Watch A Knee Injection - Do They Hurt? Watch One Now

Patients often ask if it hurts to get a knee injection. The surgeons discuss intra articular (in the joint) knee injections. They demonstrate a knee injection and discuss where the needle goes.
Please see the complete user agreement at talkingwithdocs.com
Medical emergency
Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on the Video.
General information is not medical advice
The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practise medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.

[@lindaballard3737]

I get knee injections with a timed released medication about every 3 months. My PA uses a numbing spray on the skin before the injection. I only have a little discomfort (not pain) as the medication goes in. That little discomfort is well worth the almost 3 months of no knee pain!

[@TalkingWithDocs]

Good to hear Linda. Thanks for watching and subscribing if you did

[@GHART47]

My guy does the freeze first too. Very little pain. Total knee next month.

[@lindaballard3737]

@@user-wb2yv7ll9d I don't know the name of the freezing medication, but the med used for the knee injection is Zilretta.

[@sandijohnson4630]

@@lindaballard3737 Thanks for the info. I see my ortho this Thursday so I'm exploring possible options for treatment.

[@juliorivera1354]

Every 3 months or every 6 months?

[@JiminyCricketal]

Thank you I'm scheduled to get my first injection soon and am terrified. I feel a little calmer now that I have an idea what to expect.

[@marybrand1977]

If you have a good person doing it it doesn’t hurt. You only feel the pressure. I did have a doctor hit the bone and broke the needle. That was not a good experience. My new person is terrific.

[@medicare4colcness27]

It's tolerable. Just practice deep breathing 😉💪 it is an unusual feeling. A couple times I've felt a little faint after and I just ask for a few minutes to stay on the table.

[@Aviennda40]

Thanks for making this video! I stayed awake for my arthroscopy so I could watch, but for some reason I’m really nervous about this upcoming injection! The video really helped.

[@redbeard36]

I can always rely on you gentlement to quickly answer my questions and relieve my anxiety. I'm having both knees injected this week and this helped me get an idea of what to expect. Thanks!

[@darlenericotta7550]

It helps to watch these videos more than once! You see things or hear what you missed before! Thanks again.

[@TalkingWithDocs]

That’s interesting Darlene. Thanks for watching and subscribing

[@freedomforever6718]

Thanks for the insight. Even with a bit of pain the ultimate goal is to improve the condition of the knee or, in my case, the hip which wasn't painful at all. Great video as always.

[@TalkingWithDocs]

Thanks Freedom Forever. Glad it is working out. Thanks for watching and subscribing if you did

[@mandydehoog2708]

I just had both my knees done. Not at once but 1 week from each other. They laid me flat on the bed, put a pillow to bend my knee. I was at first terrified but the Docs are right when they said “ It didn’t hurt as bad as I thought it was going to”. The pain in my knees were far worse than the needle.

[@TalkingWithDocs]

Yes Mandy. Good for you. Thanks for watching and subscribing if you did

[@cececat9549]

I agree.. horrible pain. Knee locked up. Use my crutch for there days.. almost half to have ppt again

[@javadbaradaran312]

@@cececat9549 Can you tell me how much pain you had after PRP and were you unable to bend and straighten your legs? I have a patient who, after two days, still has a lot of pain in the joint and cannot bend or straighten his leg. Please help me in this matter

[@cryptojedii]

@@javadbaradaran312 😂😂😂😂😂😂

[@lynnettecook6973]

You bet it hurts 100%!!!!!!!!!!! I have bone on bone and no cartilage left. It's not the needle going in (just like the video) but when the medication (Kenalog) is pushed in. It brings tears to my eyes!!!!! I need both knees replaced but because I'm overweight, they won't do it so I'm stuck. I can't run or exercise due to the bones grinding together and that causes excessive pain. Before my hips were replaced I also had injections but they didn't hurt near like the knee.

[@TalkingWithDocs]

Hi Lynnette. That is a bit odd, Sometimes a longer needle is needed so that the tip is in a space rather than in the tissue. Best of luck to you. Thanks for watching, subscribing and sharing with someone if you did.

[@tanyajones123]

You just scared me😢

[@NhuNguyen-vo3ks]

Injection under ultrasound guidance is better and more precise with lesser pain

[@suzannhansen6788]

The only time I have had pain with an injection is when a PA does it rather than the Dr. I love watching your videos! Very informative as well as entertaining.

[@TalkingWithDocs]

Glad you like them Suzann. Thanks for watching and subscribing

[@alidavalentinagosgnach700]

This video is very helpful! Thanks for sharing this, always take advices from your health care professional including you docs!

[@TalkingWithDocs]

Thanks for watching and subscribing Alida

[@Brooke06117]

I’m going to get this done in an hour. Thank you for this video. I’m not as anxious anymore.

[@TalkingWithDocs]

Hope it went well Brooke! Thanks for watching and subscribing

[@lavelle7628]

I feel so much better about getting an injection. Thank you Guys!!

