Joint Injection

**Joint Injection / Procedure** **Presenting Complaint** Patient presents for a right knee joint injection due to osteoarthritis. The patient reports a dull ache in the right knee for the past six months, which is worse with activity and improves with rest. Previous treatments include over-the-counter pain relievers, which provided minimal relief. --- **History** The patient reports the pain has been present for six months, with increasing intensity over the last month. They have tried ibuprofen and paracetamol, with limited success. The patient is not on any blood thinners. The patient's goal is to improve mobility and reduce pain to allow for daily activities. --- **Examination** Examination revealed mild swelling and tenderness to palpation over the medial joint line. Range of motion is limited due to pain. No redness or signs of infection were noted. --- **Consent & Preparation** Informed consent was obtained. The risks and benefits of the injection, including infection, bleeding, post-injection flare, and failure to improve, were explained. The area was cleaned and prepared using aseptic technique. --- **Procedure** **Joint injected:** Right knee **Approach:** Medial **Preparation:** Aseptic technique used. **Anaesthetic:** 1% lidocaine, 2ml **Steroid used:** 40 mg triamcinolone acetonide **Needle:** 22 gauge, 1.5 inch **Outcome:** Tolerated well, no complications. --- **Post-Procedure Advice** The patient was advised to rest the joint for 24 hours and avoid heavy activity for 48 hours. They were warned about a possible mild post-injection flare and advised to report any redness, swelling, fever, or persistent pain. --- **Plan / Follow-Up** Review in 4 weeks. If no improvement, consider further investigation. If effective, repeat injection in 3 months if needed.