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Peripheral Joints

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Are you tired of shoulder pain ? knee pain ? hip pain ? elbow pain ?

You are in the right place.

Peripheral joints pain is one of the most common complaints. The first step to treat any joint pain is to diagnose it correctly, as pain can be caused by mechanical & sports injury, osteoarthrtitis, autoimmune inflammatory conditions, cancers, muscle spasm, infections and possibly referred pain from other locations. Symptoms vary significantly depending on what is causing the pain. Early diagnosis is essential to avoid long term complications.

Contact Us TodayFrequently Asked Questions

Joint Anatomy:

Each joint is different but there are common characteristics. Joints are where bones articulate with each other. They are surrounded by a capsule that holds the joint in place and is filled with fluid to facilitate movement.

Fibrous ligaments connect bones tightly to avoid joint instability. To ensure smooth movement without friction; articulating bony surfaces are covered with cartilage. There are also numerous fluid-filled sacs called bursae to achieve even smoother gliding movement of the tendons.

There are also muscle tendons that surround the joint. Sprain or inflammation or damage to any of these structures can lead to pain. Inflammation of the tendon is tendonitis, inflammation of the capsule is capsulitis, inflammation of the bursae is bursitis.

Wear & tear of cartilage surface is called arthritis. Effusion is swelling of the joint. Establishing the correct diagnosis is essential.

Once you’ve received the correct diagnosis, our doctors may recommend conservative treatment plan such as Physical Therapy. When further treatment is warranted, our board-certified pain specialists, will devise a personalized treatment plan that is specific to YOU. Utilizing ultrasound guidance, our doctors will inject the exact inflamed joint precisely leading to relief of pain often immediately after the injection. The injections have two goals. It can be used a diagnostic tool to confirm the pain is actually caused the inflamed joint. The second goal is to relieve inflammation caused by arthritis. These injections are non-surgical, 15-minutes procedure done in clinic. Now let’s get into the details.

Peripheral Joints Treatment

Corticosteroid Injections

Ultrasound-guided targeted delivery of corticosteroids relieves inflammation and swelling, which reduces pain.

Platelet-Rich Plasma (PRP)

Injecting a concentration of your own platelets can accelerate healing of damaged joint and reducing inflammation.

Visco-supplementation

Injecting hyaluronic acid into the joint. Thick fluid that works a lubricant and shock absorber in your joint.

Radiofrequency Ablation

Permanently destroy (ablate) the nerve transmitting pain signals from area of inflammation around the joint.

Hydro-dissection

Ultrasound-guided, high-pressure injection of saline into the area of the entrapped nerve to release it, which leads to pain relief.

Peripheral Nerve Stimulation

Reserved for patients who failed other treatments or patients who are not surgical candidates or failed  surgery

Peripheral Joints

Knee Pain:

The knee joins the thigh bone (femur) to the shin bone (tibia). Two C-shaped pieces of cartilage called the medial and lateral menisci act as shock absorbers. The patella is a small bone located in front of the knee to facilitate movement. Multiple ligaments hold the joint tightly. Numerous bursae (fluid-filled sacs), help the knee move without friction. Pain can be caused by any damage to the previous structures, such as arthritis, patellar tendonitis, bursitis, meniscal injury, Iliotibial Band Syndrome, Patellofemoral Syndrome, Baker Cyst and ligament strain.

We always start with conservative course of physical therapy. If conservative therapy fails, we would consider corticosteroid injection for inflammation suppression or Visco-supplementation to increase mobility of the joint. If previous measures treatments fail, you may be candidate for PRP injection which have the potential to repair damaged tissue. We can also perform Genicular Nerve Block and Genicular nerve radiofrequency ablation. Genicular nerve carries the pain signals, blocking or ablating this nerve is often a susccefully treatment that can help you avoid surgery. Lastly, Infrapatellar Saphenous Nerve Stimulation to block the transmission of pain signals. Our pain specialists will guide you to choose which treatment. We can help you avoid surgery.

Shoulder Pain:

The shoulder Joint is formed by articulation of the arm bone (Humerus) and shoulder blade bone (Scapula), surrounded by the joint capsule. Rotator cuff muscles surround the joint to facilitate movement. Numerous bursae (fluid-filled sacs), help the shoulder move without friction. Pain can be induced by any damage in the previous structures, such as arthritis, bursitis, rotator cuff injury, impingement syndrome, frozen shoulder, sprain and tendonitis.