[@TalkingWithDocs]

That’s the purpose Lavelle! Thanks for watching and subscribing

[@anitaarmstrong5583]

I love the procedure videos too.😁. Have had many injections in the hands, neck and back for pain and each time it feels different. Sometimes it hurts worse than others. Great video as always docs. 🙏. Be safe

[@TalkingWithDocs]

So glad you do Anita! Thanks for watching

[@javadbaradaran312]

Can you tell me how much pain you had after PRP and were you unable to bend and straighten your legs? I have a patient who, after two days, still has a lot of pain in the joint and cannot bend or straighten his leg. Please help me in this matter

[@jewel1953]

Had several before I had knee replacements. They don't hurt and really worth it for a short time period until you are grinding bone on bone. I would encourage anyone to get them. It's a good place to start. I get them in my shoulder now with an ultrasound to get the right spot and same goes. It does not hurt and results are often very fast. I agree freezing isn't worth it. Love you guys.

[@TalkingWithDocs]

Thanks so much judith. Thanks for watching, subscribing and sharing with someone if you did.

[@Kathleensailorgirl]

My orthopedic doctor usually has his PA do the injections and admits that the PA has the “touch” I had great relief and never hesitate to have the injection. Thanks for sharing another great video 👍👍💕💕

[@TalkingWithDocs]

Good to hear Kathleen. Very welcome. Thanks for watching and subscribing if you did

[@wandadevers9598]

Nobody where I went had "the touch". It was close to unbearable.

[@bonnie8380]

Thank you doctors for this video. I love anything to do with health, timely how-to-prevent health problems, health procedures, and the list goes on and on. I'm watching for MORE. Take care.

[@TalkingWithDocs]

Thanks so much Bonnie. Enjoy! Thanks for watching and subscribing if you did

[@sandijohnson4630]

Awesome video, docs!! I've had cortisone injections in the past, in a shoulder and knees. I don't usually feel anything. But when I have, it was very mild discomfort. Please keep spreading the info. I have subscribed.

[@TalkingWithDocs]

Why thank you Sandi. Thanks for watching and subscribing

[@fredrickearl6687]

I had those combined (1) freeze, and (2) poke-mon on the right knee for double-digit-YEARS; was so blessed to receive an issue-free knee replacement about four-years ago. One of the students asked the professor, "This guy's got scars all over his body; instead of stapling him and leaving the traditional scar, may I suture instead?" Go for it. I cannot believe the small, un-noticable, hair-line scar. Job well done. I am able to walk 3-5 miles a day, without issue, and after surviving fourteen (14) left total hip procedures, I'm so happy to be walking pain-free!!! 👌

[@donate1sttt]

Wow thank u I sent this to 4 people. I just went to search bar and typed photos of knee rooster comb injection, u two popped up. Fear is gone thank you both

[@TalkingWithDocs]

Hey that’s cool t d ! It’s pretty straightforward. A little uncomfortable but shouldn’t be painful per se. Good luck. Thanks for watching and subscribing

[@deden6216]

I’ve had 7 cortisone injections. They don’t feel great, but the pain I had in my knee before the shot was so bad I begged for it. I felt so much better each time.

[@TalkingWithDocs]

Good to hear Dede. Thanks for watching, subscribing and sharing with someone if you did.

[@Freedathedog]

That many cortisone injections is bad for the cartilage in the knee. That’s fairly negligent of the doctor unless they advised you of that

[@sassysandie2865]

@@Freedathedogyes, people need to be told to exercise, lose weight and eat an anti-inflammatory diet.

[@lululove6175]

@@TalkingWithDocs you know these shots damage cartilage, tendon, etc and just a band aid but you push them anyway just like ESIs. Glad you are not my docs. (BTW, the carnivore video made me realize what morons you are).

[@millyonair9225]

too bad you killed the cartilage on your knee. i'm sorry.

[@lindahowell3605]

I get them every 3to4 months, the shot doesn’t hurt but the pressure of the medicine going in is uncomfortable

[@TalkingWithDocs]

Yes feels like it is filling up Linda. Thanks for watching and subscribing if you did

[@medicare4colcness27]

I liken it to a cream cheese injection 😁

[@darlenericotta7550]

Thanks Docs, that was interesting. Take care!

[@TalkingWithDocs]

Very welcome Darlene.

[@rbryant6808]

I accompanied a family member to an orthopedic doc for a knee shot. He used a live ultrasound image to help him guide the needle to the optimum spot to inject the medication. The patient said it was relatively pain free and the long term benefit was very good.

[@TalkingWithDocs]

We would tend to agree R. Thanks for watching and subscribing if you did

[@1mikerandall]

I've had two injections with almost no pain, my surgeon is amazing. I limped in and after I felt so good I could have danced out of the clinic. Absolutely recommend

[@TalkingWithDocs]

That’s awesome

[@samfinches9421]

Can u name the medecine? My mother has no cartilage left between knee bones so was ur the same case also?

[@maritaschindelhauer6840]

It was the most painful injection to my knee ever

[@max355cat]

Yes it hurts terrible and no one can tell me differently.. I am speaking from experience.

[@judymiller4051]

I was given no freezing beforehand and my hyaluronic knee injections were the most excruciatingly painful since a dentist did a root canal on me without freezing in the 50s. I left the doctor's office in shock and two years later I am still traumatized. Needless to say I won't be doing that again and certainly won't be visiting that surgeon again, who didn't prepare me at all for what was to come. When I asked about an ultrasound guided injection prior to the procedure he said it wasn't necessary as my weight didn't warrant it and he could see the knee structure. He never offered nor mentioned freezing. He said afterwards that there was very little space between the bones which explained the pain as the product was being pushed in.

