Joint pain is a common source of pain affecting millions of Americans. Knee pain is the most common source of pain followed by shoulder and hip pain. Systemic diseases such as osteoarthritis, rheumatoid arthritis, bursitis, gout, strains, sprains, and other injuries can be the case of the joint pains.

At the UAMS Interventional Pain Clinic, we believe in a holistic, multi-disciplinary approach to joint care. With close collaboration with our physical therapists, rehab physicians, orthopedic surgeons, and other consultants, we will work with you to create a comprehensive plan to improve your hip/knee/shoulder pain and return you to your life.

We also believe in using minimally invasive interventions to break the pain cycle, eliminate dependence on opioid medications, and jump start your rehabilitation process.

If non-interventional treatment of medications, physical therapy, and life style modifications is ineffective, interventional treatment should be considered.

Below is a list of joint procedures that we perform:

  • Hip pain
    • Hip intra-articular steroid injections
    • Trochanteric bursa injections
    • Radiofrequency ablation to the hip
  • Knee pain
    • Knee intra-articular steroid injections
    • Viscous supplementation to the knee
    • Radiofrequency ablation to the knee
  • Sacro-iliac joint pain
    • Sacroiliac joint injections
    • Lateral branch radiofrequency ablation
  • Shoulder Pain
    • Intra-articular shoulder injections

Intra articular steroid injections can be used for pain relief every three to four months. Other injection options include removing fluid from the joint or injection of hyaluronic or synthetic joint fluid.

A novel approach to joint pain treatment is radiofrequency denervation of knee genicular nerves, hip articular nerve branches, sacroiliac joint lateral branches. Radiofrequency denervation is a procedure that applies electrical heat to small nerves that transmit pain sensation to the brain. First local anesthetic or numbing medication is applied to the target nerves to test if radiofrequency ablation would work for the particular joint pain. Radiofrequency ablation is done under live x ray guidance to target the pain transmitting nerves for knee, hip, and sacroiliac joint pain. Compared to steroid injection for pain, the radiofrequency ablation approach lasts for approximately 6 months and is devoid of medication side effects.

UAMS Jackson T. Stephens Spine & Neurosciences Institute Comprehensive Pain Medicine Clinic has an ongoing research project with radiofrequency ablation of knee genicular nerve.

If you or a family member is suffering from Joint Pain and would like a consultation, please visit our Become a Patient page.