Injection Treatments: Back, Hip, Knee and Shoulder Injections

Musculoskeletal pain is one of the most frequently encountered health issues in modern life. Due to prolonged sitting work, poor posture, heavy load carrying, or sports injuries, chronic pain, movement restriction, and inflammation can develop in certain areas of the body. Today, one of the most effective ways to treat these pains without surgery is injection therapy.
Dr. Atasoy Clinic offers patients rapid and permanent solutions through injection applications under modern imaging guidance, targeting the source of pain in the back, hip, knee, and shoulder areas.

What is Injection Treatment?

Injection treatment is the application of medications, stem cells, or PRP (Platelet Rich Plasma) directly to the area of pain or inflammation.
The goal is not to temporarily suppress pain but to treat it at its source.
At Dr. Atasoy Clinic, these procedures are performed under ultrasound or fluoroscopy (X-ray) guidance. This ensures that the medication reaches the exact target tissue, maximizing effectiveness.

When is it Applied?

• Lumbar disc herniation and sciatica pain

• Hip joint osteoarthritis (coxarthrosis)

• Knee osteoarthritis (gonarthrosis)

• Shoulder impingement syndrome and osteoarthritis

• Muscle tears, tendinitis, and bursitis

• Sports injuries

• Rheumatological pain

The injection content and method applied for each area and disease type differs. At Dr. Atasoy Clinic, personalized planning is created for each patient.

Back Injections

Back pain usually results from disc herniation, facet joint degeneration, or nerve compression.
The main injection types used in this case are:

1. Epidural Steroid Injection

Used to reduce inflammation and edema of nerve roots caused by lumbar disc herniation.
Medication is applied to the nerve root under fluoroscopy guidance using a fine needle.
Pain significantly decreases within several days.
Patient is discharged the same day and can return to daily activities.

2. Facet Joint Injection

Degeneration in small joints in the back (facet joints) is a frequent cause of chronic back pain.
In this case, local anesthetic and anti-inflammatory medication is injected into the joint.
In some patients, radiofrequency ablation method can permanently disable nerves that transmit pain.

Hip Injections

Osteoarthritis, muscle-tendon inflammation, or bursitis (fluid sac inflammation) is commonly seen in the hip joint.
Injections performed under ultrasound guidance can provide both diagnosis and treatment.

Application Areas

• Hip joint PRP or hyaluronic acid injection: Strengthens joint fluid, reduces pain.

• Trochanteric bursitis injection: Provides rapid relief in lateral hip pain.

• Piriformis muscle injection: Effective for sciatic nerve compression-related pain.

Patients generally begin to feel relief from the first week following hip injections.

Knee Injections

The knee is the joint bearing the most weight in the body. Gradual cartilage wear, inflammations, or injuries cause knee pain.
Non-surgical injection treatments can restore knee health without requiring surgery.

1. Hyaluronic Acid (Visco) Injection

Used for arthritis pain resulting from reduced joint fluid.
Hyaluronic acid increases lubrication in the joint and protects cartilage.
Its effect usually lasts 6-12 months.

2. PRP (Platelet Rich Plasma) Injection

Plasma obtained from the patient's own blood is rich in growth factors.
It supports tissue repair, reduces inflammation, and promotes cartilage renewal.
It is completely natural, causing no allergies or side effects.

3. Stem Cell Injection

Preferred in advanced cartilage damage.
Stem cells obtained from the patient's own fat tissue or bone marrow are injected into the knee joint.
These cells stimulate healing in damaged areas, permanently reducing pain.

Shoulder Injections

Shoulder pain usually results from rotator cuff tears, tendinitis, bursitis, or frozen shoulder syndrome.
Injection treatments are very effective in these conditions.

1. Subacromial Bursitis Injection

Anti-inflammatory medication injection is performed for pain from inflammation of the fluid sac above the shoulder.
Pain usually decreases within a few hours.

2. PRP and Stem Cell Applications

PRP or stem cell treatments are preferred in chronic tendon tears or recurrent inflammations.
These methods accelerate the natural healing process of tissue.

3. Frozen Shoulder Injections

When shoulder movements are restricted, injections into the joint capsule restore movement range.
Supported by physiotherapy when necessary.

How Does the Treatment Process Progress?

1. Evaluation: The source of pain is clarified through ultrasound or MR results.

2. Planning: Which joint and what content will be injected is determined.

3. Application: The procedure is performed under local anesthesia with imaging guidance.

4. Healing: The patient can walk immediately after the procedure and is usually discharged the same day.

5. Follow-up: Follow-up is performed at 1 week and 1 month.

Advantages

• No surgery required.

• Procedure time is short, usually 15-30 minutes.

• Rapid healing with return to normal activities the same day.

• Directly acts on pain source.

• Side effects are minimal.

• Can be repeated as needed.

At Dr. Atasoy Clinic, injection treatments are applied with modern ultrasound equipment in a targeted manner. This eliminates the risk of administering medication to the wrong area and brings treatment effectiveness to the highest level.

Injection Treatments Applied at Dr. Atasoy Clinic

• Cortisone Injections: Provide rapid pain control in acute inflammations.

• PRP (Platelet Rich Plasma): Supports tissue repair and accelerates natural healing process.

• Stem Cell Therapy: Enables renewal of cartilage and muscle tissues.

• Hyaluronic Acid Injection: Increases joint lubrication and reduces arthritis pain.

• Ozone Injection: Reduces inflammation with antioxidant effect, relieves muscle spasm.

Combined treatment plans can be created based on individual patient needs. For example, the PRP + hyaluronic acid combination is particularly effective for advanced joint arthritis.

Conclusion and Clinical Approach

At Dr. Atasoy Clinic, our goal is to offer patients treatment options that provide non-surgical, painless, and rapid recovery.
Thanks to injection treatments, many patients achieve pain-free life without requiring surgery.
With advanced imaging technology, correct diagnosis, and experienced application, injection treatments are now both a safe and permanent solution.