[@gigigirl0]

I agree with you 100% I had a steroid injection into my knee yesterday for arthritis. I've had 3 children and I can tell you the injection was just as bad as child birth. I'm totally traumatised after it, it was horrendous 😢

[@judymiller4051]

@@gigigirl0 I certainly hope, after all you went through, that you get some relief from the arthritis pain in your knee. In my case, I detected no improvement after my injections.

[@gigigirl0]

@@judymiller4051 thank you 😘 I really hope so x

[@denisemariner9755]

Hats off to the patient he did great!

[@TalkingWithDocs]

Yes Denise. No flinching. Thanks for watching and subscribing if you did

[@greggszilagyi9272]

Hey Docs - how about a video on partial knee replacement? Thx and keep these great videos coming.

[@TalkingWithDocs]

We will add it to the list Gregg. Thanks for the support. Thanks for watching and subscribing if you did

[@deanreinke1148]

I had three Euflexxa injections in my right knee with absolutely no pain whatsoever. The medication help the pain immediately after the series of shots were completed and it helped for about six months. Had the knee replaced this past September!

[@TalkingWithDocs]

Nice Dean! Thanks for watching and subscribing if you did

[@princessalucia1759]

I've had several cycles of Synvisc. I found one PA who was virtually painless, but one day when I went in for my shot the doctor accompanied the PA into the examining room. This should have been a red flag to me particularly when the doctor pointed to an area of my knee that instructed the PA where to put the shot. Oh my, it was so painful I couldn't believe it. I am willing to bet this was the first shot this PA administered. I stopped getting the shots since it no longer helped, but I'm terrified to have any surgery done because for five years, while a medical transcriptionist, my account was Infectious Disease and after typing about the infections people had after surgery and the pain they went through along with lifelong need for antibiotics or immobilization of the knee, I'll live with the pain.

[@TalkingWithDocs]

Hi Princessa. The risk of infection is about 1 percent. Best of luck with your decision. Thanks for watching and subscribing if you did

[@lindaking9222]

Good to see this…I might need that procedure

[@TalkingWithDocs]

Glad we could help Linda. Thanks for watching and subscribing if you did

[@raybrown8887]

I have had numerous knee injections both cortisone and lately HA sometime with cortisone sometimes without. I try to stay away from the cortisone because I am type 2 diabetic. I must say the injections have for the most part helped a lot with knee pain and the injections never hurt even a little bit. Thanks for posting.

[@jewel1953]

I have 18 yr. old knee replacements and had knee blocks 3 days ago. I was very comfortable and was just stiff for a couple days later. I was not intimidated how long the needles were as they kept me occupied watching the ultrasound. The nurse and Dr. talked non stop about who knows what to keep my mind off of it. I have no problem with it. I had 3 injections in my upper thigh and two on the side of my knees where they were hurting.

[@joniellis7553]

Knee injection, I had one slight pain, it's about the end result. Much better keep up the good work.

[@braguy2000]

Dr. Weening gives great needles !!!

[@TalkingWithDocs]

Thanks for the endorsement Howard. Thanks for watching and subscribing

[@agoodnana]

I had cortisone injections for years before my TKR. Starting out with once a year, both knees, which were very effective until last year and a half. At that time I had them every six months until they became not effective at all. I've had a total of maybe a dozen cortisone knee injections including a few gel. Sometimes they didn't hurt and sometimes they were painful. None produced blood. The needle is not painful ever, and all injections were given in the same general area as shown in the video, .but by different PAs I've come to the conclusion, in my experience the ones that were most effective were somewhat painful and slowly injected instead of the quick in and out method. Good luck to all!

[@TalkingWithDocs]

Thank you for sharing your experience Deborah. Thanks for watching and subscribing if you did

[@obscurelyvague]

"Deborah Doucatte" So the technique matters

[@agoodnana]

@@obscurelyvague Yes! It matters in effectiveness!

[@maginot2u]

Do you have any informatioin about arthrosamid hydrogel? Have any of your patients had this treatment and what were the results? Cortisone and hyaluronic injections have helped me but they wear off quite fast.

[@danicariaso7416]

I totally agree with Linda B. .. I get cortisol injections on my knees as needed. The “spray” you are talking about is nitrogen freeze..it numbs the area where the doctor is injected. Love my orthopedic surgeons…

[@TalkingWithDocs]

Good to hear Dani. Thanks for watching and subscribing if you did

[@joseenoel8093]

But isn't it bad for your bones?

[@luisalvarado9641]

i just start getting knee pain and i need the shoots , how many shoots you got already and do you recomen it?

[@Barbie-rd2mi]

Cortisone doesn’t hurt but the gel ones do hurt very much

[@luisalvarado9641]

@@Barbie-rd2mi thank you barbie. how long have you being using cortisone? and how much ?

[@michellecameron5850]

You guys are awesome!

[@TalkingWithDocs]

Thank you so much Michelle. Thanks for watching and subscribing if you did

[@hurl54]

Thanks for the video. I'm getting my knee injected tomorrow (Oct. 12) and I'm not worried now. Thanks.

