Large-Joint Injections | Dallas–Fort Worth
Image-guided treatment for knee, shoulder, elbow, hand, wrist, hip, foot, and ankle pain.
We match the lightest-touch option to your diagnosis, training load, and season goals—then pair relief with rehab for lasting results.
- Board-Certified Specialists
- Fluoroscopy-Guided Injections
- Early, Professional Diagnosis
- Personalized Treatment Plans
- Seven DFW Locations
- Non-Opioid-First Care
Who Benefits
Patients with:
- Localized tenderness over the SI joint
- Pain while standing or walking
- Positive provocation tests
If pain radiates below the knee (radicular pain), Epidural Steroid Injection may be more appropriate.
How It Works
Under live X-ray (fluoroscopy), anesthetic and steroid are placed inside the joint capsule.
The numbing response confirms diagnosis.
The steroid effect builds gradually over several days.
What to Expect at Your Visit

Initial Recovery
Relief is supported through guided stabilization and gradual return to movement.

Rehab Priorities
We emphasize:
- Stabilization drills
- SI belt use as needed
- Gait retraining

Symptoms that recur may respond to repeat injections or lateral branch RFA for extended relief.
What Our Patients Have to Say
Showing selected 4-5 ★ Google reviews.
“(Translated by Google) Dr. Isaac is a very good doctor. (Original) Muy buen doctor Isaac”
“Kassi the PA Wonderful treatment consultation. Gave me several options and left things upto my decision. I was given plenty of time and treated like a person not just a number.”
“This clinic is perfect . They make sure everything is always taken care of.”
“Good”
“I was very comfortable with my consultation and procedure Isaac Pac recommended for my neck and back pain. Looking forward to not being in as much pain. Thank you!”
“(Translated by Google) Excellent service, great patient care, I highly recommend it (Original) Excelente trato buen atencion al paciente lo recomiendo”
“They have been very thorough and helpful in treating me.”
“Good service at Comprehensive Spine Center”
“Kassi was the best Doctor I’ve ever worked with , i recommend you come to this clinic for the best service”
Request Your Same-Day Large-Joint Injections Evaluation
Don’t wait in pain — our expert spine specialists are available for same-day evaluations.
Frequently Asked Questions
Which large-joint injection is right for me?
The best choice depends on your diagnosis, goals, and activity level. Corticosteroid injections quickly calm inflammation, while Hyaluronic Acid (Viscosupplementation) helps lubricate arthritic knees. PRP / Stem Cell Injection options target stubborn joint pain or tendinopathy when progress stalls. We always pair every injection with Physical Therapy & Rehab to convert pain relief into lasting strength, balance, and confident movement across all major joints.
How often can large-joint injections be done safely?
Frequency varies by condition and tissue health. Corticosteroid Joint Injection intervals are carefully spaced to protect cartilage, while Hyaluronic Acid (Viscosupplementation) cycles depend on formulation and candidacy. To minimize procedures, we reinforce joint capacity through Physical Therapy & Rehab. If relief shortens or symptoms shift, our MRI/CT Second-Opinion helps confirm whether another injection or an alternative treatment will deliver safer, more durable results.
When should I choose injection therapy instead of arthroscopy?
Injections work best when inflammation—not structural damage—is the primary issue. Arthroscopy (Knee & Shoulder) is more effective for catching, locking, or loose bodies. We use injections to calm irritation and allow Physical Therapy & Rehab to restore motion. If imaging confirms mechanical lesions, arthroscopy becomes the clear next step for long-term correction while preserving joint stability and natural movement efficiency.
Can large-joint injections help athletic performance?
Yes. Injections can reduce pain, swelling, or synovitis that limits practice or training. Athletes often respond well to PRP / Stem Cell Injection or targeted Corticosteroid Joint Injection, depending on the injury stage. By combining treatment with Physical Therapy & Rehab, we help athletes reload properly, maintain form, and return to sport faster—without over-injecting or disrupting performance timing during their active season.
What happens during a large-joint injection appointment?
Each visit is brief and precise. Using ultrasound or fluoroscopy, our specialists ensure accurate placement and conservative dosing. You’ll receive post-procedure guidelines, including gradual return-to-activity steps through Physical Therapy & Rehab. Whether treating the knee, hip, or shoulder, injections are designed to reduce pain quickly, improve movement, and build stability, so your recovery translates to everyday confidence and athletic readiness.
Who performs large-joint injections at Comprehensive Spine Center?
All procedures are performed by fellowship-trained physicians in Pain Management and Orthopedics. They tailor care to your joint type, imaging findings, and goals. Every injection plan integrates Physical Therapy & Rehab for long-term improvement. If structural problems persist despite treatment, we may discuss Arthroscopy (Knee & Shoulder) or other surgical options that safely restore natural motion and prevent repeat flare-ups in active patients.
Ready to start recovery?
Contact us and set up your doctor visit today to start your journey to pain-free living.