Local pain block: joint

Intra-articular (within the joint): joints are a common injection site because of the large number of pathological processes and the accessibility and size of the joint. Conditions such as osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, reactive arthritis, psoriatic arthritis, crystal arthropathies and others affect almost all the structures of the joints. We would single out osteoarthritis as the most common disease, one that has an inflammatory as well as a degenerative component. The choice of medicine – a single medicine or a combination – depends on the predominant pathological process and on the indications and contraindications. With the help of ultrasound, various interventional procedures can be carried out, such as injections, blocks, instillations, tendon fenestration, dry needling and acupuncture; various medicines can also be given, such as corticosteroids, anaesthetics, hyaluronic acid, whole blood, stem cells and others.