[@hurl54]

Update - had the injection - no pain whatsoever. Dr. Weening rocks!

[@nottyash100]

I have had these injections a number of times and so far they have delayed forever i hope having to have a Knee replacement.

[@MrZart]

I've had both knees done twice and am getting my third set of injections in the morning. The pain of the injection is so insignificant it's hardly noticeable and is over in less than a second - literally! I find that the pain relieving effect lasts about 9 months or so and wears off gradually so I get a sort of 'gentle warning' that I need to book in for more injections. For anyone worried about the pain, don't worry about it. Don't look at the injection as it's going into your knee as this accentuates the perception of 'upcoming pain', makes your muscles tense and can make you flinch, thinking that you're about to experience something unpleasant. It's SO not worth giving any of your attention to, the pain is over as soon as you initially notice it.😊 (I've also had 3 rounds of steroid injections in both wrists for carpal tunnel syndrome. Same pain level as the knee injections (almost nothing!) and the painkilling effect lasts about 10 - 12 months after each injection)

[@carmenbaby02]

The first time I had gel shots, when I tried to get up, it felt like I had a rod inserted in my knees. Otherwise, the shots don’t hurt. My mainOrthopedist doesn’t freeze, but my hand Ortho doe’s, and it is less painful. You guys rock!

[@TalkingWithDocs]

Thanks so much carmenbaby02! Thanks for watching and subscribing if you did

[@Christinesobsevations]

That’s Exactly what happened to me . My knees wouldn’t bend at all , I couldn’t walk & both legs violently swelled and spasmed . In and out of the ER because my knees were so swollen and burned like literal fire 🔥 To this day my knees have gotten much worse than they were and turn all kinds of colors when i walk too much , which I had to RE learn how to do after I got these cortisone injections . I made sure I researched and had a list of questions with me and was assured that the risk of having complications from cortisone injections was very rare . WELL …… I had a rare underlying illness called complex regional pain syndrome that I didn’t know About . I tore my meniscus and the cortisone was supposed to help that because the tear was only a millimeter but my entire leg was swollen, stuck straight, then began contracting in half backwards and spastic pit of control . I’m very thankful for the early diagnosis and will Never get another cortisone injection again .

[@pamalama2205]

@@Christinesobsevations did you get this after cortisone or Synvisc gel shots? I had both mine on fire after last week's Synvisc shots and my right one still fired up. Hurts like hell to walk. I wasn't this bad off beforehand.

[@Christinesobsevations]

@pamalama yes .

[@barbaramike1345]

My PA must be great because I just had my third injection yesterday in both knees and have no pain. I enter in great pain, due to bone on bone and bone spurs and leave pain free! Thankful for pain relief. I have had a slight headache and heart racing 6-8 hours later but still so thankful to be temporarily pain free

[@gerardmoran9560]

Spot on! I've had PRP and steroid injections with minimal discomfort. One thing that surprised me was when my doctor drained fluid from an inflamed knee- nothing to worry about but it did hurt a fair bit. I was surprised but it was over in less than a minute. As you mentioned, it was inflamed and the nerves were probably already fired up. Cheers

[@TalkingWithDocs]

Thanks for sharing Gerard

[@Itspronouncednuclear]

I had a Euflexxa injection a number of years ago. It was like wd40 on a squeaky hinge. Loved it. Lasted about a year, but here in the states its like $300 per injection x 2 x 3 times (once a week) = $1800. Something less expensive?

[@TalkingWithDocs]

Hi Tim. That sounds about comparable for most HA injections in the US. You could try cortisone. Thanks for watching, subscribing and sharing with someone if you did.

[@whippoorwill910]

I would love to see a video on Hyaluronic acid, or rooster comb, injections. I've been hearing a lot about this from friends who have screwed their knees from years of sports and who are trying to decide or waiting for knee replacement operations. Your take on this therapy would be interesting! Thanks for your great videos!

[@TalkingWithDocs]

We will add this to our list. We are advocates of them. Not perfect. And not for everyone. But low risk and often significant benefit. Thanks for watching and subscribing

[@kedeglow2743]

My Hubs had the Rooster Comb injection four years ago. Within 5 hours he was in extreme, unmanageable-at-home pain. We went to the ER, where they dosed him with Demerol and sent him home with Tramadol prescription, and told us to continue icing it through the weekend. I wouldn't recommend it to anyone. Of course I am not a doctor.

[@trishayamada807]

@@kedeglow2743how is he now? I sure hope better!!

[@joanboughton9529]

You 2 docs are so 🔥

[@TalkingWithDocs]

Thanks so much Joan! Thanks for watching and subscribing if you did

[@stevefichter7615]

Did knee Injections for 8 1/2 years. Different flavors of medications. Finally no good results, which I knew would be the case at a point in time. Did a follow up after last injection, told my orthopedic Dr, it was time. 2 weeks later, new knee, 14 weeks later new knee. By the way never had major pain with injections. Was a pretty uneventful process

[@TalkingWithDocs]

Thank you for sharing Steve. Enjoy the new knees. Thanks for watching and subscribing if you did

[@whitelotus1960]

Just had one today and the PA did a good job! Mild discomfort and he used a numbing spray and I was done. Two more to go and I'm not worried about any pain getting them!

