Skip to main content

What are ultrasound-
guided joint injections?

Ultrasound-guided joint injections involve using ultrasound imaging to guide the injection needle into the targeted joint space. This ensures the precise delivery of medications like hyaluronic acid for lubrication, corticosteroids for inflammation reduction, and Traumeel/Zeel for pain management. By visualizing the joint in real-time, Dr. Cohen and his team can enhance accuracy, efficacy, and comfort, ensuring optimal treatment for arthritis and sports injuries.

A woman playing tennis while smiling after getting ultrasound-guided joint injections in Thousand Oaks, CA

What can ultrasound-guided joint injections help with?

  • Arthritis (e.g., osteoarthritis, rheumatoid arthritis)
  • Joint pain and inflammation
  • Sports injuries (e.g., tendonitis, bursitis)
  • Limited joint mobility
  • Cartilage degeneration
  • Synovial fluid depletion
  • Chronic joint discomfort
  • Osteoarthrosis
  • Postoperative joint pain
  • Rotator cuff injuries
  • Tennis elbow (lateral epicondylitis)
  • Golfer’s elbow (medial epicondylitis)
  • Knee pain (e.g., patellofemoral pain syndrome)
  • Hip pain (e.g., trochanteric bursitis)
  • Ankle pain (e.g., Achilles tendinitis)
  • Wrist pain (e.g., carpal tunnel syndrome)
  • Shoulder impingement syndrome
  • Sacroiliac joint dysfunction
  • Degenerative disc disease in facet joints

How do ultrasound-guided
joint injections work?


Ultrasound-guided joint injections in Thousand Oaks use real-time imaging to administer medications to affected joints. The ultrasound allows visualization of the joint space, guiding the needle accurately to the target area. Once positioned, the injection delivers hyaluronic acid, corticosteroids, or Traumeel/Zeel to alleviate pain, reduce inflammation, and support tissue healing. The specific mechanism of action depends on the medications used for the treatment.

Hyaluronic Acid Injections

Hyaluronic acid injections supplement the synovial fluid within the joint capsule. Synovial fluid acts as a lubricant and shock absorber, facilitating smooth joint movement. With conditions like osteoarthritis, the natural production of hyaluronic acid decreases, leading to joint stiffness and pain. Injected hyaluronic acid replenishes this fluid, restoring its viscoelastic properties and improving joint function. Additionally, hyaluronic acid has been shown to have anti-inflammatory effects, further reducing pain and inflammation within the joint.

Corticosteroid Injections

Corticosteroid injections exert their therapeutic effects by targeting the inflammatory pathways within the joint. These potent anti-inflammatory agents suppress the immune response and reduce inflammation. By inhibiting the production of inflammatory cytokines and mediators, corticosteroids alleviate pain and swelling associated with conditions like arthritis or tendonitis. Additionally, corticosteroids may also inhibit the activity of immune cells involved in joint inflammation, further mitigating symptoms. Corticosteroids can also slow down the progression of certain inflammatory joint diseases.

Traumeel/Zeel Injections

Traumeel/Zeel injections use homeopathic remedies to address joint-related symptoms. Traumeel consists of botanical and mineral extracts, while Zeel contains natural substances like cartilage, sulfur, and botanicals. These formulations alleviate pain, reduce inflammation, and support tissue healing. They can modulate inflammatory mediators and enhance tissue repair, thus stimulating the body’s innate healing mechanisms. Traumeel/Zeel injections offer a holistic approach to joint care, effectively relieving musculoskeletal conditions.

What are the benefits of ultrasound-guided joint injections?

  • Precise targeting of the affected joint space
  • Real-time visualization ensures accurate needle placement
  • Minimally invasive procedure
  • Reduced risk of complications
  • Enhanced efficacy of medication delivery
  • Tailored treatment options with various medications available
  • Improved patient comfort during injection
  • Potential for faster symptom relief compared to traditional injections
  • Suitable for individuals with joint issues who may not respond well to oral medications

To discover the benefits of ultrasound-guided joint injections in Thousand Oaks, schedule a consultation with Dr. Cohen today.

An older couple walks their dog down a sunny tree lined street after getting ultrasound-guided joint injections in Thousand Oaks

Am I a candidate for ultrasound-guided
joint injections?

Dr. Cohen and his team will assess your candidacy for ultrasound-guided joint injections following a comprehensive evaluation. During your consultation, they’ll review your medical history, conduct a physical exam, and discuss your symptoms and goals. This personalized approach ensures tailored recommendations to address your joint issues effectively. Generally, you may be a suitable candidate for ultrasound-guided joint injections if you:

  • Experience chronic joint pain or inflammation
  • Have been diagnosed with conditions like arthritis, tendinitis, or bursitis
  • Seek alternatives to oral medications or traditional injections
  • Don’t have contraindications for the chosen treatment
  • Desire targeted and precise treatment for your joint issues

What are the side effects and risks?

The potential side effects of ultrasound-guided joint injections are generally minimal and may include temporary discomfort or swelling at the injection site. In rare cases, you may experience allergic reactions to the medication used. There’s also a slight risk of infection or nerve damage, although these complications are extremely rare when the procedure is performed by a skilled healthcare professional. Dr. Cohen and his team will discuss potential risks and address any concerns before proceeding with the treatment.

When will I see the results?

The timeframe for experiencing results from ultrasound-guided joint injections in Thousand Oaks varies depending on factors such as the severity of your condition and the type of medication used. While some individuals may notice improvement shortly after the procedure, it may take a few days or weeks for the full effects to be realized. Typically, a series of injections spaced over several weeks may be recommended for optimal results. Dr. Cohen and his team will personalize your treatment plan based on your specific needs and response to therapy.

What happens during the ultrasound-guided joint injection session?

During ultrasound-guided joint injections, you’ll lie comfortably on an examination table as the procedure begins. Dr. Cohen or a qualified healthcare professional will clean the skin around the targeted joint to maintain sterility. Next, they’ll apply a local anesthetic to numb the area. Using ultrasound guidance, the practitioner will insert a thin needle into the joint space, precisely delivering the chosen medication. Real-time imaging allows for accurate positioning, maximizing the effectiveness of the treatment.

Once the medication is administered, you may feel some pressure or mild discomfort at the injection site, but this should subside quickly. The entire procedure typically takes only a few minutes per joint. Following the injection, you may be advised to rest and avoid strenuous activities involving the treated joint. Many individuals experience relief from symptoms shortly after the procedure, although it may take a few days for the full effects to be realized.

Logo for Cohen Medical Centers in Thousand Oaks, CA

Ultrasound-guided joint injections in
Thousand Oaks, CA

Cohen Medical Centers is a premier facility for cutting-edge rheumatological care and regenerative medicine in Thousand Oaks, CA. Led by Dr. Cohen, an esteemed fellowship-trained physician dual-certified in internal medicine and rheumatology, we offer comprehensive treatments for various musculoskeletal and rheumatological conditions. If you’re seeking relief from joint issues, schedule a consultation to explore your options for ultrasound-guided joint injections in Thousand Oaks with our experienced team.

Contact Our
Office Today

CONTACT US(805) 449-8781
Contact Us 805.449.8781