Pain Management
What is pain management?

At MIC we provide x-ray guided (fluoroscopy) pain management injections used in the treatment of inflammatory joint or other chronic pain conditions.  

Joint injections can serve two purposes; firstly the injection of anesthetic can identify if the joint is the source of pain, second the injection of the corticosteroid will provide reduction of inflammation in the area and may provide longer term pain relief.

When a joint injection is performed, a fine needle is injected into the affected joint where it delivers a dose of any one of many anti-inflammatory agents, the most common of which are corticosteroids.

What does it involve?
  • Depending on the joint being injected, you will be positioned appropriately on the x-ray table.
  • The procedure usually takes 10-20 minutes. Local anesthetic is injected into the skin and a fine needle is passed toward the joint under x-ray guidance.
  • Once the needle is confirmed to be in the joint, the injection takes place.
What is injected?
  • Local anesthetic for skin
  • Local anesthetic for the joint
  • A small quantity of dye, which can be seen on the x-ray image
  • Corticosteroid
Does it work?

The injection is used primarily to diagnose the source of your pain. The local anesthetic numbs the joint so if the joint is the source of pain, you should experience significant pain relief within 15 minutes of the injection; this may last for a few hours.  Every patient is different, however, if the joint is a source of pain then there may be some prolonged pain relief from the steroid which may last over 6 months.

Exam preparation instructions

Click here for exam preparation instructions for pain management procedures.