[@barbjefferson2069]

I have had these Synvisc injections for at least 8 years now.I get them in 3 injections, one week apart. I found the 1st one is the most painful because my knees are already swollen and inflamed. The other 2 shots were just pricks on the skin to me. The more shots I get, the longer they work on removing the pain. Most of the time I can be almost pain free 9 to 12 months at a time. Got my last ones in 9/2021, but right knee blew up and I could hardly walk for days, (talk about pain, ouch) . One year later, it is now time for surgery on the right knee.

[@TalkingWithDocs]

Glad to hear it worked for awhile Barb. Best of luck with your TKR. Thanks for watching and subscribing

[@cathymumper2126]

I’ve been getting this for about two years now. My right knee is the worse one. I try to make sure I ice it and take my anti-inflammatory meds before the appointment. The last shots I got, the Dr hit bone on my right knee with the needle. He’s lucky I didn’t kick him in the face!

[@StephanieNikki.H2]

Just had my first ever cortisone shot in my knee. I dislocated the patella 7 months ago and 3 months ago my knee started hurting (8/10 pain) and swelling every day. Finally decided to see my ortho today.

[@TalkingWithDocs]

Good luck

[@clwxrf6007]

I had an injection done on Monday, 1/17/2023. The shot hurt but not for long. I felt the fluid expanding the knee capsule they were talking about. I did have difficulty placing weight on my knee after the injection, this last for about an hour or two. I needed pain med’s for that day. My knee started feeling better my Wednesday.

[@TalkingWithDocs]

Pretty sweet. Thanks for watching and subscribing

[@latricestark7892]

I get my injections every 3 months and I scream every time lol

[@max355cat]

Mine hurt also. I wonder why they do not hurt some people but in my case the pain is terrible.

[@suanhengyeoh8402]

I had a knee injection like the one shown but my doctor used and ultrasound to precisely locate where to inject. It does not hurt and the pain relief lasted until now. My injection was done 8 August 2020.

[@TalkingWithDocs]

Nice Suan. Ultrasound is often used for hip and shoulder injections but we feel we can accurately place the injection in the knee without ultrasound. Thanks for watching and subscribing

[@maryannhartzell2958]

I had minor pain with a Cortizone injection. I also had gel injections and they were more painful.

[@Nietzscheable]

Thanks for another great video; wish I had watched this BEFORE I got a shot last week. I was having pain in the Left MCL (4 months) from doing a Leg Lift with too much weight. I went to the Ortho and he offered Cotizone or Toradol (which I had had before for a Shoulder Injury, which that Doc prefers to Cortizone). We went with Toradol, I was wondering what you two think of Toradol vs Cortzone especially for the Knee? I have heard arguments both ways, but KNOW that Toradol was much better for my Shoulder injury. Thanks for any thoughts you have. PS: on day 3, MCL feels better, but under the knee cap where I got the shot hurts a little.

[@TalkingWithDocs]

Glad you liked it. We usually do not use intra articular toradol but it is often used IV and IM. Glad you are feeling better. Thanks for watching and subscribing

[@Nietzscheable]

@@TalkingWithDocs Thanks for your Reply. Can you advise why you do not usually use Toradol for this area? I appreciate your taking the time to respond. Thank you.

[@davidkean5680]

Thanks boys again. i was thinking about it but now Im going to run out with my ears pinned back & get the knee injections so I can run a little faster & descend stairs with less pain. Fingers crossed it will be successful. Would like to see you commence a presentation with all your caps lined up & any stories about same.

[@TalkingWithDocs]

Ha David. That’s funny. Hoping it works for you. Thanks for watching and subscribing

[@joannh7570]

Is there a length of time where you would say. Hey we've been doing this for 5 yrs, cant do injections anymore, for example, and consider other options Or as long as it works keep getting it.

[@TalkingWithDocs]

Hi JoAnn. More the latter. If it keeps works, press on. Thanks for watching and subscribing if you did

[@beverlyhicks3794]

I had the injections. When the NP did it there was some resistance and all of a sudden excruciating pain. When the doctor did the last one it did not hurt. Should a patient wait for so many months before TKR after injection?

[@KendrasEdge757]

I just had my knee injections, my fourth pair, yesterday at the VAMC. I get the synvisc one gel injections in both knees. My doc uses cold spray on my knees first, than she injects some lido-leaves the needle in my knee and unscrews the vile, screws the gel vile onto the needle in my knee, and injects the gel. My right knee always feels more pressure than my left which I feel basically nothing. My left knee is worse of the two knees. I go every six months for them. I have osteoarthritis and these gel injections are phenomenal!!! HIGHLY RECOMMENDED!!! Basically pain free for 5-5.5 months. They couldn’t do steroid injections because I’m only 43 and they will make the arthritis worse. Eventually I’ll need knee replacements, but I’m too young for them now, outside of some emergency I pray 🙏 never occurs. Anyways, if you have arthritis in your knees the gel injections are a must!! They don’t hurt at all and your arthritis-caused knee pain will be significantly reduced if not gone entirely. For the docs, use freeze spray immediately prior to insertion of the needle and your patients will love you!!! God bless~

[@TalkingWithDocs]

Thank you for taking the time to share. Thanks for watching and subscribing

[@jackiemuntner5482]

I’ve been getting shots in my knees every 3 months for years. ( I refuse knee replacement surgery.) I also get Efflexa (a type of gel) every 6 months. The shots don’t hurt but occasionally as the medicine is going in there’s a lot of pressure which does hurt quite a bit, but it’s over very quickly. I’ll continue to get these shots as long as I can.