Once again, we always start with conservative course of physical therapy. If conservative therapy fails, we would consider corticosteroid injection for inflammation suppression. If previous measures treatments fail, you may be candidate for PRP injection which have the potential to repair damaged tissue. Suprascapular nerve carries pain signals from the shoulder. We can also perform Suprascapular nerve block or ablation to silence your shoulder pain. Lastly Suprascapular Nerve Stimulation to block the transmission of pain signals. Our pain specialists will guide you to choose which treatment. We can help you avoid surgery.

Hip Pain:

The hip joint connects the thigh bone (femur) to pelvis bone (hip). The labrum is a cup-shaped rim of cartilage that lines and reinforces the socket of the joint. The stability of the hip is provided by the joint capsule, the muscles and ligaments that surround joint. There is also trochanteric bursa which can be inflamed. Pain can be caused by any damage to the previous structures, such as arthritis, tendonitis, bursitis, labrum tear, and snapping hip syndrome.

If you have failed conservative therapy, we typically recommend hip joint hydro-dissection combined with corticosteroids to break joint adhesions and decrease inflammation. PRP injection is also a reasonable option for patients with mild to moderate arthritis. We can also offer Obturator and Femoral Nerve block and ablation as pain can signals from the hip joint are transmitted by these nerves. Lastly Dorsal Root Ganglion Stimulation has been used successfully to treat intractable hip pain. You should try these treatments before you consider surgery.

Elbow Pain:

The elbow is a hinged joint made up of three bones, the humerus, ulna, and radius. The ends of the bones are covered with cartilage that allows the joints to slide easily. The joint is held tightly with ligaments that form the joint capsule. Pain can be caused by any damage in the previous structures, such as arthritis, tendonitis, bursitis, epicondylitis, and cubital tunnel syndrome.

Elbow joint is treated with similar modalities such as physical therapy, steroid injections, PRP. One important difference is that elbow pain often occurs due to nerve entrapments. You need an experienced physician who can perform EMG and Nerve Conduction test to diagnose your condition correctly. We are proud to offer all these treatments CURA Medical.

Hand and Wrist Pain:

The wrist joint is one of the most complex structures. Wrist pain can occur due to wrist tendon injury due overuse or trauma, falls, repetitive movements such as Golf wrist injury, or a scaphoid bone fracture or boxing wrist injury or carpal tunnel syndrome due to Median Nerve entrapment. Due to complexity of the joint, comprehensive ultrasound scan combined with X-ray and MRI are often needed to pinpoint the cause of pain. EMG and Nerve Conduction tests are also very useful to confirm or exclude nerve entrapment. Establishing the correct diagnosis is the most critical step. Symptoms can very from mild discomfort, to numbness / tingling or weakness of your hand.

Foot and Ankle Pain:

The foot and ankle form a complex system which consists of 28 bones, 33 joints, 112 ligaments, controlled by 13 extrinsic and 21 intrinsic muscles. Most common causes of pain are Achilles tendon overuse tendonitis or Achilles tendon rupture, diabetic foot neuropathy with numbness or tingling, Plantar Fasciitis, Peroneal tendonitis, and Chronic Regional Pain Syndrome (CRPS). Establishing the correct diagnosis is essential to start the correct treatment.

Talk With a Doctor Today!

We treat people, NOT symptoms

Step 1 : Complimentary Verification:

Following the submission of your information, a member of our front desk will be in touch with you to ask if your insurance will cover the appointment. Then, we’ll schedule your first visit at one of our Pain Centers that are nearby.

Step 2 : Meet Your Pain Specialist:

When you arrive at our center, the front desk will register you into our system. Then one of our skilled vein doctors will see you right away. Please call us at (973) 363-2029 as a courtesy if you will be late.

Step 3 : Initial Consultation:

Your pain specialist will evaluate your condition and develop a personalized treatment plan during your initial consultation. When we create your pain management plan, all your needs are taken into consideration.

Step 4 : Finally pain relief !

We love walking the journey with you, answering every question you have. Are you ready? You can begin now!

Contact Us Today!