Joint injections are minimally invasive procedures that place medication or another injectable product into or around a joint. Depending on the diagnosis and product used, an injection may be considered to reduce inflammation, provide temporary pain relief, improve lubrication, or support further evaluation and rehabilitation. Common treatment areas include the knees, shoulders, hips, elbows, wrists, and ankles.
Using ultrasound guidance enables us to visualize the joint structure in real time, improving accuracy and helping direct the medication to the area of inflammation or irritation. Joint injections can be part of an integrative treatment plan that may include physical therapy, acupuncture, or regenerative therapies such as PRP or orthobiologics.

Potential benefits depend on the diagnosis and injection type. A joint injection may:
Results vary, and not every injection type is appropriate or effective for every joint condition.
Depending on the diagnosis, injection type, and anatomical target, injections may be considered for:
Certain injections may provide short-term symptom relief for selected patients.
Corticosteroid injections may be considered when inflammation is contributing to symptoms.
An injection may target an inflamed bursa near a joint rather than the joint space itself.
Selected injections may be placed around an affected tendon when clinically appropriate.
An injection may be considered after evaluation when symptoms have not improved with initial conservative care.
Treatment depends on the injured structure, diagnosis, imaging findings, and stage of recovery.
Not every type of pain is appropriate for an injection. The provider will determine the anatomical target and proposed injectable product after reviewing your symptoms, examination findings, medical history, and imaging when appropriate.
How an injection works depends on what is injected and where it is placed:
When musculoskeletal ultrasound is used, it helps the provider visualize the relevant anatomy and guide needle placement. Ultrasound findings must be considered alongside the examination and other imaging; ultrasound does not always identify the definitive source of pain.
Joint injections can provide targeted pain relief and support mobility, but benefits and risks vary by injection type and patient. A few things to know before yours:
Most joint injection appointments take 10–20 minutes and are performed in our Vero Beach office.
Step-by-step:
We evaluate the joint, identify tender or inflamed structures, and apply ultrasound gel if imaging is planned.
A small needle delivers the solution directly into the joint space under visual guidance.
Most patients experience a brief pinch or feeling of pressure.
Most people return to regular activity the same day. Mild soreness may occur for 24 to 48 hours.
The number and timing of injections depend on the diagnosis, product used, response, risks, and applicable clinical guidance. Some products may be administered once, while others use a defined series.
Improvement usually builds gradually rather than arriving all at once, and timing depends on which injection you receive. Corticosteroids tend to act faster, while hyaluronic acid and regenerative options work more slowly and may last longer.
Typical patterns:
These are general patterns, not a schedule. Your response depends on the joint, the type of injection, and how long the problem has been present. For chronic or long-standing joint issues, repeat sessions may be recommended.
We also offer a range of non-surgical, evidence-informed treatments.
Joint injections may be appropriate if you have:
We will review your symptoms, imaging results, and medical history to determine which type of injection, such as corticosteroids, hyaluronic acid, PRP, or other regenerative options, is most suitable for your condition.
We provide a comprehensive, patient-focused approach to joint care, ensuring every treatment is tailored to your functional goals and comfort.
What sets us apart:
Most patients feel a brief pinch or a sense of pressure. Injections often include a local anesthetic, which can give immediate relief that wears off after a few hours. Mild soreness in the first 24 to 48 hours is normal.
It depends on the injection. Corticosteroid relief commonly lasts several weeks to a few months. Hyaluronic acid, such as Hyalgan, takes longer to take effect, but the benefit can last longer.
Some patients do well with a single injection, while others benefit from a short series. Hyalgan is given as a course of three to five weekly injections. Corticosteroid injections are spaced rather than repeated frequently, since cartilage thinning has been shown with overuse. We set the interval based on your joint and your response.
Light activity is usually fine. Avoid strenuous or high-impact exercise for 24 to 48 hours, and be especially cautious with weight-bearing joints such as knees and hips.
A limited response is useful information because it tells us where the pain is actually coming from. From there, we may consider a different injectate or another approach we offer, such as shockwave therapy, perineural injections, or regenerative options.
Not always. Corticosteroids are one option. Others include Hyalgan hyaluronic acid, PRP, and other orthobiologics, selected based on your diagnosis and goals.
Coverage varies. Corticosteroid and hyaluronic acid injections are more commonly covered than regenerative options, whereas PRP and stem cell treatments are typically out-of-pocket. Financing through M Lend Financial is available.
At Sikora Integrative Medicine, our Vero Beach team can help you understand your treatment options and whether shockwave therapy may be appropriate for your needs. Financing through M Lend Financial is available to help make treatment costs more manageable over time.
Disclaimer: This information is provided for educational purposes only and is not intended to be medical advice. It should not be used to diagnose, treat, or cure any condition. Always consult your healthcare provider for personalized guidance. Services are available exclusively to Florida residents.
© 2026 Sikora Integrative Medicine. All Rights Reserved.
© 2026 Sikora Integrative Medicine.
All Rights Reserved.