[@TalkingWithDocs]

Good idea

[@timinwsac]

I didn't feel any pain while watching this video.

[@charlestravis9798]

The injections I’ve had were Hylagan and cortisone. The short shot of freeze spray numbed the area on contact.

[@joannh7570]

I have had gel injections for OA in my knee. My Dr gives some freezing then the injections. Pain free. Only warning he gives me is... please don't kick me lol. So far so good, he's fine.

[@TalkingWithDocs]

We say the same JoAnn! Thanks for watching and subscribing if you did

[@DaveLanni]

This is my second round of gel shots. Last year there was no pain when my surgeon did the injections. Yesterday my doctor was out and a younger doctor did the injection. While my surgeon injected above the kneecap this doctor went in the lateral side under the kneecap. The pain was excruciating and I almost fell getting off the table. Something definitely was wrong. As I type this 24 hrs later the pain has become manageable. I’m assuming he must have hit the fat pad. Thank you for the information because you’re the only place that gave me the proper information. Hopefully my surgeon that I see will be in next week and I will tell him of my experience before my second of the 3 shots.

[@darladelahunty4025]

I have both knees injected at the same time, every 4 months for over 3 years. No big deal at all. Barely even uncomfortable. And there's been little more damage to my knees in those 3 years. My Dr. does the method with the knee straight. He even had students come in and do my injections a couple of times, that didn't hurt either. Without the injections I wouldn't be walking, and I don't want replacement if it's not absolutely mandatory, so every 4 months works for me!!

[@AdvancellsThePowertoCure]

Have you heard about stem cell injections for knee pain? It's a new treatment option some doctors are offering. You might want to ask your doctor if it's something they recommend for your situation. They can provide a longer relief from your knee pain.

[@Bigwillproductions]

Would you recommend HA injection after a partial meniscetomy for arthritis prevention ? Also does HA cause high bloood pressure or effect the liver ?

[@TalkingWithDocs]

No not for prevention. And it should not raise your BP

[@susanaustman543]

How well does the “gel” injections work? I’m desperate to try everything I can before giving in to knee replacement, which I am sure is in the near future. My knee is a mess and very painful. I have had a couple steroid injections with no effect after a few days. I am hoping a gel injection lubricates well and helps a bit with my mobility. What are your thoughts on this?

[@TalkingWithDocs]

Hi Susan. It is variable but we have had a lot of success over the years. Depends on the severity of the arthritis. Have seen 2 weeks to 2 years benefit and everything in between. Good luck. Thanks for watching and subscribing

[@elainegoad9777]

What if the problem is more on the inside of the knee ? I definitely think doctors , nurses and other medical professionals should practice on each other and take all the tests that they require their patients to take.

[@soulfullportrait147]

I’m getting this done for the first time tomorrow, both knees as I have a large amount of fluid on both knees due to an unknown cause. Only 140 lbs and I’m 27, very active. It’s been going on over a month and I can’t walk without a cane, I didn’t want to do shots but I no longer have a choice as everything isn’t working, wish me luck!

[@TalkingWithDocs]

Good luck Soulful. Thanks for watching and subscribing if you did

[@wilforeilly7714]

I had a lot of fluid taken off my knee , then steroid injection , I have gone in 24hrs not been able to walk up to the stairs to walking without a limb , magic stuff and no pain

[@juanitaminch4540]

Never had a shot to knee, but did have knee replaced and knee cap broke into two pieces. Had to have them removed, doc did not replace with artificial knee cap and now it is really hard to walk on left knee without knee cap. Can it be replaced at this point?

[@TalkingWithDocs]

Hi juanita. If there is no bone there, you have nothing to cement a plastic insert into so unfortunately probably not. It can be difficult without a patella for sure. Thanks for watching, subscribing and sharing with someone if you did.

[@marcospadilla1793]

What exactly the knee injection does to the knee, cuz my right knee is bothering me 😞 do they put some kind of painkiller there are they put some kind of ohh cartilage supplement

[@eldinpeterson3760]

need some advice (scared) about getting a foot operation to release plantar fascia as it is 1.5 inches long as i have been told that i could be a cripple for the rest of my life as my foot will roll over. be flat foot and then to have special insoles.also been waiting for a knee replacement on the other leg. have you done planter fascia release , what has been the out come . what per cent. is there any way to cut then repair by adding some ligament or tendon, i have heard that now they can do something with the caff to release this to some extent. as this foot has been 10 plus years. what has caused this working on cement.? do you have any videos on shoulder rotator cuff repair as mine is 80% torn also what is outcome for full recovery. i am in alberta where are you. looking for the best surgeons that i can find. thanks.

