Peripheral Joint Injections in Novi, MI
About Peripheral Joint Injections
A peripheral joint injection places medication directly into a joint outside the spine, such as the knee, shoulder, hip, elbow, wrist or ankle. The medication is commonly a corticosteroid, which reduces inflammation, often combined with a local anesthetic for short-term relief.
In physical medicine and rehabilitation, an injection is rarely the whole plan. The goal is usually to reduce pain enough that you can move more comfortably and get more out of exercise and physical therapy.
Who may benefit
Joint injections are commonly considered for painful arthritis, frozen shoulder, bursitis and other inflammatory joint problems, particularly when pain is limiting daily activities or progress in therapy.
What to expect
- Evaluation of your symptoms, imaging and function to confirm the joint is the likely source of pain.
- The skin is cleaned and the medication is injected into the joint; the visit is typically brief.
- Some people notice early relief from the anesthetic; any steroid effect usually develops over the following days.
- Follow-up to review your response and adjust your rehabilitation plan.
Physician-led care in Novi
Treatment at Excel Physical Medicine and Rehab is provided under the direction of Dr. Augustus (Peter) Evangelista, who is board certified in Physical Medicine and Rehabilitation and in Pain Medicine. Treatment plans can include on-site physical therapy in Novi.
Verify this physician's specialty and practice address in the Corewell Health directory or Trinity Health Michigan directory.
Common questions
- How often can joint injections be repeated?
- Physicians generally limit how often steroid injections are given into the same joint. Dr. Evangelista will discuss a safe interval based on your situation.
- How do I know if this treatment is right for me?
- Every treatment plan at Excel Physical Medicine and Rehab starts with a comprehensive physiatric assessment. Dr. Evangelista reviews your history, examines how the problem affects your function, and discusses whether this option makes sense alongside alternatives such as physical therapy.
This page is general patient education, not medical advice. Whether a treatment is appropriate for you is decided after an in-person evaluation. For emergencies, call 911.
Schedule a consultation
Start with a comprehensive physiatric assessment at our Novi office.