduce inflammation, improving joint movement and providing long-term pain relief.

Fluoroscopy (x-ray) or ultrasound is used in hip joint injections for guidance in properly targeting and placing the needle, and for avoiding nerve or other injury.

Ultrasound-guided Joint Injection

Sacroiliac (SI) Injection

A sacroiliac joint injection (SIJ) is a shot of an anti-inflammatory medication and an anesthetic into the joint capsule of the SI joint to treat the pain in your low back, buttock, or upper leg. The goal of this injection is to improve your spine motion as well as provide pain relief.

The procedure is performed under image guidance, either fluoroscopy or ultrasound.

Viscosupplementation for Arthritis of the Knee

Injections of hyaluronic acid, also known as Viscosupplementation are aimed at reducing joint pain and improving the functional condition of the osteoarthritic joint, in particular, the knee.

Hyaluronic acid is a viscous and elastic substance that is normally produced by the joint and that makes up joint fluid (or “synovial fluid”). The latter is rich in hyaluronic acid in its normal state, and its viscous properties lubricate the cartilage surfaces while its elastic properties protect them from shocks. In osteoarthritis the synovial fluid is depleted in hyaluronic acid making the cartilage more vulnerable to forces of friction and compression.

Injections of the hyaluronic acid act more slowly than corticosteroid injections but their effect is longer-lasting, reaching up to 6 months to 1 year. Some scientific studies suggest that they may slow the progression of osteoarthritis.

The procedure is performed under image guidance, either ultrasound or fluoroscopy, to ensure safety and accuracy.


Dr. Goyle’s Pain Perspective

Learn about regenerative medicine (stem cells) as well as nutrition therapy and lifestyle recommendations to help treat acute and chronic pain conditions.




Please contact Integrated Spine, Pain and Wellness (ISPW) to schedule a consultation.

Dr. Goyle’s Pain Perspective

My mission is to restore and revive the whole body through non-narcotic, minimally invasive modalities that empower patients to experience life at their optimal level.