[@TalkingWithDocs]

Hi Eldin. We do not have any experience with plantar fascia release. Make sure you see a qualified foot and ankle surgeon. We do have a rotator cuff video that you should watch. We are in Ontario. Best of luck. Thanks for watching and subscribing if you did

[@davidmun1601]

What are your thoughts of hyaluronic acid/visco-supplementation injections for the knee OA?

[@TalkingWithDocs]

We are big fans. Not perfect but a safe alternative to improve symptoms and delay total knee replacement.

[@davidmun1601]

@@TalkingWithDocs Thank you.

[@companiamzzambada9858]

Does gel or hyaluronic acid injections or any other substance that creates a cushion between joint, work on moderate - severe osteoarthrosis on knee????? , medial compartment predominant joint space narrowing No joint effusion or soft tissue abnormality

[@stacyfeldman4197]

Why don't you use topical cream to numb the area before using the needle? How long does this last? Sounds like it's similar to filler for the face but for knee? Also wanted to know about cross fit activity, will this not last as long?

[@TalkingWithDocs]

So often the topicals don’t provide enough relief to be worthwhile. Yes filler for the knee. May help you do cross fit. Thanks for watching and subscribing

[@bertabear74]

Gloves?

[@arinzechinonso5678]

Doctor please I had a tibia and fibula fracture 3months ago and I really need to personally seek your assistance and advice. I need to send you my x-ray so you can advice me if I have to carry on with ORIF or use a cast, it's urgent sir

[@TalkingWithDocs]

Hi Arinze. Unfortunately we are unable to give specific advice. Best to see someone locally. Best of luck. Thanks for watching and subscribing if you did

[@josefinagalera9550]

what is the differences between the Hyalgan brand and other brands of Hyaluronic Acid? Thanks, Doctors

[@TalkingWithDocs]

The differences are subtle. Side chains and molecular weight. Often the response is comparable. Thanks for watching and subscribing

[@josefinagalera9550]

@@TalkingWithDocs Thank

[@christinehutto1972]

Due to a fractured patella and subsequent arthritis, I have had multiple knee injections. For me, less painful if sprayed first with ethyl chloride. Also Marcaine was used with the steroid. Orthovisc seemed more painful as the volume of medication was injected than the steroid. Most painful was an injection of a steroid for Pes Anserinus bursitis. That brought tears to my eyes!

[@TalkingWithDocs]

Yes Christine that would hurt more because it is into the tissue rather than a space. Thanks for watching and subscribing if you did

[@familyhunter9958]

You started out by saying 'this won't hurt,' but I noticed you weren't volunteering your own knees! I've had three series of steroid injections in my knees, thumbs and shoulders over the past two years. The first two sets weren't painful - I barely noticed them, but the last set were very painful. The needle insertion didn't hurt but when the fluid entered the joint it hurt like hell. I'm considering PRP because I've heard that it lasts longer, but I'm on Coumadin and I bridge for any procedure that could involve bleeding, and so far, bridging hasn't been a rewarding experience. Maybe I'll go up there to Canada and see you guys - you make everything seem like it's going to be fun!

[@TalkingWithDocs]

Yes Family Hunter we do our best! Good luck to you. Thanks for watching and subscribing if you did

[@AbsitInvidea]

When you do PRP, do you use a sonagram?

[@TalkingWithDocs]

Some do. We don’t do PRP at this point as we feel the evidence does not support its routine use

[@deeh4234]

I was hospitalized 3 times in 2020 with serious infections (sepsis, strep and staph) and still fight with kidney stone related infections. My PCP sent me to an orthopedic specialist because my knees were in such pain, and the specialist told me I was "bone on bone". He also said they would not do TKR nor would they even give me a viscous shot because of my propensity for infection. Does that make sense? Should I consult another specialist? I would really like to improve my mobility.

[@TalkingWithDocs]

Hi Nantucket. Sometimes they want a period of time to pass with no interval infections to reduce the risk of an infected joint replacement. You could see another opinion. That is reasonable. Thanks for watching, subscribing and sharing with someone if you did.

[@patriciamontgomery3651]

I’ve had one cortisone and my first gel shot with two more to go. The cortisone shot hurt a bit, but just for a second. I should add that I went into the doctor’s office that day limping in pain, so that may have been a factor in the shot hurting a bit. The first gel shot was virtually painless. I go for my next gel shot in two days.

[@Lola-ep8ln]

Our surgeons tend to use Depo Medrone and Chirocaine for the injections, some say it hurts and some say it doesn't and some of our surgeons don't use them, I suppose it is horses for courses. Another great video x

[@TalkingWithDocs]

Thanks so much Lola! Horses for courses! Thanks for watching, subscribing and sharing with someone if you did.

[@randomspirit]

Yep, I won't be doing that any time soon. The needle goes in so fast! LOL

[@TalkingWithDocs]

Yes it does but that makes it hurt less Random Spirit! Thanks for watching and subscribing if you did

[@gramps5157]

Just had one today. I'm actually a day late watching this. LOL It was virtually painless.

