Spine & Orthopedic Pain Centers

Intraarticular Steroid Injections

Glenohumeral or Shoulder Steroid Injections

Shoulder injections are used for diagnostic, as well as therapeutic purposes. The common substances injected include corticosteroids and hyaluronans. Corticosteroids are strong anti-inflammatory medications reducing swelling and inflammation. Hyaluronans also have anti-inflammatory benefits, lubrication, and help to coat pain receptors, stimulating the body’s own synovial fluid production. They seem to have a role in degenerative synovial joint disease, arthritis, frozen shoulder, and labral tears.

Injections can be performed ‘blind’ (without image guidance) or with x-ray or ultrasound guidance.

Pain relief can last 3-6 months



Acromioclavicular or Posterior Shoulder Steroid Injections

Cause for Shoulder Pain

Trauma, arthritis, whiplash, tendon sheath inflammation, rotator cuff injuries, overuse syndromes, adhesive capsulitis, spinal stenosis, osteoarthritis, fractures, ligament tears, dislocation, and fibromyalgia.



Knee Joint Steroid Injection

The knee is one of the most common body parts to be injured. Types of knee injuries are sprain, strains, bursitis, dislocations, fractures, meniscus tears, and overuse injuries. Knee injuries are generally caused by twisting or bending force applied to the knee, or a direct blow, such as from sports, falls, or accidents. Risk factors for knee injury include overuse, improper training, having osteoporosis, and playing high-impact sports that involve sudden changes in direction. The main signs and symptoms of knee injury are knee pain and swelling



Ankle Joint Steroid Injection

A sprained ankle is the most common type of ankle injury that occurs when you roll, twist or turn your ankle in an awkward way. This can stretch or tear the tough bands of tissue (ligaments) that help hold your ankle bones together.

Ligaments help stabilize joints, preventing excessive movement. A sprained ankle occurs when the ligaments are forced beyond their normal range of motion. Most sprained ankles involve injuries to the ligaments on the outer side of the ankle.

Other causes of ankle pain are arthritis, gout, achilles tendon problems, broken shin or lower calf bone



Biceps Tendon Steroid Injection

There are two areas of biceps tendons; one near the shoulder and one near the elbow

Repetitive lifting and, to a lesser extent, overhead reaching can lead to inflammation, micro-tearing, and, if the condition goes untreated, degenerative changes. Patients with bicipital tendinitis typically report anterior shoulder or upper arm pain aggravated by lifting or overhead reaching. Patients may not be able to flex at the elbow against resistance because of the pain of active tendinitis. The goals of therapy for bicipital tendinitis are to reduce tendon inflammation and swelling, strengthen the biceps muscle and tendon to prevent repeat inflammation, and prevent rupture.

"Great staff and Dr Johal very caring Dr."
Richard T.
“Dr. Johal has always been attentive to my health problem and I was greatly impressed when he was in my operation.”
Ana J.
"Dr. Johal gave me my life back! Can’t say enough good thing about him or his practice. My wife is now also seeing him for her neck pain!"
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“I like Dr. Johal he understands your pain he’s a good doctor and I don’t say that about a lot of doctors.”
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