[@TalkingWithDocs]

Perfect better late than never Gramps. Thanks for watching and subscribing

[@cailinnaheireann741]

What is your advice on Abdominal aortic Anuerysm & splenic artery Anuerysm I've been diagnosed with an SAA 9.5mm partly calcified vascular doctor monitoring me yearly could you possibly cover this in one of your videos love listening to you both

[@TalkingWithDocs]

Thanks Callin. So aneurysms have very specific size guidelines that help determine risk of rupture and ideal timing of surgery. Best to follow your doctors advice and modify whatever risk factors you can. Good luck. Thanks for watching and subscribing if you did

[@cailinnaheireann741]

@@TalkingWithDocs thanks for the advice it means a lot I've been watching you both for over a year now and I'm definitely subscribed you guys talk about a lot of interesting stuff that help a lot of people deal with whatever issues they may be going through thanks for the info I'll also be in line for a cortisone needle in my arthritic hip & spine lots of fun to be done 🤪

[@marymendoza3351]

Omg that was quite interesting…can you please spell out the terminology methods used?. And you mentioned “fat pad..”? Thank you…

[@TalkingWithDocs]

Hi Mary. Which methods specifically? It was the inferolateral approach. The infrapatellar fat pad lives below the knee cap and is very painful. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.

[@marymendoza3351]

@@TalkingWithDocs ah...you just answered my question..it was for both

[@josefinagalera9550]

Please how much are the injections? My insurance does not cover and I having a lot of pain. Thanks

[@TalkingWithDocs]

Hi JOSEFINA. Cortisone injections are much cheaper than Hyaluronic acid injections. In Canada health care is socialized so you would only pay for the product which is about $25 for cortisone. Thanks for watching and subscribing

[@sherryarflin726]

I’ve had them also. My Ortho Dr. Uses the spray also and I feel a little pressure but that’s it.

[@TalkingWithDocs]

That's good Sherry. Thanks for watching, subscribing and sharing with someone if you did.

[@nomopms1]

I'm afraid of doctors, but you guys are fun!

[@TalkingWithDocs]

Doing our best! Don’t be afraid. Thanks for watching and subscribing if you did

[@ceti7427]

Thank you for your information. I had the injection yesterday. It was the 1 shot not the once a week over a 3 week period. Please note that before the injection my pain level was already at 10 due to a Meniscus tear. I wasn’t nervous because I thought it would be as simple as having a cortisone shot. I was injected in my left bent knee in the same location as your video however, it hurt so bad I couldn’t take it. I felt like I was going to vomit. The pressure shot down to my ankle. I pleaded with my doctor to take the needle out and he did. After I shook it off he re-injected with my knee straight on top of the knee to which I felt no pain whatsoever.

[@susandelongis885]

Thank you! Your patient didn’t even flinch! If you haven’t already, your thoughts regarding options other than cortisol? I get a bad reaction to steroids. You are the best! 👍

[@TalkingWithDocs]

Why thank you Susan. Hyaluronic acid has worked for many of our patients. Other options like PRP simply don’t have enough evidence for their use in arthritis yet for us to endorse them. Best of luck to you. Thanks for watching and subscribing

[@JeanPierreWhite]

Ha. It's probably an age thing. The older I've got the less I am worried about injections. I like to watch the needle go in to avoid the likelihood of flinching. If you can see it happen it's not a surprise.

[@caseysapp9575]

I had a shot in my right knee today for the first time and I had an actual painful experience. They did spray the skin to numb the skin but I felt pain inside pretty bad and I can barely walk now from it hurting so bad it's been 12 hours and has only gotten worse through the day. I have an extreme pain tolerance so I'm absolutely not exaggerating in the least.

[@TalkingWithDocs]

It should get better Casey

[@saltypilot7214]

Same experience. Numerous shots in both knees over the years. A bad experience with the last. Did not feel the needle prick but the PA warned me regarding the amount of cortisone injected. Pressure was very intensely painful for approx 12 hours. Next day, with no sleep, I was back to normal. Cortisone is working for now. TKR in one with the other scheduled for this fall. Maybe she hit the fat cap?

[@gordonsteen5266]

Hi guys, i had a cartilage removed when i was 15, the whole cartilage was removed in those days. So for 53 years ive had bone on bone. Would this type of injection help me any. Would love to hear. Love the videos guys keep them coming. As usual ive liked and shared.

[@TalkingWithDocs]

Hi Gordon. Sorry to hear that. Injections do have some hope of helping but you don’t really know what you are going to get until you try it. Worth a shot. No pun intended. Thanks for watching and subscribing

[@judyharter8265]

I have had steroid injections in both knees. Very slight discomfort, NOT PAIN with those. I've also had the synvisc in one knee and it just made my knee feel "full", but no pain. Also had a genicular (sp) nerve ablation in one knee and walked out with NO pain for over a year.

[@TalkingWithDocs]

Very nice Judy. Thanks for watching and subscribing if you did

[@jongreen4893]

Had cortizone injection just below the patella in the front. It was incredibly painful!

[@TalkingWithDocs]

Oh no Jon. Sorry to hear that. Thanks for watching, subscribing and sharing with someone if you did.

[@damodaranp7605]

Is there injection for rotator cuff injury?

[@TalkingWithDocs]

Yes Damodaran. Some patients receive cortisone injections. Thanks for watching, subscribing and sharing with someone if you did.